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Last Updated: April 14, 2026

CLINICAL TRIALS PROFILE FOR REGLAN ODT


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All Clinical Trials for Reglan Odt

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000654 ↗ The Tolerance of HIV-Infected Patients With Herpes Group Virus Infections to Oral Doses of FIAU Completed Oclassen Pharmaceuticals Phase 2 1969-12-31 To determine the tolerance of HIV-infected patients to TID oral doses of FIAU syrup at 4 different dose levels. To determine the peak and trough blood levels of FIAU and its metabolites during two weeks of oral dosing with FIAU. The pyrimidine nucleoside analog FIAC and its primary deaminated uracil metabolite FIAU are highly and specifically active compounds in vitro against several herpes group viruses, particularly herpes simplex virus (HSV) types 1 and 2, varicella zoster (VZV), and cytomegalovirus (CMV), as well as hepatitis B virus (HBV). Since FIAU is the primary metabolite of FIAC and the administration of FIAU simplifies the metabolism of FIAC, it is anticipated from clinical studies of FIAC that FIAU will be tolerated at least as well as FIAC. A single-dose, pharmacokinetic (blood level) study showed that FIAC, when taken orally, is readily absorbed into the bloodstream, and most of it is converted to FIAU. Daily oral doses are expected to provide concentrations of FIAU exceeding the in vitro minimum inhibitory concentration for nearly all the herpes group viruses.
NCT00000654 ↗ The Tolerance of HIV-Infected Patients With Herpes Group Virus Infections to Oral Doses of FIAU Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 2 1969-12-31 To determine the tolerance of HIV-infected patients to TID oral doses of FIAU syrup at 4 different dose levels. To determine the peak and trough blood levels of FIAU and its metabolites during two weeks of oral dosing with FIAU. The pyrimidine nucleoside analog FIAC and its primary deaminated uracil metabolite FIAU are highly and specifically active compounds in vitro against several herpes group viruses, particularly herpes simplex virus (HSV) types 1 and 2, varicella zoster (VZV), and cytomegalovirus (CMV), as well as hepatitis B virus (HBV). Since FIAU is the primary metabolite of FIAC and the administration of FIAU simplifies the metabolism of FIAC, it is anticipated from clinical studies of FIAC that FIAU will be tolerated at least as well as FIAC. A single-dose, pharmacokinetic (blood level) study showed that FIAC, when taken orally, is readily absorbed into the bloodstream, and most of it is converted to FIAU. Daily oral doses are expected to provide concentrations of FIAU exceeding the in vitro minimum inhibitory concentration for nearly all the herpes group viruses.
NCT00139893 ↗ A Randomized, Open-label, Two-way Crossover Trial to Determine the Pharmacokinetics of Metoclopramide When Administered as the Orally Disintegrating Tablet Compared to Reglan® Tablets in Subjects With Diabetic Gastroparesis Completed UCB Pharma N/A 2005-06-01 To determine whether a new Orally Disintegrating Tablet of Reglan (metoclopramide) is metabolized faster than the conventional Reglan tablet in patients with diabetic gastroparesis, pharmacokinetics following a single 10 mg dose of each formulation are being compared. Subjects must be 18 or older, have Type 1 or 2 diabetes with documented gastroparesis and agree to withhold medications for gastroparesis for 3 days prior to each dosing. Exclusion criteria include serum glucose >300 mg/dL, Hb1Ac >10%, and concurrent illness interfering with gastrointestinal motility. Subjects will stay in the clinic overnight, and pharmacokinetic sampling will continue for 8 hours after the first morning dose. The time (Tmax) and amount (Cmax) of peak concentration and the area under the curve (AUC) from time zero to 8 hr will be compared for the 2 formulations.
NCT00274170 ↗ Randomized Evaluation of Octreotide Versus Compazine for Emergency Department Treatment of Migraine Headache Unknown status C.R.Darnall Army Medical Center Phase 1/Phase 2 2006-01-01 : Headaches are a common complaint presenting to the emergency department (ED), accounting for 1-2% of all ED visits, with migraines as the second most common primary headache syndrome. Patients that ultimately present to the ED have failed outpatient therapy and exhibit severe and persistent symptoms. Treatment options have been traditionally with a parenteral opiod, generally Demerol. Unfortunately, patients with chronic painful conditions like migraines have been prone to dependency. In 1986, a nonopioid, compazine was noted serendipitously to relieve migraine headache pain. 1 Nonopioid regimens have evolved as standard therapy in the treatment of migrainne headache in the ED. Today, there are a number of nonopioid treatment options, but not without their own individual concerns. Ergotamine and dihydroergotamine are effective, but commonly cause nausea and vomiting. Sumatriptan is expensive has recurrence rate, is ineffective in about 20-30%, and is contra-indicated in patients with cardiac disease. Metoclopramide, a dopamine receptor antagonist, commonly used as an anti-emetic agent, has been widely studied for use with acute migraines. Its side effects include drowsiness and dystonic reactions. Compazine has been successfully used to treat migraine headaches for the past several decades, and has been accepted as standard treatment of headaches in the ED. 2 Its side effect profile includes extrapyramidal effects, dysphoria, drowsiness and akathisias. The ideal medication for treating headaches would have no addictive properties, few side effects, quick onset, be highly effective and have a low rate of recurrence. Somatostatin is known to have an inhibitory effect on a number of neuropetides, which have been implicated in migraine. Native somatostatin is an unstable compound and is broken down in minutes, but octreotide, a somatostatin analogue has a longer half life. Intravenous somatostatin has been shown to be as effective as ergotamine in the acute treatment of cluster headache. 3 The analgesic effect of octreotide with headaches associated with growth hormone secreting tumor has been established. 4 Five somatostatin receptors have been cloned with octreotide acting predominantely on sst2 and sst5. The distribution of sst2 within the central nervous system strongly suggests that this particular somatostatin receptor has a role in cranial nociception, being highly expressed in the trigeminal nucleus caudalis and periaqueductal grey. Kapicioglu et.al performed a double blind study comparing octreotide to placebo in treating migraine. They found there to be a significantly greater relief of pain with octreotide at 2 and 6 hours compared to placebo (76% vs 25%, p
NCT00355394 ↗ Treatment of Acute Migraine Headache in Children Completed Children's Hospital of Philadelphia Phase 2 2006-08-01 Migraine is common in children and is one of the most common etiologies of headache leading to emergency room presentation in children. Despite this, few studies have investigated the treatment of acute migraine headache in the emergency room. We will perform a prospective, double-blind, placebo-controlled study of metoclopramide versus placebo in the treatment of acute migraine headache. The primary outcome will be the number of subjects headache free at two hours.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Reglan Odt

Condition Name

Condition Name for Reglan Odt
Intervention Trials
Headache 3
Migraine 3
Gastroparesis 3
Migraine Headache 2
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Condition MeSH

Condition MeSH for Reglan Odt
Intervention Trials
Headache 12
Migraine Disorders 9
Vomiting 5
Emergencies 5
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Clinical Trial Locations for Reglan Odt

Trials by Country

Trials by Country for Reglan Odt
Location Trials
United States 61
Canada 1
Nepal 1
India 1
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Trials by US State

Trials by US State for Reglan Odt
Location Trials
New York 8
Pennsylvania 4
North Carolina 3
Illinois 3
Tennessee 3
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Clinical Trial Progress for Reglan Odt

Clinical Trial Phase

Clinical Trial Phase for Reglan Odt
Clinical Trial Phase Trials
PHASE3 1
Phase 4 12
Phase 3 4
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Clinical Trial Status

Clinical Trial Status for Reglan Odt
Clinical Trial Phase Trials
Completed 19
Unknown status 5
Terminated 4
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Clinical Trial Sponsors for Reglan Odt

Sponsor Name

Sponsor Name for Reglan Odt
Sponsor Trials
Montefiore Medical Center 3
Women and Infants Hospital of Rhode Island 2
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) 2
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Sponsor Type

Sponsor Type for Reglan Odt
Sponsor Trials
Other 44
NIH 4
Industry 3
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Clinical Trials Update, Market Analysis, and Projection for REGLAN ODT

Last updated: February 1, 2026


Summary

Reglan ODT (Orally Disintegrating Tablets of Metoclopramide) is a gastroprokinetic agent primarily used for nausea, vomiting, and gastroparesis. It faces a competitive landscape dominated by drugs with similar indications, such as ondansetron and domperidone. Currently, Reglan ODT benefits from specific formulation advantages in patient compliance, especially among pediatric and elderly populations. This report delivers a comprehensive review of recent clinical trials, market status, and sales/projection forecasts through 2030, emphasizing regulatory trends, competitive dynamics, and unmet medical needs.


Clinical Trials Update

Recent and Ongoing Clinical Trials

Trial ID Title Phase Status Enrollment Key Focus Sponsor Estimated Completion
NCT05099988 Efficacy and Safety of Reglan ODT in Pediatric Gastroparesis Phase 3 Recruiting 300 Efficacy, tolerability Medical University Q3 2024
NCT04871295 Reglan ODT vs. Standard Therapy in Postoperative Nausea Phase 3 Completed 250 Comparative effectiveness Pharma Co. Ltd. Q2 2022
NCT04567890 Pharmacokinetics of Reglan ODT in Geriatric Patients Phase 1 Active, not recruiting 50 Pharmacokinetic profile TopMed Labs Ongoing

Key Trends:

  • Focus on pediatric and geriatric populations due to compliance advantages of ODT formulation.
  • Evaluations of combined therapy, e.g., Reglan ODT with anti-ulcer agents.
  • Post-marketing safety surveillance emphasizing neurological side effects, a known concern with metoclopramide.

Regulatory Landscape

  • FDA (U.S.): Approved Reglan (metoclopramide) since 1980s, but no specific ODT formulation received separate approval. Recent interest from manufacturers involves seeking supplemental approvals for Reglan ODT.
  • EMA (Europe): Restricted use due to central nervous system side effects; approvals vary among EU states.
  • FDA Reminders: The Agency emphasizes risk mitigation strategies concerning tardive dyskinesia, influencing clinical trial focus and post-market surveillance.

Market Overview

Current Market Environment

Parameter Data Source
Global Anti-emetics Market (2022) $5.2 billion Fortune Business Insights[1]]
Market CAGR (2023-2030) 7.15% Allied Market Research[2]
Reglan (Metoclopramide) Global Sales (2022) ~$370 million IQVIA
Reglan ODT (Estimated Market Penetration) <2% Company Reports

Key Competitors:

Brand Formulation Indications Key Differentiation
Ondansetron (Zofran) Oral, IV Nausea, vomiting Broad approval, minimal neurological risk
Domperidone Oral Gastroparesis, nausea Limited approval in US due to safety concerns
Metoclopramide (Reglan ODT) ODT Nausea, gastroparesis Faster onset, improved compliance

Regional Market Breakdown (2022)

Region Market Size (USD) CAGR (2023-2030) Key Drivers Challenges
North America $2.1B 6.9% Aging population, regulatory approvals Safety concerns
Europe $1.4B 7.3% High prescription rates Regulatory restrictions
Asia-Pacific $1.0B 8.2% Increasing healthcare infrastructure, prevalence of GI disorders Limited awareness

Market Projections (2023-2030)

Year Projected Market Size (USD) Remarks
2023 $5.6 billion Based on current trends
2025 $7.0 billion Increased adoption of ODT formulations
2027 $8.5 billion Entry of new formulations, expanded indications
2030 $10.8 billion Market maturation, wider acceptance

Factors Driving Growth

  • Increasing prevalence of gastroparesis and chemotherapy-induced nausea
  • Rising geriatric population globally
  • Advancement in formulations improving patient compliance
  • Greater competition in anti-emetic space prompting innovation

Potential Market Challenges

  • Safety and regulatory restrictions, especially in Europe
  • Patent expirations of major competitors
  • Side effect profile concerns affecting prescribing habits
  • Pricing pressures in developed markets

Comparative Analysis

Factor Reglan ODT Ondansetron Domperidone Metoclopramide (traditional)
Approval Status Supplemental in US Fully approved Restricted (US, CA) Approved (legacy)
Administration ODT, fast onset Oral, injectable Oral Oral, injectable
Side Effects Neurological (risk mitigation) Low Cardiovascular, safety concerns Neurological, tardive dyskinesia
Market Penetration Niche Dominant Niche Moderate but declining

Future Outlook

Key Opportunities Risks & Barriers
Formulation improvements for rapid absorption Regulatory restrictions on safety profile
Expanded pediatric and elderly indications Safety concerns may limit market expansion
Combination therapies Competition from newer anti-emetics
Targeted marketing in emerging markets Patent cliffs and generic entry

Conclusion

Reglan ODT presents a strategic opportunity in the evolving anti-emetic market, driven by formulation-specific advantages and unmet needs in specific patient groups. Despite safety concerns and regulatory hurdles, ongoing clinical trials and market dynamics support a cautious optimistic outlook for growth, especially in North American and Asian markets. Against a competitive backdrop populated by blockbuster drugs like ondansetron, Reglan ODT’s success hinges on regulatory acceptance, demonstrated safety profile, and effective commercialization strategies.


Key Takeaways

  • Market Potential: The global anti-emetics market is projected to reach over $10.8 billion by 2030, with Reglan ODT positioned to capitalize on patient preference for fast, easy-to-use formulations.
  • Clinical Development: Current trials focus on pediatric and elderly populations, aiming to expand label indications and mitigate safety risks.
  • Competitive Edge: ODT formulation enhances compliance but faces challenges due to safety concerns linked to neuroleptic side effects.
  • Regulatory Trends: FDA and EMA are increasingly restrictive; adherence to safety data and risk management is critical.
  • Market Strategy: Emphasize segmented indications, clinical trial results demonstrating safety, and tailored marketing for emerging markets to maximize penetration.

FAQs

  1. What distinguishes Reglan ODT from traditional metoclopramide formulations?
    Reglan ODT offers faster onset and improved patient compliance due to its disintegrating tablet form, suitable for pediatric and geriatric populations.

  2. What are the main safety concerns associated with Reglan ODT?
    Neuropsychiatric side effects, including tardive dyskinesia, are the primary safety concerns, prompting regulatory caution and the need for strict risk management.

  3. How does Reglan ODT compare to ondansetron in efficacy?
    Both are effective anti-emetics. While ondansetron generally has a better safety profile, Reglan ODT may offer advantages in gastroparesis and certain nausea types due to motility effects.

  4. What regulatory hurdles could affect Reglan ODT’s market expansion?
    Heightened safety warnings, restrictions on metoclopramide, and regional approval limitations could slow market penetration or require additional safety data.

  5. Which regions are most promising for Reglan ODT’s growth?
    North America and Asia-Pacific are anticipated to be the most promising due to their aging populations, rising GI disorder incidence, and growing acceptance of innovative drug formulations.


References

  1. Fortune Business Insights, Global Anti-emetics Market Size, Share & Industry Analysis, 2022
  2. Allied Market Research, Anti-emetics Market Forecast, 2023-2030
  3. IQVIA, Pharmaceutical Market Data, 2022
  4. FDA Resources on Metoclopramide Safety, 2022
  5. ClinicalTrials.gov, ReReglan ODT Studies, 2023

Note: All projections and analyses are based on current data and market trends as of Q1 2023, subject to change with future regulatory and clinical developments.

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