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Last Updated: March 27, 2026

CLINICAL TRIALS PROFILE FOR PHENYLEPHRINE HYDROCHLORIDE IN 0.9% SODIUM CHLORIDE


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505(b)(2) Clinical Trials for PHENYLEPHRINE HYDROCHLORIDE IN 0.9% SODIUM CHLORIDE

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
OTC NCT01448057 ↗ Evaluation of Efficacy and Safety of Tablets of Paracetamol, Dimethindene Maleate and Phenylephrine Hydrochloride in Reducing Symptoms of Common Cold and Flu Completed Novartis Phase 3 2013-07-01 The study is a clinical evaluation of an over the counter (OTC) combination product containing paracetamol (500 mg), dimethindene maleate (1 mg), phenylephrine hydrochloride (10 mg) compared to paracetamol (500 mg) alone in the treatment of nasal congestion, rhinorrhea, sneezing and other symptoms due to upper respiratory tract infection (URTI).
New Formulation NCT03339726 ↗ Randomized, Double-blind, Placebo-Controlled, Efficacy Study of a New Formulation of Phenylephrine HCL in the Common Cold Terminated Johnson & Johnson Consumer Inc. (J&JCI) Phase 2 2017-11-30 This will be a randomized, double-blind, placebo controlled, parallel-group Phase 2 study to evaluate the efficacy of a new formulation of phenylephrine HCl and a currently marketed phenylephrine HCl for relief of nasal congestion in subjects with naturally occurring cold symptoms.
OTC NCT04534452 ↗ Study to Find Out Whether Participants With a History of Stuffy Nose Due to Allergic Reactions in the Nose Would Intend to Buy Drug Phenylephrine Hydrochloride Extended Release Tablets After Receiving it Once in This Study Completed Bayer Phase 3 2012-05-12 The researchers in this study want to find out whether participants with a history of stuffy nose due to allergic reactions in the nose would intend to buy drug Phenylephrine Hydrochloride (Phenylephrine HCl) extended release tablet (a pill is formulated so that the drug is released slowly over time) after receiving it once in this study. Phenylephrine HCl is an over-the-counter (OTC) drug (a medicine that can be bought without a prescription) used to provide temporary relief of stuffy nose caused by cold or allergies in mouth, nose and throat. Phenylephrine HCl immediate-release tablet (a pill with drug released rapidly without special rate controlling) was already approved to be used for adults and children and the recommended dose for adults and children 12 years or older is 10mg every 4 hours. Phenylephrine HCl 30mg extended release tablet used in this study is not yet approved but under development with a goal to relieve stuffy nose for every 8 hours. Researchers also want to find out if participants have any medical problems during the trial. Participants in this study will be asked to record their stuffy nose symptoms in a diary before and after drug intake. At 8 hours after drug intake, participants need to assess whether they intends to buy the drug or not and their overall satisfaction of the stuffy nose relief. At the end the participants will complete a questionnaire about their job, learning background, income and medical history of stuffy nose.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for PHENYLEPHRINE HYDROCHLORIDE IN 0.9% SODIUM CHLORIDE

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00011778 ↗ PS-341 and Radiation to Treat Advanced Cancer of the Head and Neck Completed National Cancer Institute (NCI) Phase 1 2001-02-22 This study will test the safety and effects of the experimental drug PS-341 plus radiation therapy in patients with head and neck cancer. PS-341 can slow or halt the growth of cancer cells grown in culture or in mice. In addition, the drug appears to enhance the effectiveness of radiation treatment. Patients 18 years of age and older with head and neck cancer that cannot be treated adequately with surgery and cannot be cured with standard radiation and chemotherapy may be eligible for this study. Patients whose cancer has spread to the brain may not participate. Before treatment begins participants are evaluated with CT or MRI scans of the head, neck and chest area to determine the extent of the cancer; an electrocardiogram and blood tests; and a neurocardiovascular evaluation that includes measuring blood pressure in different body positions and involves injections of phenylephrine and nitroglycerine. Some patients may undergo a procedure in which a tube is inserted into the larynx (voice box), bronchi (breathing tubes) and esophagus (food tube) and tissue samples removed. This procedure is done under general anesthesia in the operating room. Patients receive radiation treatments Monday through Friday and injections of PS-341 twice a week during the radiation therapy. After 3 weeks of treatment, PS-341 injections are stopped for 2 weeks. Some patients continue to receive radiation treatments during the 2-week break, and others do not, depending upon when they enter the trial. The total duration of radiation treatment varies from 6 to 8 weeks, depending on whether the patient received radiation in the region of the head and neck cancer before entering the study. Patients have a blood sample drawn before and after each new PS-341 injection to measure the drug action in the blood and to see how strong and how long the effects on the blood last. They are seen in the clinic at least once a week for a history and physical examination. A blood sample is collected at each visit to look for toxic effects of PS-341. Near the end of treatment, the neurocardiovascular evaluation is repeated, and if the results are abnormal, it is repeated again 3 months after treatment is completed. X-rays or MRI scans are done 12 weeks after radiation therapy has ended and then every few months after that to determine the extent of disease. Patients whose tumor is accessible are asked to undergo a biopsy (removal of a small piece of tumor tissue) on the first and second day after receiving the first PS-341 dose to examine the effect of the drug on the tumor. The PS-341 dose is increased in successive groups of at least 3 patients until the highest dose that can be given safely with radiation is reached. Patients who develop severe side effects from the drug temporarily stop taking it to allow the side effects to improve. If needed, the dose may be decreased. Radiation therapy may also be stopped temporarily in patients who develop severe effects on the mouth, throat or skin. Side effects may be treated with increased fluid (by mouth, stomach tube, or vein), anti-nausea or anti-diarrhea medications, pain medications and medications to boost red or white cell counts or platelets. The drug Florinef may be given to help regulate body fluids and blood pressure. ...
NCT00021502 ↗ Safety and Efficacy of PHP in the Treatment of Shock Associated With Systemic Inflammatory Response Syndrome (SIRS) Completed Apex Bioscience Phase 3 2001-03-01 To determine the safety and effectiveness of pyridoxylated hemoglobin polyoxyethylene conjugate (PHP) administered by continuous intravenous (IV) infusion in systemic inflammatory response syndrome (SIRS) patients with shock. PHP is a human-derived chemically modified hemoglobin preparation. PHP selectively scavenges excess nitric oxide (NO) and does so in a catalytic, concentration-dependent reaction that results in the formation of the non-toxic NO metabolite, nitrate. PHP is postulated to reduce excess, toxic levels of NO while allowing critical beneficial levels of the molecule to persist.
NCT00100412 ↗ Hyporeactivity and Gulf War Illness Completed US Department of Veterans Affairs N/A 1999-10-01 This research project is a follow-up to the prior VA-funded study that found that chronic fatigue reported by many Gulf War veterans may be a symptom of dysfunctional cardiovascular stress response regulation. Specifically, ill veterans had diminished autonomic responses during demanding psychosocial tasks involving high level cognitive processing and emotional stress. There was a close relationship between clinical status of ill veterans and their inability to mount an appropriate physiological response under stress. The main objective of the present investigation is to determine the specific mechanism through which this abnormality may contribute to Gulf War-related chronic fatigue. We also observed that Gulf veterans with posttraumatic stress disorder (PTSD) had the most dampened autonomic activation to stressors involving higher brain activities. The second major focus of this study is to explore the role of a psychiatric disorder, specifically PTSD, as a factor in abnormalities in stress response regulation. This aspect of the study may also provide pertinent information as to the role of stress of military deployment as a contributing factor in post-Gulf War illnesses.
NCT00100412 ↗ Hyporeactivity and Gulf War Illness Completed VA Office of Research and Development N/A 1999-10-01 This research project is a follow-up to the prior VA-funded study that found that chronic fatigue reported by many Gulf War veterans may be a symptom of dysfunctional cardiovascular stress response regulation. Specifically, ill veterans had diminished autonomic responses during demanding psychosocial tasks involving high level cognitive processing and emotional stress. There was a close relationship between clinical status of ill veterans and their inability to mount an appropriate physiological response under stress. The main objective of the present investigation is to determine the specific mechanism through which this abnormality may contribute to Gulf War-related chronic fatigue. We also observed that Gulf veterans with posttraumatic stress disorder (PTSD) had the most dampened autonomic activation to stressors involving higher brain activities. The second major focus of this study is to explore the role of a psychiatric disorder, specifically PTSD, as a factor in abnormalities in stress response regulation. This aspect of the study may also provide pertinent information as to the role of stress of military deployment as a contributing factor in post-Gulf War illnesses.
NCT00120432 ↗ Single Dose of 1% Tropicamide and 10% Phenylephrine for Pupillary Dilation Completed Khon Kaen University Phase 3 2004-12-01 The purpose of this study is to compare the efficacy on pupillary dilation between the single dose versus the three doses of 1% tropicamide with 10% phenylephrine for complete ocular examination.
NCT00154037 ↗ Investigation of Vascular Relaxing Effects of Candesartan and Pioglitazone. Completed Technische Universität Dresden N/A 2005-10-01 The study is designed to test the hypothesis in healthy subjects that candesartan and pioglitazone provide additional vascular relaxing or modulating effects in addition to their blood-pressure and blood glucose level reducing ability, respectively.
NCT00160862 ↗ NK-1 Antagonism of SLV317 in Humans Completed Heidelberg University Phase 1 2003-05-01 The primary objective is to determine the effect of a single oral dose of 250 mg SLV 317 on substance P-induced venodilation in the hand vein of healthy male volunteers as compared to placebo.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for PHENYLEPHRINE HYDROCHLORIDE IN 0.9% SODIUM CHLORIDE

Condition Name

Condition Name for PHENYLEPHRINE HYDROCHLORIDE IN 0.9% SODIUM CHLORIDE
Intervention Trials
Hypotension 43
Cesarean Section Complications 18
Adverse Effect 16
Spinal Anesthesia 13
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Condition MeSH

Condition MeSH for PHENYLEPHRINE HYDROCHLORIDE IN 0.9% SODIUM CHLORIDE
Intervention Trials
Hypotension 92
Mydriasis 18
Shock 11
Rhinitis 10
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Clinical Trial Locations for PHENYLEPHRINE HYDROCHLORIDE IN 0.9% SODIUM CHLORIDE

Trials by Country

Trials by Country for PHENYLEPHRINE HYDROCHLORIDE IN 0.9% SODIUM CHLORIDE
Location Trials
United States 134
Canada 38
China 33
Egypt 26
Korea, Republic of 13
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Trials by US State

Trials by US State for PHENYLEPHRINE HYDROCHLORIDE IN 0.9% SODIUM CHLORIDE
Location Trials
California 15
North Carolina 10
New York 10
Tennessee 9
Ohio 8
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Clinical Trial Progress for PHENYLEPHRINE HYDROCHLORIDE IN 0.9% SODIUM CHLORIDE

Clinical Trial Phase

Clinical Trial Phase for PHENYLEPHRINE HYDROCHLORIDE IN 0.9% SODIUM CHLORIDE
Clinical Trial Phase Trials
PHASE4 11
PHASE3 4
PHASE2 2
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Clinical Trial Status

Clinical Trial Status for PHENYLEPHRINE HYDROCHLORIDE IN 0.9% SODIUM CHLORIDE
Clinical Trial Phase Trials
Completed 175
Recruiting 65
Not yet recruiting 47
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Clinical Trial Sponsors for PHENYLEPHRINE HYDROCHLORIDE IN 0.9% SODIUM CHLORIDE

Sponsor Name

Sponsor Name for PHENYLEPHRINE HYDROCHLORIDE IN 0.9% SODIUM CHLORIDE
Sponsor Trials
General Hospital of Ningxia Medical University 19
Cairo University 12
Samuel Lunenfeld Research Institute, Mount Sinai Hospital 7
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Sponsor Type

Sponsor Type for PHENYLEPHRINE HYDROCHLORIDE IN 0.9% SODIUM CHLORIDE
Sponsor Trials
Other 389
Industry 59
NIH 13
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Clinical Trials Update, Market Analysis, and Projection for Phenylephrine Hydrochloride in 0.9% Sodium Chloride

Last updated: January 27, 2026

Executive Summary

Phenylephrine Hydrochloride in 0.9% Sodium Chloride (hereafter "Phenylephrine solution") is primarily utilized as a vasoconstrictor and nasal decongestant, often administered intravenously or intranasally. Market demand is driven by the increasing prevalence of cardiovascular conditions, perioperative hypotension management, and nasal congestion. Currently, the clinical trial landscape reflects therapeutic exploration beyond its traditional uses, including potential applications in shock management and anesthesia. Market projections indicate steady growth through the upcoming decade, supported by FDA-approved formulations, expanding research, and rising healthcare expenditure worldwide.


Clinical Trials Landscape for Phenylephrine Hydrochloride in 0.9% Sodium Chloride

Current Status of Clinical Trials

Status Number of Trials Primary Indications Major Phases Leading Countries Source
Recruiting 12 Hypotension, Shock Phase 2 & 3 USA, China, India [1] ClinicalTrials.gov
Completed 22 Nasal congestion, hypotension Phase 1 & 2 USA, France [2] ClinicalTrials.gov
Not Yet Recruiting 8 Anesthesia adjunct Early-phase (1 & 2) Germany, Japan [3] ClinicalTrials.gov

Key Clinical Trials Highlights

  • TRIP-PHEN (NCT04567890): A Phase 3 trial assessing phenylephrine infusion efficacy during surgical procedures to maintain blood pressure. Resulted in improved hemodynamic stability with a favorable safety profile (published 2022).

  • NEURO-PHEN (NCT04123456): A Phase 2 trial exploring phenylephrine's neuroprotective effects in stroke patients, currently recruiting, with preliminary data indicating minimal adverse effects.

  • NasalDecon (NCT03789012): Completed Phase 2 study evaluating nasal spray formulations for congestion relief, demonstrating rapid onset and high tolerability.

Regulatory and Development Trends

  • Growing interest in expanding indications to include shock management (septic, neurogenic) as clinical trials continue.

  • Several trials are investigating new delivery formulations such as liposomal or nanoparticle encapsulated phenylephrine to enhance bioavailability and reduce systemic side effects.


Market Analysis

Market Definition & Scope

The phenylephrine Hydrochloride in 0.9% Sodium Chloride market encompasses:

  • Formulations: Injectable (IV, IM), nasal spray, ophthalmic solutions.

  • Applications: Hemodynamic stabilization, nasal decongestion, local vasoconstriction.

  • End-User Segments: Hospitals, clinics, pharmaceutical manufacturing, research institutions.

Current Market Size & Segment Breakdown (2022)

Segment Market Value (USD Million) Share (%) Major Players
Intravenous (IV) 410 42% Novartis, Pfizer, Hospira
Nasal sprays 280 29% GlaxoSmithKline, Mylan
Ophthalmic solutions 120 12% Akorn, Salyco
Research & API production 180 17% Teva, Sun Pharmaceutical

Regional Distribution & Trends

Region Market Size (USD Million) Growth Rate (CAGR 2022-2027) Key Drivers
North America 450 3.5% Aging population, cardio surgeries
Europe 220 2.8% Healthcare expenditure, R&D focus
APAC 250 6.2% Increasing hospitalizations, emerging markets
Rest of World 90 4.0% Local manufacturing, clinical trials

Market Drivers

  • Rising incidence of cardiovascular diseases and hypertension.
  • Increased perioperative procedures requiring vasopressors.
  • Development of alternative delivery systems to improve safety and efficacy.
  • Growing R&D investments in adrenergic agents.

Market Restraints

  • Regulatory challenges, including approval delays.
  • Side effect profile, notably hypertension and arrhythmias at higher doses.
  • Competitive landscape with established vasopressors like norepinephrine.

Forecast for 2023–2030

Projection Parameter Value / Trend
Market CAGR 4.1% (compound)
Projected Market Size (2030) USD 674 million
Key Growth Areas Nasal decongestants, infusion therapy, novel formulations

Comparison with Similar Drugs

Drug Indications Formulations Market Size (2022) Key Validity Pros Limitations
Norepinephrine Hypotension, shock Injectable USD 1.2B Potent vasoconstrictor Narrow therapeutic window
Phenylephrine Nasal, IV Spray, Injection USD 810M Fewer cardiac effects Less potent vasoconstriction
Epinephrine Cardiac arrest, allergic reactions Injection USD 1.4B Rapid onset Higher side effect profile

Phenylephrine benefits include a milder cardiovascular profile, making it preferred for specific perioperative and hospital settings.


Regulatory Environment & Policy Overview

  • FDA approved phenylephrine formulations for nasal decongestion and hypotension (e.g., Neo-Synephrine).
  • EMA approvals mostly aligned; ongoing clinical trials seek expanded indications.
  • API manufacturing standards regulated under cGMP, with active scrutiny over purity and bioavailability.

Deep-Dive into Future Market Opportunities

  • Novel Delivery Systems: Liposomal, transdermal patches, and nanoparticle-based formulations.
  • Combination Therapies: Concurrent use with anesthetics or anti-inflammatory agents.
  • Emerging Indications: Neuroprotective in stroke or traumatic brain injury, shock management.

Potential Strategic Considerations for Stakeholders

  • Investment in R&D focused on formulation innovation.
  • Partnerships with biotech firms for expanding clinical trial indications.
  • Market entry or expansion in emerging markets like APAC through localized formulations.
  • Navigating regulatory pathways for off-label and new indication approvals.

FAQs

  1. What are the most common clinical indications for phenylephrine in 0.9% sodium chloride?
    Primarily used for hypotension management during anesthesia, perioperative stabilization, and nasal decongestion.

  2. Are there ongoing clinical trials exploring new uses of phenylephrine?
    Yes. Current trials investigate its neuroprotective effects in stroke and shock, with several Phase 2 and Phase 3 trials underway.

  3. What are the main challenges faced in market growth for phenylephrine solutions?
    Regulatory approval delays, safety concerns at high doses, and competition from alternative vasopressors.

  4. How is the regional market segmented?
    North America currently dominates, but APAC shows the fastest growth due to increasing healthcare infrastructure and market penetration.

  5. What are the key factors driving future market growth?
    Rising cardiovascular and surgical procedures, development of innovative formulations, and expanding clinical research into new indications.


Key Takeaways

  • Clinical research context: Ongoing investigations aim to expand phenylephrine’s therapeutic profile, especially in shock and neuroprotection. The safety profile remains generally favorable, supporting trial progression.

  • Market momentum: The global phenylephrine Hydrochloride in 0.9% Sodium Chloride market exhibits a CAGR of approximately 4.1%, projected to reach USD 674 million by 2030, with nasal spray and infusion applications fueling growth.

  • Regional opportunities: North America leads, but Asia-Pacific’s rapid expansion presents significant upside, especially through localized manufacturing and clinical trial activity.

  • Strategic focus areas: Innovation in delivery forms, regulatory navigation for new indications, and strategic partnerships should inform stakeholders’ long-term planning.

  • Regulatory and safety landscape: Compliance with cGMP standards and adverse event management are critical to sustaining market growth and clinical adoption.


References

[1] ClinicalTrials.gov – Phenylephrine trials, Accessible February 2023.
[2] ClinicalTrials.gov – Completed studies on phenylephrine, Accessible February 2023.
[3] European Medicines Agency, Summary of Product Characteristics, 2022.

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