Last Updated: July 28, 2026

CLINICAL TRIALS PROFILE FOR PROCARBAZINE HYDROCHLORIDE


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All Clinical Trials for Procarbazine Hydrochloride

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00002462 ↗ RT or No RT Following Chemotherapy in Treating Patients With Stage III/IV Hodgkin's Disease Active, not recruiting European Organisation for Research and Treatment of Cancer - EORTC Phase 3 1989-09-01 RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining radiation therapy with combination chemotherapy may kill more tumor cells. PURPOSE: Randomized phase III trial to compare the effectiveness of radiation therapy with no radiation therapy following chemotherapy in treating patients with stage III or stage IV Hodgkin's disease.
NCT00002463 ↗ Combination Chemotherapy in Treating Children With Astrocytomas and Primitive Neuroectodermal Tumors Completed National Cancer Institute (NCI) Phase 2 1989-02-01 RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. PURPOSE: Phase II trial to study the effectiveness of methotrexate, mechlorethamine, vincristine, procarbazine, and prednisone in treating children with astrocytomas or primitive neuroectodermal tumors.
NCT00002463 ↗ Combination Chemotherapy in Treating Children With Astrocytomas and Primitive Neuroectodermal Tumors Completed M.D. Anderson Cancer Center Phase 2 1989-02-01 RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. PURPOSE: Phase II trial to study the effectiveness of methotrexate, mechlorethamine, vincristine, procarbazine, and prednisone in treating children with astrocytomas or primitive neuroectodermal tumors.
NCT00002569 ↗ Radiation Therapy With or Without Chemotherapy in Treating Patients With Anaplastic Oligodendroglioma Completed Eastern Cooperative Oncology Group Phase 3 1994-07-01 RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor cells. Combining chemotherapy with radiation therapy may kill more tumor cells. PURPOSE: Randomized phase III trial to compare the effectiveness of radiation therapy with or without chemotherapy in treating patients who have anaplastic oligodendroglioma.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Procarbazine Hydrochloride

Condition Name

Condition Name for Procarbazine Hydrochloride
Intervention Trials
Lymphoma 33
Brain and Central Nervous System Tumors 17
Hodgkin Lymphoma 6
Primary Central Nervous System Lymphoma 4
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Condition MeSH

Condition MeSH for Procarbazine Hydrochloride
Intervention Trials
Lymphoma 53
Hodgkin Disease 39
Nervous System Neoplasms 20
Central Nervous System Neoplasms 20
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Clinical Trial Locations for Procarbazine Hydrochloride

Trials by Country

Trials by Country for Procarbazine Hydrochloride
Location Trials
United States 394
Canada 31
Japan 29
Germany 23
France 17
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Trials by US State

Trials by US State for Procarbazine Hydrochloride
Location Trials
New York 21
Ohio 19
Pennsylvania 16
Illinois 15
California 15
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Clinical Trial Progress for Procarbazine Hydrochloride

Clinical Trial Phase

Clinical Trial Phase for Procarbazine Hydrochloride
Clinical Trial Phase Trials
PHASE3 3
PHASE2 1
PHASE1 1
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Clinical Trial Status

Clinical Trial Status for Procarbazine Hydrochloride
Clinical Trial Phase Trials
Completed 40
Active, not recruiting 13
Recruiting 13
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Clinical Trial Sponsors for Procarbazine Hydrochloride

Sponsor Name

Sponsor Name for Procarbazine Hydrochloride
Sponsor Trials
National Cancer Institute (NCI) 26
European Organisation for Research and Treatment of Cancer - EORTC 10
Memorial Sloan Kettering Cancer Center 5
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Sponsor Type

Sponsor Type for Procarbazine Hydrochloride
Sponsor Trials
Other 165
NIH 27
Industry 20
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Last updated: July 28, 2026

Procarbazine Hydrochloride Clinical Trials Update, Market Analysis, and Launch-Window Projections

Procarbazine hydrochloride is an established oncology alkylating agent with limited current development activity. Clinical-trial reporting is sporadic, market supply is largely generic, and forecast ranges depend on (i) country-by-country reimbursement and hospital procurement and (ii) whether any labeled or form-factor changes drive additional exclusivity.

Market reality check

  • Procarbazine is widely available as a generic active ingredient and dosage form in multiple jurisdictions.
  • Pipeline value is constrained because the drug is off-patent in major markets and competition is price-led.
  • Near-term “market share gains” typically come from procurement contracts, tender pricing, and pharmacy/hospital formulary decisions rather than new clinical efficacy.

Are there active clinical trials for procarbazine hydrochloride and what do they show?

Featured-snippet answer: Public registries show limited, non-core interventional activity for procarbazine hydrochloride; most activity is either older-combination studies, observational follow-ups, or protocol-level updates rather than new drug-development programs.

What types of trials exist

Most recent publicly indexed activity patterns fall into these buckets:

  1. Combination regimen refinements (procarbazine with other oncology agents)
  2. Sequence and supportive care optimization (toxicity management in regimens that include procarbazine)
  3. Late-phase outcomes tracking in diseases where procarbazine is used as a historical backbone

Disease areas where procarbazine remains relevant

Procarbazine is most associated with hematologic malignancies and lymphomas, including classic Hodgkin lymphoma treatment contexts and historical regimens in non-Hodgkin lymphoma subsets. It is also used in certain brain tumor regimens in some settings, depending on local standards.

What an “update” usually means for an established alkylator

Because procarbazine is not a typical modern pipeline asset, “trial updates” often map to:

  • updated recruiting status on registries,
  • data dissemination from previously completed protocols,
  • and changes in endpoints or stratification for ongoing follow-ups.

Which procarbazine hydrochloride clinical trials are currently recruiting, enrolling, or active by status?

Featured-snippet answer: Registry status for procarbazine hydrochloride is generally characterized by a low count of active interventional trials; the set that exists is small and often tied to combination therapies and follow-up.

How to interpret registry signals for market relevance

For a generic-like asset, registry activity rarely creates immediate commercial upside unless it results in:

  • a new labeled indication,
  • a new dosing schedule that improves payer acceptance,
  • or a new formulation that reduces administration burden and shifts procurement decisions.

When do procarbazine clinical data materially affect prescribing and procurement?

Featured-snippet answer: For an established alkylating agent, prescribing changes typically follow guideline updates and reimbursement acceptance more than marginal trial improvements.

Timing drivers

  1. Guideline incorporation (national or specialty oncology bodies)
  2. Formulary decisions (hospital procurement cycles)
  3. Safety management updates (toxicity protocols that influence regimen adoption)
  4. Drug supply reliability (stock availability and tender continuity)

Regimen-level adoption over molecule-level adoption

If procarbazine is used as a component of a regimen, uptake is driven by:

  • the regimen’s overall place in therapy,
  • competing regimen toxicity profiles,
  • and provider familiarity.

What is the market size for procarbazine hydrochloride and how much growth should be expected?

Featured-snippet answer: Growth is expected to be low-to-modest and is more sensitive to pricing dynamics and tender wins than to new patient-market expansion.

Demand drivers

  • Incidence patterns in oncology indications where procarbazine is used
  • Survival and treatment duration effects in lymphoma cohorts
  • Substitution by alternative regimens where procarbazine use has declined

Pricing and competitive structure

  • Generic manufacturers drive baseline supply.
  • Price compression is typical in mature oncology generics, especially where multiple suppliers meet tender specifications.

Growth levers

  • Regional tender wins
  • Improved supply continuity
  • Reduced administration burden via packaging or concentration changes (when offered)
  • Potential niche uptake where procarbazine remains standard-of-care in local guidelines

How does the competitive landscape for procarbazine hydrochloride impact pricing and forecasts?

Featured-snippet answer: Competition is the key forecast variable, with procurement-driven price levels usually compressing margins across suppliers.

Competitor set structure

  • Multiple generic suppliers at the API and finished-dose level
  • National distributors that win contracts through reliability and total cost-of-ownership

What matters commercially

  • Net invoice price after hospital discounts and tender concessions
  • Stockout risk (drives switching even when unit price is higher)
  • Regulatory inspection history at manufacturing sites

What generic entry risks exist for procarbazine hydrochloride if any exclusivity remains?

Featured-snippet answer: Entry risk is structurally high in a mature generic market; exclusivity, if any, typically comes from supplemental changes (formulations, manufacturing changes, labeling), not from primary molecule patents.

Where exclusivity could still matter

  • Extended exclusivity from specific formulation or method-of-use (rare for such an old oncology product, but can occur for particular dosage forms)
  • Pediatric or regulatory exclusivity elements tied to labeling changes
  • Market-specific exclusivity tied to brand-to-generic transitions

Practical consequence for forecasts

Forecasts should assume:

  • continued generic price pressure,
  • occasional supply-driven tightening effects,
  • and limited incremental margin unless a supplier wins consistent tender positions.

What is the Orange Book status of procarbazine hydrochloride and what does it imply for generic launches?

Featured-snippet answer: Procarbazine hydrochloride is generally treated as an off-patent, widely generic oncology product; Orange Book listings typically do not create meaningful launch barriers.

How Orange Book status translates to market

  • If no active exclusivity or unexpired patents are listed for the relevant strengths/dosage forms, then launch risk is low for new generic suppliers and price competition intensifies.
  • If there are residual listings, launch timing is still likely manageable because the market is supply-constrained by procurement rather than regulatory exclusivity.

What patents protect procarbazine hydrochloride and how strong is the patent estate?

Featured-snippet answer: For procarbazine hydrochloride itself, the patent estate is generally not a current commercial bottleneck. Any remaining protection would be limited to narrow supplemental claims.

Patent estate characteristics for mature alkylators

  • Early patents (composition and basic process) are long expired
  • Remaining claims, if any, are usually:
    • formulation refinements,
    • specific manufacturing processes,
    • or packaging/labeling-linked claims (depending on jurisdiction).

Implications for R&D and licensing

  • Licensing value is low unless a supplier owns a still-relevant narrow improvement that changes market access.
  • Litigation value is often limited because challengers can target non-infringing formulations or procedures.

What formulation and method-of-use differences exist for procarbazine hydrochloride?

Featured-snippet answer: Commercial differentiation is usually packaging, strength, excipients, and manufacturing quality rather than fundamentally different drug delivery technologies.

Form-factor signals that can affect adoption

  • Stability and shelf-life
  • Handling characteristics for hospital pharmacy workflows
  • Concentration and dosage accuracy
  • Reconstitution or dilution requirements (if applicable in liquid forms)

Method-of-use signals

If any method-of-use studies exist, market uptake depends on whether:

  • guideline bodies adopt the method,
  • and payers accept expanded or refined clinical positioning.

What procarbazine hydrochloride biosimilar risk exists?

Featured-snippet answer: Biosimilar frameworks do not apply to procarbazine hydrochloride in the typical sense; it is a small-molecule generic oncology drug, not a biologic.

Competitive implication

Competition is generic and chemical equivalence driven, not biosimilar driven.


What patent litigation affects procarbazine hydrochloride and which companies are involved?

Featured-snippet answer: There is no consistent pattern of active, high-impact patent litigation tied to procarbazine hydrochloride in major markets, reflecting its mature and off-patent position.

Why litigation is less common

  • Few remaining enforceable patents that control market access.
  • Multiple generic suppliers already established.
  • Regulatory pathways allow equivalence-based approvals.

What settlement agreements or exclusivity arrangements matter for procarbazine hydrochloride supply?

Featured-snippet answer: Settlement-driven market control is typically not a major feature for procarbazine hydrochloride because the drug’s market access is not governed by strong, current primary patents.


How does procarbazine hydrochloride compare with alternative lymphoma and oncology regimens?

Featured-snippet answer: Procarbazine’s competitive positioning depends on regimen role and toxicity profile relative to modern chemotherapy backbones. Uptake is guided by standard-of-care placement rather than molecule-level differentiation.

Substitution dynamics

  • Regimens that avoid older alkylators may reduce procarbazine volume over time where guideline shifts occur.
  • Where procarbazine is embedded in specific historical protocols, it persists in niche or region-specific practice.

Revenue and volume projection scenarios for procarbazine hydrochloride (supplier and regional)

Featured-snippet answer: Near-term revenue projections should be scenario-based around procurement pricing and supply continuity rather than clinical uptake.

Base case (procurement-led, low growth)

  • Flat-to-low unit volume growth from steady incidence and regimen role
  • Continued price erosion or steady price under tender competition
  • Net revenue grows only modestly if tender volumes expand or supply shortfalls occur

Downside case (accelerated price compression)

  • Additional generic entrants increase tender pressure
  • Reallocation of regimen use to alternatives reduces patient exposure
  • Result: revenue declines or margin compression dominates

Upside case (supply reliability + contract wins)

  • Supplier wins multi-cycle hospital or distributor contracts
  • Short-term supply constraints increase pricing power temporarily
  • Result: volume uplift and improved utilization offset price pressure

What are the highest-risk bottlenecks to commercializing changes or new formulations of procarbazine hydrochloride?

Featured-snippet answer: For a mature generic molecule, the bottlenecks are regulatory and procurement acceptance, not clinical efficacy proof.

R&D and commercialization barriers

  • Demonstrating bioequivalence and consistency of quality attributes
  • Ensuring stability and acceptable handling for oncology pharmacy settings
  • Passing tender technical reviews and supply reliability audits
  • Avoiding manufacturing contamination risks that trigger supply interruptions

Key Takeaways

  • Procarbazine hydrochloride has limited, sporadic clinical trial activity; near-term commercial value from new clinical evidence is low.
  • The market is mature and generic-driven; forecast outcomes depend mainly on pricing tender dynamics and supply continuity.
  • Exclusivity and patent estate leverage are typically minimal for the base molecule; regulatory and procurement acceptance drive supplier competitiveness.
  • Revenue projection should be built on scenario-based procurement pricing and volume continuity rather than clinical uptake accelerators.

FAQs

  1. Do any new indications for procarbazine hydrochloride appear in recent clinical trial results?
  2. How does procarbazine hydrochloride procurement differ between hospital tenders and distributor channel sales?
  3. What formulation or strength changes most often influence hospital formulary acceptance for procarbazine hydrochloride?
  4. What regulatory pathway governs new generics of procarbazine hydrochloride in major markets?
  5. How do historical alkylator regimen shifts in lymphoma affect long-term procarbazine hydrochloride demand?

References (APA)

  1. FDA. (n.d.). Drugs@FDA. U.S. Food and Drug Administration.
  2. FDA. (n.d.). Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations. U.S. Food and Drug Administration.
  3. ClinicalTrials.gov. (n.d.). Procarbazine hydrochloride clinical trials. U.S. National Library of Medicine.

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