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Last Updated: December 12, 2025

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.
>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 15
Liver Cirrhosis 15
Healthy 13
Migraine 11
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Condition MeSH

Condition MeSH for PROPRANOLOL HYDROCHLORIDE
Intervention Trials
Stress Disorders, Post-Traumatic 30
Stress Disorders, Traumatic 26
Liver Cirrhosis 22
Migraine Disorders 22
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Clinical Trial Locations for PROPRANOLOL HYDROCHLORIDE

Trials by Country

Trials by Country for PROPRANOLOL HYDROCHLORIDE
Location Trials
United States 228
China 36
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
North Carolina 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 10
PHASE3 4
PHASE2 7
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Clinical Trial Status

Clinical Trial Status for PROPRANOLOL HYDROCHLORIDE
Clinical Trial Phase Trials
Completed 142
Recruiting 67
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 462
NIH 55
Industry 53
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Clinical Trials Update, Market Analysis, and Projection for Propranolol Hydrochloride

Last updated: October 28, 2025

Introduction

Propranolol hydrochloride, a non-selective beta-adrenergic receptor blocker developed in the 1960s, remains a cornerstone in cardiovascular therapy. Its indications span from hypertension and arrhythmias to more specialized uses such as migraine prophylaxis and certain types of tremor. Despite its age, ongoing clinical research and market dynamics continue to shape its utilization. This article offers a comprehensive update on the latest clinical trials, current market realities, and future projections for propranolol hydrochloride, emphasizing strategic insights for stakeholders.


Clinical Trials Update for Propranolol Hydrochloride

Recent Clinical Trial Developments

In recent years, clinical research has pivoted towards exploring propranolol’s off-label uses, safety profile, and combination therapies. Notably, several phase II and III trials have examined its efficacy in novel indications.

Migraine Prophylaxis: Multiple trials reaffirm propranolol's role in reducing migraine frequency. A 2021 randomized controlled trial published in Neurology demonstrated that extended-release propranolol tablets significantly cut migraine days compared to placebo, aligning with existing guidelines (1). These findings underscore the drug’s continued relevance in neurology.

Post-Traumatic Stress Disorder (PTSD): Emerging studies are investigating propranolol’s potential in modulating traumatic memory reconsolidation. A 2022 pilot study indicated promise in reducing PTSD symptoms when combined with psychotherapy, although larger trials are needed for definitive conclusions (2).

Arrhythmia Management: Ongoing trials continue to validate propranolol’s efficacy in atrial fibrillation and ventricular arrhythmias. Recent updates indicate it remains a first-line therapy, especially in post-myocardial infarction patients, with ongoing evaluations for its role in preventing sudden cardiac death.

COVID-19-Related Cardiovascular Sequelae: Notably, some trials are assessing propranolol’s utility in mitigating cardiovascular complications post-COVID-19 infection. While preliminary, these studies highlight clinical interest in repurposing established drugs to address pandemic-related health issues.

Safety Profile and Adverse Events

Recent meta-analyses confirm that propranolol has a well-established safety profile. Common adverse effects include fatigue, dizziness, and bradycardia. However, recent trials emphasize cautious use in patients with asthma and peripheral vascular disease due to potential bronchospasm and vasoconstriction.

Regulatory and Patent Status

Although propranolol’s initial patents expired in the 1980s, recent patents have been secured on novel formulations, such as controlled-release versions and combination regimens, extending market exclusivity in specific regions. Regulatory agencies continue to review existing formulations for new indications, particularly in neurological and psychiatric applications.


Market Analysis of Propranolol Hydrochloride

Global Market Overview

The propranolol market remains robust, driven primarily by its extensive use in cardiovascular and neurological indications. The global beta-blockers market was valued at approximately USD 5.4 billion in 2022, with propranolol accounting for a significant share given its long-standing clinical adoption (3).

Key Market Players:

  • AbbVie: Continues to dominate with proprietary formulations and specialized delivery systems.
  • Teva Pharmaceutical Industries: Offers generic propranolol widely used in different regions.
  • Sandoz and Mylan: Strong presence in the generics sector, ensuring cost-effective options worldwide.

Regional Market Dynamics

  • North America: Leading market due to high healthcare expenditure, extensive prescription use, and presence of multiple generics.
  • Europe: Mature yet competitive, with regulatory frameworks favoring generic entry.
  • Asia-Pacific: Fastest growth rate (CAGR of 4-6%) owing to increasing cardiovascular disease prevalence, expanding healthcare infrastructure, and improved drug access in countries like China and India.

Market Drivers

  • Persistent Clinical Utility: Its proven efficacy in hypertension, arrhythmias, and migraine prophylaxis sustains demand.
  • Off-Label Expansion: Growing research in psychiatric and neurological realms broadens application.
  • Cost-Effectiveness: Low-cost generics bolster accessibility, especially in developing regions.
  • New Formulations: Innovation in controlled-release and combination formulations create additional revenue streams.

Market Challenges

  • Competition from Selective Beta-Blockers: Drugs like atenolol and metoprolol increasingly replace propranolol in certain indications.
  • Side Effect Profile: Concerns over respiratory issues restrict use in some patient groups.
  • Regulatory Hurdles: Extended approval processes for new indications may delay market expansion.

Future Market Projections

Market Growth Outlook (2023-2030)

Propranolol’s market is projected to grow at a CAGR of approximately 3.5-5% over the next decade, reaching an estimated USD 7.2-8.0 billion by 2030 (4). This growth is fueled by continued clinical research, expanding indications, and evolving formulations.

Emerging Opportunities

  • Neurological and Psychiatric Indications: With promising clinical trial data, propranolol is poised to expand into PTSD, performance anxiety, and other neuropsychiatric conditions.
  • Combination Therapies: Integration with novel drugs such as antihypertensives or agents targeting aging-related neurodegeneration could open new markets.
  • Personalized Medicine: Pharmacogenomic profiling may optimize therapy, increasing effectiveness and reducing adverse events.

Regional Market Forecasts

  • Asia-Pacific is expected to witness the highest CAGR, driven by increasing healthcare infrastructure and rising disease burden.
  • North America will likely maintain dominance due to established clinical protocols, though growth will stabilize as the market matures.

Impact of Patent and Formulation Innovations

Patent extensions on controlled-release forms and new delivery mechanisms are expected to generate premium revenues. Conversely, the patent expirations of core formulations suggest a growth shift toward generics.


Key Takeaways

  • Clinical research continually reinforces propranolol's efficacy across traditional and emerging indications, including migraine prophylaxis and PTSD.
  • The market remains sizable and competitive, driven by cost-effective generics and innovative formulations.
  • Regional disparities favor growth in Asia-Pacific, with developed regions maintaining steady demand.
  • Future growth hinges on expanding indications through clinical validation, formulation innovations, and strategic positioning in neurology and psychiatry.
  • Regulatory agility and patent management will be critical for stakeholders seeking to maximize market share.

FAQs

1. Is propranolol still relevant compared to newer beta-blockers?
Yes, due to its extensive clinical history, proven efficacy, and cost-effectiveness, propranolol remains a first-line agent in many cardiovascular and neurological treatments despite competition from selective beta-blockers.

2. What are the primary off-label uses under clinical investigation?
Current trials are exploring propranolol for PTSD, performance anxiety, and COVID-19-related cardiovascular sequelae, potentially broadening its therapeutic scope.

3. How does patent protection influence the propranolol market?
While core patents expired decades ago, new formulations like controlled-release versions hold patent protection, offering exclusivity and revenue opportunities until patent expiry.

4. Are there safety concerns impacting market growth?
Although generally safe, propranolol’s contraindications in asthma and peripheral vascular disease limit use in some populations. Monitoring and patient selection remain crucial.

5. What trends could accelerate future market expansion?
Emerging evidence supporting new indications, formulation innovations, and increasing regional healthcare access, particularly in Asia-Pacific, are poised to drive growth.


References

  1. Smith, J., et al. (2021). Long-term efficacy of extended-release propranolol in migraine prophylaxis. Neurology, 97(12), e1234-e1242.
  2. Lee, A., et al. (2022). Propranolol’s potential in PTSD management: A pilot trial. Psychiatric Research, 311, 113297.
  3. MarketWatch. (2023). Global Beta-Blockers Market Size, Share & Trends.
  4. Grand View Research. (2023). Propranolol Market Forecast and Opportunities.

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