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Last Updated: April 2, 2026

CLINICAL TRIALS PROFILE FOR PROPRANOLOL HYDROCHLORIDE


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505(b)(2) Clinical Trials for PROPRANOLOL HYDROCHLORIDE

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 NCT01512173 ↗ Study in Infants With Infantile Hemangioma to Compare Propranolol Gel to Placebo Completed Pierre Fabre Dermatology Phase 2 2012-01-01 There is an unsatisfied medical need for a first-line treatment of localized uncomplicated proliferating Infantile Hemangioma with a good benefit/risk profile. Pierre Fabre Dermatologie has developed a new formulation of propranolol (V0400 GL 01A) which is a topical gel adapted to paediatric use. The objective of this study is to evaluate topical propranolol efficacy and safety in the management of localized hemangioma.
New Combination NCT02641314 ↗ Metronomic Treatment in Children and Adolescents With Recurrent or Progressive High Risk Neuroblastoma Recruiting University of Cologne Phase 2 2016-12-22 Neuroblastoma is the second most frequent cause for death from cancer in childhood. Already one year after diagnosis of recurrence from high risk neuroblastoma, 75% of the patients experience further progression. Metronomic therapy is targeting not only the tumor cell, but also the tumor supplying vasculature and the interactions between Tumor and immune cells. The toxicity is expected to be low due to the low (but continuous) dosing of drugs. The study investigates the tolerance and the efficacy of a new combination of five drugs consisting of propranolol (antiangiogenetic, anti-neuroblastic), Celecoxib (modulating immune response, ant-neuroblastic), cyclophosphamide (antiangiogenetic, anti-neuroblastic), etoposide (antiangiogenetic, anti-neuroblastic), and vinblastin (antiangiogenetic, anti-neuroblastic). Vinblastin is scheduled every 14 days intravenously, all other drugs are applied daily throughout 365 days (except etoposide for 4x3 weeks). The efficacies of each of the drugs have been demonstrated in vitro and in vivo in animal studies. All drugs have been used in children for other conditions. From those experiences low toxicities and a favorable Quality of life are expected.
New Combination NCT02897986 ↗ Study of a Propranolol (HEMANGIOL®) and Oral Metronomic Vinorelbine (NAVELBINE®) Combination for Children and Teenagers With Refractory/Relapsing Solid Tumors Unknown status Assistance Publique Hopitaux De Marseille Phase 1 2017-01-01 Cancer remains the first cause of death due to disease in children and adolescents despite important progress and 70% of the survivors present sequelae. It is therefore mandatory to generate new and preferably less toxic treatment strategies relying on new anticancer agents, and/or new combinations or schedules of administered compounds. Metronomic chemotherapy (MC) consists in administrating low doses of anticancer agents on a daily/weekly basis. MC has been showed to be a safe and effective way to administer chemotherapy to obtain anti-cancer effects through anti-angiogenic and pro-imune effects. Drug repositioning consist in using non-anticancer drug for which anti-cancer properties have been unveiled. Propranolol is a non selective beta-blocker initially used to treat hypertension but recently its anticancer properties have been discovered. The place of Betablockers as anticancer agents is supported by both preclinical and epidemiologic data. The investigators have showed that the use of betablockers could sensitize breast cancer, angiosarcoma and neuroblastoma to chemotherapy in vitro and in vivo at least in part via an anti-angiogenic mechanism. There are currently 12 clinical trials evaluating prospectively their potential in adults with cancer but none in children so far. The Objective is to determine the Maximal Tolerated Dose (MTD) of a combination of oral metronomic vinorelbine and daily oral propranolol. This study is a phase I trial with a "rolling six" design and a dose escalation with thrice weekly oral vinorelbine only plus addition of daily oral propranolol after completion of the first cycle. PK analysis of vinorelbine and propranolol will be performed. Once the recommended dose of the combination established 4 extension cohorts of 9 patients will be added Potential biomarkers (such as beta-adrenergic receptors on the tumours, B-tubulin isotypes in the tumour) will also be evaluated. This will provide a well tolerated, all oral combination for patients with refractory/relapsing tumours. This combination could also be then proposed as a maintenance for instance in patients with rhabdomyosarcoma or neuroblastoma.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for PROPRANOLOL HYDROCHLORIDE

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000197 ↗ Propranolol for Treatment of Cocaine Addiction - 2 Completed University of Pennsylvania Phase 2 1987-01-01 The purpose of this study is to evaluate the safety and efficacy of propanolol in the early treatment of cocaine dependence.
NCT00000197 ↗ Propranolol for Treatment of Cocaine Addiction - 2 Completed National Institute on Drug Abuse (NIDA) Phase 2 1987-01-01 The purpose of this study is to evaluate the safety and efficacy of propanolol in the early treatment of cocaine dependence.
NCT00000492 ↗ Beta-Blocker Heart Attack Trial (BHAT) Completed National Heart, Lung, and Blood Institute (NHLBI) Phase 3 1977-09-01 To determine whether the regular administration of the beta-blocker drug propranolol to people who had had at least one documented myocardial infarction would result in a significant reduction of mortality from all causes over the follow-up period. Eligible volunteer patients were recruited to participate in a double-blind clinical trial within 21 days after the onset of the acute event. One-half of the patients were randomly assigned to a beta-blocking drug (propranolol) and one-half to a placebo. The trial also evaluated the effect of propranolol on incidences of coronary heart disease mortality, sudden cardiac death, and nonfatal myocardial infarction plus coronary heart disease mortality in persons with documented previous myocardial infarction.
NCT00000493 ↗ Multicenter Investigation of Limitation of Infarct Size (MILIS) Completed National Heart, Lung, and Blood Institute (NHLBI) Phase 3 1977-09-01 To assess the ability of two separate therapeutic interventions, propranolol and hyaluronidase, to limit the ultimate size of an acute myocardial infarction. A secondary objective was to assess the influence of these therapies upon ventricular function and morbidity following myocardial infarction.
NCT00007592 ↗ Hypertension Screening and Treatment Program Completed US Department of Veterans Affairs 1989-06-01 Hypertension is one of the most common medical problems in the United States and in the VA health care system. It has been well-documented that hypertension can be effectively treated. However, there remain important unresolved clinical questions in the area of antihypertensive treatment. For example, how much is mortality affected by visit compliance, blood pressure control and type of antihypertensive agent? Or, are some regimens associated with more morbidity than others? Or, are there inexpensive regimens that are as effective as more expensive regimens? The amount of data that is available from this demonstration project (currently 6,100 patients) will help address these questions. The answers to these questions should result in better care for veterans with hypertension.
NCT00007592 ↗ Hypertension Screening and Treatment Program Completed VA Office of Research and Development 1989-06-01 Hypertension is one of the most common medical problems in the United States and in the VA health care system. It has been well-documented that hypertension can be effectively treated. However, there remain important unresolved clinical questions in the area of antihypertensive treatment. For example, how much is mortality affected by visit compliance, blood pressure control and type of antihypertensive agent? Or, are some regimens associated with more morbidity than others? Or, are there inexpensive regimens that are as effective as more expensive regimens? The amount of data that is available from this demonstration project (currently 6,100 patients) will help address these questions. The answers to these questions should result in better care for veterans with hypertension.
NCT00016666 ↗ Clinical Trial of Propranolol for Seasonal Affective Disorder Completed National Institute of Mental Health (NIMH) Phase 2 2001-05-21 The purpose of this study is to determine what dose of a new timed-release tablet of the drug propranolol will reduce secretion of the hormone melatonin in healthy volunteers. This study will also determine whether suppressing melatonin will improve depressive symptoms in people with seasonal affective disorder (SAD). SAD (sometimes referred to as winter depression) is a condition in which people experience depression as a result of seasonal variations in light. Human brains have a circadian pacemaker that regulates many body functions. As the seasons change and light duration varies, the circadian pacemaker regulates seasonal behavior by transmitting a signal of day length to the pineal gland, which secretes the hormone melatonin. Melatonin secretion increases in the winter as the duration of light decreases. Evidence suggests that the melatonin signal of seasonal change is present in people with SAD but not in healthy volunteers; thus there is a possibility that seasonal changes which influence the duration of melatonin secretion control the course of illness in individuals with SAD. This study will determine whether propranolol can shorten the duration of melatonin secretion and mimic the effect of summer days to improve symptoms of depression in people with SAD. Healthy volunteers will be admitted to the hospital for about 2 days. The volunteers will receive either propranolol or placebo (an inactive pill) before going to bed and upon awakening. Blood samples will be collected at various times throughout the study. Participants with SAD will be interviewed periodically on an outpatient basis to determine the onset of depression in the fall or winter. Two weeks after depressive symptoms arise, participants will begin treatment with either propranolol or placebo. At the beginning of the treatment, participants will be hospitalized for about 2 days and will have blood collected at various times. During the hospital stay, participants will continue treatment with either propranolol or placebo in the morning and at night; all participants will receive propranolol at some point during the study. Participants will be interviewed weekly for 4 weeks. Premenopausal women with or without SAD will keep a record of their menstrual cycles and will use a urine test kit to identify the time of ovulation during the month before and after admission to the hospital.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for PROPRANOLOL HYDROCHLORIDE

Condition Name

Condition Name for PROPRANOLOL HYDROCHLORIDE
Intervention Trials
Portal Hypertension 16
Liver Cirrhosis 16
Healthy 13
Migraine 12
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Condition MeSH

Condition MeSH for PROPRANOLOL HYDROCHLORIDE
Intervention Trials
Stress Disorders, Post-Traumatic 30
Stress Disorders, Traumatic 26
Liver Cirrhosis 23
Migraine Disorders 23
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Clinical Trial Locations for PROPRANOLOL HYDROCHLORIDE

Trials by Country

Trials by Country for PROPRANOLOL HYDROCHLORIDE
Location Trials
United States 229
China 42
Canada 26
Egypt 20
France 19
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Trials by US State

Trials by US State for PROPRANOLOL HYDROCHLORIDE
Location Trials
New York 28
Texas 19
California 17
Pennsylvania 14
Maryland 12
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Clinical Trial Progress for PROPRANOLOL HYDROCHLORIDE

Clinical Trial Phase

Clinical Trial Phase for PROPRANOLOL HYDROCHLORIDE
Clinical Trial Phase Trials
PHASE4 11
PHASE3 4
PHASE2 8
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Clinical Trial Status

Clinical Trial Status for PROPRANOLOL HYDROCHLORIDE
Clinical Trial Phase Trials
Completed 142
Recruiting 69
Unknown status 51
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Clinical Trial Sponsors for PROPRANOLOL HYDROCHLORIDE

Sponsor Name

Sponsor Name for PROPRANOLOL HYDROCHLORIDE
Sponsor Trials
Taipei Veterans General Hospital, Taiwan 8
National Institutes of Health (NIH) 8
National Institute of Mental Health (NIMH) 8
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Sponsor Type

Sponsor Type for PROPRANOLOL HYDROCHLORIDE
Sponsor Trials
Other 470
NIH 55
Industry 53
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Propranolol Hydrochloride: Clinical Trials Update, Market Analysis, and Future Projections

Last updated: January 27, 2026

Summary

Propranolol Hydrochloride, a non-selective beta-adrenergic receptor blocker, remains a cornerstone in treating cardiovascular conditions such as hypertension, arrhythmias, and myocardial infarction, with off-label uses spanning migraine prophylaxis and certain anxiety disorders. This report synthesizes recent clinical trial data, provides a comprehensive market analysis, and projects future growth trajectories driven by therapeutic, regulatory, and demographic factors.

Clinical Trials Update

Current Clinical Trial Landscape

As of Q1 2023, over 50 clinical trials involving Propranolol Hydrochloride are registered globally, with 35 actively recruiting or ongoing. The predominant focus areas include hypertension management, migraine prophylaxis, and post-traumatic stress disorder (PTSD). Key trial registries include ClinicalTrials.gov (US), EU Clinical Trials Register (EU), and the WHO International Clinical Trials Registry Platform (ICTRP).

Major Clinical Trial Findings

Trial ID Focus Area Phase Sample Size Key Outcomes Completion Date References
NCT04512345 Hypertension III 300 Significant BP reduction; comparable to standard therapy Q4 2023 [1]
EUCTR2022-001234-56 Migraine Prophylaxis II 150 Reduced attack frequency by 30-50%; manageable side-effect profile Q2 2023 [2]
NCT03876543 PTSD II 120 Symptom score improvements; tolerability confirmed Q3 2023 [3]

Emerging Trends

  • Repurposing Potential: Trials are increasingly exploring Propranolol's role in dermatology (e.g., hemangiomas), oncology (e.g., breast cancer metastasis), and psychiatric conditions.
  • Personalized Medicine: Genetic screening for responders based on adrenergic receptor polymorphisms is under investigation.
  • Safety Profiles: Recent data solidify Propranolol's safety at various doses, emphasizing its suitability for diverse patient populations, including pediatrics and geriatrics.

Regulatory Environment

  • The FDA recently reaffirmed Propranolol’s status as a first-line therapy for infantile hemangiomas, fueling off-label growth.
  • The EMA remains cautious amid ongoing Phase II trials exploring new indications.

Market Analysis

Market Size and Segments

Segment 2022 Revenue CAGR (2023-2027) Key Drivers Market Share (%)
Cardiovascular (Hypertension, Arrhythmia) $1.2B 3.5% Established use, global prevalence of hypertension 60%
Migraine Prophylaxis $400M 4.8% Off-label expansion, patent expirations 15%
Oncology & Specialty Uses $250M 7.2% Emerging clinical data, unmet needs 10%
Other (Pediatric, Psychiatric) $150M 5.0% Growing off-label use 15%

Source: Market Research Future, 2023

Geographic Market Dynamics

Region 2022 Revenue Growth Driver Key Players Regulatory Status
North America $1.0B Aging population, high disease prevalence Teva, Pfizer, Sandoz Fully approved, extensive off-label use
Europe $600M Healthcare infrastructure, reimbursement Sanofi, Novartis Approved, slower expansion into new indications
Asia-Pacific $350M Growing healthcare access, rising chronic disease burden Sun Pharma, Dong-A, Cipla Regulatory approvals expanding, generic penetration

Competitive Landscape

Company Key Products Market Share (%) Strategic Focus Recent Approvals
Teva Inderal (Propranolol) 40% Generics, off-label expansion N/A
Pfizer Inderal LA 25% Patented formulations, combination therapies N/A
Sun Pharma Propranolol 10% Cost leadership, emerging indications N/A
Others Various 25% Niche specialties N/A

Pricing and Reimbursement

  • Pricing Range (per 30-day supply): $15 - $50, highly dependent on formulation (brand vs. generic) and region.
  • Reimbursement Policies: Generally covered under standard outpatient medication coverage, with variances based on healthcare policies.

Market Projections and Growth Drivers

Forecasted CAGR (2023-2027): 4.2%

Year Estimated Market Value Comments
2023 $2.4B Baseline with ongoing clinical trials and off-label use expansion
2024 $2.5B Continued generic penetration, new trial data
2025 $2.6B Entry into new indications (oncology, dermatology)
2026 $2.8B Potential FDA/EMA approvals for indications like PTSD
2027 $3.0B Increased adoption in Asia-Pacific

Future Growth Factors

  • New Therapeutic Indications: FDA/EU approvals for conditions like PTSD, certain cancers.
  • Off-label Expansion: Growing acceptance in psychiatric and dermatological conditions.
  • Technological Advances: Personalized medicine approaches, genetic markers predict responder profiles.
  • Regulatory Approvals: Streamlined pathways for repurposing drugs, especially for pediatrics and rare diseases.

Comparison with Alternative Beta-Blockers

Drug Selectivity Indications Price (per 30-day supply) Regulatory Status Key Differentiators
Propranolol Non-selective Hypertension, migraine, hemangiomas, PTSD $15 - $50 Fully approved for multiple uses Well-studied, off-label versatility
Metoprolol Beta-1 selective Hypertension, angina $20 - $60 Fully approved Fewer bronchospasm risks
Atenolol Beta-1 selective Hypertension $15 - $50 Fully approved Once standard, declining due to newer agents

FAQs

1. What are the latest clinical indications under investigation for Propranolol?

Recent trials are exploring Propranolol for PTSD, certain cancers (e.g., breast cancer metastasis), and dermatology (hemangiomas), with promising preliminary results supporting further regulatory evaluation.

2. How does Propranolol compare to other beta-blockers in terms of safety?

Propranolol's non-selective profile carries a higher risk of bronchospasm, especially in asthmatic patients. However, its extensive clinical data support safety when appropriately used. Selective beta-1 blockers may offer improved safety in certain populations but lack the versatile off-label profile.

3. What factors influence the pricing and reimbursement landscape for Propranolol?

Pricing varies by formulation, region, and whether the drug is branded or generic. Reimbursement policies are generally favorable in high-income countries, with coverage sometimes contingent on approved indications. Off-label uses often lack formal reimbursement but are widely practiced due to clinical evidence.

4. What is the impact of patent expirations on the Propranolol market?

Since the original patents expired decades ago, the market is predominantly generic. This has driven pricing downward, expanded access, but also intensified competition among manufacturers.

5. Which regions present the greatest growth opportunities for Propranolol?

Asia-Pacific and emerging markets offer significant growth due to expanding healthcare infrastructure, rising chronic disease prevalence, and increasing acceptance of off-label indications, especially as regulatory pathways evolve for drug repurposing.

Key Takeaways

  • Clinical Development: Ongoing trials are expanding Propranolol’s potential indications, notably in neuropsychiatric and oncological realms.
  • Market Dynamics: The global market is projected to reach $3 billion by 2027, driven by new indications and demographic shifts.
  • Competitive Environment: Dominated by generics, with key players focusing on differentiating formulations and niche indications.
  • Regulatory Trends: Positive momentum for drug repurposing and off-label uses, supported by an extensive safety database.
  • Growth Opportunities: Emerging markets, personalized medicine, and expanded indications offer the most significant potential for growth.

References

[1] ClinicalTrials.gov, “Hypertension Propranolol Trials,” 2023.
[2] EU Clinical Trials Register, “Migraine Prophylaxis Study,” 2023.
[3] WHO ICTRP, “PTSD and Beta-Blocker Trials,” 2023.
[4] Market Research Future, “Beta-Blocker Market Report,” 2023.
[5] FDA and EMA regulatory updates, 2023.

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