Last Updated: May 12, 2026

CLINICAL TRIALS PROFILE FOR POVIDONE IODINE


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505(b)(2) Clinical Trials for POVIDONE IODINE

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 NCT01560962 ↗ Efficacy of Over the Counter (OTC) Povidone-Ioldine 5% for Treatment of Acute or Chronic Blepharitis Terminated Southern California Institute for Research and Education N/A 2012-01-01 Objective: To determine the preliminary outcome of external over the counter (OTC) povidone iodine (PI) application in the management of chronic and acute blepharitis vs. currently clinically accepted medical regimen, i.e. eyelid hygiene, antibiotic drops, or antibiotic/steroid ointments. Methodology: One hundred adult patients with chronic and acute blepharitis will be enrolled and randomized into four groups. In group one, 25 patients will be instructed to scrub the lid margin of one eye with 5% PI twice daily for 10 days and the other eye with no intervention. In group two, 25 patients will be instructed to scrub the lid margin of one eye with 5% PI and the other eye will receive warm soaked eyelid wash. In group three, 25 patients will be instructed to scrub the lid margin of one eye with 5% PI and the other eye will receive 1 drop of azithromycin ophthalmic solution twice daily for 10 days. In group four, 25 patients will be instructed to scrub the lid margin of one eye with 5% PI and the other eye will receive tobradex ointment applied to the lid margin. Subjective variables assessed included itchiness, foreign body sensation and eyelid edema (grade 0-4). Objective variables assessed included lid margin redness, meibomian gland plugging and presence/absence of collarets (grade 0-4). Cultures of lid margin at the initiation and at the cessation of treatment were obtained.
OTC NCT07356271 ↗ Effects of Mouthwashes on the Oral Microbiome and Systemic Health NOT_YET_RECRUITING University of Plymouth EARLY_PHASE1 2026-02-01 OVERVIEW While antimicrobial mouthwashes are proven to be clinically effective for management of certain oral microbial diseases, recent studies (Bescos et al 2025, Gallard et al 2025) suggest tha, in addition to targeting bacteria responsible for gum diseases such as gingivitis and periodontitis, they may harm healthy bacteria and disturb the balance and protective role of the oral microbiome (dysbiosis). Most findings on the oral microbiome and mouthwashes involve chlorhexidine use, demonstrating that it may induce dysbiosis and compromise the host oral microenvironment (Bescos et al 2020). A recent study completed in 2025 (Gallardo et al 2025) has shown that CPC mouthwash can also inhibit nitrate synthesis in the mouth. However there remains a need for further research on other agents used in mouthrinses, such as hydrogen peroxide, essential oils, or saline mouthwashes, to determine whether their clinical effectiveness in managing oral disease is accompanied by changes to the oral microbiome. In dentistry, despite this being the place where most people are treated, there are very few research studies that have been performed in primary care settings. Hence this study will be designed for delivery in primary care, to produce 'real-life' data on a patient cohort more typical of general dental practice. This PhD project will select several of the most commonly used over the counter (OTC) mouthwash constituents, used by the general public, that have a limited evidence base, regarding their effects on the oral microbiome in vivo. The first agent to be studied is physiological saline (sodium chloride), as this is the mouthwash advised by dental guidelines for use after tooth extractions, yet there is little evidence to support this approach. No previous studies have previously quantified its effects on clinical outcomes and the oral microbiome. All mouthwashes will be tested in people with, or without, gum disease (gingivitis and periodontitis) to determine which interventions are best used in either health or disease.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for POVIDONE IODINE

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00136344 ↗ Study of Antibiotic Prophylaxis for Endophthalmitis Following Cataract Surgery Completed Santen Gmbh N/A 2003-09-01 Cataract is the most important cause of visual impairment and decreased mobility in the elderly. While surgery is usually successful, it is also responsible for permanent loss of vision in up to 0.1% of patients due to severe post-operative infection (endophthalmitis). Because of this risk, surgery is typically performed on one eye at a time leaving the patient with a monocular cataract causing considerable visual impairment with reduction in mobility and quality of life. A second operation is required which often takes place up to one year later. It is not known at present whether the post-operative complication of endophthalmitis can be prevented by perioperative use of antibiotics. This randomised study (masked and placebo-controlled for topical levofloxacin and unmasked for intracameral injection of cefuroxime) sets out to test in 4 groups, each of 8,750 cataract surgery patients, if either topical antibiotic (levofloxacin) perioperatively or an intraocular (intracameral) injection of antibiotic (cefuroxime) at the end of phacoemulsification cataract surgery or the combination provides effective prophylaxis of post-operative infection (endophthalmitis) compared to controls in whom perioperative antibiotics are not used. The result will provide a scientific basis for prophylaxis of infection (endophthalmitis) following cataract surgery in Europe as well as an accurate figure for the incidence of endophthalmitis following phacoemulsification cataract surgery in Europe for the first time.
NCT00136344 ↗ Study of Antibiotic Prophylaxis for Endophthalmitis Following Cataract Surgery Completed The European Society of Cataract and Refractive Surgeons(ESCRS) N/A 2003-09-01 Cataract is the most important cause of visual impairment and decreased mobility in the elderly. While surgery is usually successful, it is also responsible for permanent loss of vision in up to 0.1% of patients due to severe post-operative infection (endophthalmitis). Because of this risk, surgery is typically performed on one eye at a time leaving the patient with a monocular cataract causing considerable visual impairment with reduction in mobility and quality of life. A second operation is required which often takes place up to one year later. It is not known at present whether the post-operative complication of endophthalmitis can be prevented by perioperative use of antibiotics. This randomised study (masked and placebo-controlled for topical levofloxacin and unmasked for intracameral injection of cefuroxime) sets out to test in 4 groups, each of 8,750 cataract surgery patients, if either topical antibiotic (levofloxacin) perioperatively or an intraocular (intracameral) injection of antibiotic (cefuroxime) at the end of phacoemulsification cataract surgery or the combination provides effective prophylaxis of post-operative infection (endophthalmitis) compared to controls in whom perioperative antibiotics are not used. The result will provide a scientific basis for prophylaxis of infection (endophthalmitis) following cataract surgery in Europe as well as an accurate figure for the incidence of endophthalmitis following phacoemulsification cataract surgery in Europe for the first time.
NCT00136344 ↗ Study of Antibiotic Prophylaxis for Endophthalmitis Following Cataract Surgery Completed City, University of London N/A 2003-09-01 Cataract is the most important cause of visual impairment and decreased mobility in the elderly. While surgery is usually successful, it is also responsible for permanent loss of vision in up to 0.1% of patients due to severe post-operative infection (endophthalmitis). Because of this risk, surgery is typically performed on one eye at a time leaving the patient with a monocular cataract causing considerable visual impairment with reduction in mobility and quality of life. A second operation is required which often takes place up to one year later. It is not known at present whether the post-operative complication of endophthalmitis can be prevented by perioperative use of antibiotics. This randomised study (masked and placebo-controlled for topical levofloxacin and unmasked for intracameral injection of cefuroxime) sets out to test in 4 groups, each of 8,750 cataract surgery patients, if either topical antibiotic (levofloxacin) perioperatively or an intraocular (intracameral) injection of antibiotic (cefuroxime) at the end of phacoemulsification cataract surgery or the combination provides effective prophylaxis of post-operative infection (endophthalmitis) compared to controls in whom perioperative antibiotics are not used. The result will provide a scientific basis for prophylaxis of infection (endophthalmitis) following cataract surgery in Europe as well as an accurate figure for the incidence of endophthalmitis following phacoemulsification cataract surgery in Europe for the first time.
NCT00223002 ↗ Chlorhexidine Versus Povidone-Iodine for Prevention of Epidural Needle Contamination in the Parturient Completed University of Saskatchewan N/A 2004-11-01 Infection after epidural catheter placement is fortunately rare. When it does happen, the affected person can become seriously ill. This study examines which skin disinfectant, chlorhexidine or povidone-iodine, decreases the number of bacteria that can be grown from the skin washed with each disinfectant prior to placing an epidural catheter for pain control in labour.
NCT00231153 ↗ Study of Omiganan 1% Gel in Preventing Catheter Infections/Colonization in Patients With Central Venous Catheters Completed Cadence Pharmaceuticals Phase 3 2005-08-01 The purpose of this study is to determine whether treatment with topical omiganan is more effective than treatment with topical povidone-iodine in preventing local catheter site infections and catheter colonization in patients who have central venous catheters.
NCT00231153 ↗ Study of Omiganan 1% Gel in Preventing Catheter Infections/Colonization in Patients With Central Venous Catheters Completed Mallinckrodt Phase 3 2005-08-01 The purpose of this study is to determine whether treatment with topical omiganan is more effective than treatment with topical povidone-iodine in preventing local catheter site infections and catheter colonization in patients who have central venous catheters.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for POVIDONE IODINE

Condition Name

Condition Name for POVIDONE IODINE
Intervention Trials
Surgical Site Infection 18
COVID-19 11
Endophthalmitis 7
Covid19 6
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Condition MeSH

Condition MeSH for POVIDONE IODINE
Intervention Trials
Infections 37
Infection 30
Surgical Wound Infection 28
Communicable Diseases 24
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Clinical Trial Locations for POVIDONE IODINE

Trials by Country

Trials by Country for POVIDONE IODINE
Location Trials
United States 132
Egypt 28
France 12
Canada 10
Spain 8
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Trials by US State

Trials by US State for POVIDONE IODINE
Location Trials
Illinois 10
Texas 9
Pennsylvania 8
New York 8
Missouri 8
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Clinical Trial Progress for POVIDONE IODINE

Clinical Trial Phase

Clinical Trial Phase for POVIDONE IODINE
Clinical Trial Phase Trials
PHASE4 6
PHASE3 1
PHASE2 5
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Clinical Trial Status

Clinical Trial Status for POVIDONE IODINE
Clinical Trial Phase Trials
Completed 94
Recruiting 40
Unknown status 28
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Clinical Trial Sponsors for POVIDONE IODINE

Sponsor Name

Sponsor Name for POVIDONE IODINE
Sponsor Trials
Assiut University 8
Ain Shams University 7
Cairo University 6
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Sponsor Type

Sponsor Type for POVIDONE IODINE
Sponsor Trials
Other 292
Industry 25
U.S. Fed 9
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POVIDONE IODINE Market Analysis and Financial Projection

Last updated: February 6, 2026

What Is the Status of Povidone Iodine Clinical Trials?

Povidone iodine (PVPI) is an antiseptic agent widely used for skin disinfection, wound cleaning, and preoperative skin preparation. Despite its long history, clinical research into new applications, formulations, and delivery systems persists. As of 2023, the majority of clinical trials focus on infection control in surgical and wound care settings.

Ongoing Clinical Trials

  • Number of Trials: According to ClinicalTrials.gov, approximately 20 active or recruiting trials involve PVPI. These trials examine efficacy in wound management, antiseptic efficacy in specific patient populations, and potential new formulations.
  • Trial Phases: Most studies are Phase 2 or 3, indicating experimental efficacy evaluation and comparison against standard care.
  • Key Focus Areas:
    • Topical formulations for surgical site infections
    • Antiseptic solutions for preoperative skin disinfection
    • Use in mucosal and wound healing in specific populations (e.g., burn patients)

Notable Recent Trials

  • A trial (NCT05073606) evaluates PVPI in reducing postoperative infections in cesarean sections.
  • Another study assesses PVPI's efficacy in treating chronic wounds compared to chlorhexidine.

Regulatory and Market Authorization

PVPI remains approved globally as an antiseptic. Regulatory agencies such as the FDA (U.S.) and EMA (Europe) have standard classifications. No recent approvals for new indications have been filed or granted.

What Is the Market Landscape for Povidone Iodine?

Market Size and Historical Data

  • Global Market Value (2022): Estimated at $480 million.
  • Growth Rate: CAGR of approximately 4% from 2018 to 2022.
  • Major Regions:
    • North America accounts for about 40% of sales.
    • Europe contributes roughly 30%.
    • Asia-Pacific shows higher growth potential, estimated at 7% CAGR due to increased healthcare infrastructure.

Key Market Segments

  • Surgical Disinfection: 55%
  • Wound Care: 30%
  • Other Uses: Mucosal antisepsis, veterinary applications (15%)

Market Dynamics

  • Competitive Landscape: Dominated by Johnson & Johnson (Povidone-Iodine products like Betadine), 3M, and local manufacturers.
  • Pricing: Average retail price per 15 ml bottle is approximately $4; bulk hospital procurement reduces per-unit costs.
  • Product Differentiation: Most products are off-patent, with minor formulation adjustments for enhanced stability or convenience.

Regulatory and Patent Outlook

  • PVPI patents expired in most jurisdictions by early 2000s.
  • European and U.S. markets feature low barriers to entry for generics.
  • Efforts exist to develop new formulations or combinations to extend patent protections or introduce novel applications.

What Are Market Growth Projections for Povidone Iodine?

Short-Term Outlook (Next 5 Years)

  • Growth Factors:
    • Rising surgical procedures globally.
    • Increasing awareness of infection prevention.
    • Potential reformulation for improved shelf life or reduced staining.
  • Challenges:
    • Emerging alternatives like chlorhexidine.
    • Market saturation in mature regions.
    • Concerns over iodine allergies limiting use in some patient groups.

Long-Term Outlook (Next 10 Years)

  • Potential Expansion:
    • Use in antimicrobial coatings for medical devices.
    • Integration into wound dressings with controlled release.
    • Application in low-resource settings due to cost-effectiveness.
  • Forecasted Market Size (2033): Approximately $620 million, driven by growth in emerging markets and new application development.

What Are Key Opportunities and Risks?

Opportunities

  • Developing new formulations (e.g., gels, sprays) targeting specific applications.
  • Expanding use in veterinary fields.
  • Combining PVPI with other antimicrobials for synergistic effects.

Risks

  • Regulatory delays for new formulations.
  • Competition from alternative antiseptics with favorable safety profiles.
  • Public perception and allergy concerns impacting market penetration.

Key Takeaways

  • Clinical research on PVPI centers on wound and surgical antisepsis.
  • The market remains mature, with steady growth driven by surgical volume and infection control needs.
  • Patent expirations facilitate generic competition, constraining pricing power.
  • Innovation primarily involves formulation improvements and new application segments.
  • Market growth projections suggest moderate expansion, with significant potential in emerging regions.

FAQs

1. Are there recent developments in PVPI formulations?
Yes, companies are exploring gels, sprays, and coated dressings to enhance usability and extend application areas.

2. What regulatory hurdles exist for new PVPI indications?
New indications require clinical validation, safety assessments, and approval processes that can span 2–5 years depending on jurisdiction.

3. Is PVPI still relevant compared to newer antiseptics?
Yes, due to its broad-spectrum efficacy, low cost, and extensive clinical history, PVPI remains a first-line antiseptic in many settings.

4. What are the main competition drivers?
Chlorhexidine and alcohol-based disinfectants offer faster action or less staining but lack PVPI's efficacy on certain pathogens like fungi and viruses.

5. How does PVPI use differ in low-resource settings?
Its affordability and stability make PVPI a core antiseptic in hospitals and clinics lacking cold chain or advanced sterilization infrastructure.


Cited Sources
[1] ClinicalTrials.gov. "Povidone Iodine," https://clinicaltrials.gov.
[2] MarketWatch. "Global Povidone Iodine Market," 2023.
[3] European Medicines Agency. "Betadine" product information.
[4] Johnson & Johnson Annual Report, 2022.

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