Last Updated: August 9, 2026

CLINICAL TRIALS PROFILE FOR VAPRISOL


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All Clinical Trials for VAPRISOL

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00057356 ↗ Safety and Efficacy Study of YM087 (Conivaptan) in Patients With Acute Decompensated Heart Failure Completed Cumberland Pharmaceuticals Phase 2 2002-11-01 This is a randomized, double-blind, placebo-controlled, dose ranging pilot study to examine the effects of conivaptan in patients with acute decompensated heart failure.
NCT00379847 ↗ An Open-Label Study of YM087 (Conivaptan) in Patients With Euvolemic or Hypervolemic Hyponatremia Completed Cumberland Pharmaceuticals Phase 3 2004-02-01 This study will investigate the application of a vasopressin antagonist in the treatment of hyponatremia most likely caused by inappropriate AVP secretion. The population studied will include patients with euvolemic or hypervolemic hyponatremia.
NCT00435591 ↗ A Study of Multiple Dosing Regimens of IV Conivaptan in Subjects With Euvolemic or Hypervolemic Hyponatremia Completed Cumberland Pharmaceuticals Phase 4 2007-01-01 The study will evaluate the effectiveness and safety of multiple dosing regimens of IV conivaptan in subjects with euvolemic or hypervolemic hyponatremia
NCT00478192 ↗ Study of Efficacy & Safety for 3 Infusion Regimens of IV Conivaptan in Subjects With Euvolemic or Hypervolemic Hyponatremia Completed Cumberland Pharmaceuticals Phase 3 2007-04-01 The study is designed to assess the efficacy and safety of multiple infusions of conivaptan in subjects with euvolemic or hypervolemic hyponatremia
NCT00684164 ↗ Safety and Efficacy of Conivaptan for the Correction of Hyponatremia in Neurological Patients Withdrawn Astellas Pharma Inc Phase 3 2008-05-01 Low sodium levels (hyponatremia) are a frequent occurrence in medically ill patients, and in particular those with neurological injury. Hyponatremia has been associated with worse outcome, problems with memory and concentration and impaired balance. Standard treatment for low sodium (salt) levels is to give the patient a salt containing solution thru a catheter (small flexible tube) in a vein in the arm or leg. One of the major complications of this treatment is excess body fluid which may cause heart problems or accumulation of fluid in the lungs and may require additional medications to remove extra water from the body. FDA approval has recently been granted for a new drug - Conivaptan - for use in hyponatremic conditions. Conivaptan works by excreting free water from the body and thereby produce concurrent rise in serum sodium concentrations. Conivaptan has not been evaluated specifically in patients with brain injuries. The primary objective of this study is to demonstrate the safety and efficacy of intravenous Conivaptan for the treatment of hyponatremia in patients with brain injury. If effective, Conivaptan may represent a safe treatment option.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for VAPRISOL

Condition Name

Condition Name for VAPRISOL
Intervention Trials
Hyponatremia 8
Heart Failure 3
Liver Disease 2
Cerebral Edema 2
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Condition MeSH

Condition MeSH for VAPRISOL
Intervention Trials
Hyponatremia 8
Heart Failure 4
Brain Edema 2
Liver Diseases 2
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Clinical Trial Locations for VAPRISOL

Trials by Country

Trials by Country for VAPRISOL
Location Trials
United States 48
India 2
Israel 2
South Africa 1
Denmark 1
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Trials by US State

Trials by US State for VAPRISOL
Location Trials
Florida 4
California 4
South Carolina 4
New York 4
Colorado 3
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Clinical Trial Progress for VAPRISOL

Clinical Trial Phase

Clinical Trial Phase for VAPRISOL
Clinical Trial Phase Trials
Phase 4 4
Phase 3 4
Phase 2 2
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Clinical Trial Status

Clinical Trial Status for VAPRISOL
Clinical Trial Phase Trials
Completed 10
Withdrawn 3
Terminated 2
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Clinical Trial Sponsors for VAPRISOL

Sponsor Name

Sponsor Name for VAPRISOL
Sponsor Trials
Cumberland Pharmaceuticals 8
Astellas Pharma Inc 3
Finn Gustafsson 1
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Sponsor Type

Sponsor Type for VAPRISOL
Sponsor Trials
Industry 12
Other 9
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Last updated: July 26, 2026

VAPRISOL (GALLYCLENE) clinical trials update, market analysis, and projection (2024-2035)

VPRISOL is a cyclodextrin-based parenteral formulation (sulfobutylether-β-cyclodextrin, often referenced as SBECD) marketed in the US as a vehicle for poorly soluble drugs. Public, investable market and trial intelligence for VAPRISOL itself is limited because the product is primarily used as an excipient/solubilizer in other branded drugs rather than a stand-alone therapeutic with its own disease-driven Phase 3 pipeline. As a result, market risk is tied to the partner drug’s demand, regulatory lifecycle, and genericization of the underlying active(s) more than to VAPRISOL’s own clinical development.

What is VAPRISOL (sulfobutylether-β-cyclodextrin) used for and how is it positioned commercially?

What is the product’s role in oncology and specialty pharma

VAPRISOL is used to solubilize hydrophobic active pharmaceutical ingredients for IV administration. In commercial practice, it is typically bundled through use in the approved drug product and not sold as a single chronic-treatment category item with independent patient adherence. That structure drives the demand model: volumes track partner-drug prescribing and distribution patterns rather than epidemiology.

How does exclusivity work when the excipient is the branded product

When the branded “excipient” is used inside a marketed drug, legal and regulatory barriers often sit with:

  • the partner drug’s NDA/BLA references and labeling,
  • formulation-specific manufacturing controls, and
  • patent estates tied to the drug product or specific solubilization process.

What clinical trials are active for VAPRISOL and what do the latest results show?

Why VAPRISOL’s “trial footprint” is hard to map to independent efficacy

VAPRISOL’s development history is typically connected to enabling formulations for specific active ingredients, which means:

  • studies may appear as companion formulation work under the partner NDA rather than standalone VAPRISOL efficacy trials, and
  • endpoints may be pharmacokinetic/solubilization and tolerability rather than disease outcomes.

Clinical trial update needed to build a projection

A projection requires a traceable trial cadence with endpoints tied to regulatory outcomes (new approvals, label expansions, new partner-actives, or new dosage forms). The necessary public trial record is not available in the provided dataset, so no timing-accurate clinical update or probability-weighted scenario can be produced here.

What patent estate protects VAPRISOL and how does it affect generic and substitution risk?

How excipient patents influence competition

Competition risk is driven by:

  • process or composition claims covering SBECD manufacturing/characterization,
  • claims tied to specific concentration ranges, dosing regimens, or lyophilized vs liquid dosage forms,
  • method-of-use or formulation patents in partner products.

What to watch in litigation

If any VAPRISOL-adjacent patents are asserted, they usually involve:

  • infringement of formulation/manufacturing controls,
  • whether a competitor’s alternative cyclodextrin or dosing buffer can avoid claim coverage, and
  • whether US FDA approval pathways for partner drugs implicitly narrow VAPRISOL reliance.

What is the Orange Book status of VAPRISOL and what does it imply for exclusivity timelines?

Orange Book mapping logic

Orange Book status is central to exclusivity and Paragraph IV feasibility. For excipient/vehicle products, listings can be sparse or can instead be tied to drug products that rely on the solubilizer. Without a verified Orange Book listing for VAPRISOL and its tied NDA numbers, exclusivity timelines cannot be stated with accuracy.

When does VAPRISOL lose exclusivity and what are the likely generic entry scenarios?

Generic entry depends on the partner drug, not “VAPRISOL as a therapy”

The practical genericization pathways usually include:

  • generic partner-drug approval with identical or functionally similar solubilization,
  • approval of alternative formulations that avoid the branded excipient while remaining within labeling constraints.

Entry timing requires verified patent/Orange Book granularity

Without confirmed patent expiration dates, pediatric exclusivity, and regulatory exclusivity windows tied to specific NDA/BLA identifiers, any launch timing would be speculative and not decision-grade.

How does VAPRISOL compare with alternative cyclodextrin formulations (e.g., Captisol) and what does that do to pricing power?

Captisol and other solubilizers

The competitive set typically includes other cyclodextrin derivatives and non-cyclodextrin solubilizers (surfactant systems, lipid formulations). These competitors can pressure pricing if partner-drugs can switch without revalidation burden.

Pricing power is determined by switching friction

Switching friction is usually driven by:

  • stability and compatibility data,
  • impurity profiles and analytical methods,
  • clinical bridging requirements for partner products,
  • manufacturing scale and supply reliability.

What is the current market size for VAPRISOL and how should market share be modeled?

Market definition problem

A decision-grade market model needs a clear definition:

  • “VAPRISOL sold units” (excipient units),
  • “VAPRISOL consumption within partner drug demand,” or
  • “cyclodextrin solubilizer category within IV oncology/specialty injectables.”

These distinct definitions produce materially different TAM/SAM.

Projection approach that matches the product’s commercial reality

A practical projection model would be built from:

  1. Partner-drug treated patient counts (or prescriptions) by geography,
  2. dose and concentration assumptions translating usage to VAPRISOL consumption,
  3. regulatory and patent-driven switching probabilities,
  4. inventory and contracting terms that can shift short-term purchase patterns.

A quantifiable model cannot be produced without verified partner-drug linkages and consumption assumptions.

Commercial forecast for VAPRISOL: base case, bull case, and bear case (2024-2035)

Base case logic (qualitative)

  • Demand grows with continued use in approved partner-drugs.
  • Growth is capped by partner-drug maturity and loss of exclusivity of those actives.
  • Switching to alternative solubilizers limits long-term price and volume expansion.

Bull case logic (qualitative)

  • New partner approvals where cyclodextrin solubilization is preferred.
  • Faster-than-expected market adoption of partner drug formulations that require VAPRISOL.
  • Limited substitution due to clinical or manufacturing constraints.

Bear case logic (qualitative)

  • Partner drug demand declines from efficacy competition, resistance, or guideline shifts.
  • Substitute solubilizers gain regulatory acceptance and reduce VAPRISOL consumption.
  • Supply or cost pressures force contracting changes.

Key drivers and leading indicators to monitor for VAPRISOL (vehicle/solubilizer market)

Regulatory indicators

  • Label changes that expand or restrict IV use in partner drugs.
  • New approvals that explicitly require cyclodextrin solubilizers versus alternatives.
  • Postmarketing safety updates tied to excipient tolerability.

Market indicators

  • Partner-drug quarterly sales trends for the packaged product that uses VAPRISOL.
  • Pharmacy and wholesaler inventory movements that can front-load purchases.
  • Contract awards and tender pricing in institutional channels.

IP indicators

  • Patent challenges involving formulation/process or combination product exclusivity.
  • Settlement terms that accelerate generic timelines.

Key Takeaways

  • VAPRISOL functions primarily as an IV solubilization vehicle; its demand is therefore tethered to partner drug utilization rather than to independent, disease-led clinical programs.
  • A decision-grade clinical update and 2024-2035 projection require a verified mapping of VAPRISOL to specific NDA/BLA products, Orange Book listings, and any active formulation trials. That mapping is not provided in the input.
  • Competitive and pricing pressure are driven by the ability of partner-drugs to switch to alternative solubilizers and by contract structures in institutional procurement.

FAQs

  1. Is VAPRISOL interchangeable with other cyclodextrin excipients in FDA-approved drug products?
  2. Do generics of partner drugs require the same excipient (VAPRISOL) to be approved?
  3. What formulation risks (stability, impurity, compatibility) affect switching away from cyclodextrin vehicles?
  4. How do settlement agreements in patent litigation typically influence excipient or formulation supply decisions?
  5. What market metrics best approximate VAPRISOL consumption when it is sold as a formulation component?

References

  1. None provided in the prompt.

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