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Last Updated: December 12, 2025

CLINICAL TRIALS PROFILE FOR SODIUM BENZOATE; SODIUM PHENYLACETATE


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All Clinical Trials for SODIUM BENZOATE; SODIUM PHENYLACETATE

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00004767 ↗ Phase II Study of Sodium Phenylbutyrate, Sodium Benzoate, Sodium Phenylacetate, and Dietary Intervention for Urea Cycle Disorders Completed Johns Hopkins University Phase 2 1985-01-01 OBJECTIVES: I. Assess the safety and efficacy of sodium phenylbutyrate, sodium benzoate, sodium phenylacetate, and dietary intervention in patients with urea cycle disorders.
NCT00004767 ↗ Phase II Study of Sodium Phenylbutyrate, Sodium Benzoate, Sodium Phenylacetate, and Dietary Intervention for Urea Cycle Disorders Completed National Center for Research Resources (NCRR) Phase 2 1985-01-01 OBJECTIVES: I. Assess the safety and efficacy of sodium phenylbutyrate, sodium benzoate, sodium phenylacetate, and dietary intervention in patients with urea cycle disorders.
NCT00597909 ↗ Efficacy and Safety Study of Ammonul® in Patients With Grade 3 or 4 Hepatic Encephalopathy Terminated Horizon Pharma Ireland, Ltd., Dublin Ireland Phase 2 2007-12-01 The primary purpose of this study is to evaluate the safety and effectiveness of Ammonul® in subjects who become hospitalized with Grade 3 or 4 hepatic encephalopathy (HE).
NCT00977600 ↗ A Study of Glyceryl Tri-(4-phenylbutyrate) (GT4P) Completed Ucyclyd Pharma, Inc. Phase 1 2005-03-01 To determine the safety and tolerability of single oral doses of HPN-100 as a formulation (GT4P-F) and GT4P as the active pharmaceutical ingredient (GT4P-API) administered to healthy male subjects.
NCT00977600 ↗ A Study of Glyceryl Tri-(4-phenylbutyrate) (GT4P) Completed Horizon Pharma Ireland, Ltd., Dublin Ireland Phase 1 2005-03-01 To determine the safety and tolerability of single oral doses of HPN-100 as a formulation (GT4P-F) and GT4P as the active pharmaceutical ingredient (GT4P-API) administered to healthy male subjects.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for SODIUM BENZOATE; SODIUM PHENYLACETATE

Condition Name

Condition Name for SODIUM BENZOATE; SODIUM PHENYLACETATE
Intervention Trials
Amino Acid Metabolism, Inborn Errors 1
Healthy 1
Healthy Volunteers 1
Hepatic Encephalopathy 1
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Condition MeSH

Condition MeSH for SODIUM BENZOATE; SODIUM PHENYLACETATE
Intervention Trials
Hepatic Encephalopathy 1
Brain Diseases 1
Urea Cycle Disorders, Inborn 1
Metabolism, Inborn Errors 1
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Clinical Trial Locations for SODIUM BENZOATE; SODIUM PHENYLACETATE

Trials by Country

Trials by Country for SODIUM BENZOATE; SODIUM PHENYLACETATE
Location Trials
United States 2
Japan 1
Ukraine 1
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Trials by US State

Trials by US State for SODIUM BENZOATE; SODIUM PHENYLACETATE
Location Trials
Texas 1
California 1
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Clinical Trial Progress for SODIUM BENZOATE; SODIUM PHENYLACETATE

Clinical Trial Phase

Clinical Trial Phase for SODIUM BENZOATE; SODIUM PHENYLACETATE
Clinical Trial Phase Trials
Phase 2 2
Phase 1 2
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Clinical Trial Status

Clinical Trial Status for SODIUM BENZOATE; SODIUM PHENYLACETATE
Clinical Trial Phase Trials
Completed 3
Terminated 1
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Clinical Trial Sponsors for SODIUM BENZOATE; SODIUM PHENYLACETATE

Sponsor Name

Sponsor Name for SODIUM BENZOATE; SODIUM PHENYLACETATE
Sponsor Trials
Horizon Pharma Ireland, Ltd., Dublin Ireland 2
Ucyclyd Pharma, Inc. 1
Takeda 1
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Sponsor Type

Sponsor Type for SODIUM BENZOATE; SODIUM PHENYLACETATE
Sponsor Trials
Industry 3
Other 2
NIH 1
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Clinical Trials Update, Market Analysis, and Projection for Sodium Benzoate and Sodium Phenylacetate

Last updated: November 1, 2025

Introduction

The pharmaceutical and food industries continue to evolve in response to increasing regulatory scrutiny and market demands for safer, more effective therapies and preservatives. Among the compounds garnering renewed attention are sodium benzoate and sodium phenylacetate—compounds historically utilized in food preservation and medical treatment, particularly for urea cycle disorders. As research advances and regulatory pathways adapt, understanding the current landscape of clinical trials, market dynamics, and future projections becomes essential for stakeholders. This analysis offers an in-depth review of recent clinical developments, market conditions, and strategic outlooks for sodium benzoate and sodium phenylacetate.

Overview of Sodium Benzoate and Sodium Phenylacetate

Sodium Benzoate is a widely used preservative, approved by the FDA for food, beverage, and cosmetic applications. Beyond its preservative role, it has been investigated for various medical indications, chiefly neurodegenerative disorders and metabolic conditions. Conversely, Sodium Phenylacetate primarily functions as an ammonia scavenger in treating urea cycle defects, with ongoing research into its broader therapeutic potential.

Current Clinical Trials Landscape

Sodium Benzoate: Clinical Development Status

Recent years have seen a resurgence in clinical investigation of sodium benzoate, especially within neurological indications. A notable pilot study published in 2022 explored its efficacy in early-stage Alzheimer’s disease (AD) and cognitive impairment. The trial, involving 120 participants, assessed safety and cognitive outcomes following oral administration of sodium benzoate over 24 weeks. Results demonstrated modest cognitive improvement and a favorable safety profile, warranting larger, randomized controlled trials (RCTs) [1].

Additionally, ongoing trials focus on neurodegenerative disorders:

  • Sodium Benzoate in Schizophrenia: A phase II trial initiated in 2021 (NCT04697380) assesses its potential as a dopaminergic modulator, with preliminary results expected in late 2023.

  • Metabolic Disorders: Some early-phase studies investigate its neuroprotective properties in metabolic syndromes, though data remain preliminary.

Sodium Phenylacetate: Clinical Development Status

Sodium phenylacetate continues its validated role in managing urea cycle disorders (UCDs), with several ongoing studies aimed at refining dosing and exploring combination therapies:

  • Gene Expression and Neuroprotection: Recent phase II trials assess its role in neuroprotection in hyperammonemic crises, with a focus on improving neurological outcomes post-attack.

  • Broad-spectrum Applications: Experimental studies investigate its efficacy against certain cancers (e.g., glioma) and viral infections, with preclinical trials underway [2].

Regulatory and Research Trends

The FDA’s orphan drug designation has facilitated dedicated studies into rare metabolic disorders involving these compounds. Moreover, repurposing efforts are gaining momentum, driven by increased understanding of their mechanisms and safety profiles.

Market Analysis

Market Size and Segments

Sodium Benzoate:

  • The global food preservative market was valued at approximately USD 2.5 billion in 2021, with sodium benzoate accounting for an estimated 20%, equivalent to USD 500 million [3].
  • Its pharmaceutical segment, though niche, is expanding due to research into neurodegenerative and metabolic disorders.

Sodium Phenylacetate:

  • The market for urea cycle disorder therapeutics, including sodium phenylacetate, is niche, with an estimated size of USD 150 million in 2022 [4].
  • Growth is driven by advances in enzyme replacement therapies and movement towards combination drug regimens.

Key Market Drivers

  • Increasing Prevalence of Neurodegenerative Diseases: Alzheimer’s disease and schizophrenia are global health priorities, creating demand for novel therapeutic agents such as sodium benzoate.
  • Orphan Drug Designations: Facilitating investments in rare metabolic disorder drugs like sodium phenylacetate.
  • Regulatory Environment: Growing pressure to replace synthetic preservatives with safer alternatives, possibly expanding the application scope of sodium benzoate.

Market Challenges

  • Safety Concerns: High consumption levels of sodium benzoate have been scrutinized due to associations with hyperactivity and potential carcinogenicity when combined with ascorbic acid, leading to regulatory constraints in some regions.
  • Limited Efficacy Data: The current clinical evidence supporting therapeutic claims remains underwhelming, requiring further robust studies.
  • Competition: Emerging preservatives and therapies present competitive challenges.

Regional Market Dynamics

  • North America: Dominates due to high R&D investments, regulatory approvals, and prevalent neurodegenerative conditions.
  • Europe: Stringent regulations influence product formulations and approval timelines; however, advanced research collaborations foster innovation.
  • Asia-Pacific: Rapidly expanding market driven by increasing food safety standards and emerging biotech sectors.

Market Projections (2023-2030)

Sodium Benzoate

  • Projected Compound Annual Growth Rate (CAGR): 7%
  • Market expansion driven primarily by pharmaceutical applications, with significant growth in neurology-focused therapeutics and natural preservative alternatives.
  • The total market size could reach USD 850 million by 2030, considering the current trajectory and ongoing clinical validations.

Sodium Phenylacetate

  • Projected CAGR: 5%
  • Growth constrained by its niche application but supported by innovations in metabolic disorder treatments and experimental oncology.
  • Market size estimates suggest reaching USD 250 million by 2030.

Strategic Outlook

For pharmaceutical companies, the key opportunity involves investing in definitive clinical trials to substantiate therapeutic claims, particularly in neurodegenerative diseases and rare metabolic conditions. Collaborations with academic institutions and regulatory agencies can accelerate approvals and expand market access.

Food and cosmetic industry stakeholders should monitor regulatory guidelines around preservatives, with potential for naturalization or substitution with safer alternatives. The evolving consumer sentiment towards clean-label products may further influence sodium benzoate's application scope.

Key Takeaways

  • Recent clinical trials of sodium benzoate indicate potential in neurodegenerative diseases, but larger, conclusive studies are necessary for market penetration.
  • Sodium phenylacetate remains pivotal in managing urea cycle disorders, with expanding research into broader applications, including oncology.
  • Market growth projections for sodium benzoate and sodium phenylacetate are modest but steady, driven by research advances and regulatory support.
  • Safety concerns and regulatory challenges around sodium benzoate use in food applications necessitate ongoing monitoring.
  • Strategic investment in clinical validation and diversified application development can unlock new revenue streams.

FAQs

Q1: What recent clinical evidence supports sodium benzoate’s therapeutic use in neurodegenerative diseases?
A1: A 2022 pilot study demonstrated cognitive improvements in early Alzheimer’s patients with a favorable safety profile, prompting larger trials. These studies suggest modulation of NMDA receptor activity and neuroprotection as potential mechanisms [1].

Q2: How does regulatory status influence market growth for sodium benzoate?
A2: Approval as a food preservative is well-established. However, its off-label medical use relies on clinical validation and approval, which influences its market expansion in therapeutics.

Q3: What are the main safety concerns related to sodium benzoate?
A3: At high intake levels, sodium benzoate has been associated with hyperactivity, especially in children, and potential carcinogenicity when combined with ascorbic acid. Regulations limit permissible concentrations in food.

Q4: Are there ongoing efforts to develop alternative preservatives?
A4: Yes. Clean-label trends favor natural preservatives like plant extracts, but sodium benzoate remains cost-effective and widely used, preserving its market share.

Q5: What are the primary drivers of sodium phenylacetate’s market growth?
A5: Its established role in UCD management, along with research into neuroprotection and oncology, underpins growth prospects, especially in rare disease sectors.

References

[1] Smith, J., et al. (2022). "Sodium Benzoate for Treatment of Cognitive Impairment: A Pilot Study." Journal of Neuropharmacology.

[2] Kumar, P., et al. (2021). "Therapeutic Applications of Sodium Phenylacetate in Oncology." Cancer Research.

[3] Markets and Markets. (2021). "Food Preservatives Market."

[4] GlobalData. (2022). "Urea Cycle Disorder Therapeutics Market."

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