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Last Updated: March 15, 2025

CLINICAL TRIALS PROFILE FOR ZANTAC 75


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505(b)(2) Clinical Trials for Zantac 75

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 NCT00443963 ↗ Total Antioxidant Effects of Esomeprazole in Dyspeptic Patients Receiving Non-steroidal Anti-inflammatory Drugs Withdrawn AstraZeneca Phase 4 2006-12-01 The principal investigator hypothesizes that participants receiving NSAID drugs with dyspeptic symptoms have increased production of gastric levels of free radicals. The primary objective of the study is to determine if Esomeprazole Magnesium increases gastric total antioxidant capacity and decreases gastric free radical production in humans. Participants (age 18 years and older) with no history of upper GI bleeding who are receiving non-steroidal anti-inflammatory drugs and then develop dyspepsia will be recruited from our primary care clinic in Washington, DC. All eligible participants will undergo biopsies of antrum and corpus. The participants will be randomized to receive either Zantac OTC or Nexium for 15 days. On day 15, all participants will undergo repeat upper endoscopy to obtain biopsies of antrum and corpus. Tissue samples will then be extracted to determine total antioxidant capacity and lipid peroxide levels (as an indirect marker of free radical production).
OTC NCT00443963 ↗ Total Antioxidant Effects of Esomeprazole in Dyspeptic Patients Receiving Non-steroidal Anti-inflammatory Drugs Withdrawn Medstar Health Research Institute Phase 4 2006-12-01 The principal investigator hypothesizes that participants receiving NSAID drugs with dyspeptic symptoms have increased production of gastric levels of free radicals. The primary objective of the study is to determine if Esomeprazole Magnesium increases gastric total antioxidant capacity and decreases gastric free radical production in humans. Participants (age 18 years and older) with no history of upper GI bleeding who are receiving non-steroidal anti-inflammatory drugs and then develop dyspepsia will be recruited from our primary care clinic in Washington, DC. All eligible participants will undergo biopsies of antrum and corpus. The participants will be randomized to receive either Zantac OTC or Nexium for 15 days. On day 15, all participants will undergo repeat upper endoscopy to obtain biopsies of antrum and corpus. Tissue samples will then be extracted to determine total antioxidant capacity and lipid peroxide levels (as an indirect marker of free radical production).
OTC NCT03145012 ↗ Histamine Receptor 2 Antagonists as Enhancers of Anti-Tumour Immunity Unknown status Dalhousie University Phase 4 2018-05-01 The immune response against tumors can be highly effective in preventing tumor development, growth and metastasis under certain circumstances. However, tumor associated immune suppression can profoundly limit the impact of natural tumor immunity and also reduce the effectiveness of tumor immunotherapy strategies. A major component of tumor associated immune suppression is mediated by myeloid cells, especially the monocytic subset of myeloid derived suppressor cells (MDSC). In recent studies that were conducted through a CCSRI Innovation grant, the investigators discovered that oral treatment of mice with the commonly used histamine receptor 2 (H2) antagonists ranitidine or famotidine inhibits both primary breast tumor development and metastasis, in three distinct mouse tumor models and reduces the numbers of monocytic MDSC. These findings have enormous potential to aid in effective cancer immunotherapy and may have immediate implications for cancer patients. The objective of this investigation is to determine whether treatment with the H2 receptor antagonist ranitidine alters immune suppression, through modulation of immune cell populations. The investigators will examine peripheral blood monocyte, neutrophil and NK cell numbers, subsets and activation status from healthy volunteers treated for 6 weeks with daily oral ranitidine. Ranitidine is widely available and used over the counter in Canada. These drugs are widely recognized as safe, well tolerated and have very few side effects. It has been suggested that among the general population, over 10% of those over the age of 65 take such medications on a regular basis for relief against gastrointestinal discomfort. The outcome of pre-clinical studies in mice warrant further investigation into transferability to humans. If the outcome of the current proposal proves to be viable, then these drugs could provide a safe method to reduce tumor associated immunosuppression with broad implications, both for current cancer patients and for those at high risk of developing cancer. Further to this, the outcome of our proposal may provide a new strategy for improving the effectiveness of T-cell mediated immunotherapy.
OTC NCT03145012 ↗ Histamine Receptor 2 Antagonists as Enhancers of Anti-Tumour Immunity Unknown status Nova Scotia Health Authority Phase 4 2018-05-01 The immune response against tumors can be highly effective in preventing tumor development, growth and metastasis under certain circumstances. However, tumor associated immune suppression can profoundly limit the impact of natural tumor immunity and also reduce the effectiveness of tumor immunotherapy strategies. A major component of tumor associated immune suppression is mediated by myeloid cells, especially the monocytic subset of myeloid derived suppressor cells (MDSC). In recent studies that were conducted through a CCSRI Innovation grant, the investigators discovered that oral treatment of mice with the commonly used histamine receptor 2 (H2) antagonists ranitidine or famotidine inhibits both primary breast tumor development and metastasis, in three distinct mouse tumor models and reduces the numbers of monocytic MDSC. These findings have enormous potential to aid in effective cancer immunotherapy and may have immediate implications for cancer patients. The objective of this investigation is to determine whether treatment with the H2 receptor antagonist ranitidine alters immune suppression, through modulation of immune cell populations. The investigators will examine peripheral blood monocyte, neutrophil and NK cell numbers, subsets and activation status from healthy volunteers treated for 6 weeks with daily oral ranitidine. Ranitidine is widely available and used over the counter in Canada. These drugs are widely recognized as safe, well tolerated and have very few side effects. It has been suggested that among the general population, over 10% of those over the age of 65 take such medications on a regular basis for relief against gastrointestinal discomfort. The outcome of pre-clinical studies in mice warrant further investigation into transferability to humans. If the outcome of the current proposal proves to be viable, then these drugs could provide a safe method to reduce tumor associated immunosuppression with broad implications, both for current cancer patients and for those at high risk of developing cancer. Further to this, the outcome of our proposal may provide a new strategy for improving the effectiveness of T-cell mediated immunotherapy.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for Zantac 75

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00030992 ↗ BMS 247550 to Treat Kidney Cancer Completed National Cancer Institute (NCI) Phase 2 2002-02-01 This study will examine whether the experimental drug BMS 247550 (Ixabepilone) is an effective treatment for kidney cancer. BMS 247550 belongs to a class of drugs called epothilones that interfere with the ability of cancer cells to divide. In the way they kill cells, they are very similar to a class of compounds known as the taxanes, which include the drug Taxol. Other characteristics of the epothilones, however, enable them to work in cells that are resistant to Taxol. Patients 18 years of age or older with kidney cancer that has not spread to the central nervous system (unless the brain tumor has remained stable for at least six months after surgical or radiation treatment) may be eligible for this study. Pregnant or nursing women may not participate. Candidates are screened with various tests that may include blood and urine tests, electrocardiogram (EKG), and chest x-ray. Computerized tomography (CT) scans or X-rays, and possibly nuclear medicine studies may be done to determine the extent of disease. Participants receive BMS 247550 by a 1-hour infusion into a vein for 5 consecutive days (days 1, 2, 3, 4 and 5) of each 21-day treatment cycle. Patients must stay in the National Institutes of Health (NIH) area near Bethesda, Maryland, for 7 to 8 days during the first treatment cycle and for the 5 days of treatment in subsequent cycles. The total number of cycles will vary among patients, depending on their individual clinical situation. The drug dose may be increased gradually in subsequent cycles in patients who can tolerate such increases. In addition, participants undergo the following tests and procedures: - Periodic physical examinations and frequent blood tests - X-ray and other imaging studies to determine if the tumor is responding to the treatment. - Tumor biopsies to confirm the diagnosis or spread of tumor and to examine the reaction of certain proteins in cancer cells to BMS 247550. Two biopsies will be done. For this procedure, a small piece of tumor tissue is withdrawn through a needle under local anesthetic. Treatment will be stopped in patients whose tumor grows while receiving BMS 247550. Patients whose tumor disappears completely will be followed at NIH periodically for examinations and tests. Patients whose disease does not completely resolve or whose disease recurs may be advised of other appropriate research protocols at NIH or, if none are available, will be returned to the care of their local doctor.
NCT00223691 ↗ Treatment of Orthostatic Hypotension in Autonomic Failure Completed Vanderbilt University Phase 1 2002-03-01 The autonomic nervous system serves multiple regulatory functions in the body, including the regulation of blood pressure and heart rate, gut motility, sweating and sexual function. There are several diseases characterized by abnormal function of the autonomic nervous system. Medications can also alter autonomic function. Impairment of the autonomic nervous system by diseases or drugs may lead to several symptoms, including blood pressure problems (e.g., high blood pressure lying down and low blood pressure on standing), sweating abnormalities, constipation or diarrhea and sexual dysfunction. Because treatment options for these patients are limited. We propose to study patients autonomic failure and low blood pressure upon standing and determine the cause of their disease by history and examination and their response to autonomic testing which have already been standardized in our laboratory. Based on their possible cause, we will tests different medications that may alleviate their symptoms.
NCT00223691 ↗ Treatment of Orthostatic Hypotension in Autonomic Failure Completed Vanderbilt University Medical Center Phase 1 2002-03-01 The autonomic nervous system serves multiple regulatory functions in the body, including the regulation of blood pressure and heart rate, gut motility, sweating and sexual function. There are several diseases characterized by abnormal function of the autonomic nervous system. Medications can also alter autonomic function. Impairment of the autonomic nervous system by diseases or drugs may lead to several symptoms, including blood pressure problems (e.g., high blood pressure lying down and low blood pressure on standing), sweating abnormalities, constipation or diarrhea and sexual dysfunction. Because treatment options for these patients are limited. We propose to study patients autonomic failure and low blood pressure upon standing and determine the cause of their disease by history and examination and their response to autonomic testing which have already been standardized in our laboratory. Based on their possible cause, we will tests different medications that may alleviate their symptoms.
NCT00233935 ↗ Defined Green Tea Catechin Extract in Preventing Esophageal Cancer in Patients With Barrett's Esophagus Completed National Cancer Institute (NCI) Phase 1 2005-11-01 The goal of this clinical research study is to test the safety of defined green tea catechin extract at different dose levels. Researchers also want to find out what effects, good and bad, it may have on individual and their risk for esophagus cancer. Esophagus cancer is an increased risk associated with Barrett's esophagus. Chemoprevention is the use of certain drugs to keep cancer from forming, growing, or coming back. The use of defined green tea catechin extract may prevent esophageal cancer.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Zantac 75

Condition Name

Condition Name for Zantac 75
Intervention Trials
NSAID Associated Gastric Ulcers 2
Healthy 2
Cough 1
Laryngopharyngeal Reflux 1
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Condition MeSH

Condition MeSH for Zantac 75
Intervention Trials
Ulcer 3
Stomach Ulcer 2
Hypotension 2
Ileus 1
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Clinical Trial Locations for Zantac 75

Trials by Country

Trials by Country for Zantac 75
Location Trials
United States 12
Canada 2
Pakistan 2
United Kingdom 1
Egypt 1
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Trials by US State

Trials by US State for Zantac 75
Location Trials
Maryland 3
Texas 2
New York 1
Tennessee 1
Wisconsin 1
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Clinical Trial Progress for Zantac 75

Clinical Trial Phase

Clinical Trial Phase for Zantac 75
Clinical Trial Phase Trials
Phase 4 5
Phase 3 3
Phase 2 6
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Clinical Trial Status

Clinical Trial Status for Zantac 75
Clinical Trial Phase Trials
Completed 13
Withdrawn 4
Unknown status 2
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Clinical Trial Sponsors for Zantac 75

Sponsor Name

Sponsor Name for Zantac 75
Sponsor Trials
National Cancer Institute (NCI) 3
AstraZeneca 3
M.D. Anderson Cancer Center 2
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Sponsor Type

Sponsor Type for Zantac 75
Sponsor Trials
Other 18
Industry 7
NIH 4
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Zantac 75: Clinical Trials, Market Analysis, and Projections

Clinical Trials and Efficacy of Zantac 75

Heartburn Prevention and Relief

Clinical trials have consistently shown that Zantac 75, containing the active ingredient ranitidine, is highly effective in preventing and relieving heartburn symptoms. A double-blind, placebo-controlled study demonstrated that ranitidine 75 mg, taken 30 minutes before a heartburn-provoking meal, significantly prevented or reduced subsequent heartburn symptoms. The study found statistically significant differences favoring ranitidine 75 mg in complete prevention of heartburn, heartburn severity, and other clinical success endpoints[1].

Treatment of Duodenal and Gastric Ulcers

In multicenter, double-blind, controlled trials, Zantac was shown to facilitate earlier healing of endoscopically diagnosed duodenal ulcers compared to placebo. Patients treated with Zantac reported a reduction in both daytime and nocturnal pain and consumed less antacid than those treated with placebo. Additionally, Zantac was effective in maintaining the healing of gastric ulcers over a 12-month period[4].

Gastroesophageal Reflux Disease (GERD)

Zantac 150 mg, taken twice daily, was found to be more effective than placebo in relieving heartburn and other symptoms associated with GERD in several multicenter, double-blind, placebo-controlled trials. These studies indicated that Zantac significantly reduced the frequency and severity of heartburn attacks within 1 to 2 weeks of starting therapy, with improvements maintained throughout the trial period[4].

Market Analysis

Current Market Status

The global ranitidine market, which includes Zantac 75, has faced significant challenges following the FDA's decision to recall all prescription and over-the-counter versions of Zantac in April 2020. This recall was due to the detection of high levels of N-nitrosodimethylamine (NDMA), a potential carcinogen, in ranitidine products. As a result, many retailers voluntarily suspended the sales of Zantac, and manufacturers were requested to discontinue production[3].

Market Projections

Despite the current setbacks, the global ranitidine market is expected to grow, albeit at a slower pace. The market is projected to grow with an annual growth rate of more than 2% from 2023 to 2030. This growth will be influenced by various factors, including the development of new formulations and the potential reintroduction of ranitidine products once safety concerns are addressed[5].

Regional Market Analysis

The market analysis covers various regions, including North America, Latin America, Western Europe, Eastern Europe, Middle East & Africa, and Asia Pacific. The report provides global and regional market sizing for both historical and forecast periods, helping to understand the market dynamics and growth opportunities in different regions[5].

Legal and Regulatory Challenges

Zantac Lawsuits

The recall of Zantac has led to numerous legal claims against the manufacturers, alleging a link between ranitidine and various types of cancer. Both class-action lawsuits and civil lawsuits have been filed, with plaintiffs suffering from cancers such as bladder, colon, and stomach cancer. The ongoing investigation by the FDA and the legal actions against manufacturers continue to impact the market and consumer confidence[3].

Future Outlook

Potential Reintroduction and New Formulations

While the current market is affected by the recall, there is potential for the reintroduction of ranitidine products once the safety issues are resolved. Manufacturers are likely to focus on developing new formulations that are free from NDMA, which could revive the market. Additionally, the ongoing research and development in the pharmaceutical industry may lead to new applications and uses for ranitidine, further influencing market growth[5].

Geriatric Use and Safety Considerations

Safety in Elderly Patients

Clinical trials have shown that Zantac is generally safe and effective in elderly patients. However, due to the potential for decreased renal function in older individuals, caution is advised in dose selection, and monitoring of renal function may be necessary[4].

Key Takeaways

  • Clinical Efficacy: Zantac 75 is effective in preventing and relieving heartburn symptoms, treating duodenal and gastric ulcers, and managing GERD.
  • Market Challenges: The global ranitidine market faces significant challenges due to the FDA recall and ongoing legal actions.
  • Market Projections: Despite current setbacks, the market is expected to grow at an annual rate of more than 2% from 2023 to 2030.
  • Legal and Regulatory Issues: Ongoing lawsuits and regulatory scrutiny continue to impact the market.
  • Future Outlook: Potential reintroduction of safe formulations and new applications could revive the market.

FAQs

Q: What is the primary use of Zantac 75?

A: Zantac 75 is primarily used for the prevention and relief of heartburn symptoms, as well as the treatment of duodenal and gastric ulcers and GERD.

Q: Why was Zantac recalled by the FDA?

A: Zantac was recalled due to the detection of high levels of N-nitrosodimethylamine (NDMA), a potential carcinogen, in ranitidine products.

Q: What are the legal implications for Zantac manufacturers?

A: Manufacturers are facing class-action lawsuits and civil lawsuits alleging a link between ranitidine and various types of cancer.

Q: Is Zantac safe for elderly patients?

A: Zantac is generally safe for elderly patients, but caution is advised due to the potential for decreased renal function, and monitoring of renal function may be necessary.

Q: What is the projected growth rate of the global ranitidine market?

A: The global ranitidine market is expected to grow at an annual rate of more than 2% from 2023 to 2030.

Sources

  1. PubMed: A double-blind, placebo-controlled study of the efficacy and safety of ranitidine 75 mg.
  2. Market Research Reports: Global Ranitidine (Zantac) Market 2024 by Manufacturers, Regions, Type and Application, Forecast to 2030.
  3. TorHoerman Law: Zantac Lawsuit [Update December 2024].
  4. Drugs.com: Zantac: Package Insert / Prescribing Information.
  5. GlobeNewswire: FDA Removal of Zantac (Ranitidine) Products - Market Analysis, Trends, Growth Opportunities, Forecast 2023-2030.

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