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Last Updated: April 18, 2025

CLINICAL TRIALS PROFILE FOR ZANTAC IN PLASTIC CONTAINER


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505(b)(2) Clinical Trials for Zantac 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 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↗ Total Antioxidant Effects of Esomeprazole in Dyspeptic Patients Receiving Non-steroidal Anti-inflammatory Drugs Withdrawn AstraZeneca Phase 4 2006-12-01 The principal investigator hypothesizes that participants receiving NSAID drugs with dyspeptic symptoms have increased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↗ Total Antioxidant Effects of Esomeprazole in Dyspeptic Patients Receiving Non-steroidal Anti-inflammatory Drugs Withdrawn Medstar Health Research Institute Phase 4 2006-12-01 The principal investigator hypothesizes that participants receiving NSAID drugs with dyspeptic symptoms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.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for Zantac In Plastic Container

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.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Zantac In Plastic Container

Condition Name

Condition Name for Zantac In Plastic Container
Intervention Trials
NSAID Associated Gastric Ulcers 2
Healthy 2
Peptic Ulcers 1
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Condition MeSH

Condition MeSH for Zantac In Plastic Container
Intervention Trials
Ulcer 3
Stomach Ulcer 2
Hypotension 2
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Clinical Trial Locations for Zantac In Plastic Container

Trials by Country

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

Trials by US State for Zantac In Plastic Container
Location Trials
Maryland 3
Texas 2
Wisconsin 1
Utah 1
California 1
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Clinical Trial Progress for Zantac In Plastic Container

Clinical Trial Phase

Clinical Trial Phase for Zantac In Plastic Container
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 In Plastic Container
Clinical Trial Phase Trials
Completed 13
Withdrawn 4
Terminated 2
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Clinical Trial Sponsors for Zantac In Plastic Container

Sponsor Name

Sponsor Name for Zantac In Plastic Container
Sponsor Trials
AstraZeneca 3
National Cancer Institute (NCI) 3
Benazir Bhutto Hospital, Rawalpindi 2
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Sponsor Type

Sponsor Type for Zantac In Plastic Container
Sponsor Trials
Other 18
Industry 7
NIH 4
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Zantac in Plastic Containers: Clinical Trials, Market Analysis, and Projections

Introduction to Zantac

Zantac, known generically as ranitidine, is a widely used heartburn medication that has been on the market since its approval in 1983. It functions as a histamine 2-receptor antagonist, reducing gastric acid secretion to alleviate symptoms of heartburn and peptic ulcer disease.

Clinical Trials and Safety Concerns

NDMA Contamination

The use of Zantac has been marred by significant safety concerns. In September 2019, the FDA issued an advisory after discovering high levels of N-Nitrosodimethylamine (NDMA), a potent carcinogen, in ranitidine products. These levels were found to be between 3,000 to 26,000 times higher than the FDA-approved standards[4].

FDA Recall

Following the discovery of NDMA contamination, the FDA issued a market withdrawal of all prescription and over-the-counter versions of Zantac in April 2020. This decision was made due to the increasing levels of NDMA in the drug over time, especially when stored at higher temperatures[3].

Ongoing Litigation

The contamination issue has led to a plethora of lawsuits against the manufacturers of Zantac, including GlaxoSmithKline, Pfizer, Boehringer Ingelheim, Sanofi, and Patheon. Plaintiffs allege that these companies failed to warn consumers about the drug's risks, despite knowing it could degrade into NDMA. The lawsuits cite various types of cancer linked to Zantac use, such as bladder, colorectal, prostate, and breast cancer[1][4].

Clinical Trials Update

Postponed Trials

As of the latest updates, there have been significant delays in the legal proceedings related to Zantac. The four Paraquat bellwether trials, which were not directly related to Zantac but share some legal complexities, have been postponed due to an appellate review of a recusal motion against the presiding judge. This delay has indirect implications for the overall legal landscape surrounding pharmaceutical product liability cases, including those involving Zantac[1].

State Court Litigation

Despite the setbacks in federal multidistrict litigation (MDL), the focus has shifted to state court litigation, particularly in Delaware and California. New lawsuits have been filed in these jurisdictions, alleging negligence and failure to warn consumers about the carcinogenic risks associated with Zantac[1].

Market Analysis

Market Impact of Recall

The recall of Zantac has significantly impacted the market for ranitidine products. Prior to the recall, Zantac was a top-selling drug, but its removal from the market has led to a decline in sales and a shift towards alternative heartburn medications. Companies like CVS, Walmart, and Sandoz had voluntarily suspended the sales of Zantac even before the FDA's official recall[3].

Settlements and Financial Implications

GlaxoSmithKline (GSK) has reached agreements to settle the majority of ongoing lawsuits related to Zantac, with a total settlement value of $2.2 billion. This settlement covers approximately 93% of GSK’s standing state court product liabilities in the U.S. and is expected to be fully implemented by the first half of 2025. Despite this settlement, GSK maintains that there is no consistent evidence linking ranitidine to an increased risk of cancer[5].

Market Projections

Global Ranitidine Market

The global ranitidine market, which includes Zantac and its generic versions, is expected to face significant challenges in the coming years. The market research report forecast to 2030 indicates that the market will likely decline due to the ongoing litigation and the recall of Zantac products. However, the report also suggests that there may be opportunities for alternative treatments and new market entrants[2].

Competitive Landscape

The competitive landscape of the heartburn medication market is expected to shift with the absence of Zantac. Other pharmaceutical companies may capitalize on this gap by introducing new or alternative treatments. The market is likely to see increased competition and innovation in the antacid and anti-ulcer drug segments.

Consumer Impact

Health Risks

Consumers who have used Zantac over extended periods are advised to consult their healthcare providers due to the potential health risks associated with NDMA exposure. The FDA has emphasized that while taking ranitidine may increase the risk of cancer, it does not guarantee that cancer will develop[3].

Legal Recourse

For those who believe they have been affected by the use of Zantac, legal recourse is available. Class-action lawsuits and civil lawsuits have been filed, and plaintiffs are seeking compensation for severe health consequences allegedly caused by the drug[4].

Key Takeaways

  • NDMA Contamination: Zantac products have been found to contain high levels of the carcinogen NDMA.
  • FDA Recall: The FDA has recalled all Zantac products due to the NDMA contamination.
  • Litigation: Numerous lawsuits have been filed against Zantac manufacturers, alleging negligence and failure to warn consumers.
  • Market Impact: The recall has significantly impacted the market for ranitidine products, leading to a decline in sales.
  • Settlements: GSK has agreed to settle the majority of Zantac-related lawsuits for $2.2 billion.
  • Market Projections: The global ranitidine market is expected to decline, but there may be opportunities for alternative treatments.

FAQs

  1. What is the reason behind the Zantac recall? The Zantac recall was initiated due to the discovery of high levels of N-Nitrosodimethylamine (NDMA), a potent carcinogen, in the drug.

  2. Which types of cancer are linked to Zantac use? Studies and lawsuits have linked Zantac use to various types of cancer, including bladder, colorectal, prostate, breast, kidney, liver, stomach, and thyroid cancer.

  3. What is the current status of Zantac lawsuits? Many Zantac lawsuits have been settled, with GSK agreeing to a $2.2 billion settlement covering approximately 93% of its standing state court product liabilities. However, some cases are still ongoing.

  4. How has the recall affected the market for ranitidine products? The recall has led to a significant decline in sales and a shift towards alternative heartburn medications.

  5. What should consumers do if they have used Zantac? Consumers who have used Zantac should consult their healthcare providers due to the potential health risks associated with NDMA exposure.

Sources

  1. Consumer Shield: Zantac Lawsuit Updates (2025)
  2. Market Research Reports: Global Ranitidine (Zantac) Market Insights, Forecast to 2030
  3. DrugWatch: Zantac Recall | FDA Removal of Zantac (Ranitidine) Products
  4. TorHoerman Law: Zantac Lawsuit [Update January 2025]
  5. BioSpace: GSK Settles Zantac Lawsuits for $2.2B, Analysts Now Shift Focus to Vaccines

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