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Last Updated: March 9, 2026

CLINICAL TRIALS PROFILE FOR MULTIPLE ELECTROLYTES INJECTION TYPE 1 USP PH 5.5


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505(b)(2) Clinical Trials for Multiple Electrolytes Injection Type 1 Usp Ph 5.5

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Formulation NCT00244777 ↗ Introduction of Hypo-osmolar ORS for Routine Use Completed United States Agency for International Development (USAID) Phase 4 2002-12-01 The World Health Organization has very recently recommended the routine use of a hypo-osmolar ORS in the management of diarrhoeal diseases. This recommendation is based on the better efficacy of the hypo-osmolar ORS over the standard WHO ORS demonstrated in controlled clinical trials. The recommendation, however, also expressed the need for "careful monitoring to better assess risk, if any, of symptomatic hyponatraemia". There thus is a need for phase IV trials before the new solution is introduced into routine clinical practice to assess the risk in relatively large number of patient populations. The proposed study will be carried out at two different settings- at the urban settings of the Dhaka Hospital (60000 patients) and at the rural settings of the Matlab Hospital (15000 patients) of ICDDR,B. The hypo-osmolar rice or glucose-based ORS will be introduced as standard management of patients with diarrhoea . The hypo-osmolar ORS will contain 75 mmol /L of sodium instead of 90 mmol/L. Surveillance will be carried out to detect adverse events focusing on the occurrence of seizures or undue lethargy during hospitalization. Each episode of seizure or undue lethargy would be evaluated to determine if they are associated with abnormal levels of serum sodium or glucose, or fever. It has been estimated that about 3% (1,800) of patients initially admitted to the Short Stay Ward of the Dhaka Hospital, and 340 patients at the Matlab Hospital might require admission to the longer stay inpatient wards due to seizure or altered consciousness. Such patients would be thoroughly assessed including determination of their serum sodium and glucose, two common causes of seizures/altered consciousness, to determine if and to what extent they could be attributed to hyponatraemia.The results from this study would be used in planning and implementing the routine use of the new formulation of ORS at all Government, NGO and private health care facilities that treat diarrhoeal patients, in Bangladesh and in other countries.
New Formulation NCT00244777 ↗ Introduction of Hypo-osmolar ORS for Routine Use Completed International Centre for Diarrhoeal Disease Research, Bangladesh Phase 4 2002-12-01 The World Health Organization has very recently recommended the routine use of a hypo-osmolar ORS in the management of diarrhoeal diseases. This recommendation is based on the better efficacy of the hypo-osmolar ORS over the standard WHO ORS demonstrated in controlled clinical trials. The recommendation, however, also expressed the need for "careful monitoring to better assess risk, if any, of symptomatic hyponatraemia". There thus is a need for phase IV trials before the new solution is introduced into routine clinical practice to assess the risk in relatively large number of patient populations. The proposed study will be carried out at two different settings- at the urban settings of the Dhaka Hospital (60000 patients) and at the rural settings of the Matlab Hospital (15000 patients) of ICDDR,B. The hypo-osmolar rice or glucose-based ORS will be introduced as standard management of patients with diarrhoea . The hypo-osmolar ORS will contain 75 mmol /L of sodium instead of 90 mmol/L. Surveillance will be carried out to detect adverse events focusing on the occurrence of seizures or undue lethargy during hospitalization. Each episode of seizure or undue lethargy would be evaluated to determine if they are associated with abnormal levels of serum sodium or glucose, or fever. It has been estimated that about 3% (1,800) of patients initially admitted to the Short Stay Ward of the Dhaka Hospital, and 340 patients at the Matlab Hospital might require admission to the longer stay inpatient wards due to seizure or altered consciousness. Such patients would be thoroughly assessed including determination of their serum sodium and glucose, two common causes of seizures/altered consciousness, to determine if and to what extent they could be attributed to hyponatraemia.The results from this study would be used in planning and implementing the routine use of the new formulation of ORS at all Government, NGO and private health care facilities that treat diarrhoeal patients, in Bangladesh and in other countries.
New Formulation NCT00490932 ↗ New Hypo-Osmolar ORS (Recommended by WHO) for Routine Use in the Diarrhea Management- Surveillance Study for Adverse Effects Completed Society for Applied Studies Phase 4 2005-03-01 For more than 25 years WHO and UNICEF have recommended a single formulation of glucose-based Oral Rehydration Salts (ORS) to prevent or treat dehydration from diarrhoea irrespective of the cause or age group affected. This product has proven effective and contributed substantially to the dramatic global reduction in mortality from diarrhoeal disease during the period. Based on more than two decades of research and recommendations by an expert group, WHO and UNICEF reviewed the effectiveness of a new ORS formula with reduced concentration of glucose and salts. Because of the improved effectiveness of this new ORS solution WHO and UNICEF recommended that countries use and manufacture this new formulation in place of the old one. While recommending this new ORS the experts also recommended that further monitoring is desirable to better assess the risk, if any of symptomatic hyponatraemia (low blood level of sodium salt). This is a surveillance study to evaluate adverse effect of routinely using the new ORS in a hospital admitting over 20,000 patients with diarrhea of all ages including cholera. If the new ORS is found safe, it will provide added confidence in its global use.
New Formulation NCT00627796 ↗ Lanreotide Autogel-120 mg as First-Line Treatment of Acromegaly Completed University of Genova Phase 4 2003-01-01 Recently, a new formulation of lanreotide, lanreotide Autogel (ATG) 60 mg, 90 mg and 120 mg was developed in order to further extend the duration of the release of the active ingredient. The ATG formulation consists of a solution of lanreotide in water with no additional excipients. ATG was found to have linear pharmacokinetics for the 60 to 120 mg doses and provided a prolonged dosing interval and good tolerability (1). In some previous studies, the ATG was demonstrated as effective as the micro-particle lanreotide (2,3) and as octreotide-LAR in patients with acromegaly (4-7). Data on the efficacy of ATG in newly diagnosed patients with acromegaly are still lacking. Similarly, the prevalence and amount of tumor shrinkage after ATG treatment is unknown. This information is particularly useful in the setting of first-line therapy of acromegaly that is currently becoming a more frequent approach to the disease (8). It is demonstrated that approximately 80% of the patients treated with depot somatostatin analogues as first line have a greater than 20% tumor shrinkage during the first 12 months of treatment (9). A definition of significant tumor shrinkage was provided in 14 studies (including a total number of patients of 424) and the results showed that 36.6% (weighted mean percentage) of patients receiving first-line somatostatin analogues therapy for acromegaly had a significant reduction in tumor size (10). About 50% of the patients were found to have a greater than 50% tumor shrinkage within the first year of treatment (10); in this study we found that percent decrease in IGF-I levels was the major determinant of tumor shrinkage (10). The current open, prospective study is designed to investigate the prevalence and amount of tumor shrinkage in newly diagnosed patients with acromegaly treated first-line with ATG.
New Formulation NCT00627796 ↗ Lanreotide Autogel-120 mg as First-Line Treatment of Acromegaly Completed Federico II University Phase 4 2003-01-01 Recently, a new formulation of lanreotide, lanreotide Autogel (ATG) 60 mg, 90 mg and 120 mg was developed in order to further extend the duration of the release of the active ingredient. The ATG formulation consists of a solution of lanreotide in water with no additional excipients. ATG was found to have linear pharmacokinetics for the 60 to 120 mg doses and provided a prolonged dosing interval and good tolerability (1). In some previous studies, the ATG was demonstrated as effective as the micro-particle lanreotide (2,3) and as octreotide-LAR in patients with acromegaly (4-7). Data on the efficacy of ATG in newly diagnosed patients with acromegaly are still lacking. Similarly, the prevalence and amount of tumor shrinkage after ATG treatment is unknown. This information is particularly useful in the setting of first-line therapy of acromegaly that is currently becoming a more frequent approach to the disease (8). It is demonstrated that approximately 80% of the patients treated with depot somatostatin analogues as first line have a greater than 20% tumor shrinkage during the first 12 months of treatment (9). A definition of significant tumor shrinkage was provided in 14 studies (including a total number of patients of 424) and the results showed that 36.6% (weighted mean percentage) of patients receiving first-line somatostatin analogues therapy for acromegaly had a significant reduction in tumor size (10). About 50% of the patients were found to have a greater than 50% tumor shrinkage within the first year of treatment (10); in this study we found that percent decrease in IGF-I levels was the major determinant of tumor shrinkage (10). The current open, prospective study is designed to investigate the prevalence and amount of tumor shrinkage in newly diagnosed patients with acromegaly treated first-line with ATG.
New Formulation NCT02909036 ↗ Study of Captisol Enabled Melphalan and Pharmacokinetics for Patients With Multiple Myeloma or Light Chain Amyloidosis That Are Receiving an Autologous Transplant. Active, not recruiting Spectrum Pharmaceuticals, Inc Phase 1 2016-09-01 Captisol Enabled Melphalan, is a new formulation of the standard of care melphalan chemotherapy that in packaged in an inactive substance that is believed to help the chemotherapy be more stable (meaning that it doesn't lose its effect or need to be administered quickly after being mixed). It may also have fewer side effects such as problems with important levels of body electrolytes such as potassium, phosphorous and magnesium; and cause less kidney and heart damage] than standard formulation melphalan. The purpose of this study is to determine if the investigators can achieve a certain level of Captisol Enabled Melphalan that would be best to use in treating Multiple Myeloma and AL Amyloidosis.
New Formulation NCT02909036 ↗ Study of Captisol Enabled Melphalan and Pharmacokinetics for Patients With Multiple Myeloma or Light Chain Amyloidosis That Are Receiving an Autologous Transplant. Active, not recruiting Memorial Sloan Kettering Cancer Center Phase 1 2016-09-01 Captisol Enabled Melphalan, is a new formulation of the standard of care melphalan chemotherapy that in packaged in an inactive substance that is believed to help the chemotherapy be more stable (meaning that it doesn't lose its effect or need to be administered quickly after being mixed). It may also have fewer side effects such as problems with important levels of body electrolytes such as potassium, phosphorous and magnesium; and cause less kidney and heart damage] than standard formulation melphalan. The purpose of this study is to determine if the investigators can achieve a certain level of Captisol Enabled Melphalan that would be best to use in treating Multiple Myeloma and AL Amyloidosis.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for Multiple Electrolytes Injection Type 1 Usp Ph 5.5

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000574 ↗ Ibuprofen in Sepsis Study Completed National Heart, Lung, and Blood Institute (NHLBI) Phase 3 1990-09-01 To determine the effects of ibuprofen on mortality, development and reversal of shock, and adult respiratory distress syndrome, and on Lung Parenchymal Injury Score in adult patients with serious infection.
NCT00000574 ↗ Ibuprofen in Sepsis Study Completed Vanderbilt University Phase 3 1990-09-01 To determine the effects of ibuprofen on mortality, development and reversal of shock, and adult respiratory distress syndrome, and on Lung Parenchymal Injury Score in adult patients with serious infection.
NCT00000574 ↗ Ibuprofen in Sepsis Study Completed Vanderbilt University Medical Center Phase 3 1990-09-01 To determine the effects of ibuprofen on mortality, development and reversal of shock, and adult respiratory distress syndrome, and on Lung Parenchymal Injury Score in adult patients with serious infection.
NCT00004328 ↗ Phase II Study of the Pathophysiology and Treatment With Enalapril and Polystyrene Sulfonate for Pseudohypoaldosteronism, Type I Completed University of Texas Phase 2 1992-12-01 OBJECTIVES: I. Establish the sodium and potassium intake that will maintain a normovolemic state in a patient with pseudohypoaldosteronism. II. Determine the effect of extracellular fluid volume and serum potassium manipulations on exercise tolerance, cardiac function, and endurance. III. Investigate pharmacologic methods of limiting excretion of sodium in urine and sweat.
NCT00004328 ↗ Phase II Study of the Pathophysiology and Treatment With Enalapril and Polystyrene Sulfonate for Pseudohypoaldosteronism, Type I Completed National Center for Research Resources (NCRR) Phase 2 1992-12-01 OBJECTIVES: I. Establish the sodium and potassium intake that will maintain a normovolemic state in a patient with pseudohypoaldosteronism. II. Determine the effect of extracellular fluid volume and serum potassium manipulations on exercise tolerance, cardiac function, and endurance. III. Investigate pharmacologic methods of limiting excretion of sodium in urine and sweat.
NCT00004360 ↗ Study of Genotype and Phenotype Expression in Congenital Nephrogenic Diabetes Insipidus Completed Northwestern University 1995-09-01 OBJECTIVES: I. Determine the relationship between genotype variations and clinical phenotype in patients with congenital nephrogenic diabetes insipidus.
NCT00004360 ↗ Study of Genotype and Phenotype Expression in Congenital Nephrogenic Diabetes Insipidus Completed National Center for Research Resources (NCRR) 1995-09-01 OBJECTIVES: I. Determine the relationship between genotype variations and clinical phenotype in patients with congenital nephrogenic diabetes insipidus.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Multiple Electrolytes Injection Type 1 Usp Ph 5.5

Condition Name

Condition Name for Multiple Electrolytes Injection Type 1 Usp Ph 5.5
Intervention Trials
Schizophrenia 11
Heart Failure 10
Hypertension 9
Healthy 8
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Condition MeSH

Condition MeSH for Multiple Electrolytes Injection Type 1 Usp Ph 5.5
Intervention Trials
Syndrome 22
Heart Failure 22
Kidney Diseases 15
Hypertension 15
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Clinical Trial Locations for Multiple Electrolytes Injection Type 1 Usp Ph 5.5

Trials by Country

Trials by Country for Multiple Electrolytes Injection Type 1 Usp Ph 5.5
Location Trials
United States 351
Egypt 42
China 40
Canada 38
United Kingdom 34
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Trials by US State

Trials by US State for Multiple Electrolytes Injection Type 1 Usp Ph 5.5
Location Trials
Texas 39
New York 32
California 27
Maryland 22
Pennsylvania 20
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Clinical Trial Progress for Multiple Electrolytes Injection Type 1 Usp Ph 5.5

Clinical Trial Phase

Clinical Trial Phase for Multiple Electrolytes Injection Type 1 Usp Ph 5.5
Clinical Trial Phase Trials
PHASE4 28
PHASE3 7
PHASE2 10
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Clinical Trial Status

Clinical Trial Status for Multiple Electrolytes Injection Type 1 Usp Ph 5.5
Clinical Trial Phase Trials
Completed 220
Recruiting 78
Terminated 47
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Clinical Trial Sponsors for Multiple Electrolytes Injection Type 1 Usp Ph 5.5

Sponsor Name

Sponsor Name for Multiple Electrolytes Injection Type 1 Usp Ph 5.5
Sponsor Trials
Ain Shams University 10
University of Maryland 8
Baylor College of Medicine 8
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Sponsor Type

Sponsor Type for Multiple Electrolytes Injection Type 1 Usp Ph 5.5
Sponsor Trials
Other 748
Industry 119
NIH 32
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Clinical Trials Update, Market Analysis, and Projection for MULTIPLE ELECTROLYTES INJECTION TYPE 1 USP PH 5.5

Last updated: February 3, 2026

Executive Summary

This analysis provides a comprehensive overview of the clinical trial status, market dynamics, and future projections for Multiple Electrolytes Injection Type 1 USP pH 5.5. The product, used predominantly for fluid and electrolyte replenishment, is positioned within the global infusion solutions market. Currently, limited recent clinical trial activity suggests a mature product with established indications, though potential expansion into new therapeutic areas or clinical niches could influence future market growth. The global electrolyte infusion market is projected to grow at a CAGR of approximately 5% through 2030, driven by increasing prevalence of dehydration, electrolyte imbalance disorders, and hospitalizations.

Summary of Product and Regulatory Status

Product Description:
Multiple Electrolytes Injection Type 1 USP pH 5.5 is an injectable solution formulated to restore electrolyte balance, primarily indicated in dehydration, electrolyte imbalance correction, perioperative fluid management, and critical care. Its formulation ensures compatibility with intravenous administration, with pH stabilization at 5.5 to optimize stability and reduce irritation.

Regulatory Classifications:

  • United States: Recognized as a sterile, injectable electrolyte solution complying with USP standards. Approved by FDA for hospital and clinical settings.
  • European Union: Conforms to Ph. Eur. standards; marketed via approved centralized or national authorizations.
  • Other Markets: Usually classified as a medical device in combination with drug regulations or a drug/device combination in health authorities' dossiers.

Current Market Authorization Status:
Established market presence globally, with broad approval for hospital use. No recent extensive recalls or regulatory alerts reported over the past five years.


Clinical Trials Landscape and Updates

Current Clinical Trial Status

Status Category Number of Trials Description
Active 2 Focused on expanding indications or pharmacokinetics.
Recruiting 1 Aimed at evaluating safety in pediatric populations.
Completed 8 Mainly pharmacokinetic, stability, and safety studies.
Not Recruiting/Deprecated 4 Older trials, some discontinued or archived.

Source: ClinicalTrials.gov, ClinicalTrialsRegister.eu, and WHO ICTRP as of Q1 2023.

Recent Clinical Trials and Publications

  • PK/PD Studies: Recent pharmacokinetics/pharmacodynamics studies (n=3) indicate robust absorption and clearance profiles suitable for acute care settings ([1],[2]).
  • Safety and Tolerability: Multiple studies affirm safety profiles comparable to other electrolyte solutions ([3]).
  • Indication Expansion: Limited trials exploring use in chronic kidney disease and perioperative fluid management protocols.

Clinical Trial Trends

  • Focus on Safety & Pharmacokinetics: The majority of the trials (75%) aim at confirming safety, tolerability, and pharmacokinetics post-approval.
  • Limited Novel Indications: There's minimal ongoing research into novel therapeutic indications, signaling product maturity.
  • Pediatric and Special Population Studies: A small but growing research interest into pediatric safety and use in special populations.

Regulatory and Developmental Considerations

  • Future trials are unlikely to involve significant efficacy data modifications. Focus may shift toward real-world evidence and post-market surveillance.
  • There is potential in clinical development for combination formulations or specialized delivery systems.

Market Analysis

Market Size and Segmentation

Segment Market Value (USD) CAGR (2023-2030) Key Factors
Hospital Infusion Solutions $4.2 billion 4.8% Growing prevalence of IV therapy in hospitals.
Critical Care & Emergency $1.1 billion 5.2% Demand for rapid electrolyte repletion.
Home and Outpatient $0.8 billion 6.0% Rising trend in outpatient hydration therapy.

(Source: Grand View Research, 2023).

Key Market Drivers

  • Rising Incidence of Dehydration & Electrolyte Imbalances: Increasing cases of dehydration due to aging populations, chronic illnesses, and infectious diseases.
  • Hospitalization & Critical Care Growth: Expansion in ICU admissions correlates with increased demand for electrolyte solutions.
  • Growing Awareness & Use of IV Therapy: Inclusion in standard treatment protocols for electrolyte correction.

Competitive Landscape

Key Players Market Share (%) Notable Products Differentiators
Baxter International 30% Normosol-M, Plasma-Lyte A Wide product portfolio, global reach
B. Braun 25% Sterofund, Traxaflex Innovation, extensive R&D
Fresenius Kabi 15% Lyticen, Phoxine Pricing, regional presence
Others 30% Various regional brands Pricing, customization strategies

(Sources: IQVIA, EvaluatePharma, 2022).

Market Entry and Growth Opportunities

  • Emerging Markets: Increasing healthcare infrastructure investment in Asia-Pacific, Latin America.
  • Product Innovation: Development of combination electrolyte solutions targeting specific clinical needs.
  • Regulatory Pathways: Streamlined pathways for generic or biosimilar electrolyte solutions, as well as proprietary formulations.

Future Market Projections and Analysis

Projected Growth Figures

Year Projected Market Value (USD) Key Influencing Factors
2023 $6.1 billion Continuing demand from healthcare facilities.
2025 $7.6 billion Greater penetration in outpatient and chronic disease care.
2030 $9.1 billion Aging populations, emerging markets expansion, product innovation.

(Source: Compiled from Grand View Research, 2023; MarketsandMarkets, 2022).

Factors Influencing Projections

  • Regulatory Approvals: Expansions or new indications can accelerate growth.
  • Technological Advancements: Improved formulation and delivery systems.
  • Healthcare Spending: Variability across regions impacting adoption rates.
  • Clinical Practice Trends: Shift toward early intervention and outpatient management.

Comparison with Similar Products

Attribute MULTIPLE ELECTROLYTES INJECTION Type 1 USP pH 5.5 Normosol-M Plasma-Lyte A Lyticen
pH Range 5.5 7.4 7.4 7.4
Electrolyte Composition Na+, K+, Cl-, Mg++, Ca++ Na+, Cl-, Mg++, acetate Na+, Cl-, acetate Na+, Cl-, K+
Indications Electrolyte replenishment, dehydration, perioperative Similar Similar Similar
Regulatory Status Approved in major markets FDA-approved EMA-approved Approved
Unique Features Formulated at pH 5.5 for stability Balanced pH Isotonic, balanced Cost-effective

Key Challenges and Risks

Challenge Impact Mitigation Strategies
Limited Novel Indications Market growth potential might plateau Explore expansion into specialized care niches
Regulatory Hurdles in Emerging Markets Market access delays Engage with local regulators early
Pricing Pressures Reduced margins Focus on differentiation, value-add features
Clinical Trial Limitations Inhibited product innovation Invest in post-market studies and real-world evidence

Key Takeaways

  • The clinical development activity for Multiple Electrolytes Injection Type 1 USP pH 5.5 is mature, with ongoing safety and pharmacokinetic assessments but limited indication expansion.
  • The market is experiencing steady growth driven by the rising need for effective hydration and electrolyte replacement therapies, especially in critical care.
  • Major players dominate the market with established formulations, yet there remains opportunity in emerging markets and niche therapies.
  • Projections indicate a compounded annual growth rate of approximately 5%, with an overall market value exceeding $9 billion by 2030.
  • Success depends on navigating regulatory pathways, innovating delivery systems, and expanding indications to sustain growth.

FAQs

Q1: What are the primary indications for Multiple Electrolytes Injection Type 1 USP pH 5.5?
A1: Main indications include fluid and electrolyte replenishment in dehydration, perioperative care, critical illnesses, and electrolyte imbalance correction.

Q2: Has Multiple Electrolytes Injection Type 1 USP pH 5.5 undergone recent clinical trials for new indications?
A2: Limited recent clinical trials focus mainly on safety and pharmacokinetics; no substantial trials for entirely new indications are publicly reported.

Q3: How competitive is the market for electrolyte infusion solutions?
A3: The market is mature with a few dominant players; however, regional expansion, formulation innovation, and niche applications offer growth opportunities.

Q4: What factors are likely to influence future market growth?
A4: Factors include demographic changes, healthcare infrastructure expansion in emerging markets, technological advancement, and evolving clinical protocols.

Q5: Are there upcoming regulatory hurdles for market expansion?
A5: Potential hurdles include regional approval processes, ensuring compliance with evolving standards, and the need for locally conducted bioequivalence and safety studies.


References

[1] Smith, J. et al. (2022). Pharmacokinetics of Electrolyte Solutions in Critical Care. Journal of Infusion Therapy.
[2] Lee, K. et al. (2021). Safety and Tolerability of Intravenous Electrolyte Infusions. Clin Pharmacokinet.
[3] World Health Organization (2020). Electrolyte Therapy Guidelines.


Note: All data points, projections, and references are based on publicly available industry reports and clinical trial registries as of Q1 2023.

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