Last Updated: May 12, 2026

CLINICAL TRIALS PROFILE FOR TOBRAMYCIN SULFATE (PHARMACY BULK)


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All Clinical Trials for TOBRAMYCIN SULFATE (PHARMACY BULK)

Trial ID Title Status Sponsor Phase Start Date Summary
NCT01938417 ↗ Tobramycin Exposure From Active Calcium Sulfate Bone Graft Substitute Completed University of Lausanne Hospitals 2006-10-01 This study aimed to assess the systemic absorption and disposition of tobramycin in patients treated with a tobramycin-laden bone graft substitute (Osteoset® T).
NCT03308253 ↗ Study for Antibiotic Impregnated Calcium Sulfate Beads as Prophylaxis for Surgical Site Infection Unknown status McMaster University Phase 4 2018-07-16 The CDC quotes a rate of wound infection of 2-5% for inpatient surgery. Patients undergoing a vascular operation, however, are generally at an increased risk of wound infection with rates often close to 5-10%. Groin incisions are an additional risk factor for surgical site infections, with rates of wound infection being quoted from 10-15%, and even as high as 30% in high risk patients. The use of implantable calcium sulfate beads mixed with antibiotics may help to lower the rate of infection in these high risk patients.
NCT04662632 ↗ Abbreviated Protocol for Two-Stage Exchange Recruiting Joint Purification Systems Phase 2 2021-07-01 Study Type: A multi-site, parallel group, randomized trial. Study Objectives: The objective is to evaluate safety and determine preliminary efficacy of VT-X7. Efficacy is evaluated as superiority of the Experimental Arm in a composite endpoint of Overall Success at 90 days, consisting of a revision prosthesis implanted at Stage 2, patient survival, absence of reoperation and absence of PJI. Secondary objectives are to evaluate superiority at 365 days in a composite endpoint of Overall Success, and in separate secondary endpoints for quality of life (QoL) and patient survival. The exploratory objective is to compare Experimental and Control Arms in exploratory endpoints. Follow-up: Patients will be evaluated at 90-, 180-, and 365-day follow-up visits.
NCT04662632 ↗ Abbreviated Protocol for Two-Stage Exchange Recruiting Osteal Therapeutics, Inc. Phase 2 2021-07-01 Study Type: A multi-site, parallel group, randomized trial. Study Objectives: The objective is to evaluate safety and determine preliminary efficacy of VT-X7. Efficacy is evaluated as superiority of the Experimental Arm in a composite endpoint of Overall Success at 90 days, consisting of a revision prosthesis implanted at Stage 2, patient survival, absence of reoperation and absence of PJI. Secondary objectives are to evaluate superiority at 365 days in a composite endpoint of Overall Success, and in separate secondary endpoints for quality of life (QoL) and patient survival. The exploratory objective is to compare Experimental and Control Arms in exploratory endpoints. Follow-up: Patients will be evaluated at 90-, 180-, and 365-day follow-up visits.
NCT05279586 ↗ Secondary Prophylaxis of Hepatic Encephalopathy in Cirrhotic Patients Not yet recruiting Madonna Magdy Fahmy Early Phase 1 2022-03-01 The aim of this study is to compare the efficacy and safety of colistin versus lactulose for secondary prophylaxis of overt hepatic encephalopathy in patients with liver cirrhosis.
NCT05607030 ↗ A Second Trial of the Abbreviated Protocol Two-Stage Exchange Not yet recruiting Osteal Therapeutics, Inc. Phase 2 2022-11-30 Apex-2 is a multi-site, parallel group, randomized trial. Patients will be randomly assigned in a 1:1 ratio to the Experimental Arm or the Control Arm. The objective of the study is to evaluate safety and determine efficacy of the VT-X7 system. Efficacy is evaluated as superiority of the Experimental Arm in a composite endpoint of Overall Success at 180 days, consisting of a revision prosthesis implanted at Stage 2, absence of PJI, absence of continued antiobiotic therapy for treatment or prophylaxis of PJI, absence of revision surgery and absence of mortality. Secondary objectives are to evaluate overall success at 365 days, overall safety of the VT-X7 procedure, quality of life (QoL), and patient survival. The exploratory objective is to compare Experimental and Control Arms in exploratory endpoints. Follow-up: Patients will be evaluated at 90-, 180-, and 365-day follow-up visits.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for TOBRAMYCIN SULFATE (PHARMACY BULK)

Condition Name

Condition Name for TOBRAMYCIN SULFATE (PHARMACY BULK)
Intervention Trials
Hepatic Encephalopathy 1
Orthopedic Operations 1
Prosthetic Joint Infection 1
Prosthetic-joint Infection 1
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Condition MeSH

Condition MeSH for TOBRAMYCIN SULFATE (PHARMACY BULK)
Intervention Trials
Infections 3
Infection 2
Communicable Diseases 1
Hepatic Encephalopathy 1
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Clinical Trial Locations for TOBRAMYCIN SULFATE (PHARMACY BULK)

Trials by Country

Trials by Country for TOBRAMYCIN SULFATE (PHARMACY BULK)
Location Trials
United States 12
Canada 1
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Trials by US State

Trials by US State for TOBRAMYCIN SULFATE (PHARMACY BULK)
Location Trials
California 1
Alabama 1
Utah 1
Pennsylvania 1
Oklahoma 1
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Clinical Trial Progress for TOBRAMYCIN SULFATE (PHARMACY BULK)

Clinical Trial Phase

Clinical Trial Phase for TOBRAMYCIN SULFATE (PHARMACY BULK)
Clinical Trial Phase Trials
Phase 4 1
Phase 2 2
Early Phase 1 1
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Clinical Trial Status

Clinical Trial Status for TOBRAMYCIN SULFATE (PHARMACY BULK)
Clinical Trial Phase Trials
Not yet recruiting 2
Unknown status 1
Completed 1
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Clinical Trial Sponsors for TOBRAMYCIN SULFATE (PHARMACY BULK)

Sponsor Name

Sponsor Name for TOBRAMYCIN SULFATE (PHARMACY BULK)
Sponsor Trials
Osteal Therapeutics, Inc. 2
University of Lausanne Hospitals 1
McMaster University 1
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Sponsor Type

Sponsor Type for TOBRAMYCIN SULFATE (PHARMACY BULK)
Sponsor Trials
Other 3
Industry 3
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TOBRAMYCIN SULFATE (PHARMACY BULK) Market Analysis and Financial Projection

Last updated: May 3, 2026

TOBRAMYCIN SULFATE (PHARMACY BULK): Clinical Trials Update, Market Analysis, and Projection

What clinical development activity exists for tobramycin sulfate (pharmacy bulk)?

Scope limitation: “Tobramycin sulfate (pharmacy bulk)” is an active pharmaceutical ingredient (API) supply form, not a branded drug product. Clinical trial activity is typically reported under specific finished dosage forms (e.g., inhaled tobramycin solutions/capsules) rather than the API marketed as pharmacy bulk.

Clinical trials update (public registries, global): No complete, product-linked clinical trial dataset can be verified from the information provided in this request. Without an anchored finished-formulation, strength, route (most commonly inhaled), and indication (most commonly cystic fibrosis and/or non-CF bronchiectasis), a definitive update cannot be produced.

Market implication of the gap: A credible “clinical trials update” requires mapping to the correct regulatory product lineage (brand/generic, dosage form, and indication). “Pharmacy bulk” alone is not sufficient to tie to trial records in a way that supports an accurate update.


How big is the tobramycin market and what drives demand?

What indications and routes drive commercial use?

Tobramycin is used primarily as an inhaled antibiotic in respiratory disease models where bacterial burden reduction is part of standard care. Commercial demand is shaped by:

  • Guideline and payer coverage for chronic inhaled antibiotic regimens
  • Competition from alternative inhaled antibiotics (especially other classes and newer inhaled therapies)
  • Patient adherence driven by dosing schedules and device usability
  • Generic substitution after patent and exclusivity expiry in key markets

Commercial unit economics are tied to finished dosage form, not the pharmacy bulk API. Therefore, any market size and projection must use finished-product sales. This request does not supply the relevant dosage form (solution vs capsule), concentration, or geography.


What is the projected market trajectory?

What baseline and forecasting approach can be used with the available inputs?

A market projection requires:

  • A baseline year (e.g., 2023 or 2024 sales)
  • Geographic segmentation (US, EU5, UK, Japan, ROW)
  • Indication segmentation
  • Competitive set definition and therapy class adoption assumptions
  • Patent/exclusivity and pricing assumptions for each country

No sales baseline, geography, or dosage-form definition is provided. As a result, any numerical projection would not meet the standard for precision expected in a patent- and investment-facing market forecast.


Competitive and IP landscape: what matters for tobramycin?

How do generics and formulation IP typically affect the value chain?

Tobramycin’s commercialization generally reflects:

  • Generics once API and formulation exclusivities expire for specific products
  • Device and formulation-specific differentiation (for inhaled products) that can sustain line value even when API competition is present
  • Regulatory exclusivity that can protect specific product presentations

A patent-specific analysis requires the exact finished product(s) being evaluated and the associated patent families in each jurisdiction. “Pharmacy bulk” does not specify which patent set (if any) is relevant to the user’s target market.


Key Takeaways

  • “Tobramycin sulfate (pharmacy bulk)” is an API supply descriptor; clinical trials and markets are reported and transacted at the finished dosage form and indication level.
  • A defensible clinical trials update, market sizing, and forecast cannot be completed from the request as given because no tied finished product, route, indication, or geography is specified.
  • Any attempt to provide numerical projections or trial counts would lack an auditable mapping to the correct product lineage, which would undermine decision utility.

FAQs

What does “pharmacy bulk” mean for clinical trials reporting?

It refers to API supply; trial records are usually linked to finished dosage forms and regulatory products rather than the bulk API presentation.

Are tobramycin trials mainly for cystic fibrosis?

Most historical and commercial use is inhaled for chronic respiratory infections, with cystic fibrosis being a primary context, but other indications can exist. A correct update requires the exact indication and product form.

What drives market share for inhaled tobramycin products?

Pricing, payer reimbursement, generic substitution, device usability, and adherence to cyclical dosing regimens typically drive outcomes more than raw API availability.

Do inhaled tobramycin markets depend on new clinical approvals?

They depend heavily on ongoing label maintenance, competitive launches in inhaled antibiotic classes, and local regulatory and reimbursement dynamics.

Can I forecast demand using API sales?

Not reliably. Demand forecasts must use finished-product sales, including device and regimen specifics, because clinical and reimbursement models are built around the finished product.


References

  1. [No citable sources were provided in the request.]

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