Last Updated: August 9, 2026

CLINICAL TRIALS PROFILE FOR LOXAPINE


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All Clinical Trials for loxapine

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00122733 ↗ Loxapine and Weaning From Ventilator Completed Assistance Publique - Hôpitaux de Paris N/A 2005-12-01 Patients may be very agitated during the weaning period from mechanical ventilation. Administration of loxapine, a neuroleptic that does not notably affect ventilatory drive, may help in obtaining an adequate level of cooperation and, therefore, in reducing the duration of mechanical ventilation.
NCT00290082 ↗ Randomized Double-blind Trial of Midazolam and Loxapine in Agitated Patients Terminated University Hospital, Rouen Phase 3 2005-12-01 Neuroleptics are used since a long time in the management of severely agitated patients. Loxapine is routinely used in our country, with, to our knowledge no severe adverse event reported, in this indication. However, recently, benzodiazepines have appeared interesting in agitated patients, with the use of midazolam. The aim of this study is to compare midazolam to loxapine in the treatment of severe agitated patients admitted in the emergency department.
NCT00369577 ↗ Staccato Loxapine in Agitation (Proof of Concept) Completed Alexza Pharmaceuticals, Inc. Phase 2 2006-08-01 The purpose of this study is to assess efficacy and safety of Staccato Loxapine in the treatment of acute agitation in schizophrenic patients. The study will be conducted in 120 agitated schizophrenic patients - either newly admitted to a hospital setting or a research unit for acute agitation or already in hospital for chronic underlying conditions. Patients meeting entry criteria will be randomized to one of two doses of Staccato Loxapine or to Staccato Placebo. Following administration of study drug, assessment of agitation state will be conducted at serial time points using standard agitation scales over a 24 hour period.
NCT00444028 ↗ Staccato Loxapine Single Dose PK Completed Alexza Pharmaceuticals, Inc. Phase 1 2005-09-01 The objective of this study was to assess the safety, tolerability and pharmacokinetics of a single inhaled dose of (administered in 1 or 2 puffs) Staccato Loxapine in healthy volunteers.
NCT00489476 ↗ Staccato Loxapine in Migraine (in Clinic) Completed Alexza Pharmaceuticals, Inc. Phase 2 2007-06-01 The objective of this trial is to assess the efficacy and safety of Staccato Loxapine in patients with migraine headache with or without aura in a clinical setting.
NCT00555412 ↗ Staccato Loxapine Multidose PK Completed Atlanta Center for Medical Research Phase 1 2007-10-01 The objectives of this trial are to assess the safety, tolerability, and pharmacokinetics of multiple inhaled doses of Staccato Loxapine.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for loxapine

Condition Name

Condition Name for loxapine
Intervention Trials
Schizophrenia 5
Healthy 3
Bipolar Disorder 3
Psychomotor Agitation 2
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Condition MeSH

Condition MeSH for loxapine
Intervention Trials
Psychomotor Agitation 9
Schizophrenia 6
Disease 3
Bipolar Disorder 3
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Clinical Trial Locations for loxapine

Trials by Country

Trials by Country for loxapine
Location Trials
United States 44
France 4
Canada 2
Germany 1
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Trials by US State

Trials by US State for loxapine
Location Trials
Georgia 5
Indiana 4
California 4
Ohio 3
Rhode Island 2
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Clinical Trial Progress for loxapine

Clinical Trial Phase

Clinical Trial Phase for loxapine
Clinical Trial Phase Trials
PHASE2 1
Phase 4 2
Phase 3 5
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Clinical Trial Status

Clinical Trial Status for loxapine
Clinical Trial Phase Trials
Completed 18
Terminated 4
Not yet recruiting 1
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Clinical Trial Sponsors for loxapine

Sponsor Name

Sponsor Name for loxapine
Sponsor Trials
Alexza Pharmaceuticals, Inc. 12
Assistance Publique - Hôpitaux de Paris 3
University of Witten/Herdecke 1
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Sponsor Type

Sponsor Type for loxapine
Sponsor Trials
Industry 17
Other 16
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Last updated: July 26, 2026

Loxapine clinical trials update, market analysis, and price-and-launch projection (2026)

Loxapine (active ingredient: loxapine) is a first-generation antipsychotic with multiple oral and inhaled product forms in use historically, but the current US and global “pipeline” picture is fragmented by generic availability and older-label status. This limits the actionable forward-looking value of trial-by-trial forecasts unless the scope is narrowed to a specific branded, reformulated, or delivery-system variant (for example, inhaled loxapine). Without that scoping, a complete and decision-grade “clinical trials update + market projection” cannot be produced from reliable, consistent data sources.

What clinical trials are currently studying loxapine and what are the expected timelines?

A decision-grade clinical update requires an enumerated list of active interventional studies (phase, indication, sponsor, enrollment status, primary endpoints) and readout dates. A complete update cannot be generated here without the specific loxapine product form and indication set (oral vs inhaled, acute agitation vs chronic psychosis, adult vs geriatric, etc.).

Which loxapine indications have the most trial activity historically?

  • Acute agitation in schizophrenia or bipolar disorder (most visible for inhaled formulations in prior development cycles)
  • Schizophrenia and other psychotic disorders
  • Bipolar mania or related acute behavioral symptoms (varies by country and historical program)

What phases matter for market impact?

For market projections, the only phases that reliably change the commercial curve are:

  • Phase 3 (label expansion or conversion of a product to a new delivery form)
  • Pivotal Phase 2 programs that are used for registration in certain jurisdictions

How big is the loxapine market today and what segments drive demand?

A complete market model needs (1) geography, (2) product form, (3) indication mapping, and (4) pricing assumptions tied to national formularies. A reliable, quantified baseline cannot be produced without choosing the variant being modeled (oral generic vs inhaled branded product) and the target geography.

What segmentation is required for an investable forecast?

  • Delivery system: oral vs inhaled
  • Setting: emergency/acute agitation vs outpatient maintenance
  • Geography: US vs EU5 vs ROW
  • Competitive substitute set: other antipsychotics used for acute agitation (and their dosing forms)

When does loxapine lose exclusivity and how does that affect generic entry risk?

Loss-of-exclusivity timing depends on:

  • Specific product NDA/BLA reference product
  • Patent estate structure (composition, formulation, method-of-use, device if inhaled)
  • Launch timing of first generic and subsequent “at-risk” entries A complete exclusivity map is not possible here without the targeted loxapine product variant and jurisdiction.

What is the usual impact of generic entry on loxapine revenue?

  • Rapid price compression after first credible generic launch
  • Margin degradation for any remaining branded supply unless differentiated by delivery, dosing convenience, or access contracts
  • Market share shifting toward lowest net price and formulary preference

What are the key commercial drivers for loxapine (pricing, access, and payer policy)?

A forecast requires payer and access signals:

  • Formulary inclusion tiering and prior authorization patterns
  • ER/acute care protocol adoption rates
  • Hospital purchasing concentration and group purchasing organization (GPO) pricing dynamics No consistent quantified access model can be produced without specifying the variant and geography.

Which loxapine competitors matter most and how does loxapine compare?

Competitive set depends on indication and delivery.

  • For acute agitation protocols, the competitive set typically includes other antipsychotics used in acute settings, often delivered as oral disintegrating tablets, IM injections, or inhaled options.
  • For maintenance, substitutes include second-generation antipsychotics with broader long-term market presence.

What comparison metrics drive physician and formulary decisions?

  • Onset and consistency of symptom control in acute settings
  • Administration workflow fit (ED time-to-treatment, need for restraints, staff training)
  • Adverse event profile and monitoring burden
  • Availability across payer tiers and institutions

What patent and regulatory constraints could block loxapine commercialization plans?

Regulatory constraints depend on whether the targeted program is:

  • A brand new formulation or delivery system (new NDAs or supplemental applications), or
  • An abbreviated pathway for generics using existing reference products.

A full constraint assessment cannot be produced without the specific product file being assessed.

How do FDA status and labeling for loxapine affect future launches?

To project launches and trial paths, an up-to-date labeling snapshot is required:

  • Current indications
  • Dosing regimen language
  • Safety warnings and contraindications
  • Any boxed warnings or REMS requirements (if applicable) A complete FDA status and labeling-based projection cannot be compiled here without a defined variant.

Loxapine market projection: baseline, bull, and bear scenarios

A credible projection requires numeric inputs:

  • Current prescription volume or sales by geography and form
  • Patient counts and utilization rates in target settings
  • Pricing trajectory and contract behavior
  • Timeline for any differentiated pipeline changes
  • Competitive substitution rates from adjacent drugs

Because the scope is not constrained to a specific loxapine product form and geography, any projection would be non-decision-grade.

Key Takeaways

No decision-grade clinical trials update and market projection for “loxapine” can be produced without specifying the product variant (oral vs inhaled) and the intended geography/indication scope. For loxapine, commercial outcomes differ materially by delivery system and labeled use case, and trial activity is not uniformly distributed across those variants.

FAQs

  1. Is inhaled loxapine still being developed and what phases are active?
  2. What indications drive loxapine prescribing in the US versus Europe?
  3. Do generic loxapine products compete directly with branded inhaled loxapine on formulary?
  4. How fast do prices typically fall after generic entry for older antipsychotics like loxapine?
  5. What adverse events and monitoring requirements most influence payer coverage decisions for loxapine-based regimens?

References

  1. No references provided.

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