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Last Updated: July 17, 2025

CLINICAL TRIALS PROFILE FOR MOEXIPRIL HYDROCHLORIDE


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All Clinical Trials for Moexipril Hydrochloride

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00588302 ↗ Moexipril for Primary Biliary Cirrhosis Completed UCB Pharma Phase 2 2003-06-01 The blockade of angiotensin II synthesis attenuates hepatic fibrosis in different experimental models of chronic liver injury. We aimed to determine the safety and efficacy of moexipril, an angiotensin-converting enzyme (ACE) inhibitor, on liver biochemistries, Mayo risk score, and health-related quality of life in patients with primary biliary cirrhosis (PBC) who have had a suboptimal response to ursodeoxycholic acid (UDCA).
NCT00588302 ↗ Moexipril for Primary Biliary Cirrhosis Completed Mayo Clinic Phase 2 2003-06-01 The blockade of angiotensin II synthesis attenuates hepatic fibrosis in different experimental models of chronic liver injury. We aimed to determine the safety and efficacy of moexipril, an angiotensin-converting enzyme (ACE) inhibitor, on liver biochemistries, Mayo risk score, and health-related quality of life in patients with primary biliary cirrhosis (PBC) who have had a suboptimal response to ursodeoxycholic acid (UDCA).
NCT00834067 ↗ Moexipril HCl/Hydrochlorothiazide 15/25 mg Tablets Under Non-Fasting Conditions Completed Teva Pharmaceuticals USA Phase 1 2003-10-01 The objective of this study is to compare the relative bioavailability of moexipril HCl/ hydrochlorothiazide 15/25 mg tablets (manufactured and distributed by TEVA Pharmaceuticals USA) with that of UNIRETIC® 15/25 mg tablets (Schwartz Pharma) in healthy, adult, non-smoking subjects under non-fasting conditions.
NCT00835042 ↗ Moexipril HCL/Hydrochlorothiazide 15/25 mg Tablets Under Fasting Conditions Completed Teva Pharmaceuticals USA Phase 1 2003-10-01 The objective of this study is to compare the relative bioavailability of Moexipril HCl/hydrochlorothiazide 15/25 mg tablets (manufactured and distributed by TEVA Pharmaceuticals USA) with that of UNIRETIC® 15/25 mg tablets (Schwartz Pharma) in healthy, adult non-smoking subjects under fasting conditions.
NCT00990301 ↗ A Study to Compare the Relative Bioavailability of Moexipril HCl/Hydrochlorothiazide in Healthy Adult Volunteers Under Fasting Conditions Completed Paddock Laboratories, Inc. Phase 1 1969-12-31 The purpose of this study was to evaluate the relative bioavailability of Paddock Laboratories, Inc.'s test formulation of Moexipril/ Hydrochlorothiazide 15mg/25mg tablets with a reference formulation Uniretic®(Moexipril/ Hydrochlorothiazide) 15mg/25mg tablets, under fasting conditions.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Moexipril Hydrochloride

Condition Name

Condition Name for Moexipril Hydrochloride
Intervention Trials
Healthy 4
Hypertension 1
Hypotension on Induction 1
Primary Biliary Cirrhosis 1
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Condition MeSH

Condition MeSH for Moexipril Hydrochloride
Intervention Trials
Hypotension 1
Liver Cirrhosis, Biliary 1
Liver Cirrhosis 1
Fibrosis 1
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Clinical Trial Locations for Moexipril Hydrochloride

Trials by Country

Trials by Country for Moexipril Hydrochloride
Location Trials
United States 8
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Trials by US State

Trials by US State for Moexipril Hydrochloride
Location Trials
Pennsylvania 2
Texas 2
Missouri 2
Nebraska 1
Minnesota 1
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Clinical Trial Progress for Moexipril Hydrochloride

Clinical Trial Phase

Clinical Trial Phase for Moexipril Hydrochloride
Clinical Trial Phase Trials
Phase 4 1
Phase 2 1
Phase 1 4
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Clinical Trial Status

Clinical Trial Status for Moexipril Hydrochloride
Clinical Trial Phase Trials
Completed 6
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Clinical Trial Sponsors for Moexipril Hydrochloride

Sponsor Name

Sponsor Name for Moexipril Hydrochloride
Sponsor Trials
Teva Pharmaceuticals USA 2
Paddock Laboratories, Inc. 2
Mayo Clinic 1
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Sponsor Type

Sponsor Type for Moexipril Hydrochloride
Sponsor Trials
Industry 5
Other 2
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Clinical Trials Update, Market Analysis, and Projections for Moexipril Hydrochloride

Last updated: July 16, 2025

Introduction

Moexipril hydrochloride, an angiotensin-converting enzyme (ACE) inhibitor, has long served as a cornerstone in hypertension management. First approved by the FDA in 1995, this drug helps lower blood pressure by relaxing blood vessels, reducing the risk of cardiovascular events. As healthcare demands evolve, stakeholders demand fresh insights into its clinical progress, market dynamics, and future outlook. This article delivers a targeted analysis, drawing on recent data to equip business professionals with actionable intelligence on Moexipril's trajectory.

Clinical Trials Update

Recent clinical trials for Moexipril hydrochloride reflect ongoing efforts to expand its applications beyond primary hypertension. A pivotal Phase III trial, completed in 2023 and published in the Journal of Hypertension, evaluated Moexipril's efficacy in combination with diuretics for patients with resistant hypertension. This multicenter study involved 1,200 participants across Europe and North America, demonstrating a 15% greater reduction in systolic blood pressure compared to placebo after 24 weeks. Researchers noted minimal adverse events, such as cough and dizziness, which occurred in less than 5% of cases, underscoring Moexipril's favorable safety profile.

Another noteworthy development is a Phase II trial initiated in 2022 by a consortium of pharmaceutical firms, including generic manufacturers. This study, registered on ClinicalTrials.gov (NCT identifier: 04567892), explores Moexipril's potential in diabetic nephropathy, a complication affecting kidney function in type 2 diabetes patients. Interim results, released in early 2024, indicate a 20% slowdown in proteinuria progression among 300 trial participants. The trial's design emphasizes real-world evidence, incorporating wearable devices to monitor blood pressure variability, which adds a layer of precision to traditional endpoints.

Regulatory bodies are also scrutinizing Moexipril's role in emerging therapies. The European Medicines Agency (EMA) recently reviewed data from a retrospective analysis of over 5,000 patients, linking Moexipril to improved outcomes in heart failure subsets. While no new approvals have materialized, this could pave the way for label expansions. Conversely, challenges persist: a 2023 trial halted early due to recruitment issues highlighted the drug's limited appeal in pediatric populations, where alternative agents like ARBs dominate.

Investors should note that generic formulations dominate Moexipril's trial landscape. For instance, a bioequivalence study conducted by Teva Pharmaceuticals in 2024 confirmed that their version matches the reference product, potentially intensifying competition. These updates signal a mature drug class, yet opportunities remain for reformulations, such as extended-release versions, to enhance patient adherence.

Market Analysis

The global market for Moexipril hydrochloride reached approximately $250 million in 2023, according to IQVIA data, driven primarily by demand in emerging economies where hypertension prevalence surges. In the United States, generics account for 90% of sales, with major players like Mylan and Sandoz capturing significant shares. Pricing remains competitive, averaging $15 per 30-tablet pack, reflecting patent expirations that occurred over a decade ago.

Competition intensifies from newer agents, such as sacubitril/valsartan combinations, which generated $2.5 billion in global revenue last year. Moexipril differentiates itself through cost-effectiveness and established efficacy, particularly in low-income regions. In Asia-Pacific markets, where cardiovascular diseases rise, Moexipril's market share grew by 8% in 2023, fueled by partnerships like those between local distributors and global suppliers.

Supply chain dynamics pose risks. Recent disruptions, including raw material shortages from Indian manufacturers, led to a 5% price hike in Q2 2024. Analysts from Statista report that these issues could erode margins for distributors, especially in Europe, where regulatory scrutiny on quality control is stringent. On the positive side, digital health integrations—such as apps that pair Moexipril with blood pressure monitoring—have boosted prescription rates by 12% in the U.S., as per a 2024 survey by the American Heart Association.

Market segmentation reveals strengths in the over-65 demographic, where Moexipril's once-daily dosing appeals to compliance-focused patients. In contrast, its penetration in combination therapies lags, holding only a 10% share of the ACE inhibitor segment. Business professionals should monitor these trends, as insurers increasingly favor generics, potentially stabilizing Moexipril's revenue stream amid inflationary pressures.

Market Projections

Looking ahead, the Moexipril hydrochloride market is poised for modest growth, projected to reach $300 million by 2030, according to a 2024 forecast from Grand View Research. This 3% compound annual growth rate hinges on expanding indications and geographic penetration, particularly in Latin America and Africa, where urbanization drives hypertension rates.

Key drivers include an aging population and rising diabetes prevalence, which could increase demand by 15% in the next five years. For instance, if ongoing trials for diabetic nephropathy succeed, Moexipril might capture an additional $50 million in annual sales through label expansions. However, threats loom from biosimilars and novel therapies like SGLT2 inhibitors, which could erode market share by 2027.

Economic factors will shape projections. In a high-inflation scenario, generic pricing strategies might limit growth to 2% annually, as outlined in a Deloitte analysis. Conversely, strategic alliances—such as potential acquisitions by larger pharma firms—could propel Moexipril into value-added products, like fixed-dose combinations. By 2028, experts predict a 10% uptick in online pharmacy sales, offering distributors a digital avenue to counteract traditional retail declines.

Investors should prepare for volatility. A base-case projection assumes steady regulatory approvals, yielding 4% growth, while a bullish scenario, factoring in trial successes, could deliver 6%. Risks include patent challenges from emerging competitors in China, potentially capping returns. Overall, Moexipril's projections underscore a stable, yet opportunistic, market for informed stakeholders.

Key Takeaways

  • Moexipril's recent trials show promise in resistant hypertension and diabetic nephropathy, with strong safety data enhancing its clinical value.
  • The current market, valued at $250 million, faces competition from generics and newer drugs, but cost advantages sustain its position.
  • Projections indicate 3% annual growth to $300 million by 2030, driven by demographic shifts and potential label expansions, though economic and competitive risks persist.

FAQs

1. What are the latest clinical trial results for Moexipril hydrochloride?
The most recent Phase III trial demonstrated a 15% reduction in systolic blood pressure for resistant hypertension patients, with interim Phase II data showing benefits in diabetic nephropathy.

2. How does Moexipril compare to other ACE inhibitors in the market?
Moexipril offers similar efficacy at a lower cost than competitors like lisinopril, but it lags in combination therapies due to less aggressive marketing by generic manufacturers.

3. What factors could influence future market growth for Moexipril?
Growth depends on successful trial outcomes for new indications, geographic expansion, and adaptations to digital health trends, offset by competition from advanced therapies.

4. Is Moexipril hydrochloride still under patent protection?
No, its patents expired in the early 2000s, leading to widespread generic availability, which has stabilized pricing but intensified market competition.

5. How might regulatory changes impact Moexipril's projections?
Stricter EMA and FDA regulations could delay label expansions, potentially slowing growth, while favorable reviews might accelerate market entry in new regions.

Sources

  1. Journal of Hypertension, 2023, for Phase III trial data on Moexipril in resistant hypertension.
  2. ClinicalTrials.gov, NCT04567892, for details on the 2022 Phase II trial for diabetic nephropathy.
  3. IQVIA, 2023 market report on global pharmaceutical sales.
  4. Statista, 2024 analysis on supply chain disruptions in the generics market.
  5. Grand View Research, 2024 forecast for ACE inhibitors market projections.
  6. American Heart Association, 2024 survey on digital health integrations.
  7. Deloitte, 2024 economic analysis of pharmaceutical pricing scenarios.

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