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Last Updated: March 24, 2025

CLINICAL TRIALS PROFILE FOR PENTAMIDINE ISETHIONATE


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All Clinical Trials for Pentamidine Isethionate

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000707 ↗ Aerosols in the Treatment of Asymptomatic Pneumocystis Pneumonia: A Pilot Study Assessing the Effectiveness of Aerosolized Pentamidine as Treatment of Subclinical Pneumocystis Infection in Patients With No Clinical Symptoms Completed National Institute of Allergy and Infectious Diseases (NIAID) N/A 1969-12-31 To confirm the ability of pulmonary (lung) function testing (PFT) to detect Pneumocystis carinii pneumonia (PCP) before the development of clinical symptoms and to determine if pentamidine (PEN), a drug used in treating PCP, can be given effectively as an aerosol (inhaled mist). Other goals include the measurement of the actual amount of PEN that reaches the lung, and to determine if close clinical observation is safer and as effective as drug therapy for the prevention of subsequent episodes of PCP. Many AIDS patients develop PCP, but the effectiveness of early diagnosis and treatment of PCP is not known. The effectiveness of PEN may be improved if treatment is begun when the parasite burden (the number of organisms in the lung) is still small, and before respiratory symptoms appear. If PFT of HIV-infected patients is able to identify patients in the early stages of infection, outpatient treatment of these patients offers a possible alternative to the expense and toxicity of continuous preventive therapy of all high-risk patients.
NCT00000715 ↗ A Controlled Trial Comparing the Efficacy of Aerosolized Pentamidine and Parenteral/Oral Sulfamethoxazole-Trimethoprim in the Treatment of Pneumocystis Carinii Pneumonia in AIDS Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 3 1969-12-31 To compare the safety and effectiveness of drug therapy with aerosolized pentamidine (PEN) with that of conventional therapy, sulfamethoxazole plus trimethoprim (SMX/TMP) in the treatment of Pneumocystis carinii pneumonia (PCP) in patients who have AIDS, are HIV positive, or are at high risk for HIV infection. New treatments are needed for PCP, a common lung infection in patients with AIDS, because many patients treated with the two standard treatments, PEN given by injections and SMX/TMP, have had adverse effects that required a change in treatment. There is also a high relapse rate after the standard treatments. Preliminary experiments in humans suggest that aerosolized PEN is as effective as the standard treatments for PCP, and causes few adverse effects.
NCT00000722 ↗ Aerosols in the Treatment of Pneumocystis Pneumonia: A Pilot Study Quantitating the Deposition of Aerosolized Pentamidine as Delivered in ACTG 040 and Comparing Its Toxicity With Parenteral Pentamidine Therapy Completed National Institute of Allergy and Infectious Diseases (NIAID) N/A 1969-12-31 To compare the use of pentamidine aerosol (inhaled mist) with the standard intravenous method of administration in patients with AIDS related Pneumocystis carinii pneumonia (PCP), to measure the amount of pentamidine aerosol that actually reaches the lung, and to see if close clinical observation is safer and as effective as drug therapy in the prevention of PCP recurrences. To compare the efficiency of 2 nebulizers - the Respirgard II nebulizer and the Cadema Aerotech II nebulizer. Aerosolized pentamidine was as effective as intravenous pentamidine in treating PCP in animals. More of the pentamidine reached the lungs and less was found in the liver and kidney after pentamidine was given by aerosol than after an intravenous injection. This suggests that the toxicity of pentamidine may be less if given by aerosol than if given by the intravenous route.
NCT00000727 ↗ A Controlled Comparative Trial of Sulfamethoxazole-Trimethoprim Versus Aerosolized Pentamidine for Secondary Prophylaxis of Pneumocystis Carinii Pneumonia in AIDS Patients Receiving Azidothymidine (AZT) Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 3 1969-12-31 To determine if the drug combination sulfamethoxazole-trimethoprim (SMX-TMP), given by mouth, and the drug pentamidine (PEN), given by inhaled aerosol, are effective in preventing a relapse of Pneumocystis carinii pneumonia (PCP) when they are given to patients who have recovered from a first episode of PCP and are being given zidovudine (AZT) to treat primary HIV infection. AZT prolongs survival in patients with AIDS and decreases the occurrence of opportunistic infections such as PCP. However, PCP recurs in about 43 percent of patients receiving AZT, indicating a need for other treatments to reduce the relapse rate. The two medications to be tested in this study, SMX/TMP and aerosolized PEN, have also been partially effective in preventing recurrence of PCP. It is hoped that the combination of AZT with these medications will be more effective than AZT or one of the medications alone.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Pentamidine Isethionate

Condition Name

Condition Name for Pentamidine Isethionate
Intervention Trials
Pneumonia, Pneumocystis Carinii 20
HIV Infections 20
Leishmaniasis, American 1
Leishmaniasis, Cutaneous 1
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Condition MeSH

Condition MeSH for Pentamidine Isethionate
Intervention Trials
HIV Infections 20
Pneumonia, Pneumocystis 20
Pneumonia 20
Infections 4
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Clinical Trial Locations for Pentamidine Isethionate

Trials by Country

Trials by Country for Pentamidine Isethionate
Location Trials
United States 83
Bolivia 2
Tanzania 1
Puerto Rico 1
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Trials by US State

Trials by US State for Pentamidine Isethionate
Location Trials
New York 15
Illinois 7
California 7
Massachusetts 7
Ohio 6
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Clinical Trial Progress for Pentamidine Isethionate

Clinical Trial Phase

Clinical Trial Phase for Pentamidine Isethionate
Clinical Trial Phase Trials
Phase 3 7
Phase 2/Phase 3 1
Phase 2 1
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Clinical Trial Status

Clinical Trial Status for Pentamidine Isethionate
Clinical Trial Phase Trials
Completed 20
Terminated 1
Withdrawn 1
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Clinical Trial Sponsors for Pentamidine Isethionate

Sponsor Name

Sponsor Name for Pentamidine Isethionate
Sponsor Trials
National Institute of Allergy and Infectious Diseases (NIAID) 11
Fisons 5
LyphoMed 2
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Sponsor Type

Sponsor Type for Pentamidine Isethionate
Sponsor Trials
NIH 12
Industry 12
Other 6
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Pentamidine Isethionate: Clinical Trials, Market Analysis, and Projections

Introduction to Pentamidine Isethionate

Pentamidine isethionate is an antiprotozoal drug used in the treatment of various diseases, including cutaneous leishmaniasis, visceral leishmaniasis, and Pneumocystis jirovecii pneumonia (PCP), particularly in patients with AIDS. Here, we will delve into recent clinical trials, market analysis, and future projections for this drug.

Clinical Trials Update

Treatment of Cutaneous Leishmaniasis

A significant clinical trial published in 2018 evaluated the efficacy and safety of pentamidine isethionate (PI) in treating American Cutaneous Leishmaniasis (ACL). The trial compared the outcomes of patients treated with one, two, or three weekly doses of 7 mg/kg PI. The results showed cure rates of 45%, 81.1%, and 96.2% for the single, two, and three-dose groups, respectively. The three-dose regimen was found to be the most effective and safe[1].

Another recent study explored a sequential treatment scheme combining a single intramuscular dose of pentamidine (7 mg/kg) followed by oral tamoxifen (40 mg/day for 20 days). This combination achieved a 72% cure rate, which, although lower than the 100% cure rate of the control group receiving three doses of pentamidine, was still considered clinically relevant and safe, especially for populations in remote areas[4].

Treatment of Pneumocystis jirovecii Pneumonia

Pentamidine is also used in the treatment and prevention of PCP, particularly in AIDS patients. While it is considered a second-line therapy due to its toxicity and expense, aerosolized pentamidine has shown promise in reducing these adverse effects. Early clinical results indicate that aerosolized delivery may become the preferred method for preventing PCP in high-risk individuals, though its role in treatment remains under investigation[3].

Market Analysis

Global and Chinese Market Overview

The global and Chinese pentamidine isethionate market has been extensively analyzed in recent reports. The market is characterized by its capacity, production, production value, cost/profit, and supply/demand dynamics. From 2013 to 2018, the global market saw significant growth, with key players such as Fresenius Kabi USA, Seton Pharms, and X-gen Pharms Inc contributing to the market share[2].

Manufacturing Technology and Industry Chain

The manufacturing technology of pentamidine isethionate has evolved, with detailed analyses of the industry chain structure, upstream raw materials, and downstream demand. The report highlights the competitive landscape, including company profiles, product specifications, and market shares. This in-depth analysis provides valuable insights for companies and individuals interested in the industry[2].

Market Competition and Economic Impact

The market competition is fierce, with companies competing both globally and within the Chinese market. The economic impact of the pentamidine isethionate industry is significant, influenced by global and Chinese macroeconomic environments. The report provides an analysis of the industry's development trends, challenges, and opportunities, which are crucial for understanding the market dynamics[2].

Market Projections

2018-2023 Market Forecast

Projections for the 2018-2023 period indicate continued growth in the global and Chinese pentamidine isethionate market. The forecast includes estimates of capacity, production, and production value, as well as cost and profit analyses. The market share and supply/demand dynamics are expected to remain competitive, with Chinese import and export figures playing a significant role[2].

Future Trends and Opportunities

The future of pentamidine isethionate looks promising, especially with the development of new delivery methods like aerosolized pentamidine. This could reduce toxicity and increase the drug's appeal for both treatment and prevention of PCP. Additionally, the combination therapies, such as the sequential scheme with tamoxifen, offer new avenues for treating cutaneous leishmaniasis, particularly in resource-limited settings[3][4].

Key Takeaways

  • Clinical Efficacy: Pentamidine isethionate has shown high efficacy in treating cutaneous leishmaniasis, especially with multiple doses.
  • Market Growth: The global and Chinese markets are expected to continue growing, driven by increasing demand and advancements in manufacturing technology.
  • New Delivery Methods: Aerosolized pentamidine and combination therapies are emerging as promising approaches to reduce toxicity and improve treatment outcomes.
  • Economic Impact: The industry's economic impact is significant, influenced by global and Chinese macroeconomic trends.
  • Future Opportunities: New clinical trials and innovative delivery methods are expected to expand the drug's applications and market share.

FAQs

What is pentamidine isethionate used for?

Pentamidine isethionate is used to treat various diseases, including cutaneous leishmaniasis, visceral leishmaniasis, and Pneumocystis jirovecii pneumonia (PCP), particularly in patients with AIDS.

What are the common dosages of pentamidine isethionate for cutaneous leishmaniasis?

The common dosages include one, two, or three weekly intramuscular injections of 7 mg/kg body weight, with the three-dose regimen being the most effective[1].

What are the side effects of pentamidine isethionate?

Common side effects include hypoglycemia (up to 27%) and nephrotoxicity (up to 25%). Aerosolized delivery is being explored to reduce these adverse effects[3].

How does the market for pentamidine isethionate look in the future?

The market is projected to grow, driven by increasing demand, advancements in manufacturing technology, and the development of new delivery methods and combination therapies[2].

Who are the key players in the pentamidine isethionate market?

Key players include Fresenius Kabi USA, Seton Pharms, X-gen Pharms Inc, and others, contributing to the global and Chinese market shares[2].

Sources

  1. PLOS: "An open label randomized clinical trial comparing the safety and effectiveness of one, two or three weekly pentamidine isethionate doses (seven mg/kg body weight) for the treatment of American Cutaneous Leishmaniasis."
  2. MarketPublishers: "Global and Chinese Pentamidine Isethionate Industry, 2013-2023 Market Research Report."
  3. PubMed: "Pentamidine. A risk-benefit analysis."
  4. Wiley Online Library: "Treatment of cutaneous leishmaniasis with a sequential scheme of pentamidine and tamoxifen: a phase II, randomised, controlled, open-label, non-inferiority clinical trial."

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