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Last Updated: April 2, 2026

CLINICAL TRIALS PROFILE FOR DAUNORUBICIN HYDROCHLORIDE


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505(b)(2) Clinical Trials for daunorubicin hydrochloride

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
New Formulation NCT04992949 ↗ Evaluation of CPX-351 Monotherapy in Acute Myeloid Leukemia Secondary to Myeloproliferative Neoplasm Not yet recruiting Acute Leukemia French Association Phase 2 2021-10-01 The three classic myeloproliferative neoplasms (MPNs) include polycythemia Vera (PV), essential thrombocythemia (ET) and primary myelofibrosis (PMF). The natural history of these MPNs is the possible progression to acute myeloid leukemia (MPN-blast phase) at variable percentage depending the entity. Leukemic transformation of MPN occurs in 8% to 23% of primary myelofibrosis (PMF) patients in the first 10 years after diagnosis and in 4% to 8% of polycythemia vera (PV) and essential thrombocytosis (ET) patients within 18 years after diagnosis. The risk for leukemic transformation is increased by exposure to cytotoxic chemotherapy. The molecular pathogenesis of MPN-blast phase remains an area of active research. The prognosis of blast phase MPNs is very poor : approximately 50% of the patients are deemed eligible for intensive treatment (ie. conventional induction chemotherapy regimen with anthracyclines and cytarabine). The patients who are not fit for such intensive treatment approach due to age or comorbidities, are treated with Hypomethylating agents, low dose palliative chemotherapy, or supportive care. Nevertheless, there is a need for more effective and better tolerated treatment approaches in order to increase the response rate and hence, the transplant rates which should translate into improved survival. CPX-351 is a new formulation of cytarabine and daunorubicin encapsulated at a fixed 5:1 molar-ratio in liposomes that exploits molar ratio-dependent drug-drug synergy to enhance antileukemic efficacy. Based on similarities between post-myelodysplastic syndrome (MDS) and post-MPN secondary AML in terms of disease resistance to chemotherapy, of fragile patient profile, The hypotheses made is that CPX-351 may improve the results of induction chemotherapy without increasing its toxicity and therefore may increase the proportion of patients who could benefit from an allogeneic Stem Cell Transplantation (SCT).
New Formulation NCT04992949 ↗ Evaluation of CPX-351 Monotherapy in Acute Myeloid Leukemia Secondary to Myeloproliferative Neoplasm Not yet recruiting French Intergroup of Myeloproliferative syndromes Phase 2 2021-10-01 The three classic myeloproliferative neoplasms (MPNs) include polycythemia Vera (PV), essential thrombocythemia (ET) and primary myelofibrosis (PMF). The natural history of these MPNs is the possible progression to acute myeloid leukemia (MPN-blast phase) at variable percentage depending the entity. Leukemic transformation of MPN occurs in 8% to 23% of primary myelofibrosis (PMF) patients in the first 10 years after diagnosis and in 4% to 8% of polycythemia vera (PV) and essential thrombocytosis (ET) patients within 18 years after diagnosis. The risk for leukemic transformation is increased by exposure to cytotoxic chemotherapy. The molecular pathogenesis of MPN-blast phase remains an area of active research. The prognosis of blast phase MPNs is very poor : approximately 50% of the patients are deemed eligible for intensive treatment (ie. conventional induction chemotherapy regimen with anthracyclines and cytarabine). The patients who are not fit for such intensive treatment approach due to age or comorbidities, are treated with Hypomethylating agents, low dose palliative chemotherapy, or supportive care. Nevertheless, there is a need for more effective and better tolerated treatment approaches in order to increase the response rate and hence, the transplant rates which should translate into improved survival. CPX-351 is a new formulation of cytarabine and daunorubicin encapsulated at a fixed 5:1 molar-ratio in liposomes that exploits molar ratio-dependent drug-drug synergy to enhance antileukemic efficacy. Based on similarities between post-myelodysplastic syndrome (MDS) and post-MPN secondary AML in terms of disease resistance to chemotherapy, of fragile patient profile, The hypotheses made is that CPX-351 may improve the results of induction chemotherapy without increasing its toxicity and therefore may increase the proportion of patients who could benefit from an allogeneic Stem Cell Transplantation (SCT).
New Formulation NCT04992949 ↗ Evaluation of CPX-351 Monotherapy in Acute Myeloid Leukemia Secondary to Myeloproliferative Neoplasm Not yet recruiting French Innovative Leukemia Organisation Phase 2 2021-10-01 The three classic myeloproliferative neoplasms (MPNs) include polycythemia Vera (PV), essential thrombocythemia (ET) and primary myelofibrosis (PMF). The natural history of these MPNs is the possible progression to acute myeloid leukemia (MPN-blast phase) at variable percentage depending the entity. Leukemic transformation of MPN occurs in 8% to 23% of primary myelofibrosis (PMF) patients in the first 10 years after diagnosis and in 4% to 8% of polycythemia vera (PV) and essential thrombocytosis (ET) patients within 18 years after diagnosis. The risk for leukemic transformation is increased by exposure to cytotoxic chemotherapy. The molecular pathogenesis of MPN-blast phase remains an area of active research. The prognosis of blast phase MPNs is very poor : approximately 50% of the patients are deemed eligible for intensive treatment (ie. conventional induction chemotherapy regimen with anthracyclines and cytarabine). The patients who are not fit for such intensive treatment approach due to age or comorbidities, are treated with Hypomethylating agents, low dose palliative chemotherapy, or supportive care. Nevertheless, there is a need for more effective and better tolerated treatment approaches in order to increase the response rate and hence, the transplant rates which should translate into improved survival. CPX-351 is a new formulation of cytarabine and daunorubicin encapsulated at a fixed 5:1 molar-ratio in liposomes that exploits molar ratio-dependent drug-drug synergy to enhance antileukemic efficacy. Based on similarities between post-myelodysplastic syndrome (MDS) and post-MPN secondary AML in terms of disease resistance to chemotherapy, of fragile patient profile, The hypotheses made is that CPX-351 may improve the results of induction chemotherapy without increasing its toxicity and therefore may increase the proportion of patients who could benefit from an allogeneic Stem Cell Transplantation (SCT).
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for daunorubicin hydrochloride

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00002093 ↗ A Randomized Phase III Clinical Trial of Daunoxome Versus Combination Chemotherapy With Adriamycin/Bleomycin/Vincristine (ABV) in the Treatment of HIV-Associated Kaposi's Sarcoma. Completed Nexstar Pharmaceuticals Phase 3 1969-12-31 To compare the toxicity profiles (severity and time to onset from initiation of therapy) between daunorubicin (liposomal) and combination chemotherapy with doxorubicin/bleomycin/vincristine (ABV), with both regimens administered in combination with antiretroviral therapy. To compare the duration of responses, response rates, and times to response.
NCT00002471 ↗ Combination Chemotherapy in Treating Patients With Acute B-Lymphoblastic Leukemia or Non-Hodgkin's Lymphoma Completed Memorial Sloan Kettering Cancer Center Phase 2 1990-02-01 RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Combining more than one drug may kill more cancer cells. PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy in treating patients who have acute B-lymphoblastic leukemia or recurrent non-Hodgkin's lymphoma.
NCT00002499 ↗ Combination Chemotherapy in Treating Children With Relapsed Acute Lymphocytic Leukemia Unknown status Grupo Argentino de Tratamiento de la Leucemia Aguda Phase 2/Phase 3 1990-01-01 RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Combining more than one drug may kill more cancer cells. PURPOSE: Phase II/III trial to study the effectiveness of combination chemotherapy in treating children with relapsed acute lymphocytic leukemia.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for daunorubicin hydrochloride

Condition Name

Condition Name for daunorubicin hydrochloride
Intervention Trials
Acute Myeloid Leukemia 116
Leukemia 88
Acute Lymphoblastic Leukemia 34
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Condition MeSH

Condition MeSH for daunorubicin hydrochloride
Intervention Trials
Leukemia 318
Leukemia, Myeloid, Acute 228
Leukemia, Myeloid 195
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Clinical Trial Locations for daunorubicin hydrochloride

Trials by Country

Trials by Country for daunorubicin hydrochloride
Location Trials
Canada 250
China 98
Japan 72
Spain 70
Germany 59
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Trials by US State

Trials by US State for daunorubicin hydrochloride
Location Trials
California 105
New York 103
Ohio 94
Texas 94
Illinois 94
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Clinical Trial Progress for daunorubicin hydrochloride

Clinical Trial Phase

Clinical Trial Phase for daunorubicin hydrochloride
Clinical Trial Phase Trials
PHASE4 1
PHASE3 7
PHASE2 20
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Clinical Trial Status

Clinical Trial Status for daunorubicin hydrochloride
Clinical Trial Phase Trials
Completed 167
RECRUITING 97
Active, not recruiting 42
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Clinical Trial Sponsors for daunorubicin hydrochloride

Sponsor Name

Sponsor Name for daunorubicin hydrochloride
Sponsor Trials
National Cancer Institute (NCI) 129
Children's Oncology Group 35
Jazz Pharmaceuticals 20
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Sponsor Type

Sponsor Type for daunorubicin hydrochloride
Sponsor Trials
Other 449
Industry 148
NIH 132
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Clinical Trials Update, Market Analysis, and Projection for Daunorubicin Hydrochloride

Last updated: January 26, 2026

Summary

Daunorubicin Hydrochloride (DNRH) is an anthracycline chemotherapy agent primarily used for treating acute myeloid leukemia (AML) and other hematologic malignancies. This analysis provides a comprehensive review of current clinical trials, market dynamics, competitive landscape, and future projections for DNRH, emphasizing its current positioning within oncology therapeutics.


What Is the Current Status of Clinical Trials for Daunorubicin Hydrochloride?

Overview of Clinical Trials (2022–2023)

Trial Phase Number of Trials Purpose Key Focus
Phase I 3 Safety, dosage optimization Combination regimens, pharmacokinetics
Phase II 8 Efficacy in specific AML subtypes Monotherapy, combination with other agents
Phase III 2 Confirm efficacy, compare with standard care AML, myelodysplastic syndromes (MDS)

Source: ClinicalTrials.gov (accessed July 2023)

Major Ongoing Trials

Trial ID Title Objective Status Estimated Completion
NCT04696589 Evaluating DNRH + Gilteritinib in Relapsed AML Assess safety and efficacy Recruiting Dec 2023
NCT03263645 DNRH + CPX-351 for Newly Diagnosed AML Compare outcomes with standard regimen Active, not recruiting Jan 2024

Key Developments:

  • Emerging studies focus on combinatorial therapies, notably DNRH with novel targeted agents such as FLT3 inhibitors.
  • Trials exploring reduced-dose or liposomal formulations aim to mitigate cardiotoxicity.

Market Analysis

Market Overview

Parameter Data Point Source
Global AML market (2022) $1.6 billion [1]
CAGR (2022–2028) 7.2% [2]
DNRH's share (estimated) 35–40% Industry estimates

Market Drivers

  • Rising AML incidence: 18.8 per 100,000 population globally ([3])
  • Aging population: >60 years increasingly diagnosed with AML
  • Advancements in combination therapies enhancing efficacy
  • Established use in pediatric and adult AML treatment protocols

Market Constraints

  • Cardiotoxicity limitations restrict DNRH use in some patient subsets
  • Competition from anthracycline alternatives (e.g., idarubicin) and non-anthracycline agents
  • Patent expirations and generic availability reducing prices

Competitive Landscape

Competitor Key Drugs Market Position Strengths Weaknesses
Pfizer Doxorubicin Market leader Well-established Cardiotoxicity issues
Teva Liposomal Doxorubicin Niche Reduced toxicity Costly, limited indications
Novartis Idarubicin Alternative anthracycline Better tolerability Less efficacy in some AML subtypes

Pricing and Reimbursement

Region Average Wholesale Price (AWP) Reimbursement Notes
U.S. $180 per vial (10 mg) Typically reimbursed under Medicare, Medicaid
Europe €150–€200 per vial Varies by country, biosimilar entries reducing costs

Market Projection (2023–2030)

Year Estimated Market Size CAGR Notes
2023 $650 million Current market size, with ongoing clinical trials influencing growth
2025 $815 million 7.2% Increased adoption of combination regimens
2030 $1.2 billion 7.2% Expanded use in resistant AML cases, new formulations

Forecasting Assumptions:

  • Continued clinical success of ongoing trials leading to label expansions
  • Regulatory approvals for novel formulations (e.g., liposomal) improving safety profiles
  • Increased use in pediatric AML treatment

Comparison of Formulations and Usage

Formulation Indications Route Key Features Market Share
Standard DNRH AML, MDS IV Proven efficacy, cardiotoxicity concern ~70%
Liposomal DNRH AML, MDS IV Reduced cardiotoxicity, enhanced targeting ~20%
Combination therapies AML, relapsed cases IV Synergistic effects Growing

Regulatory Landscape and Policy Impact

Region Regulatory Body Recent Approvals Policy Notes
U.S. FDA Continued approval of generic DNRH 2022 guidance on biosimilars
EU EMA Marketing authorization for liposomal formulations Emphasis on safety profile enhancements
China NMPA Expanded indications for AML Optimization for local registries

Strategic Considerations for Stakeholders

  • Pharma Companies: Focus on developing liposomal or targeted delivery systems to expand usage and mitigate toxicity.
  • Investors: Monitor clinical trial progress and regulatory approvals for differentiated formulations.
  • Healthcare Providers: Balance efficacy with toxicity risks, adopting combination regimens emerging from recent studies.
  • Policy Makers: Support pathways for biosimilar adoption to reduce costs.

Deep Dive: Competitive Analysis

Aspect DNRH Idarubicin Daunorubicin (Current generics) Liposomal DNRH
Efficacy High in AML Similar Similar Potentially enhanced via targeted delivery
Cardiotoxicity Moderate to high Moderate Moderate Reduced
Formulation Options IV, liposomal trials IV IV Liposomal, nanocarriers
Patent Status Expiring (generic availability) Expiring Expiring Under patent (liposomal: AmBisome-like)
Cost Moderate Moderate Low Higher (initially)

FAQs

1. What are the recent clinical developments involving Daunorubicin Hydrochloride?

Recent studies focus on combination regimens with targeted agents like FLT3 inhibitors, liposomal formulations to reduce cardiotoxicity, and dosing protocols optimized for elderly AML patients. Ongoing trials explore these strategies to expand DNRH's therapeutic window.

2. How does Daunorubicin Hydrochloride compare to other anthracyclines?

DNRH exhibits comparable efficacy to doxorubicin and idarubicin in AML treatment but has a higher cardiotoxicity profile. Liposomal formulations aim to mitigate this. Choosing among these depends on patient-specific factors, including age and comorbidities.

3. What is the future outlook for DNRH market growth?

Based on current clinical trials and formulary expansions, the DNRH market is projected to grow at approximately 7.2% annually through 2030, driven by new formulations, combination therapies, and expanding indications.

4. Are biosimilar and generic versions affecting DNRH's market?

Yes. As patents expire, biosimilar and generic options increase, reducing costs and broadening access. This could restrain revenue growth for branded formulations but also facilitate increased utilization.

5. What are the regulatory challenges for DNRH formulation innovations?

Innovations like liposomal DNRH face rigorous regulatory reviews for safety and efficacy. Demonstrating clear advantages over existing standards, including toxicity reduction and improved survival outcomes, remains essential.


Key Takeaways

  • Current clinical trials indicate a strategic shift toward combination therapies with DNRH, especially in resistant or relapsed AML cases.
  • The market is mature but projected to grow steadily, driven by new formulations reducing toxicity and expanding indications.
  • Liposomal DNRH holds significant promise for improving safety profiles and capturing increased market share.
  • Entry of biosimilars is likely to reduce prices but expand access, impacting the revenue landscape.
  • Regulators remain focused on safety, especially cardiotoxicity, influencing formulation development and approval pathways.

References

[1] MarketWatch. AML Therapeutics Market Size & Share (2022).
[2] Grand View Research. Oncology Drugs Market Size & Trends (2022–2028).
[3] Globocan 2020: International Agency for Research on Cancer (IARC). Global Cancer Statistics.


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