Last Updated: June 27, 2026

CLINICAL TRIALS PROFILE FOR XTAMPZA ER


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All Clinical Trials for XTAMPZA ER

Trial ID Title Status Sponsor Phase Start Date Summary
NCT03317730 ↗ Pilot Trial of Microsphere Oxycodone (Xtampza ER) for Pain Management in Patients Receiving Radiotherapy for Locally Advanced Head and Neck Cancer Completed University of Alabama at Birmingham Early Phase 1 2018-05-01 To confirm the feasibility of studying Xtampza ER during radiotherapy (RT) for LAHNC as part of a prospective clinical trial.
NCT03588806 ↗ Use of Xtampza ER to Overcome Difficulties in Swallowing Opioid Pills Terminated Collegium Pharmaceutical, Inc. Phase 4 2018-05-01 This study will examine how the use of Xtampza ER, an opioid analgesic packaged in openable microsphere-containing capsules, affects swallowing satisfaction, pain, and physical and mental health outcomes in chronic pain patients.
NCT03588806 ↗ Use of Xtampza ER to Overcome Difficulties in Swallowing Opioid Pills Terminated Ajay Wasan, MD, Msc Phase 4 2018-05-01 This study will examine how the use of Xtampza ER, an opioid analgesic packaged in openable microsphere-containing capsules, affects swallowing satisfaction, pain, and physical and mental health outcomes in chronic pain patients.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for XTAMPZA ER

Condition Name

Condition Name for XTAMPZA ER
Intervention Trials
Chronic Pain 1
Deglutition 1
Locally Advanced Head and Neck Cancer 1
Opioid Use 1
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Condition MeSH

Condition MeSH for XTAMPZA ER
Intervention Trials
Deglutition Disorders 1
Chronic Pain 1
Head and Neck Neoplasms 1
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Clinical Trial Locations for XTAMPZA ER

Trials by Country

Trials by Country for XTAMPZA ER
Location Trials
United States 2
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Trials by US State

Trials by US State for XTAMPZA ER
Location Trials
Pennsylvania 1
Alabama 1
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Clinical Trial Progress for XTAMPZA ER

Clinical Trial Phase

Clinical Trial Phase for XTAMPZA ER
Clinical Trial Phase Trials
Phase 4 1
Early Phase 1 1
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Clinical Trial Status

Clinical Trial Status for XTAMPZA ER
Clinical Trial Phase Trials
Completed 1
Terminated 1
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Clinical Trial Sponsors for XTAMPZA ER

Sponsor Name

Sponsor Name for XTAMPZA ER
Sponsor Trials
University of Alabama at Birmingham 1
Collegium Pharmaceutical, Inc. 1
Ajay Wasan, MD, Msc 1
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Sponsor Type

Sponsor Type for XTAMPZA ER
Sponsor Trials
Other 2
Industry 1
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XTAMPZA ER Clinical Trials Update, Market Analysis, and Exclusivity-Driven Generic/Biosimilar Outlook (Oxycodone Extended-Release)

Last updated: May 25, 2026

XTAMPZA ER (oxycodone extended-release, Purdue Pharma) remains a branded oral opioid product with competitive exposure from other oxycodone ER brands and generic oxycodone ER capsules/tablets. The practical R&D and licensing focus is less on new active ingredient breakthroughs and more on (1) formulation and delivery-system differentiation, (2) extended-manufacturing scale-up, and (3) risk management against opioid label and REMS-related restrictions.

What is XTAMPZA ER and what products does it compete with?

XTAMPZA ER is an abuse-deterrent oxycodone ER formulation using a proprietary matrix designed to reduce tampering relative to immediate-release oxycodone and some conventional ER dosage forms. It is positioned for chronic pain requiring around-the-clock opioid therapy.

How does XTAMPZA ER compare with other oxycodone ER brands?

Core competitive set (therapeutic class):

  • Other oxycodone ER products: OxyContin (extended-release oxycodone; Purdue competitor ecosystem), Roxicodone ER equivalents where available by market, and brand ER products in various geographies.
  • Abuse-deterrent opioid ER alternatives: morphine ER (with abuse-deterrent technologies), hydrocodone ER (where available), and other FDA-approved ER opioids with abuse-deterrence claims.

Real-world substitution pressure:

  • If local formularies and payer policies accept generic ER oxycodone, XTAMPZA ER faces pricing compression.
  • If abuse-deterrent status and insurer opioid policies matter, XTAMPZA ER can retain formulary access longer than non-deterrent ER generics, but this depends on jurisdiction and payer-specific criteria.

What is the current XTAMPZA ER clinical trials pipeline status?

Clinical-trials posture: XTAMPZA ER is best characterized as a mature, already-approved opioid product with incremental studies rather than an active large-scale late-stage pipeline driving regulatory expansion. The update emphasis in 2024-2026 market planning typically shifts to:

  • Label maintenance and safety updates (opioid class-wide monitoring).
  • Formulation work (manufacturing changes, process validation, stability, and line extensions).
  • Comparative or pragmatic studies addressing persistence, adherence, and real-world misuse/tampering endpoints where required by payer or risk-control frameworks.

Featured decision point for R&D and licensing: Most commercial value now comes from maintaining IP-protected differentiated attributes (abuse-deterrence claims, formulation/process IP where still enforceable) and retaining access in restricted opioid prescribing environments, rather than from breakthrough clinical efficacy trials.

When does XTAMPZA ER lose exclusivity in the US?

Actionable exclusivity framing: For a branded ER opioid, exclusivity typically depends on two timelines:

  1. Patent protection on composition, formulation, and process.
  2. FDA exclusivity (if any remains tied to an NDA approval route) plus regulatory exclusivity that can delay generic approval even when patents are weaker.

Practical conclusion for business planning: XTAMPZA ER’s US exclusivity horizon is driven predominantly by patent estate status and any ANDA-triggered litigation settlements rather than by a single “hard” FDA exclusivity end date. Generic competitive pressure is expected to increase as remaining formulation/process patents age out and as Paragraph IV settlements close.

What patents protect XTAMPZA ER and how strong is the estate?

XTAMPZA ER’s patent landscape generally includes:

  • Composition-of-matter claims for ER matrix and abuse-deterrent architecture.
  • Formulation and dosing-unit claims (capsule-in-matrix behavior, drug release profile).
  • Manufacturing/process claims (how the controlled release and deterrence attributes are achieved at scale).
  • Method-of-use claims are possible but are usually less central for ER opioid products than formulation.

Business significance: The enforceable value for XTAMPZA ER sits in patents that control the specific abuse-deterrent dosage-form technology. Generic entrants that rely on “same active, different formulation” can sometimes design around if they avoid claim coverage on deterrence-enabling elements.

What is the Orange Book status of XTAMPZA ER?

Orange Book listings for XTAMPZA ER determine which patents are relevant for ANDA certifications. For market-entry planning, the key items are:

  • Listed expiration dates for each patent.
  • Patent scope (composition vs formulation vs method).
  • Certification type expected from generic ANDA filers (Paragraph III/IV/II).

Operational takeaway: Generic entry timing in the US is a function of which listed patents remain in force when an ANDA is “ready-to-launch” and whether any Paragraph IV litigation stays or delays approval.

What generic entry risks exist for XTAMPZA ER?

Risk channels that matter for a branded opioid:

  • ANDA approvals for generic oxycodone ER that are not positioned with equivalent abuse-deterrence performance.
  • “Skinny label” and formulation differences that preserve generic eligibility even if the brand’s specific deterrence technology is claim-protected.
  • Settlement-driven launch dates that create hard competitor schedules for formulary teams.

Payer impact: If generic entry is permitted by patent expiration and litigation outcomes, formularies typically shift to lowest net cost options within therapeutic equivalence constraints. XTAMPZA ER then competes on net pricing, access restrictions, and clinical/payer preference for abuse-deterrent options.

What Paragraph IV challenges and patent litigation affect XTAMPZA ER?

Commercial relevance: For XTAMPZA ER, litigation and any ensuing settlements determine:

  • Approval dates of ANDAs.
  • Potential “launch-by” commitments if a generic is granted tentative approval.
  • Carve-outs for design-around variants.

Decision framing: For investors and licensors, the key is not the existence of lawsuits but the settlement or court rulings that set launch windows. Those windows drive revenue at-risk.

How does XTAMPZA ER compare with OxyContin and other oxycodone ER products?

Core commercial comparison dimensions:

  • Abuse-deterrent profile and associated claims (market access).
  • Net price and rebate dynamics by payer segment.
  • Formulary inclusion criteria in opioid-restrictive plans.
  • Patient-level persistence and switching friction.

Expected competitive pattern in mature ER opioid categories:

  • When generic ER oxycodone is available, brand volumes often shift to “special access” patients where abuse-deterrence claims and payer policy create a differential.
  • Where abuse-deterrent alternatives exist at similar net prices, brand share depends more on contracting power and formulary standing than on incremental clinical differences.

What manufacturing and IP barriers could block or slow XTAMPZA ER generic substitution?

Manufacturing barriers that protect differentiated ER products:

  • Tight process controls required to achieve a consistent release profile and deterrence behavior.
  • Analytical method sensitivity for bioequivalence and tamper-resistance proxies.
  • Stability and manufacturing change control, especially for dosage-unit architecture that affects how the capsule behaves under stress.

IP barriers that protect against “copycat” formulations:

  • Narrow claims tied to specific matrix components and physical behavior.
  • Process claims that can be infringed even when the composition is superficially altered.

Market analysis: how big is the XTAMPZA ER opportunity and what are the revenue drivers?

Revenue drivers in mature ER opioid markets:

  • Formularies and net pricing: payer inclusion, contract coverage, rebate structure.
  • Switching patterns: patient adherence, prescriber preference, and perceived misuse risk controls.
  • Regulatory and risk management: label restrictions, insurer policies, and opioid safety monitoring programs.
  • Competitive brand dynamics: competing abuse-deterrent opioids and generic substitution intensity.

Near-term market reality: XTAMPZA ER is in a market where brand differentiation is necessary but rarely sufficient once low-cost generics are available and accepted.

Market projection: what growth or decline scenario is most likely for XTAMPZA ER?

Baseline projection logic:

  • If remaining patent/payer access keeps generic competition limited, XTAMPZA ER can maintain modest growth through contract retention and incremental switching.
  • If ANDA approvals accelerate once key patents expire or settlements end, the product faces unit and revenue pressure from generic ER oxycodone substitution.

Scenario structure (for planning, not forecasting numerically here):

  • Constrained competition scenario: stable share with pricing pressure offset by abuse-deterrent preference and payer restrictions.
  • Increased generic competition scenario: step-down in branded share and net sales after launch of generic ER products that meet payer substitution thresholds.
  • Contract-driven volatility: short-term swings based on national accounts’ formulary management rather than on patient-level demand changes.

Where is XTAMPZA ER commercial risk concentrated?

Primary risk concentration points:

  • US formulary dynamics and net pricing erosion once generic options broaden.
  • Patent estate aging and any Paragraph IV litigation outcomes that shorten exclusivity runway.
  • Regulatory attention on opioid safety that can reduce initiation rates even without a specific product recall or withdrawal.

Secondary risk:

  • Competitive displacement by other abuse-deterrent ER opioids with stronger payer pull or better net pricing.

What licensing opportunities exist for XTAMPZA ER-related IP?

Licensing typically clusters around:

  • Abuse-deterrent matrix technology (formulation/process know-how).
  • Analytical and manufacturing IP enabling consistent tamper resistance and bioequivalence.
  • Scale-up packages that support ANDA filing with more predictable release and deterrence performance.

For an acquirer or licensee, the value is strongest when the patent claims cover critical determinants of dosage-unit behavior rather than peripheral excipient compositions.

Key Takeaways

  • XTAMPZA ER’s competitive position is driven by differentiated abuse-deterrent formulation claims and payer access, not by a late-stage clinical pipeline.
  • The biggest revenue risk is step-change generic substitution triggered by patent expiration and Paragraph IV litigation outcomes.
  • Market projections hinge on patent estate survival, Orange Book-relevant patent listings, and settlement-linked launch schedules.
  • Strategic value for R&D and licensing is concentrated in formulation/process IP that supports abuse-deterrence performance and manufacturing reproducibility.

FAQs

1) Is XTAMPZA ER considered an abuse-deterrent opioid?

XTAMPZA ER is formulated to provide abuse-deterrent properties intended to reduce tampering compared with certain conventional opioid dosage forms, and it is marketed within abuse-deterrent opioid categories.

2) Are generic oxycodone ER products interchangeable with XTAMPZA ER?

Generic oxycodone ER products are often therapeutically interchangeable, but payer substitution policies may treat abuse-deterrent performance differently, affecting practical interchangeability.

3) What factors determine when generics can launch against XTAMPZA ER?

Launch timing depends on Orange Book-listed patents, ANDA Paragraph certifications, litigation outcomes, and any settlement-driven approval or launch commitments.

4) Does XTAMPZA ER have any ongoing phase 3 or registration-enabling trials?

XTAMPZA ER is generally in a mature-product posture where clinical activity is more likely label maintenance, safety, and incremental performance work rather than major phase 3 registration trials.

5) What are the main drivers of XTAMPZA ER net sales?

Net sales depend on formulary coverage, net pricing and rebate structures, persistence and switching patterns, and opioid risk-management policy that affects initiation and continuation.

References

  1. U.S. Food and Drug Administration. Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations. FDA.
  2. U.S. National Library of Medicine. ClinicalTrials.gov.
  3. FDA. Opioid analgesic safety communications and REMS-related materials.

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