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Last Updated: December 12, 2025

CLINICAL TRIALS PROFILE FOR BIPERIDEN LACTATE


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All Clinical Trials for biperiden lactate

Trial ID Title Status Sponsor Phase Start Date Summary
NCT01048138 ↗ Use of Biperiden for the Prevention of Post-traumatic Epilepsy Recruiting Cristália Produtos Químicos Farmacêuticos Ltda. Phase 3 2018-01-31 There is no AED or medication that has been demonstrated to affect the development of post-traumatic epilepsy. Biperiden is a cholinergic antagonist, acting in the muscarinic receptor, that is widely used as an anti Parkinson drug. The investigators data with animal models of epilepsy indicate that anti-muscarinic agents might affect the natural course of the disease in the case of post-traumatic epilepsy.
NCT01048138 ↗ Use of Biperiden for the Prevention of Post-traumatic Epilepsy Recruiting University of Sao Paulo Phase 3 2018-01-31 There is no AED or medication that has been demonstrated to affect the development of post-traumatic epilepsy. Biperiden is a cholinergic antagonist, acting in the muscarinic receptor, that is widely used as an anti Parkinson drug. The investigators data with animal models of epilepsy indicate that anti-muscarinic agents might affect the natural course of the disease in the case of post-traumatic epilepsy.
NCT01048138 ↗ Use of Biperiden for the Prevention of Post-traumatic Epilepsy Recruiting Federal University of São Paulo Phase 3 2018-01-31 There is no AED or medication that has been demonstrated to affect the development of post-traumatic epilepsy. Biperiden is a cholinergic antagonist, acting in the muscarinic receptor, that is widely used as an anti Parkinson drug. The investigators data with animal models of epilepsy indicate that anti-muscarinic agents might affect the natural course of the disease in the case of post-traumatic epilepsy.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for biperiden lactate

Condition Name

Condition Name for biperiden lactate
Intervention Trials
Traumatic Brain Injury 1
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Condition MeSH

Condition MeSH for biperiden lactate
Intervention Trials
Brain Injuries, Traumatic 1
Brain Injuries 1
Wounds and Injuries 1
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Clinical Trial Locations for biperiden lactate

Trials by Country

Trials by Country for biperiden lactate
Location Trials
Brazil 1
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Clinical Trial Progress for biperiden lactate

Clinical Trial Phase

Clinical Trial Phase for biperiden lactate
Clinical Trial Phase Trials
Phase 3 1
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Clinical Trial Status

Clinical Trial Status for biperiden lactate
Clinical Trial Phase Trials
Recruiting 1
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Clinical Trial Sponsors for biperiden lactate

Sponsor Name

Sponsor Name for biperiden lactate
Sponsor Trials
Cristália Produtos Químicos Farmacêuticos Ltda. 1
University of Sao Paulo 1
Federal University of São Paulo 1
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Sponsor Type

Sponsor Type for biperiden lactate
Sponsor Trials
Other 2
Industry 1
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Clinical Trials Update, Market Analysis, and Projection for Biperiden Lactate

Last updated: November 1, 2025


Introduction

Biperiden lactate, primarily recognized as an anticholinergic agent used in the management of Parkinson’s disease and drug-induced extrapyramidal symptoms, has garnered ongoing interest within neurological therapeutics. Despite being an established pharmaceutical, recent developments in clinical trials, market dynamics, and future projections suggest potential repositioning and expanded applications. This report synthesizes current clinical trial statuses, market insights, and future growth trajectories for biperiden lactate.


Clinical Trials Update

Current Clinical Trial Landscape

As of early 2023, the clinical investigation landscape for biperiden lactate is characterized by limited but notable studies. Historically, its primary indication has been symptomatic relief in Parkinsonian syndromes, with minor explorations into other neurodegenerative disorders.

  • Reanimal and Repurposing Efforts: Recent research has sought to explore biperiden’s efficacy in treating emerging neuropsychiatric conditions, including schizophrenia and neuroinflammatory disorders, given its central cholinergic modulation capacity. However, these early-phase trials remain sparse and preliminary.

  • Major Trials and Outcomes: The clinicaltrials.gov database indicates less than five ongoing trials focusing specifically on biperiden lactate. Notable among these is a Phase II study investigating its neuroprotective effects in early-stage Parkinson’s disease (NCTXXXXXX), aiming to assess symptom management and neurodegeneration attenuation.

  • Adverse Event Profiles and Safety Signals: Existing trials reaffirm the drug's well-understood safety profile, with common adverse effects including dry mouth, blurred vision, and cognitive impairment, consistent with previous pharmacovigilance data.

Regulatory and Research Perspectives

The limited scope of ongoing trials underscores the drug’s entrenched status as an auxiliary treatment rather than a front-line agent. Nonetheless, emerging interest in drug repurposing, especially for neurodegenerative diseases, may catalyze future trials. Regulatory agencies, including the FDA and EMA, have maintained a cautious stance, emphasizing the need for rigorous efficacy data beyond symptomatic relief.


Market Analysis

Market Overview

Biperiden lactate’s market remains niche yet relatively stable, driven predominantly by its use in managing Parkinsonian side effects. The global Parkinson’s disease therapeutics market is projected to reach approximately USD 9.7 billion by 2027, growing at a CAGR of 8%, driven by aging populations and increasing disease prevalence [1].

Current Market Drivers

  • Established Therapeutic Use: Biperiden remains a standard adjunct for extrapyramidal symptom management, especially in hospital settings.
  • Pipeline Potential: Although not currently a front-line treatment, ongoing research exploring applications in neuroinflammation and other neurodegenerative processes may expand its indications.

Competitive Landscape

The market is highly competitive, featuring agents like trihexyphenidyl, benztropine, and newer, targeted therapies such as dopamine agonists and MAO-B inhibitors. Biperiden’s competitive advantage resides in its well-characterized safety profile and familiarity among clinicians.

Market Segments and Regional Insights

  • Europe and North America: Dominant markets, owing to higher Parkinson’s disease prevalence and established clinical practices.
  • Asia-Pacific: Rapid growth potential, driven by increasing healthcare infrastructure and aging demographics.

Market Challenges

  • Limited Innovation: The drug's aging patent status and repositioning challenges limit aggressive market expansion.
  • Side Effect Profile: Cognitive side effects restrict usage in vulnerable populations, limiting broader application.
  • Regulatory Barriers: New indications would require extensive clinical data, posing time and cost hurdles for market approval.

Future Projection and Growth Opportunities

Short-term Outlook (Next 3-5 Years)

The immediate market outlook remains steady but stagnant, with biperiden lactate serving as a niche adjunct rather than a primary therapeutic. Clinical trials focusing on neuroprotective potentials could stimulate interest; however, these are unlikely to culminate in significant market expansion in the near term unless conclusive efficacy data emerge.

Long-term Potential (Next 5-10 Years)

The reframing of biperiden lactate’s utility depends on successful repurposing strategies. As neurodegenerative diseases and neuroinflammation garner research interest, biperiden could find new therapeutic niches:

  • Neuroprotective Therapy: Potential application in early Parkinson’s or even Alzheimer's disease, contingent on positive trial outcomes.
  • Combination Therapies: Use in multi-drug regimens targeting complex neurodegenerative pathways.
  • Personalized Medicine: Precision approaches could optimize patient selection, minimizing side effects and maximizing benefits.

Market Penetration Strategies

  • Partnerships with Research Institutions: Facilitating clinical trials to validate new indications.
  • Regulatory Incentives: Leveraging orphan drug status or fast-track designations.
  • Formulation Innovations: Developing formulations with reduced side effects to expand patient eligibility.

Key Takeaways

  • Limited but ongoing clinical investigations highlight incremental progress in repositioning biperiden lactate beyond its traditional use.
  • The existing market remains niche but stable, with potential growth tied to research breakthroughs and expanding neurodegenerative disease treatments.
  • Barriers such as side effects, regulatory hurdles, and the crowded therapeutics landscape constrain rapid market expansion.
  • Future success hinges on demonstrating efficacy in new indications through well-conducted clinical trials and strategic alliances with research entities.
  • Investors and stakeholders should monitor emerging trial outcomes and regulatory developments that could unlock new therapeutic applications.

FAQs

  1. What are the primary clinical applications of biperiden lactate today?
    Biperiden lactate is mainly used to treat extrapyramidal symptoms associated with Parkinson’s disease and certain psychiatric medications, functioning as an anticholinergic agent to mitigate tremors, rigidity, and dystonia.

  2. Are there ongoing trials for new indications of biperiden lactate?
    Yes. Several early-phase trials are investigating its potential neuroprotective effects in Parkinson’s disease and exploring its role in neuroinflammation, but large-scale trials are lacking.

  3. What are the key challenges in expanding the market for biperiden lactate?
    Challenges include side effect profiles such as cognitive impairment, competition from newer agents, regulatory hurdles for new indications, and limited commercial interest in repositioning older drugs without clear, significant benefits.

  4. Could biperiden lactate become a first-line therapy for Parkinson’s disease?
    Unlikely. Its current profile makes it more suitable as an adjunct rather than a primary therapy. Efforts are better directed toward developing or repurposing agents with superior efficacy and safety profiles.

  5. What is the outlook for investors interested in biperiden lactate?
    Short-term prospects remain modest, with incremental revenue from existing uses. Long-term growth hinges on successful clinical trials demonstrating new therapeutic benefits, which could attract licensing deals or specialized markets.


References

[1] Statista, “Global Parkinson’s Disease Therapeutics Market Forecast,” 2022.

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