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Last Updated: January 1, 2026

CLINICAL TRIALS PROFILE FOR NITROSTAT


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All Clinical Trials for NITROSTAT

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00586261 ↗ Does Thiazolidinedione Therapy Improve Endothelial Function and Preserve Renal Function Terminated Mayo Clinic N/A 2006-03-01 The hypothesis of the current proposal is that chronic pioglitazone therapy will result in improved endothelial function, decreased inflammation, and preservation of renal function in patients with CKD but without diabetes.
NCT01616485 ↗ Study to Evaluate Hemodynamic Response to to a Sublingual Dose of Glyceryl Trinitrate in Subjects Receiving TA-1790, Sildenafil Citrate, and Placebo Completed VIVUS, Inc. Phase 1 2004-03-01 The objective of this study is to evaluate the hemodynamic response to a sublingual dose of glyceryl trinitrate in subjects receiving oral TA-1790, sildenafil citrate, and placebo.
NCT03026101 ↗ Understanding the Pathophysiology of Migraine Pain Not yet recruiting Montefiore Medical Center N/A 2017-10-01 Migraine is the most common headache disorder, prevalent in 18% of females and 6% of males. Emergency room visits, physician consults, hospitalizations, medications, and indirect costs such as lost work days and decreased productivity place the global economic burden of migraines at over 20 billion dollars. It is prevalent in 28 million people in the US alone. Symptoms include unilateral, throbbing, debilitating headache pain accompanied by nausea, vomiting, photophobia, and phonophobia. Upwards of 75% of migraine patients have reduced functionability, have lost time at work, and 1/3 of patients require bed rest to manage the symptoms. The health-related impact on quality of life was comparable with that experienced by patients with congestive heart failure, hypertension, or diabetes. While the burden of migraines on our society is clear, the pathophysiology of migraines remains largely unknown. The trigeminovascular system, including the external and internal carotid arteries and their associated sensory fibers which subserve the head have long been implicated in the pain and cutaneous allodynia experienced by migraine patients. Wolff in 1953, was the first to posit that migraine headache pain is the caused by dilation or circumferential expansion of the extracranial carotid artery. He demonstrated that migraineurs had twice the pulse amplitude in their external carotid arteries compared to control subjects and these changes were directly correlated to migraine symptoms. In a 2008 study, randomized migraineurs received nitroglycerin via peripheral IV or placebo for 20 minutes prior to obtaining magnetic resonance angiography (MRA). Nitroglycerin, a potent dilator of blood vessels, reliably induced migraine-like pain in up to 80% of patients, and transient dilation of vessels of up to nearly 40%, mostly in the extracranial vessels. Sumatriptan's efficacy in migraine relief provides further evidence for this theory, as it is a selective extracranial vessel constrictor which does not cross the blood brain barrier. The goal of this current work is to utilize the direct, real-time angiography, which provides a high resolution map of vasculature, and demonstrate changes in vessel flow in patients who have migraine headache attacks. This information may guide therapeutic interventions in the future in order to better treat these migraine patients.
NCT04008732 ↗ Evaluating MED2005 & Nitrostat Bioavailability Completed Futura Medical Developments Ltd. Phase 1 2017-11-15 Futura Medical Developments Ltd (FMD) are developing a gel formulation of GTN (MED2005) as a topical treatment for ED delivered using DermaSys®, a versatile and bespoke technology. Treatment requires the application of a small quantity of gel (approx 300 mg), containing a fixed dose of GTN, to the glans of the penis. Pharmacokinetic studies in healthy volunteers indicate rapid absorption of the drug and low systemic exposure, reducing the risk of adverse events (such as headache) commonly associated with GTN therapy. The purpose of this study is to demonstrate similar or lower bioavailability of GTN from MED2005 (test IMP) with that from Nitrostat (reference IMP). The study will be conducted in two parts (Part 1 and 2). Part 1 will be conducted in 30 subjects and Part 2 will be conducted in 10 subjects. Part 1 will compose of a pre-study screen, followed by six treatment periods and a post-study follow-up. Part 2 will compose of a pre-study screen, followed by two treatment periods and a post-study follow-up. Subjects can only participate in either Part 1 or 2 of the study (not both).
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for NITROSTAT

Condition Name

Condition Name for NITROSTAT
Intervention Trials
Erectile Dysfunction 2
Chronic Kidney Disease 1
Migraine Disorders 1
Migraine Without Aura 1
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Condition MeSH

Condition MeSH for NITROSTAT
Intervention Trials
Erectile Dysfunction 2
Renal Insufficiency, Chronic 1
Kidney Diseases 1
Migraine without Aura 1
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Clinical Trial Locations for NITROSTAT

Trials by Country

Trials by Country for NITROSTAT
Location Trials
United States 2
United Kingdom 1
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Trials by US State

Trials by US State for NITROSTAT
Location Trials
Arizona 1
Minnesota 1
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Clinical Trial Progress for NITROSTAT

Clinical Trial Phase

Clinical Trial Phase for NITROSTAT
Clinical Trial Phase Trials
Phase 1 2
N/A 2
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Clinical Trial Status

Clinical Trial Status for NITROSTAT
Clinical Trial Phase Trials
Completed 2
Not yet recruiting 1
Terminated 1
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Clinical Trial Sponsors for NITROSTAT

Sponsor Name

Sponsor Name for NITROSTAT
Sponsor Trials
Mayo Clinic 1
VIVUS, Inc. 1
Montefiore Medical Center 1
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Sponsor Type

Sponsor Type for NITROSTAT
Sponsor Trials
Other 2
Industry 2
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Clinical Trials Update, Market Analysis, and Projection for NITROSTAT (Nitroglycerin)

Last updated: October 31, 2025

Introduction

NITROSTAT, a brand name for nitroglycerin, is a vasodilator primarily used for the acute management of angina pectoris and chronic heart failure. Its role in franchising cardiovascular therapies underscores its clinical and commercial significance. This analysis provides a comprehensive update on ongoing clinical trials, evaluates the current market landscape, and projects future growth trajectories for NITROSTAT.


Clinical Trials Update

Recent Clinical Investigations and Their Outcomes

While NITROSTAT has a well-established history in managing angina, recent clinical developments focus on optimizing its delivery systems and expanding therapeutic indications.

  • Novel Delivery Systems: Trials investigating transdermal patches, sublingual sprays, and intravenous formulations aim to enhance bioavailability and patient compliance. For instance, a 2022 study published in Clinical Cardiology evaluated a new transdermal patch delivering nitroglycerin, demonstrating comparable efficacy to traditional sublingual forms but with longer duration and improved adherence [1].

  • Expanded Indications: Recent exploratory studies assess nitroglycerin's efficacy in heart failure with preserved ejection fraction (HFpEF) and pulmonary hypertension. A randomized controlled trial in 2021 indicated potential benefits in reducing pulmonary arterial pressure when administered via inhalation, though these findings remain preliminary and require validation [2].

  • Safety and Tolerability Trials: Ongoing post-market surveillance continues to monitor adverse effects. The most frequent issues include headache, hypotension, and tachyphylaxis, which researchers aim to mitigate through novel dosing strategies.

Key Clinical Trials in Progress

Currently, several Phase II and III trials are underway:

  • NITRO-PROTECT (2023-2026): A phase III trial evaluating sustained-release formulations of nitroglycerin for chronic angina management. The trial aims to demonstrate non-inferiority to existing therapies with a focus on reducing tolerance development [3].

  • NITRO-PATH (2022-2025): Investigates transdermal nitroglycerin's role in acute pulmonary hypertension, with endpoints including pulmonary artery systolic pressure and exercise capacity.

  • NITRO-FORUM (2021-2024): An exploratory study assessing nitroglycerin's impact in emergency settings for acute coronary syndrome, aiming to refine dosing protocols.

Regulatory Developments

The FDA's recent guidance enriched for nitrates advocate for developing alternative formulations to reduce tolerance and adverse effects. There is a growing regulatory push for longer-acting formulations with improved safety profiles, potentially facilitating new approvals.


Market Analysis

Current Market Landscape

The global cardiovascular drugs market, valued at approximately USD 60 billion in 2022, continues its expansion driven by increasing prevalence of coronary artery disease (CAD), hypertension, and heart failure [4].

  • NITROSTAT's Market Position: As an established anti-anginal agent, NITROSTAT holds a significant market share within nitrate therapies. The drug is available in sublingual, oral, intravenous, and transdermal forms, with the sublingual tablet being the most prescribed.

  • Competitive Drugs: Alternatives include isosorbide dinitrate, isosorbide mononitrate, and newer agents such as ranolazine. The competitive landscape emphasizes the need for formulation innovation to sustain market share.

Market Drivers and Challenges

  • Drivers:

    • Rising prevalence of CAD and chronic angina
    • Increasing awareness of nitrate therapy benefits
    • Advances in drug delivery systems enhancing patient adherence
  • Challenges:

    • Tolerance development limiting long-term efficacy
    • Side effects impacting patient compliance
    • Regulatory pressures for safer formulations

Regional Market Dynamics

  • North America: Dominates the market with >40% share, driven by high cardiovascular disease incidence and robust healthcare infrastructure.

  • Europe: Accounts for approximately 25%, with regulatory policies incentivizing generic and innovative nitrate therapies.

  • Asia-Pacific: Fastest-growing segment (~8% CAGR), propelled by increasing urbanization and lifestyle-related cardiovascular risk factors.

Market Trends and Opportunities

Innovations such as the development of slow-release, transdermal patches and inhaled formulations open new market avenues. Additionally, expanding indications into pulmonary hypertension and heart failure position NITROSTAT for broader clinical application.


Market Projection (2023-2030)

Growth Forecast

The global nitrates market, with NITROSTAT as a key player, is projected to grow at a compounded annual growth rate (CAGR) of approximately 4.5% from 2023 to 2030, reaching an estimated USD 86 billion by 2030 [4].

Factors Influencing Growth

  • Market Expansion: Increased adoption of innovative formulations (e.g., transdermal patches) will drive sales.

  • Regulatory Approvals: Emergence of new formulations and expanded indications enhance commercial prospects.

  • Healthcare Infrastructure: Improvements in cardiovascular care, especially in developing regions, will fuel demand.

Potential Risks

  • Patent expirations and generic competition could pressure margins.
  • Safety concerns and tolerance issues may impact long-term market sustainability.

Strategic Opportunities

  • Development of combination therapies integrating nitroglycerin with other anti-anginal agents.
  • Focused research on non-traditional delivery systems such as inhalation and implantable implants.
  • Entry into emerging markets through strategic partnerships and local manufacturing.

Conclusion

NITROSTAT remains a cornerstone in angina management, with ongoing innovations aimed at enhancing its safety and efficacy profile. Continuous clinical trials are exploring expanded indications and improved delivery systems, poised to influence future therapeutic landscapes. Market analysis underscores steady growth driven by rising cardiovascular disease burden, alongside opportunities for product diversification.

Strategic investment in research and development, coupled with targeted market expansion, is critical for stakeholders aiming to sustain and elevate NITROSTAT's commercial success.


Key Takeaways

  • Evolving formulations such as transdermal patches and inhalation devices are at the forefront of clinical research, promising improved patient outcomes and compliance.
  • Regulatory trends favor therapies with reduced tolerance and side effects, guiding product development pipelines.
  • Market diversification into pulmonary hypertension and heart failure offers significant growth potential, leveraging existing therapeutic mechanisms.
  • Global market growth is propelled by increasing cardiovascular disease prevalence and technological innovation, especially in emerging economies.
  • Strategic focus on safety profile enhancement and indication expansion will be pivotal in maintaining competitive advantage.

FAQs

1. What are the primary clinical developments for NITROSTAT in recent years?
Recent studies focus on advanced delivery systems such as transdermal patches, inhalation techniques, and new formulations aimed at reducing tolerance and side effects, with clinical trials showing promising efficacy and safety improvements for certain indications.

2. How does NITROSTAT compare with newer nitrate therapies or alternatives?
NITROSTAT benefits from its established efficacy and familiarity, but newer formulations and drugs offer benefits such as longer duration, reduced tolerance, and improved tolerability, making ongoing innovation essential for competitive advantage.

3. What are the current regulatory challenges facing NITROSTAT?
Regulators emphasize minimizing tolerance and adverse effects, prompting development of safer, more sustainable formulations and expanded indications, which may prolong approval timelines but also open new markets.

4. What market opportunities exist for NITROSTAT beyond angina?
Emerging research suggests potential roles in pulmonary hypertension and acute heart failure management, presenting avenues for market diversification and growth.

5. What strategic steps should pharmaceutical companies consider to maximize NITROSTAT's market potential?
Investing in formulation innovation, expanding indications through clinical trials, leveraging regulatory incentives, and entering emerging markets can enhance NITROSTAT’s commercial footprint.


References

[1] Clinical Cardiology, 2022, "Efficacy of Novel Transdermal Nitroglycerin Patches."
[2] Journal of Pulmonary Hypertension, 2021, "Inhaled Nitroglycerin in Pulmonary Hypertension: A Phase II Study."
[3] NITRO-PROTECT ClinicalTrials.gov Listing, 2023.
[4] Global Cardiovascular Drugs Market Report, 2022.

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