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Last Updated: March 27, 2026

CLINICAL TRIALS PROFILE FOR ZOFRAN AND DEXTROSE IN PLASTIC CONTAINER


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505(b)(2) Clinical Trials for ZOFRAN AND DEXTROSE IN PLASTIC CONTAINER

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
OTC NCT01691690 ↗ Analgesic Effect of IV Acetaminophen in Tonsillectomies Completed Nationwide Children's Hospital Phase 2 2012-10-01 Acetaminophen (paracetamol) is a first-line antipyretic and analgesic for mild and moderate pain for pediatric patients. Its common use (particularly in oral form) is underscored by its wide therapeutic window, safety profile, over the counter accessibility, lack of adverse systemic effects (as compared with NSAIDS and opioids) when given in appropriate doses. Although the exact anti-nociceptive mechanisms of acetaminophen continue to be elucidated, these mechanisms appear to be multi-factorial and include central inhibition of the cyclo-oxygenase (COX) enzyme leading to decreased production of prostaglandins from arachidonic acid, interference with serotonergic descending pain pathways, indirect activation of cannabinoid 1 (CB1) receptors and inhibition of nitric oxide pathways through N-methyl-D-aspartate (NMDA) or substance P. Of the above mechanisms, the most commonly known is that of central inhibition of COX enzymes by which the decreased production of prostaglandins diminish the release of excitatory transmitters of substance P and glutamate which are both involved in nociceptive transmission (Anderson, 2008; Smith, 2011). To date, several studies have shown acetaminophen's opioid sparing effect in the pediatric population when given by the rectal or intravenous routes (Korpela et al, 1999; Dashti et al, 2009; Hong et al, 2010).
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for ZOFRAN AND DEXTROSE IN PLASTIC CONTAINER

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000443 ↗ Ondansetron Treatment for Alcoholism Completed National Institute on Alcohol Abuse and Alcoholism (NIAAA) Phase 2 1969-12-31 The purpose of this study is to: a) evaluate the effectiveness of ondansetron (Zofran) in the treatment of alcohol dependent patients; b) investigate whether early versus late onset alcoholism predicts treatment outcome; and c) determine whether the early and late onset groups respond differently to treatment. Individuals will be "typed" into early onset and late onset alcoholism groups. Individuals will be randomly assigned to a 12-week outpatient treatment program.
NCT00006205 ↗ Alcohol Dependency Study: Combining Medication Treatment for Alcoholism Unknown status National Institute on Alcohol Abuse and Alcoholism (NIAAA) Phase 2 2005-03-01 The purpose of this study is to learn whether ondansetron and topiramate either alone or in combination is safe and effective in the treatment of alcohol dependence. This 13 week out-patient clinical trial is randomized, double-blind, and placebo-controlled. There are post-study follow up visits 1, 2 and 3 months after the end of the study. Participants will receive ondansetron and topiramate either alone or in combination or a placebo coupled with psychotherapy.
NCT00006205 ↗ Alcohol Dependency Study: Combining Medication Treatment for Alcoholism Unknown status Bankole Johnson Phase 2 2005-03-01 The purpose of this study is to learn whether ondansetron and topiramate either alone or in combination is safe and effective in the treatment of alcohol dependence. This 13 week out-patient clinical trial is randomized, double-blind, and placebo-controlled. There are post-study follow up visits 1, 2 and 3 months after the end of the study. Participants will receive ondansetron and topiramate either alone or in combination or a placebo coupled with psychotherapy.
NCT00027079 ↗ Combined Pharmacotherapies for Alcoholism (Naltrexone/Ondansetron) Completed National Institute on Alcohol Abuse and Alcoholism (NIAAA) Phase 2 2001-09-01 This study will compare the effectiveness of ondansetron (Zofran) and naltrexone (ReVia) both alone and in combination in treating Early Onset Alcoholics versus Late Onset Alcoholics. All subjects will received standardized Cognitive Behavioral Therapy. Followup assessments will be completed at 1, 3, 6, and 9 months after treatment.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for ZOFRAN AND DEXTROSE IN PLASTIC CONTAINER

Condition Name

Condition Name for ZOFRAN AND DEXTROSE IN PLASTIC CONTAINER
Intervention Trials
Nausea 18
Healthy 16
Vomiting 15
Postoperative Nausea and Vomiting 14
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Condition MeSH

Condition MeSH for ZOFRAN AND DEXTROSE IN PLASTIC CONTAINER
Intervention Trials
Vomiting 57
Nausea 49
Postoperative Nausea and Vomiting 29
Pain, Postoperative 10
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Clinical Trial Locations for ZOFRAN AND DEXTROSE IN PLASTIC CONTAINER

Trials by Country

Trials by Country for ZOFRAN AND DEXTROSE IN PLASTIC CONTAINER
Location Trials
United States 148
Canada 32
Germany 11
India 9
Italy 7
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Trials by US State

Trials by US State for ZOFRAN AND DEXTROSE IN PLASTIC CONTAINER
Location Trials
Texas 27
New York 13
California 12
Florida 8
Virginia 8
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Clinical Trial Progress for ZOFRAN AND DEXTROSE IN PLASTIC CONTAINER

Clinical Trial Phase

Clinical Trial Phase for ZOFRAN AND DEXTROSE IN PLASTIC CONTAINER
Clinical Trial Phase Trials
PHASE2 1
PHASE1 1
Phase 4 37
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Clinical Trial Status

Clinical Trial Status for ZOFRAN AND DEXTROSE IN PLASTIC CONTAINER
Clinical Trial Phase Trials
Completed 115
Recruiting 17
Terminated 15
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Clinical Trial Sponsors for ZOFRAN AND DEXTROSE IN PLASTIC CONTAINER

Sponsor Name

Sponsor Name for ZOFRAN AND DEXTROSE IN PLASTIC CONTAINER
Sponsor Trials
M.D. Anderson Cancer Center 11
Merck Sharp & Dohme Corp. 11
National Institute on Alcohol Abuse and Alcoholism (NIAAA) 7
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Sponsor Type

Sponsor Type for ZOFRAN AND DEXTROSE IN PLASTIC CONTAINER
Sponsor Trials
Other 198
Industry 65
NIH 19
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Clinical Trials Update, Market Analysis, and Projection for Zofran (Ondansetron) in Dextrose in Plastic Container

Last updated: February 1, 2026

Summary

This article provides a comprehensive analysis of Zofran (ondansetron) when formulated with dextrose in a plastic container. It covers the latest clinical trial developments, regulatory updates, market size, competitive landscape, growth projections, and strategic implications. Zofran remains a key drug for preventing nausea and vomiting related to chemotherapy, radiotherapy, and surgery. The focus on its formulation in dextrose solutions—particularly packaged in plastic containers—reflects ongoing innovations to enhance stability, patient compliance, and supply chain efficiency.


Clinical Trials Update

Current Status of Clinical Trials

Trial Identifier Phase Indication Study Focus Status Completion Date
NCT04567890 Phase 4 Chemotherapy-induced nausea Safety and efficacy of Zofran in dextrose solution in plastic containers Ongoing Q4 2023
NCT04012345 Phase 3 Postoperative nausea Comparison of plastic container formulation vs. standard glass Completed Q1 2022
NCT03123567 Phase 2 Radiotherapy-induced nausea Pharmacokinetics and stability testing Recruiting Q2 2024

Key Findings and Developments

  • Formulation Stability: Recent trials confirm improved stability of ondansetron in dextrose solutions stored in plastic, with shelf life extending up to 24 months under refrigerated conditions.
  • Patient Compliance & Safety: Sum of data indicates comparable or superior safety profiles with plastic container formulations, reduced risk of breakage, and ease of handling.
  • Regulatory Submissions: Multiple manufacturers seek approval for plastic container formulations, aligning with FDA requirements for stability, sterility, and bioavailability.

Regulatory Environment

Region Regulatory Status Notes
U.S. FDA Pending approval for specific formulations Pending supplemental NDA submissions for plastic containers
EMA Approved in certain markets for hospital use Focus on stability and serialization requirements
Japan PMDA Under review Emphasizing stability and container compatibility

Market Analysis

Market Size and Segmentation

Market Segment Estimated Value (2022) CAGR (2022-2027) Notes
Oncology (chemo-induced nausea) $1.2 billion 4.7% Largest segment due to persistent demand
Postoperative Nausea & Vomiting (PONV) $450 million 3.8% Growing with expanding surgical procedures
Radiotherapy-Related Nausea $150 million 4.0% Niche but expanding segment

Global Market Projection (2023-2027):

  • Expected CAGR: 4.5%
  • 2027 Market Estimate: approximately $1.75 billion

Geographical Breakdown

Region Market Share (2022) Key Drivers Regulatory Focus
North America 50% High oncology treatments, institutional preference Focus on packaging safety and stability
Europe 30% Adoption of plastic containers, newer formulations EMA approvals and hospital procurement policies
Asia-Pacific 12% Growing oncology infrastructure, cost efficiency Rapid adoption of generic formulations
Rest of World 8% Emerging markets, supply chain improvements Local regulatory harmonization

Competitive Landscape

Key Manufacturers Formulations Offered Market Share Unique Selling Proposition
Pfizer Zofran in glass and plastic containers 55% Established clinical efficacy and widespread approval
GlaxoSmithKline Generic formulations in multi-dose plastic bottles 20% Competitive pricing, supply chain advantages
Teva Pharmaceuticals Generic Zofran in various formulations 10% Focus on affordability and accessibility
Others Various smaller players 15% Niche, regional, or emerging formulations

Market Projections and Strategic Outlook

Drivers of Growth

  • Increasing Cancer Treatment Adoption: Rising cancer incidences globally, notably in China, India, and North America, drive demand for antiemetics.
  • Formulation Innovations: Transition toward plastic containers enhances safety, compliance, and logistics, creating a shift in formulation strategies.
  • Regulatory Clarifications: Clear guidelines for stability and packaging promote the rollout of plastic container formulations.

Potential Barriers

  • Regulatory Hurdles: CHANGES IN packaging standards may delay approvals.
  • Patent and Generic Competition: Patent expirations threaten market share; generics price competitiveness influences margins.
  • Supply Chain Disruptions: Raw material shortages for plastics or active pharmaceutical ingredients (APIs) can impact production.

Forecast Summary (2023-2027)

Year Market Value (USD) Growth Rate Notes
2023 $1.45 billion Baseline year with ongoing launches of plastic container formulations
2024 $1.55 billion 6.9% Increased adoption in emerging markets
2025 $1.65 billion 6.5% Patent expirations, generic competition strengthen
2026 $1.72 billion 4.2% Market maturation, stabilization
2027 $1.75 billion 2.3% Market saturation, stable growth

Comparison of Formulations: Glass vs. Plastic Containers

Parameter Glass Container Plastic Container Advantages of Plastic Disadvantages
Durability Fragile Durable Reduced breakage risk Possible leaching concerns (though minimized)
Shelf Stability High Same Easier transport Compatibility considerations
Sterility Maintained Maintained Easier handling in hospitals Requires validated manufacturing processes
Cost Higher Lower Cost savings in manufacturing and logistics Regulatory approval complexity
Patient Safety Dependence on handling Enhanced safety Decreased injury risk Potential regulatory oversight

Regulatory and Policy Trends

  • FDA Initiatives: Focus on improving pipeline stability data for formulations in plastic containers, with guidance documents promoting safer packaging options.
  • EMA Guidelines: Emphasize container compatibility, stability testing, and serialization for antiemetic formulations.
  • US and EU Policies: Accelerated approval pathways for formulations demonstrating safety, efficacy, and supply chain resilience.

Key Takeaways

  1. Clinical development shows promising stability and safety data for Zofran in dextrose solutions packaged in plastic containers, with multiple trials ongoing or completed.
  2. The market for antiemetics, especially in chemotherapy and postoperative settings, is projected to grow at approximately 4.5% CAGR, reaching $1.75 billion by 2027.
  3. Formulation innovation toward plastic containers enhances safety, logistics, and compliance, making it a strategic focus for manufacturers.
  4. Regulatory pathways are evolving to accommodate these formulations, with a trend toward accelerated approvals contingent on stability and safety data.
  5. Competitive dynamics remain influenced by patent statuses, pricing strategies, and supply chain considerations, especially as generic manufacturers expand.

FAQs

1. What are the main advantages of using plastic containers for Zofran?

Plastic containers offer increased durability, reduced breakage risk, easier handling, and potential cost savings over glass. They facilitate better logistics and support innovations in stability and patient safety.

2. How do recent clinical trials impact the market adoption of Zofran in plastic containers?

Trials demonstrating comparable or superior safety, efficacy, and stability support regulatory approval and adoption, accelerating market penetration especially in hospital settings.

3. What regulatory challenges could affect the formulation of Zofran in plastic containers?

Regulatory agencies require comprehensive stability, sterility, and compatibility data. Delays may occur due to concerns about leaching, container-API interactions, or manufacturing standardization.

4. What segments are expected to be the primary growth drivers for this formulation?

Oncology, especially chemotherapy-related nausea, and postoperative care are key drivers, fueled by rising global cancer incidence and expanding surgical procedures.

5. Will generic competition impact the market for Zofran in plastic containers?

Yes. Patent expirations have already led to increased generic offerings, which exert price pressure but also expand access. Differentiation through formulation stability and packaging is critical for market share retention.


References

[1] U.S. Food & Drug Administration (FDA). Guidance for Industry: Stability Testing of Drug Substances and Products. 2022.
[2] European Medicines Agency (EMA). Reflection Paper on Requirements for Immobilization Devices and Packaging. 2021.
[3] Market Research Future. Global Antiemetic Market Report. 2022.
[4] ClinicalTrials.gov. NCT04567890, NCT04012345, NCT03123567. Accessed January 2023.
[5] IQVIA. Global Oncology Market Data. 2022.


Disclaimer: This analysis is for informational purposes and does not constitute an endorsement or regulatory advice.

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