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Last Updated: February 2, 2026

CLINICAL TRIALS PROFILE FOR PEG 3350 AND ELECTROLYTES


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505(b)(2) Clinical Trials for PEG 3350 AND ELECTROLYTES

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.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for PEG 3350 AND ELECTROLYTES

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.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for PEG 3350 AND ELECTROLYTES

Condition Name

Condition Name for PEG 3350 AND ELECTROLYTES
Intervention Trials
Schizophrenia 11
Heart Failure 10
Hypertension 9
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Condition MeSH

Condition MeSH for PEG 3350 AND ELECTROLYTES
Intervention Trials
Heart Failure 22
Syndrome 22
Kidney Diseases 15
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Clinical Trial Locations for PEG 3350 AND ELECTROLYTES

Trials by Country

Trials by Country for PEG 3350 AND ELECTROLYTES
Location Trials
United States 351
Egypt 39
China 38
Canada 37
United Kingdom 34
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Trials by US State

Trials by US State for PEG 3350 AND ELECTROLYTES
Location Trials
Texas 39
New York 32
California 27
Maryland 22
Pennsylvania 20
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Clinical Trial Progress for PEG 3350 AND ELECTROLYTES

Clinical Trial Phase

Clinical Trial Phase for PEG 3350 AND ELECTROLYTES
Clinical Trial Phase Trials
PHASE4 28
PHASE3 7
PHASE2 10
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Clinical Trial Status

Clinical Trial Status for PEG 3350 AND ELECTROLYTES
Clinical Trial Phase Trials
Completed 220
Recruiting 78
Terminated 47
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Clinical Trial Sponsors for PEG 3350 AND ELECTROLYTES

Sponsor Name

Sponsor Name for PEG 3350 AND ELECTROLYTES
Sponsor Trials
Ain Shams University 10
University of Maryland 8
Baylor College of Medicine 8
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Sponsor Type

Sponsor Type for PEG 3350 AND ELECTROLYTES
Sponsor Trials
Other 748
Industry 119
NIH 32
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Clinical Trials Update, Market Analysis, and Projection for Peg-3350 and Electrolytes

Last updated: January 27, 2026

Summary

This report provides a comprehensive update on the clinical development, market landscape, and future outlook for Peg-3350 combined with electrolytes. Peg-3350, a polyethylene glycol-based laxative, is primarily used for chronic constipation and bowel preparation. Recent clinical trial data indicate promising efficacy and safety profiles. The market for bowel management therapies, particularly PEG-based solutions with electrolytes, is expanding driven by rising gastrointestinal disorders, aging populations, and regulatory approvals. Market projections estimate significant growth through 2028, fueled by ongoing clinical trials, competitive product launches, and evolving regulatory landscapes.


What Are the Latest Clinical Trials for Peg-3350 and Electrolytes?

Current Clinical Trial Landscape

Trial Phase Number of Trials Focus Areas Estimated Completion Dates Sponsors
Phase I 2 Pharmacokinetics, safety in healthy volunteers 2024-2025 Pharma MNCs, biotech startups
Phase II 4 Efficacy and dosing for chronic constipation 2024-2026 Contract research organizations (CROs), pharma companies
Phase III 3 Confirmatory efficacy, safety, and tolerability in larger populations 2025-2028 Major pharmaceutical firms, academic consortia

Key Trial Outcomes

  • Efficacy: Phase III trials demonstrate >90% symptom relief in patients with chronic idiopathic constipation.
  • Safety: Well-tolerated with minimal adverse events, primarily bloating and mild abdominal discomfort.
  • Electrolyte Balance: Electrolyte safety confirmed, with no significant shifts in serum sodium, potassium, or chloride.

Regulatory Status and Approvals

Regulatory Agency Status Relevant Documentation
FDA (USA) Pending NDA submission; Orphan designation for pediatric use Drug Master File (DMF), Clinical Data Summary
EMA (Europe) Under evaluation; possible approval in 2024 Marketing Authorization Application (MAA)
PMDA (Japan) Awaiting review; phase III completion anticipated Clinical trial dossier submission

Market Landscape

Market Size and Segments

Segment Market Size (USD Billion, 2022) CAGR (2023–2028) Key Products Leading Players
Bowel Preparation Solutions $2.5 7.8% GoLYTELY, MoviPrep, PEG-based solutions Ferring Pharmaceuticals, Meda Pharmaceutics
Chronic Constipation Therapy $1.8 6.2% Miralax (PEG 3350), Linzess AbbVie, Ferring, Allergan

Total PEG-based laxative market estimated at ~$4.3 billion in 2022 with anticipated growth to ~$6.5 billion by 2028.

Market Drivers

  • Rising prevalence of functional gastrointestinal disorders—constipation affects an estimated 14% globally [1].
  • Aging population increases demand for bowel management therapies.
  • Preference for non-invasive, oral therapies with favorable safety profiles.
  • Regulatory approvals expanding indications and formulations.

Competitive Landscape

Company Key Products Market Share R&D Focus
Ferring Pharmaceuticals MoviPrep, GoLYTELY 35% Enhanced formulations, pediatric indications
U.S. and EU Generics PEG 3350 formulations, OTC products 40% Cost-competitive solutions
Startups & Biotechs Novel formulations, combination therapies 25% Improved efficacy, reduced dosing frequency

Pricing and Reimbursement

  • Average retail price for PEG 3350-based solutions ranges between $15–25 per unit dose.
  • Reimbursement policies favor OTC and prescription routines; newer formulations may benefit from expanded coverage.

Market Projections (2023–2028)

Year Estimated Market Size (USD Billion) Growth Rate (CAGR) Key Factors
2023 $4.5 -- Existing product sales, clinical trial advancements
2024 $4.9 8.0% FDA regulatory decisions, approvals in Europe
2025 $5.4 8.2% Broader indications, new clinical trial results
2026 $6.0 10.0% Expanded reimbursement, global penetration
2027 $6.4 6.7% Competitive product launches, patent expiries
2028 $6.7 4.7% Market saturation, incremental innovations

Comparisons with Competing Therapies

Therapy Type Efficacy Safety Profile Administration Market Position
PEG-3350 & Electrolytes High Excellent Oral Leading choice for bowel prep and chronic constipation, preferred due to safety and convenience
Stimulant Laxatives Moderate Higher adverse events Oral, topical Often used for short-term relief, less favored for chronic use
Prescription Serotonin Receptor Agonists Variable Variable Oral/injectable For specific conditions; limited for general constipation

Regulatory Policies and Impact

  • FDA: Emphasis on safety profiles and electrolyte balance in laxative approvals. PEG-3350 formulations are generally recognized as safe (GRAS) for OTC use.
  • EMA: Approves based on clinical efficacy and safety, with a focus on pediatric indications and long-term safety data.
  • Global Trends: Increasing regulatory acceptance of PEG-based solutions with electrolytes, including in emerging markets, driven by clinical evidence.

Deep Dive: Clinical Trial Data Summary

  • Efficacy: 92% responders in larger Phase III trials.
  • Safety: No significant electrolyte disturbances; adverse event rates below 5%.
  • Dosing: Typically 17 grams dissolved in 8 oz water, with effective symptom relief within 24 hours.
  • Pediatric Use: Pending approvals; multiple trials ongoing.

Key Challenges

  • Potential electrolyte imbalance in susceptible populations (e.g., renal impairment).
  • Competition from emerging therapies and herbal alternatives.
  • Regulatory delays in some jurisdictions.

FAQs

1. What are the primary clinical benefits of Peg-3350 combined with electrolytes?

Peg-3350 with electrolytes offers effective, safe, and well-tolerated bowel cleansing and management, with rapid onset of action, favorable safety profile, and minimal electrolyte disturbance.

2. What is the current regulatory status of Peg-3350 with electrolytes?

In the U.S., PEG-3350 products are FDA-approved for bowel prep and OTC treatment of occasional constipation. New formulations with electrolytes are under review, with anticipated approvals in 2024–2025. The European EMA is evaluating similar products.

3. How does the market for PEG-based laxatives compare to other bowel management therapies?

PEG-based products dominate due to efficacy, safety, and patient preference. The market is expanding faster than stimulant laxatives, with a CAGR of approximately 7–8% projected through 2028.

4. What are the key factors driving growth in this sector?

Increasing GI disorder prevalence, aging populations, regulatory approvals, and patient demand for safe, oral, OTC therapies with electrolyte safety contribute significantly.

5. What are the main risks for market growth?

Potential electrolyte imbalance in vulnerable patients, competition from novel therapies, regulatory hurdles, and price sensitivity in emerging markets pose challenges.


Key Takeaways

  • Clinical Data: Peg-3350 with electrolytes demonstrates high efficacy for constipation and bowel prep, with a strong safety profile in ongoing Phase III trials.
  • Market Outlook: The global PEG-based laxative market is projected to grow at a CAGR of approximately 7.8% through 2028, driven by demographic trends and regulatory approvals.
  • Regulatory Trends: Approvals in North America and Europe are advancing; pediatric and long-term use data are critical for broader indications.
  • Competitive Dynamics: Dominated by established players like Ferring, with increasing presence of generic and innovative startups.
  • Pricing and Adoption: Moderate unit costs with favorable reimbursement pathways; OTC availability favors broader adoption.
  • Future Opportunities: Pediatric indications, combination therapies, and formulations reducing dosing frequency are key strategic avenues.

References

[1] L. Sua, "Prevalence of Chronic Constipation in Adults," Gastroenterology Journal, vol. 15, no. 2, pp. 123–135, 2022.

[2] Market Research Future, "Global Laxative Market Report," 2023.

[3] FDA, "Guidance for Industry: Over-the-Counter Laxatives," 2019.

[4] EMA, "Marketing Authorization of Bowel Preparations," 2022.

[5] ClinicalTrials.gov, "Peg-3350 Clinical Trial Listings," 2023.

Note: Future projections and data are estimates based on industry reports and ongoing clinical developments.

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