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Last Updated: March 21, 2025

CLINICAL TRIALS PROFILE FOR PROPARACAINE HYDROCHLORIDE


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505(b)(2) Clinical Trials for Proparacaine 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
OTC NCT04515329 ↗ Tear Film Markers in Dry Eye Syndrome Not yet recruiting Sun Pharma Global FZE Phase 4 2021-12-01 Dry eye is the most common reason for visit to an ophthalmologist's office. The prevalence is on the rise and is mainly attributed to factors such as increased environmental pollution and contact lens use. The current management options are limited to over the counter artificial tear drops and three FDA-approved drugs. Of these, cyclosporine has been used worldwide for treating mild to moderate dry eyes. The earlier version consisted of 0.05% cyclosporine which worked well for a limited number of inflammatory dry eye conditions. Recently, 0.09% cyclosporine was approved by the FDA. The nearly double concentration is expected to be more beneficial for severe inflammation which is often seen in Sjögren syndrome and other Rheumatological conditions associated with dry eyes. In this pilot project, the investigator proposes to evaluate the change in expression of SLURP1 and other markers of ocular surface inflammation before and after treatment with 0.09% cyclosporine eye drops.
OTC NCT04515329 ↗ Tear Film Markers in Dry Eye Syndrome Not yet recruiting Vishal Jhanji Phase 4 2021-12-01 Dry eye is the most common reason for visit to an ophthalmologist's office. The prevalence is on the rise and is mainly attributed to factors such as increased environmental pollution and contact lens use. The current management options are limited to over the counter artificial tear drops and three FDA-approved drugs. Of these, cyclosporine has been used worldwide for treating mild to moderate dry eyes. The earlier version consisted of 0.05% cyclosporine which worked well for a limited number of inflammatory dry eye conditions. Recently, 0.09% cyclosporine was approved by the FDA. The nearly double concentration is expected to be more beneficial for severe inflammation which is often seen in Sjögren syndrome and other Rheumatological conditions associated with dry eyes. In this pilot project, the investigator proposes to evaluate the change in expression of SLURP1 and other markers of ocular surface inflammation before and after treatment with 0.09% cyclosporine eye drops.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for Proparacaine Hydrochloride

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00620997 ↗ Proparacaine vs Placebo for Corneal Injuries Completed London Health Sciences Centre Phase 1 2005-10-01 Introduction: Traumatic injuries to the outer covering of the eye (the cornea) are a common emergency department complaint. They cause significant patient distress including pain, loss of sleep and missed work days. There is currently no accepted, uniform approach to pain management in this patient population. Emergency medicine and ophthalmology texts state that prolonged use of medications that anesthetize the cornea is not recommended. Several recent publications in the ophthalmology literature show that the outpatient use of dilute local anesthesia in patients after eye surgery is a safe and effective method of pain control. In this study, we used Proparacaine (a local anesthetic), in a similar manner, for the outpatient emergency department management of traumatic corneal injuries. Methods: We performed a clinical trial on a sample of adult patients presenting with traumatic corneal injuries to two university affiliated emergency departments in London, Canada. Patients providing signed informed consent to participate in the study received a vial of clear liquid that contained either Proparacaine or plain water (placebo), a pain log, topical antibiotics and oral Acetaminophen (Tylenol) with Codeine for breakthrough pain. Patients were instructed to use the "study drug" on an "as-needed" basis for the next seven days. Patients completed a pain scale describing their discomfort immediately prior to, and five minutes after self-administration of the study drug. All patients were followed closely in an ophthalmology outpatient clinic on Days 1, 3 and 5 after presentation to the emergency department. At the last ophthalmology clinic visit, the patients' pain logs were collected. The protocol was approved by the Research Ethics Board for Health Sciences Research Involving Human Subjects at the University of Western Ontario.
NCT00656435 ↗ Bevacizumab and Long Acting Gas in Diabetic Vitrectomy Completed National Taiwan University Hospital Phase 3 2006-12-01 Persistent or recurrent vitreous hemorrhage after vitrectomy for diabetic retinopathy complications is a common occurrence with an incidence of 12% to 63%. This complication may prolong vitreous clear-up and delay visual rehabilitation significantly, and sometimes requires additional procedures or surgery. The causes of bleeding are diverse. Evidence suggests fibrovascular proliferation from the sclerotomy sites or from the vitreous base may be an important source of recurrent vitreous hemorrhage; other sources of bleeding include iatrogenic intraoperative injury of retinal vessels, and incomplete removal of fibrovascular tissues. We have reported on the possible benefit of peripheral retinal cryotherapy and cryotherapy treatment of sclerotomy sites to prevent delayed-onset recurrent vitreous hemorrhage, and the possible benefit of intravitreal long-acting gas to reduce the occurrence of early postoperative recurrent vitreous hemorrhage, especially for cases with active fibrovascular proliferation. However, minor recurrent vitreous hemorrhage and prolonged reabsorption of lysed blood clots from surgical trauma remain important factors to cause media opacity long enough to prevent quick visual rehabilitation. Intravitreal bevacizumab has been noted to induce rapid regression of retinal and iris neovascularization in proliferative diabetic retinopathy. Further, presurgical administration of intravitreal bevacizumab may reduce intraoperative bleeding during membrane dissection in PDR with traction retinal detachment. We hypothesize that presurgical treatment of intravitreal bevacizumab may reduce intraoperative bleeding and the amount of residual blood clots, while intraoperative infusion of long-acting gas may facilitate post-operative recovery of surgically injured retinal vessels. These combined effects would thus enhance early clear-up of vitreous opacity from clot lysis and recurrent retinal bleeding. To investigate this hypothesis, a clinical prospective study was undertaken to evaluate the effects of bevacizumab pretreatment combined with intravitreal infusion of long-acting gas on the clearance speed and the recurrence rate of early postoperative vitreous hemorrhage in vitrectomy for active diabetic fibrovascular proliferation.
NCT00769392 ↗ Pilot Study: A Randomized Trial Of Anesthetic Agents For Intravitreal Injection Completed Lahey Clinic N/A 2008-09-01 This study is designed to compare four currently used types of anesthesia used prior to intravitreal injection in order to evaluate the most effective method of anesthesia in reducing pain and discomfort associated with intravitreal injections.
NCT01027611 ↗ Patient Assessment of Topical Anesthetic Effectiveness for Intravitreal Injections Completed Illinois Retina Associates Phase 3 2009-10-01 There are currently several different commercially available topical eye drops and gels used to reduce eye discomfort (topical anesthetics) during and after eye injections. Dr. Pollack is performing a research study to evaluate three commercially available topical anesthetics (eye numbing treatments) to determine if individuals have a preference for one over the other. The three topical anesthetics being studied are 1) 0.5% proparacaine hydrochloride (generic, Akorn, Inc), 2) 0.5% proparacaine hydrochloride (generic, Akorn, Inc) PLUS 4% lidocaine hydrochloride topical solution (generic, Roxane Laboratories), and 3) 3.5% lidocaine hydrochloride ophthalmic gel (Akten, Akorn, Inc). These eye anesthetics are NOT experimental medications. They are all commercially available topical anesthetics currently used in our offices and their use is widespread among retina specialists throughout the United States. Dr. Pollack will randomly select one topical anesthetic to use and he will ask you to grade your level of pain associated with the injection procedure. Answering these questions should take less than one minute of your time and your identity will NOT be revealed with the results of this study. The results of this study will be used to inform doctors which eye anesthetics patients find most effective for pain control during eye injections.
NCT01243086 ↗ OZURDEX in Age Related Macular Degeneration as Adjunct to Ranibizumab Completed Hamilton Health Sciences Corporation Phase 2 2011-03-01 In the Western World, Age Related Macular Degeneration (ARMD) is a leading cause of blindness. This disease was once thought to be a natural part of aging, but recent research has introduced effective treatments. ARMD is related to the body initiating an immune response in the eye, as if responding to an infection. Vision is impacted as ocular tissue becomes inflamed and new blood vessels form at the back of the eye, a process called angiogenesis. In the more severe wet form of ARMD, blood and fluid leak out of the vessels and impair the eye's structure and function. Many studies have shown that ranibizumab, a drug that stops the formation of new blood vessels (an anti-angiogenic agent) can delay damage to the eye and often restore vision. The investigators believe the best drug therapy will also stop the inflammation. OZURDEX, a steroid drug, has shown the potential to effectively reduce inflammation in this application. The investigators aim to investigate if patients receiving a combination treatment of ranibizumab and OZURDEX improve their visual abilities more than those receiving just ranibizumab treatment alone. Secondarily, the investigators will also investigate how often patients receiving each drug therapy regime require re-treatment and how often they experience further vision loss.
NCT01243086 ↗ OZURDEX in Age Related Macular Degeneration as Adjunct to Ranibizumab Completed St. Joseph's Healthcare Hamilton Phase 2 2011-03-01 In the Western World, Age Related Macular Degeneration (ARMD) is a leading cause of blindness. This disease was once thought to be a natural part of aging, but recent research has introduced effective treatments. ARMD is related to the body initiating an immune response in the eye, as if responding to an infection. Vision is impacted as ocular tissue becomes inflamed and new blood vessels form at the back of the eye, a process called angiogenesis. In the more severe wet form of ARMD, blood and fluid leak out of the vessels and impair the eye's structure and function. Many studies have shown that ranibizumab, a drug that stops the formation of new blood vessels (an anti-angiogenic agent) can delay damage to the eye and often restore vision. The investigators believe the best drug therapy will also stop the inflammation. OZURDEX, a steroid drug, has shown the potential to effectively reduce inflammation in this application. The investigators aim to investigate if patients receiving a combination treatment of ranibizumab and OZURDEX improve their visual abilities more than those receiving just ranibizumab treatment alone. Secondarily, the investigators will also investigate how often patients receiving each drug therapy regime require re-treatment and how often they experience further vision loss.
NCT01243086 ↗ OZURDEX in Age Related Macular Degeneration as Adjunct to Ranibizumab Completed McMaster University Phase 2 2011-03-01 In the Western World, Age Related Macular Degeneration (ARMD) is a leading cause of blindness. This disease was once thought to be a natural part of aging, but recent research has introduced effective treatments. ARMD is related to the body initiating an immune response in the eye, as if responding to an infection. Vision is impacted as ocular tissue becomes inflamed and new blood vessels form at the back of the eye, a process called angiogenesis. In the more severe wet form of ARMD, blood and fluid leak out of the vessels and impair the eye's structure and function. Many studies have shown that ranibizumab, a drug that stops the formation of new blood vessels (an anti-angiogenic agent) can delay damage to the eye and often restore vision. The investigators believe the best drug therapy will also stop the inflammation. OZURDEX, a steroid drug, has shown the potential to effectively reduce inflammation in this application. The investigators aim to investigate if patients receiving a combination treatment of ranibizumab and OZURDEX improve their visual abilities more than those receiving just ranibizumab treatment alone. Secondarily, the investigators will also investigate how often patients receiving each drug therapy regime require re-treatment and how often they experience further vision loss.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Proparacaine Hydrochloride

Condition Name

Condition Name for Proparacaine Hydrochloride
Intervention Trials
Diabetic Macular Edema 4
Age-related Macular Degeneration 3
Retinopathy of Prematurity 2
Myopia 2
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Condition MeSH

Condition MeSH for Proparacaine Hydrochloride
Intervention Trials
Macular Degeneration 7
Macular Edema 4
Cataract 3
Diabetic Retinopathy 2
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Clinical Trial Locations for Proparacaine Hydrochloride

Trials by Country

Trials by Country for Proparacaine Hydrochloride
Location Trials
United States 14
Canada 5
China 3
Israel 1
India 1
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Trials by US State

Trials by US State for Proparacaine Hydrochloride
Location Trials
Pennsylvania 4
Florida 2
New York 1
Wisconsin 1
Michigan 1
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Clinical Trial Progress for Proparacaine Hydrochloride

Clinical Trial Phase

Clinical Trial Phase for Proparacaine Hydrochloride
Clinical Trial Phase Trials
Phase 4 10
Phase 3 4
Phase 2/Phase 3 1
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Clinical Trial Status

Clinical Trial Status for Proparacaine Hydrochloride
Clinical Trial Phase Trials
Completed 13
Recruiting 6
Unknown status 5
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Clinical Trial Sponsors for Proparacaine Hydrochloride

Sponsor Name

Sponsor Name for Proparacaine Hydrochloride
Sponsor Trials
Sun Yat-sen University 2
McMaster University 2
Hebei Provincial Eye Hospital 1
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Sponsor Type

Sponsor Type for Proparacaine Hydrochloride
Sponsor Trials
Other 45
Industry 3
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Proparacaine Hydrochloride: Clinical Trials, Market Analysis, and Projections

Introduction

Proparacaine hydrochloride is a rapidly-acting topical anesthetic widely used in ophthalmology for procedures requiring temporary anesthesia of the eye. This article delves into the current state of clinical trials, market analysis, and future projections for this essential ophthalmic solution.

Clinical Trials and Safety

While extensive controlled clinical studies have not been conducted specifically to establish the safety and effectiveness of proparacaine hydrochloride in pediatric patients, the literature supports its use as a topical ophthalmic anesthetic in various age groups, including children[3].

Adverse Reactions and Precautions

Clinical use of proparacaine hydrochloride has highlighted potential adverse reactions such as stinging, burning, and conjunctival redness. Rare but severe immediate-type hyperallergic corneal reactions can also occur. Prolonged use can lead to permanent corneal opacification and visual loss, emphasizing the need for cautious administration[4].

Ongoing Research

Although specific ongoing clinical trials are not widely detailed in the available sources, continuous research and development in ophthalmic anesthesia focus on enhancing the efficacy and safety of proparacaine hydrochloride. Innovations in formula enhancements and patient comfort are key areas of investigation[1].

Market Analysis

The global market for proparacaine hydrochloride ophthalmic solution is driven by several key factors.

Market Drivers

  • Expanding Healthcare Infrastructure: The growth of healthcare infrastructure in emerging markets increases the accessibility of proparacaine hydrochloride, contributing to market expansion[1].
  • Surging Demand for Ophthalmic Procedures: The rising demand for faster and more efficient ophthalmic procedures, including minimally invasive surgeries, boosts the use of proparacaine hydrochloride[1].
  • Advancements in Ophthalmic Technology: Advances in ophthalmic technology drive the wider adoption of proparacaine hydrochloride in clinical settings[1].

Market Restraints

  • Variability in Clinician Preferences: Differences in clinician preferences can impact the adoption rates of proparacaine hydrochloride solutions[1].
  • Drug Pricing Strategies: Disproportionate drug pricing can create market access challenges, affecting the affordability and accessibility of the solution[1].
  • Public Awareness: The lack of public awareness regarding the benefits and efficacy of proparacaine hydrochloride may slow market growth[1].

Market Segmentation

The market for proparacaine hydrochloride ophthalmic solution is segmented based on several criteria:

Application Areas

  • Clinic Use: Commonly used in clinical settings for procedures like tonometry, gonioscopy, and the removal of corneal sutures[1][4].
  • Home-Care Settings: Increasingly used in home-care settings for patient convenience and comfort[1].
  • Hospital Use: Widely utilized in hospitals for various ophthalmic procedures[1].

User Demographics

  • Adult Patients: The primary user demographic, but also used in pediatric and geriatric patients[1][3].

Concentration Levels and Packaging

  • Concentration Levels: Typically available in a 0.5% concentration[4].
  • Packaging Type: Available in various packaging sizes, such as 5ml and 15ml[2].

Market Projections

Global Market Size

The global market for proparacaine hydrochloride ophthalmic solution is projected to grow significantly from 2025 to 2030. The market size is expected to increase due to the rising demand for ophthalmic procedures and advancements in ophthalmic technology[1][5].

Regional Growth

  • Asia: Expected to see significant growth due to the expanding healthcare infrastructure and increasing incidence of eye ailments[2].
  • Middle East, Africa, and Latin America: These regions also present growth opportunities, although challenges in healthcare infrastructure and market penetration need to be addressed[2].

Competitive Landscape

The market is characterized by a competitive landscape with several key players. Market competition is driven by factors such as brand visibility, distribution networks, and the availability of generic formulations[2][5].

Market Opportunities

Sustainable Packaging

Creating environmentally friendly packaging can enhance the market appeal of proparacaine hydrochloride solutions, aligning with growing consumer preferences for sustainable products[1].

Digital Marketing

Utilizing digital marketing strategies can increase brand visibility and engagement, helping to overcome the lack of public awareness about the benefits of proparacaine hydrochloride[1].

Generic Formulations

Expanding the global presence of generic proparacaine hydrochloride formulations can make the solution more accessible and affordable, particularly in emerging markets[1].

Market Challenges

Regulatory Challenges

Navigating regulatory challenges and ensuring compliance are critical for market growth. Variability in regulatory requirements across different regions can pose significant barriers[1].

Competition from Alternative Anesthetics

The market faces competition from other anesthetic agents, which can impact the adoption rates of proparacaine hydrochloride solutions. Differentiating the product through enhanced efficacy and safety features is essential[1].

Patent Expirations

The expiration of patents can lead to the introduction of generic alternatives, affecting pricing strategies and market dynamics[1].

Key Takeaways

  • Growing Demand: The demand for proparacaine hydrochloride is increasing due to the rising need for ophthalmic procedures and advancements in technology.
  • Market Segmentation: The market is segmented by application areas, user demographics, concentration levels, and packaging types.
  • Regional Growth: Asia, Middle East, Africa, and Latin America are key regions for future growth.
  • Competitive Landscape: The market is competitive, with opportunities for growth through sustainable packaging, digital marketing, and generic formulations.
  • Challenges: Regulatory challenges, competition from alternative anesthetics, and patent expirations are significant barriers to market growth.

FAQs

What is the primary use of proparacaine hydrochloride ophthalmic solution?

Proparacaine hydrochloride ophthalmic solution is primarily used as a local anesthetic for ophthalmic procedures such as tonometry, gonioscopy, and the removal of corneal sutures.

What are the common adverse reactions associated with proparacaine hydrochloride?

Common adverse reactions include stinging, burning, and conjunctival redness. Rare but severe immediate-type hyperallergic corneal reactions can also occur.

What are the key drivers of the global proparacaine hydrochloride market?

Key drivers include the expansion of healthcare infrastructure in emerging markets, the surging demand for faster and more efficient ophthalmic procedures, and advancements in ophthalmic technology.

How is the market for proparacaine hydrochloride segmented?

The market is segmented by application areas (clinic use, home-care settings, hospital use), user demographics (adult, geriatric, pediatric patients), concentration levels, and packaging types.

What are the potential market opportunities for proparacaine hydrochloride?

Opportunities include creating environmentally friendly packaging, utilizing digital marketing strategies, and expanding the global presence of generic formulations.

Sources

  1. 360iResearch: Proparacaine HCL Ophthalmic Solution Market Size 2025-2030.
  2. QYResearch: Global Proparacaine HCL Ophthalmic Solution Market Insights.
  3. Drugs.com: Proparacaine: Package Insert / Prescribing Information.
  4. eMPR.com: Proparacaine HCl Ophthalmic Solution.
  5. Prof Research: Proparacaine hydrochloride Market Size, Share.

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