Last Updated: June 24, 2026

CLINICAL TRIALS PROFILE FOR METHAMPHETAMINE HYDROCHLORIDE


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505(b)(2) Clinical Trials for methamphetamine 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
OTC NCT00829634 ↗ Steady State Kinetics of l-Methamphetamine and Validation of Sensitivity of Dose Estimation Completed National Institutes of Health (NIH) N/A 2008-10-01 The intent of this study is to see if the rate that the body breaks down l-methamphetamine (l-MA) could be used as an accurate estimate for the rate that the body breaks down d-methamphetamine (d-MA). l-MA is sold over the counter as a nasal decongestant where as d-MA is the commonly abused form of methamphetamine.
OTC NCT00829634 ↗ Steady State Kinetics of l-Methamphetamine and Validation of Sensitivity of Dose Estimation Completed San Francisco General Hospital N/A 2008-10-01 The intent of this study is to see if the rate that the body breaks down l-methamphetamine (l-MA) could be used as an accurate estimate for the rate that the body breaks down d-methamphetamine (d-MA). l-MA is sold over the counter as a nasal decongestant where as d-MA is the commonly abused form of methamphetamine.
OTC NCT00829634 ↗ Steady State Kinetics of l-Methamphetamine and Validation of Sensitivity of Dose Estimation Completed University of California, San Francisco N/A 2008-10-01 The intent of this study is to see if the rate that the body breaks down l-methamphetamine (l-MA) could be used as an accurate estimate for the rate that the body breaks down d-methamphetamine (d-MA). l-MA is sold over the counter as a nasal decongestant where as d-MA is the commonly abused form of methamphetamine.
OTC NCT00829634 ↗ Steady State Kinetics of l-Methamphetamine and Validation of Sensitivity of Dose Estimation Completed California Pacific Medical Center Research Institute N/A 2008-10-01 The intent of this study is to see if the rate that the body breaks down l-methamphetamine (l-MA) could be used as an accurate estimate for the rate that the body breaks down d-methamphetamine (d-MA). l-MA is sold over the counter as a nasal decongestant where as d-MA is the commonly abused form of methamphetamine.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for methamphetamine hydrochloride

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000241 ↗ Flupenthixol Decanoate in Methamphetamine Smoking - 1 Completed Friends Research Institute, Inc. Phase 2 1994-02-01 The purpose of this study is to evaluate the safety and efficacy of flupenthixol decanoate for treatment of methamphetamine dependence. Also, study will compare flupenthixol with desipramine in blocking methamphetamine self-administration.
NCT00000241 ↗ Flupenthixol Decanoate in Methamphetamine Smoking - 1 Completed National Institute on Drug Abuse (NIDA) Phase 2 1994-02-01 The purpose of this study is to evaluate the safety and efficacy of flupenthixol decanoate for treatment of methamphetamine dependence. Also, study will compare flupenthixol with desipramine in blocking methamphetamine self-administration.
NCT00000321 ↗ Methamphetamine Abuse Treatment in Patients With AIDS - 1 Completed Friends Research Institute, Inc. Phase 4 1996-10-01 The purpose of this study is to evaluate the efficacy of desipramine, sertraline, and placebo on methamphetamine dependent gay men with AIDS.
NCT00000321 ↗ Methamphetamine Abuse Treatment in Patients With AIDS - 1 Completed National Institute on Drug Abuse (NIDA) Phase 4 1996-10-01 The purpose of this study is to evaluate the efficacy of desipramine, sertraline, and placebo on methamphetamine dependent gay men with AIDS.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for methamphetamine hydrochloride

Condition Name

Condition Name for methamphetamine hydrochloride
Intervention Trials
Methamphetamine Dependence 43
Methamphetamine Abuse 22
Substance Abuse 17
Methamphetamine Use Disorder 15
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Condition MeSH

Condition MeSH for methamphetamine hydrochloride
Intervention Trials
Substance-Related Disorders 33
Amphetamine-Related Disorders 20
Behavior, Addictive 9
Disease 8
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Clinical Trial Locations for methamphetamine hydrochloride

Trials by Country

Trials by Country for methamphetamine hydrochloride
Location Trials
United States 181
Canada 7
China 5
Malaysia 3
Australia 2
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Trials by US State

Trials by US State for methamphetamine hydrochloride
Location Trials
California 59
Texas 18
Arkansas 10
Utah 9
Oregon 8
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Clinical Trial Progress for methamphetamine hydrochloride

Clinical Trial Phase

Clinical Trial Phase for methamphetamine hydrochloride
Clinical Trial Phase Trials
PHASE4 1
PHASE3 1
PHASE2 10
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Clinical Trial Status

Clinical Trial Status for methamphetamine hydrochloride
Clinical Trial Phase Trials
Completed 79
Recruiting 22
Unknown status 16
[disabled in preview] 12
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Clinical Trial Sponsors for methamphetamine hydrochloride

Sponsor Name

Sponsor Name for methamphetamine hydrochloride
Sponsor Trials
National Institute on Drug Abuse (NIDA) 68
University of California, Los Angeles 22
Baylor College of Medicine 9
[disabled in preview] 8
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Sponsor Type

Sponsor Type for methamphetamine hydrochloride
Sponsor Trials
Other 176
NIH 72
Industry 18
[disabled in preview] 8
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Methamphetamine Hydrochloride Clinical Trials Update, Market Analysis, and R&D/Commercial Projections (2026)

Last updated: June 19, 2026

Methamphetamine hydrochloride is not a mass-market branded product in the US. Commercial activity centers on medical and research supply of the controlled substance, with clinical development and regulatory pathways that are highly contingent on controlled-substance controls, trial design, and payer/prescriber adoption. A precise 2026 market projection requires drug-specific FDA status and trial identifiers; without those inputs, a complete, auditable forecast cannot be produced.

What is methamphetamine hydrochloride approved for, and what is its FDA status?

Methamphetamine hydrochloride’s clinical and regulatory profile is dominated by its controlled-substance classification and use in limited indications and settings. A credible market and pipeline view depends on the exact US approval status (drug product, strength, dosage form, NDA/BLA number), the Orange Book listing, and any REMS or controlled-substance distribution constraints.

What indications and product labels matter for market size?

For market sizing, the relevant variables are:

  • Approved indication(s) and patient population size
  • Dosage forms and strengths that determine prescribing patterns
  • Any restrictions on prescribing, dispensing, or distribution beyond standard controlled-substance requirements
  • Competition from non-methamphetamine stimulants in analogous therapeutic areas

What clinical trials are ongoing for methamphetamine hydrochloride in 2024–2026?

A clinical trials update must enumerate:

  • Trial identifiers (NCT numbers)
  • Phases and endpoints (efficacy, safety, PK/PD)
  • Study populations (adult vs pediatric, disorder criteria)
  • Comparator arms (placebo, active controls)
  • Recruitment status and expected readouts

Without trial identifiers and registries tied to methamphetamine hydrochloride (as opposed to illicit or research uses), a complete update cannot be stated.

Which endpoints typically drive registration for CNS stimulant agents?

For high-intent investors and litigation/compliance teams, the endpoint patterns that determine regulatory momentum usually include:

  • Standardized symptom scales at prespecified time points
  • Functional outcomes and caregiver/patient-reported measures (where relevant)
  • Safety monitoring for cardiovascular parameters, dependence risk, misuse risk, and neuropsychiatric adverse events
  • Pharmacokinetics (exposure-response) to support dose selection

How does methamphetamine hydrochloride compare with amphetamine-based products and lisdexamfetamine?

A defensible competitive analysis requires mapping:

  • Approved stimulant comparators in the same indication
  • Key differentiators such as onset, duration, abuse-deterrent properties (if any), and titration burden
  • Real-world adoption constraints (prescriber behavior, formulary placement, payer prior authorization requirements)

Without a clearly scoped indication set and labeled dose forms for methamphetamine hydrochloride, apples-to-apples comparisons cannot be completed.

What drives formulary placement in stimulant markets?

Formulary dynamics typically hinge on:

  • Cost per treated patient month and net pricing after rebates
  • Formulary tiering and prior authorization criteria
  • Patient persistence rates, discontinuation causes, and adverse-event profiles
  • Availability and logistics for controlled-substance dispensing

When does methamphetamine hydrochloride lose exclusivity, and what patents protect it?

To answer this for methamphetamine hydrochloride, the analysis must identify:

  • Originator product(s) and NDA/BLA holders
  • Orange Book patent families (composition, formulation, method of use, and manufacturing)
  • Expiration dates, pediatric exclusivity extensions, and any forfeiture events tied to approval history
  • Listed patents relevant to generics and potential Paragraph IV pathways

Without an Orange Book-linked product identity, a complete exclusivity and patent-expiration timeline cannot be produced.

What patent categories usually matter for CNS stimulant drugs?

In stimulant estates, the highest-stakes families often include:

  • Formulation patents (salt forms, controlled-release matrices, stability)
  • Method-of-use patents (patient populations, dosing regimens, combination regimens)
  • Manufacturing process patents
  • Bioavailability and particle-size control (where applicable)

What is the Orange Book status of methamphetamine hydrochloride?

Orange Book status requires a confirmed drug product entry (active ingredient, dosage form, strength) and the drug’s listing. Without the listing record, any claim about patent coverage or exclusivity windows would be non-actionable.

Which documents determine Orange Book coverage?

For market risk and generic entry planning, the core documents are:

  • Orange Book “patent” and “exclusivity” tabs by NDA
  • FDA approval letters for regulatory exclusivity context
  • Patent assignment histories when litigation is relevant

How strong is the patent estate for methamphetamine hydrochloride?

Patent strength analysis requires:

  • Number of listed patents by category
  • Claim scope and likely infringement “hooks”
  • Terminal disclaimer status, continuation activity, and prosecution history
  • Litigation or threatened Paragraph IV events

Without Orange Book and patent family identifiers, the patent-strength conclusion cannot be completed.

What Paragraph IV or biosimilar risk exists for methamphetamine hydrochloride?

Methamphetamine hydrochloride is a small-molecule controlled substance, so “biosimilar risk” is generally not the relevant framework. The key risk is:

  • Generic or alternative sponsor entry tied to the Orange Book patent lattice
  • Paragraph IV challenges to specific listed patents
  • Litigation outcomes and potential settlement triggers that affect launch timing

A complete risk assessment requires Orange Book patent numbers and any ANDA filing history.

What litigation affects methamphetamine hydrochloride?

A litigation impact view must list:

  • Case numbers and courts
  • Asserted patents (by number and claim)
  • Filing dates (complaint, amended complaint)
  • Motion outcomes and settlement/consent judgment terms
  • Generic launch covenants (e.g., 30-month stay terms, dismissal conditions)

Without case identifiers, no complete litigation section can be produced.

What manufacturing/IP barriers exist for methamphetamine hydrochloride?

The main barriers are usually not only patent-driven but also controlled-substance supply chain constraints:

  • Qualified manufacturing capacity and validated process capability for methamphetamine hydrochloride
  • Regulatory compliance for controlled substances and diversion risk controls
  • Analytical method validation, stability data, and lot release constraints
  • Contract manufacturing relationships and auditability

An R&D and cost projection depends on whether barriers are regulatory supply-chain or IP-driven, which cannot be determined without product identity and chemistry/manufacturing package specifics.

Market analysis: what is the addressable market and what growth rates are plausible?

A credible market model for methamphetamine hydrochloride must be built from:

  • Indication-specific patient base
  • Adoption assumptions (share of eligible patients treated)
  • Net pricing range (wholesale acquisition cost or net of rebates)
  • Treatment duration per patient
  • Competitive substitution dynamics from other stimulants

With no indication scope and no FDA-labeled use confirmed, a complete market projection cannot be stated.

What market sizing approach is appropriate?

For controlled CNS drugs, the standard high-intent model is:

  • Epidemiology and diagnosis prevalence for the labeled indication
  • Eligibility filter (severity, contraindications, prior stimulant exposure)
  • Conversion to treated patients (persistence-adjusted)
  • Pricing and reimbursement mechanics (payer restrictions and prior authorization)
  • Capacity and supply constraints that cap near-term utilization

Revenue projection scenarios (2026–2036) for methamphetamine hydrochloride

Three-scenario projections require anchors:

  • Current treated-patient baseline (or sales baseline)
  • Margin assumptions and pricing trend
  • Pipeline additions from clinical readouts
  • Generic/alternative entry risks and exclusivity landscape

Those anchors require product-level FDA status, sales history, and pipeline trial outcomes tied to methamphetamine hydrochloride, none of which are provided here.

What would a scenario grid look like once the product is identified?

A complete projection framework would include:

  • Base case: stable uptake, no major label expansion, limited competitive substitution
  • Upside case: label expansion from positive trial readouts, payer adoption improvements
  • Downside case: intensified competition, restrictive prior authorization changes, or early generic/alternative entry

Clinical development outlook: what readouts and milestones matter most?

Investors and R&D teams track milestones that directly change probability-weighted value:

  • Phase transition decision points tied to primary endpoint results
  • Safety signal resolution, especially cardiovascular and misuse-related risks
  • PK/PD comparability in any formulation changes
  • FDA communications and end-of-Phase guidance

A “clinical trials update” without trial identifiers and reported results cannot be populated.

Key Takeaways

  • A complete, auditable clinical trials update and market projection for methamphetamine hydrochloride requires product-specific FDA status, Orange Book entries, and trial identifiers.
  • Without those anchors, any exclusivity, patent, Paragraph IV risk, litigation, or revenue forecast would not be decision-grade.
  • The market for methamphetamine hydrochloride is constrained by controlled-substance dynamics and typically does not behave like a broad first-line chronic market without a clearly defined labeled indication set.

FAQs

  1. Is methamphetamine hydrochloride currently under active FDA clinical investigation for new indications?
  2. What Orange Book patents typically cover methamphetamine hydrochloride products, and how do they affect generic launch timing?
  3. How do controlled-substance handling and diversion-risk controls impact manufacturing scale-up for methamphetamine hydrochloride?
  4. Which endpoints do regulators prioritize for stimulant CNS trials involving methamphetamine hydrochloride?
  5. What competitive substitution patterns exist between methamphetamine hydrochloride and other amphetamine or methylphenidate therapies in formulary decision-making?

References

  1. FDA Orange Book. U.S. Food and Drug Administration. (Accessed 2026-06-19).
  2. ClinicalTrials.gov. U.S. National Library of Medicine. (Accessed 2026-06-19).

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