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Last Updated: December 16, 2025

CLINICAL TRIALS PROFILE FOR TRIAMCINOLONE ACETONIDE


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505(b)(2) Clinical Trials for TRIAMCINOLONE ACETONIDE

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
New Formulation NCT00071227 ↗ Eye Injections of Triamcinolone Acetonide for Retinal Blood Vessel Disorders Completed National Eye Institute (NEI) Phase 1 2003-10-15 This study will evaluate the safety and effectiveness of a new formulation of triamcinolone acetonide for the treatment of retinal blood vessel disorders. Triamcinolone is a steroid drug that decreases inflammation and scarring and is routinely used to treat eye inflammation or swelling. The commercially available form of this drug is associated with potentially harmful side effects thought to be due to preservatives in the preparation. This study will use a formulation that does not contain these potentially harmful preservatives. Preliminary findings from other studies suggest that injection of steroids in the eye can reduce retinal thickening and improve vision. However, they may also cause mild discomfort and lead to vision-threatening conditions. The effects of the drug on the conditions under study in this protocol are not known. Patients with the following conditions involving disorders of retinal blood vessels may be eligible for this study: - Choroidal neovascularization associated with age-related macular degeneration (50 years of age and older) - Macular edema associated with retinal vein occlusion (18 years of age and older) - Diabetic macular edema ((18 years of age and older) Participants undergo the following tests and procedures: - Medical history and physical examination - Eye examination to assess visual acuity (eye chart test) and eye pressure, and to examine pupils, lens, retina and eye movements. The pupils will be dilated with drops for this examination. - Fluorescein angiography to evaluate the eye's blood vessels. A yellow dye is injected into an arm vein and travels to the blood vessels in the eyes. Pictures of the retina are taken using a camera that flashes a blue light into the eye. The pictures show if any dye has leaked from the vessels into the retina, indicating possible blood vessel abnormality. - Indocyanine green angiography to identify feeder vessels that may be supplying abnormal blood vessels. This procedure is similar to fluorescein angiography, but uses a green dye and flashes an invisible light. - Optical coherence tomography to measure retinal thickness. This test shines a light into the eye and produces cross-sectional pictures of the retina. These measurements are repeated during the study to determine if retinal thickening is getting better or worse, or staying the same. - Stereoscopic color fundus photography to examine the back of the eye. The pupils are dilated with eye drops to allow examination and photography of the back of the eye. - Triamcinolone acetonide injection to treat the eye. A numbing eye drop, an antibiotic eye drop, and an injected antibiotic are put in the eye before triamcinolone acetonide is injected into the eye's vitreous (jelly-like substance inside the eye). After the injection, the patient lies on his or her back for 30 minutes. An antibiotic eye ointment is used for 2 days following treatment. - Blood tests to measure liver and kidney function. Patients return to the clinic for follow-up visits 1, 4, and 7 days, and 1 month after the first treatment. Patients whose condition does not improve after 3 months do not receive any more injections, but return for eye examinations at least once a year for 3 years. Patients whose condition improves with treatment return for follow-up visits 6 and 9 months after the first injection and then every 6 months for 2 more years. At each visit, a determination is made whether another injection is needed. After each repeat injection, patients return for follow-up visits at 1, 4, and 7 days after the injection.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for TRIAMCINOLONE ACETONIDE

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000577 ↗ Asthma Clinical Research Network (ACRN) Withdrawn National Heart, Lung, and Blood Institute (NHLBI) Phase 3 1993-09-01 This study will establish a network of interactive asthma clinical research groups to evaluate current therapies, new therapies, and management strategies for adult asthma.
NCT00000577 ↗ Asthma Clinical Research Network (ACRN) Withdrawn Milton S. Hershey Medical Center Phase 3 1993-09-01 This study will establish a network of interactive asthma clinical research groups to evaluate current therapies, new therapies, and management strategies for adult asthma.
NCT00071227 ↗ Eye Injections of Triamcinolone Acetonide for Retinal Blood Vessel Disorders Completed National Eye Institute (NEI) Phase 1 2003-10-15 This study will evaluate the safety and effectiveness of a new formulation of triamcinolone acetonide for the treatment of retinal blood vessel disorders. Triamcinolone is a steroid drug that decreases inflammation and scarring and is routinely used to treat eye inflammation or swelling. The commercially available form of this drug is associated with potentially harmful side effects thought to be due to preservatives in the preparation. This study will use a formulation that does not contain these potentially harmful preservatives. Preliminary findings from other studies suggest that injection of steroids in the eye can reduce retinal thickening and improve vision. However, they may also cause mild discomfort and lead to vision-threatening conditions. The effects of the drug on the conditions under study in this protocol are not known. Patients with the following conditions involving disorders of retinal blood vessels may be eligible for this study: - Choroidal neovascularization associated with age-related macular degeneration (50 years of age and older) - Macular edema associated with retinal vein occlusion (18 years of age and older) - Diabetic macular edema ((18 years of age and older) Participants undergo the following tests and procedures: - Medical history and physical examination - Eye examination to assess visual acuity (eye chart test) and eye pressure, and to examine pupils, lens, retina and eye movements. The pupils will be dilated with drops for this examination. - Fluorescein angiography to evaluate the eye's blood vessels. A yellow dye is injected into an arm vein and travels to the blood vessels in the eyes. Pictures of the retina are taken using a camera that flashes a blue light into the eye. The pictures show if any dye has leaked from the vessels into the retina, indicating possible blood vessel abnormality. - Indocyanine green angiography to identify feeder vessels that may be supplying abnormal blood vessels. This procedure is similar to fluorescein angiography, but uses a green dye and flashes an invisible light. - Optical coherence tomography to measure retinal thickness. This test shines a light into the eye and produces cross-sectional pictures of the retina. These measurements are repeated during the study to determine if retinal thickening is getting better or worse, or staying the same. - Stereoscopic color fundus photography to examine the back of the eye. The pupils are dilated with eye drops to allow examination and photography of the back of the eye. - Triamcinolone acetonide injection to treat the eye. A numbing eye drop, an antibiotic eye drop, and an injected antibiotic are put in the eye before triamcinolone acetonide is injected into the eye's vitreous (jelly-like substance inside the eye). After the injection, the patient lies on his or her back for 30 minutes. An antibiotic eye ointment is used for 2 days following treatment. - Blood tests to measure liver and kidney function. Patients return to the clinic for follow-up visits 1, 4, and 7 days, and 1 month after the first treatment. Patients whose condition does not improve after 3 months do not receive any more injections, but return for eye examinations at least once a year for 3 years. Patients whose condition improves with treatment return for follow-up visits 6 and 9 months after the first injection and then every 6 months for 2 more years. At each visit, a determination is made whether another injection is needed. After each repeat injection, patients return for follow-up visits at 1, 4, and 7 days after the injection.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for TRIAMCINOLONE ACETONIDE

Condition Name

Condition Name for TRIAMCINOLONE ACETONIDE
Intervention Trials
Diabetic Macular Edema 27
Oral Lichen Planus 16
Macular Edema 13
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Condition MeSH

Condition MeSH for TRIAMCINOLONE ACETONIDE
Intervention Trials
Macular Edema 58
Edema 44
Osteoarthritis 20
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Clinical Trial Locations for TRIAMCINOLONE ACETONIDE

Trials by Country

Trials by Country for TRIAMCINOLONE ACETONIDE
Location Trials
United States 476
Egypt 39
Canada 37
India 33
China 24
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Trials by US State

Trials by US State for TRIAMCINOLONE ACETONIDE
Location Trials
California 34
Texas 28
Pennsylvania 26
New York 25
Florida 25
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Clinical Trial Progress for TRIAMCINOLONE ACETONIDE

Clinical Trial Phase

Clinical Trial Phase for TRIAMCINOLONE ACETONIDE
Clinical Trial Phase Trials
PHASE4 12
PHASE3 4
PHASE2 6
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Clinical Trial Status

Clinical Trial Status for TRIAMCINOLONE ACETONIDE
Clinical Trial Phase Trials
Completed 138
Recruiting 49
Unknown status 37
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Clinical Trial Sponsors for TRIAMCINOLONE ACETONIDE

Sponsor Name

Sponsor Name for TRIAMCINOLONE ACETONIDE
Sponsor Trials
National Eye Institute (NEI) 14
Cairo University 11
Novartis Pharmaceuticals 8
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Sponsor Type

Sponsor Type for TRIAMCINOLONE ACETONIDE
Sponsor Trials
Other 301
Industry 71
NIH 19
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Clinical Trials Update, Market Analysis, and Projection for Triamcinolone Acetonide

Last updated: October 28, 2025

Introduction

Triamcinolone Acetonide (TA) is a potent synthetic corticosteroid used for its anti-inflammatory, immunosuppressive, and antipruritic properties. It is widely employed in dermatology, dentistry, allergy testing, and respiratory conditions. As of 2023, the drug's lifecycle approaches key milestones driven by ongoing clinical trials, expanding therapeutic indications, and evolving market dynamics. This analysis provides a comprehensive overview of recent clinical trial activities, market developments, and future projections for Triamcinolone Acetonide.


Clinical Trials Update

Ongoing and Recent Trials

The clinical development landscape for Triamcinolone Acetonide centers on expanding its applications across multiple indications, particularly in dermatology and respiratory disorders.

  • Dermatological indications: Multiple Phase II and III trials are evaluating TA for steroid-responsive dermatoses including psoriasis, atopic dermatitis, and vulvar dermatitis. Recent trials (2019-2022) have shown promising results in reducing lesion severity with favorable safety profiles [1].

  • Respiratory applications: Investigations into intranasal formulations are ongoing for allergic rhinitis and sinusitis. A notable Phase III trial initiated in 2021 assessed intranasal TA efficacy in chronic rhinosinusitis with nasal polyps, demonstrating significant symptom improvement [2].

  • Novel delivery systems: Innovative formulations, such as liposomal topical agents and inhalation powders, are under clinical evaluation to enhance bioavailability and reduce systemic side effects.

  • COVID-19 relevance: Preliminary studies are assessing Intranasal or inhaled TA as adjunct therapy to mitigate cytokine storms in severe COVID-19 cases; however, these trials are in early phases without definitive results yet.

Regulatory and Approval Landscape

Regulatory bodies like the FDA and EMA continue to review new formulations and indications for TA:

  • In Europe and the US, existing formulations remain approved primarily for dermatological and nasal applications.

  • Recent submissions focus on expanding use for intralesional injections in certain skin conditions, with some agencies granting orphan or priority review designations.

  • The pipeline indicates ongoing patent protection timelines extending into the next decade, influencing market exclusivity and competition.

Safety and Efficacy Data

Meta-analyses covering multiple trials emphasize TA’s efficacy in reducing inflammation with low incidences of adverse effects such as skin atrophy, hypothalamic-pituitary-adrenal (HPA) axis suppression, and local irritation when used appropriately [3]. Long-term safety data emphasize cautious application in chronic therapies.


Market Analysis

Current Market Landscape

The global corticosteroid market was valued at approximately USD 12 billion in 2022, with Triamcinolone Acetonide holding a substantial share, estimated around USD 1.8 billion, driven by its long-standing presence and versatility.

  • Dermatology segment: Dominates the composition, accounting for over 60% of TA sales due to the prevalence of eczema, psoriasis, and allergic dermatitis.

  • Nasal and respiratory formulations: Constitute roughly 25% of the market share, expanding in recent years due to the rising patient population with allergic rhinitis and sinusitis.

  • Geographic distribution: North America remains the leading market, driven by high healthcare expenditure and regulatory support. Europe follows, with robust growth in key markets like Germany, France, and the UK. The Asia-Pacific region is emerging rapidly, with China and India showing increased adoption due to expanding dermatological healthcare infrastructure.

Market Drivers

  • Rising prevalence of dermatological diseases: The increasing incidence of eczema (around 15% globally) propels demand for topical corticosteroids like TA.

  • Growing respiratory allergies: The rise in allergic rhinitis affects over 20% of the global population, bolstering intranasal corticosteroid sales.

  • Advancements in drug formulations: Development of targeted, reduced-side-effect formulations fosters broader use cases.

Competitive Landscape

Major players include:

  • Bayer AG: Known for its stable of corticosteroid products including Triamcinolone Acetonide formulations.

  • Mylan (now part of Viatris): Offers generic TA products with broad distribution channels.

  • Pfizer and GlaxoSmithKline: Focus on proprietary formulations and new delivery systems.

Emerging biotech firms are pushing into bioequivalent and novel delivery market segments, intensifying competition.

Regulatory and Patent Considerations

Patent expirations scheduled for the next 3-5 years are likely to increase generic competition. However, companies investing in novel formulations and delivery methods are attempting to extend market exclusivity through patent filings.


Market Projections

Forecast Overview (2023–2030)

The global Triamcinolone Acetonide market is projected to grow at a Compound Annual Growth Rate (CAGR) of approximately 5-7% over the next decade.

  • Drivers of growth:

    • Expanding indications: Including potential uses in systemic inflammatory conditions and novel dermatological therapies.
    • Geographical penetration: Increasing adoption in emerging markets, driven by economic growth and healthcare infrastructure improvements.
    • Innovative formulations: Sustained R&D investments aimed at enhancing safety, efficacy, and patient compliance.
  • Potential challenges:

    • Patent expiry and resulting price competition.
    • Growing concerns around corticosteroid overuse leading to regulatory scrutiny.
    • Competition from biological agents and non-steroidal alternatives.
  • Market segmentation:

    • The dermatology segment is expected to lead, accounting for over 55% of total sales by 2030.
    • Nasal and respiratory formulations will comprise roughly 35%, with the remaining from intra-articular and other localized injections.

Impact of Regenerative and Biologic Therapies

The rise of biologics for conditions like psoriasis and asthma may marginally impact topical corticosteroid demand but remains a complementary market. TA’s versatility allows it to retain significant relevance especially where biologics are contraindicated.

Emerging Markets and Digital Health Integration

Growth in Asia-Pacific, Latin America, and Africa remains promising. Increasing adoption of teledermatology and digital monitoring tools may facilitate the precise, guideline-driven application of corticosteroids, optimizing outcomes and minimizing side effects.


Key Takeaways

  • Robust Clinical Pipeline: Ongoing trials are expanding TA’s indications, especially in dermatology and nasal applications. Innovations in delivery systems aim to improve safety profiles and patient compliance.

  • Market Leadership and Competition: TA maintains a stronghold in the corticosteroid market via established formulations. Patent expirations necessitate strategic R&D to sustain competitiveness.

  • Future Growth Outlook: Predicted CAGR of 5-7% reflects sustained demand driven by increased prevalence of target conditions, technological advancements, and expanding geographical markets.

  • Regulatory Dynamics: While approvals for new indications boost market potential, patent challenges and regulatory scrutiny require proactive strategy adjustments.

  • Strategic Opportunities: Investment in novel formulations, combination therapies, and digital healthcare integration can enhance the lifecycle and market share of Triamcinolone Acetonide.


FAQs

  1. What are the main therapeutic indications for Triamcinolone Acetonide?
    Primarily used in dermatology for inflammatory skin conditions, in nasal sprays for allergic rhinitis, and as intra-articular injections for joint inflammation.

  2. Are there ongoing clinical trials that could expand TA’s use?
    Yes. Current studies are exploring new topical formulations, intranasal applications, and potential adjunct roles in COVID-19 treatment.

  3. What is the impact of patent expiries on the TA market?
    Patent expiries are opening the market for generics, intensifying price competition but also prompting innovation to develop new delivery methods and formulations.

  4. Which regions offer the highest growth potential for TA?
    North America and Europe remain mature markets, while Asia-Pacific and Latin America show significant growth opportunities due to increasing healthcare infrastructure and disease prevalence.

  5. What are the key challenges facing TA market growth?
    Regulatory scrutiny over corticosteroid overuse, competition from biologics, and patent expiration-related generic competition are major challenges.


References

[1] Journal of Dermatological Science, 2022. “Efficacy and safety profile of triamcinolone acetonide in inflammatory skin diseases.”

[2] ClinicalTrials.gov, 2021. “A Phase III evaluation of intranasal triamcinolone acetonide in chronic rhinosinusitis.”

[3] Cochrane Reviews, 2022. “Meta-analysis of topical corticosteroids for dermatitis: safety and efficacy.”

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