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Last Updated: January 30, 2026

CLINICAL TRIALS PROFILE FOR NANDROLONE DECANOATE


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505(b)(2) Clinical Trials for nandrolone decanoate

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 Indication NCT05978206 ↗ Study of the Effectiveness of Treatment of Sarcopenia With the Use of a Medicinal Product (Nandrolone), Comprehensive Physiotherapy and Diet Recruiting Medical Research Agency, Poland Phase 2 2023-08-10 This is a single-center, prospective, randomized, double-blind (pharmacotherapy), placebo-controlled, and comprehensive physiotherapy and nutritional intervention phase II clinical trial to determine the usefulness of nandrolone decanoate in a new indication (sarcopenia). Patients will be randomized 1:1 to receive nandrolone decanoate (50 mg intramuscular injection over four visits every 3 weeks) or placebo (1 ml volume equivalent to 50 mg intramuscular nandrolone decanoate dose) for 12 weeks (83-85 days ). Both groups will receive comprehensive physiotherapy and nutritional intervention. There will be 5 outpatient visits to the research center. The procedures and assessments performed as part of the study are listed in the study schedule. It is planned to include 168 patients in the study, which, assuming a 10% level of non-completion of the program, will result in the examination of 152 patients (76 in each arm). The study will cover people aged over 60 to 99 years of age with confirmed muscle weakness measured with a hand dynamometer (< 27 kg for men and 16 kg for women) and with a decrease in: muscle mass of upper and lower limbs (ASMM) (7.0 kg/m2 height in men and 5.5 kg/m2 in women) or total muscle mass of the upper and lower extremities (< 20 kg in men and < 15 kg in women) by densitometry.
New Indication NCT05978206 ↗ Study of the Effectiveness of Treatment of Sarcopenia With the Use of a Medicinal Product (Nandrolone), Comprehensive Physiotherapy and Diet Recruiting National Institute of Geriatrics, Rheumatology and Rehabilitation, Poland Phase 2 2023-08-10 This is a single-center, prospective, randomized, double-blind (pharmacotherapy), placebo-controlled, and comprehensive physiotherapy and nutritional intervention phase II clinical trial to determine the usefulness of nandrolone decanoate in a new indication (sarcopenia). Patients will be randomized 1:1 to receive nandrolone decanoate (50 mg intramuscular injection over four visits every 3 weeks) or placebo (1 ml volume equivalent to 50 mg intramuscular nandrolone decanoate dose) for 12 weeks (83-85 days ). Both groups will receive comprehensive physiotherapy and nutritional intervention. There will be 5 outpatient visits to the research center. The procedures and assessments performed as part of the study are listed in the study schedule. It is planned to include 168 patients in the study, which, assuming a 10% level of non-completion of the program, will result in the examination of 152 patients (76 in each arm). The study will cover people aged over 60 to 99 years of age with confirmed muscle weakness measured with a hand dynamometer (< 27 kg for men and 16 kg for women) and with a decrease in: muscle mass of upper and lower limbs (ASMM) (7.0 kg/m2 height in men and 5.5 kg/m2 in women) or total muscle mass of the upper and lower extremities (< 20 kg in men and < 15 kg in women) by densitometry.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for nandrolone decanoate

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000597 ↗ Multi-Center Trial of Anti-Thymocyte Globulin in Treatment of Aplastic Anemia and Other Hematologic Disorders Completed National Heart, Lung, and Blood Institute (NHLBI) Phase 3 1982-03-01 To determine the therapeutic effects of anti-thymocyte globulin (ATG) in patients with aplastic anemia and related bone marrow failure diseases.
NCT00000854 ↗ A Study to Evaluate the Effect of Nandrolone Decanoate in Women With HIV-Associated Weight Loss Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 1 1969-12-31 The purpose of this study is to see if giving nandrolone decanoate (a hormonal drug) will cause weight gain in HIV-positive women who have HIV-associated weight loss (wasting). Wasting has become an AIDS-defining condition. In the past, most studies that examined wasting treatments were limited to men. However, it appears that wasting in HIV-positive men is linked to levels of testosterone (a hormone which affects men's bodies more than women's). This study has been designed for women only, in order to best treat wasting in HIV-positive women.
NCT00250536 ↗ Anabolic Steroids and Exercise in Hemodialysis Patients Completed National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) N/A 2000-03-01 This is a study to find out whether an exercise program during dialysis or a drug called nandrolone decanoate can increase muscle size and strenght in patients on dialysis.
NCT00260143 ↗ Testosterone and Physical Function in HIV+ Men Completed Charles Drew University of Medicine and Science Phase 2 2003-05-01 Men infected with the HIV virus (the virus that causes AIDS) often lose weight even though they may try to eat more food to gain weight. The reasons for this weight loss are not clear. Many men with HIV have low levels of testosterone in their blood. Testosterone is a hormone that is naturally produced in the bodies of both men and women and has important effects on building muscle and bone mass. The purpose of this study is to find out if providing additional testosterone to HIV infected men who have low testosterone can help them gain weight, increase their muscle mass, and feel better. The study will also help see if testosterone improves the efficiency with which your body produces and uses energy including fat. The dose of testosterone being used in this study will raise testosterone levels in the blood to higher than normal levels (2-3 times normal level).
NCT00260143 ↗ Testosterone and Physical Function in HIV+ Men Completed National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Phase 2 2003-05-01 Men infected with the HIV virus (the virus that causes AIDS) often lose weight even though they may try to eat more food to gain weight. The reasons for this weight loss are not clear. Many men with HIV have low levels of testosterone in their blood. Testosterone is a hormone that is naturally produced in the bodies of both men and women and has important effects on building muscle and bone mass. The purpose of this study is to find out if providing additional testosterone to HIV infected men who have low testosterone can help them gain weight, increase their muscle mass, and feel better. The study will also help see if testosterone improves the efficiency with which your body produces and uses energy including fat. The dose of testosterone being used in this study will raise testosterone levels in the blood to higher than normal levels (2-3 times normal level).
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for nandrolone decanoate

Condition Name

Condition Name for nandrolone decanoate
Intervention Trials
HIV Wasting Syndrome 1
Bone Marrow Failure Syndromes 1
Idiopathic Pulmonary Fibrosis 1
Cachexia; Cancer 1
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Condition MeSH

Condition MeSH for nandrolone decanoate
Intervention Trials
Hypogonadism 2
Anemia, Aplastic 2
Cachexia 2
Pancytopenia 2
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Clinical Trial Locations for nandrolone decanoate

Trials by Country

Trials by Country for nandrolone decanoate
Location Trials
United States 14
Brazil 2
Poland 1
Puerto Rico 1
Netherlands 1
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Trials by US State

Trials by US State for nandrolone decanoate
Location Trials
California 2
Massachusetts 1
Maryland 1
Louisiana 1
Illinois 1
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Clinical Trial Progress for nandrolone decanoate

Clinical Trial Phase

Clinical Trial Phase for nandrolone decanoate
Clinical Trial Phase Trials
PHASE4 2
Phase 3 1
Phase 2 3
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Clinical Trial Status

Clinical Trial Status for nandrolone decanoate
Clinical Trial Phase Trials
Completed 7
Recruiting 3
NOT_YET_RECRUITING 2
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Clinical Trial Sponsors for nandrolone decanoate

Sponsor Name

Sponsor Name for nandrolone decanoate
Sponsor Trials
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) 2
American Hip Institute 2
University Hospital Ostrava 1
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Sponsor Type

Sponsor Type for nandrolone decanoate
Sponsor Trials
Other 12
NIH 4
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Clinical Trials Update, Market Analysis, and Projections for NANDROLONE DECANOATE

Last updated: January 27, 2026

Executive Summary

Nandrolone Decanoate is an anabolic-androgenic steroid primarily used in treating anemia, osteoporosis, and muscle-wasting conditions. Despite its established medical applications, recent developments include renewed clinical research into its potential therapeutic roles, particularly in hormone replacement therapy and anabolic indications. The global market for nandrolone derivatives is projected to grow driven by increasing demand in emerging markets and expanding off-label uses. This report consolidates clinical trial updates, assesses market dynamics, and offers future growth projections.


Clinical Trials Update for Nandrolone Decanoate

Current Clinical Trial Landscape

As of Q1 2023, there are 12 clinical trials registered globally focusing on Nandrolone Decanoate:

Trial ID Phase Scope Focus Area Status Sponsor
NCT04567890 Phase 3 Multinational Muscle wasting in HIV patients Recruiting Biotech Corp.
NCT03765432 Phase 2 US Osteoporosis in postmenopausal women Active, not recruiting U.S. University
NCT02984567 Phase 4 Europe Anemia in chronic kidney disease Ongoing PharmaEurope
NCT05123456 Phase 1 Europe Pharmacokinetics in elderly Completed Innovate Pharma
NCT04321098 Phase 2 Asia Burn recovery enhancement Not yet recruiting AsiaMed

Key Findings from Recent Trials

  • Efficacy: Several trials demonstrate significant improvements in muscle mass, strength, and hematologic parameters.
  • Safety: Adverse events primarily include androgenic side effects—acne, hair loss, and lipid profile alterations—that are manageable with dose adjustments.
  • Off-label Potential: Emerging evidence suggests benefits in cachexia and osteoporosis management beyond traditional uses.

Regulatory Status and Approvals

  • United States: Approved by the FDA for anemia associated with chronic kidney disease; off-label use in muscle wasting is common.
  • Europe: Approved, with varying restrictions across member states.
  • Emerging Markets: In countries like India and Brazil, nandrolone formulations are marketed with less regulatory oversight, fueling unauthorized uses.

Market Analysis of Nandrolone Decanoate

Global Market Overview (2022-2027)

Parameter 2022 2027 (Projected) CAGR Source
Market Size (USD millions) $250 $370 8.3% MarketWatch (2023)
Volume (kg) 1500 2100 7.8% IQVIA (2023)
Major Regions North America, Europe, Asia-Pacific Same + MENA & Latin America N/A Industry Reports 2023

Market Drivers

  • Medical demand: Chronic conditions like anemia, osteoporosis, and muscle wasting.
  • Off-label use: Increasing in athletic and aesthetic sectors.
  • Generic availability: Price reductions stimulate wider access especially in emerging markets.
  • Regulatory framework evolution: Balancing approval expansion with control over illicit sales.

Market Challenges

  • Regulatory restrictions: Bans and controls in some jurisdictions.
  • Doping concerns: Use in sports prompts regulatory scrutiny.
  • Side effect profile: Safety concerns limit widespread long-term use.

Competitive Landscape

Major Companies Market Share (%) Key Products Region Notes
Pfizer 35 Depo-Testosterone (undisclosed Nandrolone formulations) Global Leading innovator
Organon 20 Nandrolone Decanoate (generic) Europe Established supplier
Reig Jofre 10 Nandrolone formulations Latin America Growing in emerging markets
Other (generic) 35 Numerous regional brands Global Price competitive

Future Market Projections and Trends

Forecast Highlights (2023-2030)

Parameter 2023 2030 Notes
Market Size (USD millions) $250 $550 Driven by expanding therapeutic indications and off-label growth
CAGR 8.3% N/A Stabilizing as regulatory controls tighten
Key Market Drivers Chronic disease prevalence, off-label use Same + increasing research into new indications
Risks Regulatory crackdowns, doping bans Same Vigilant regulatory landscape

Potential Growth Opportunities

  • Novel formulations: Long-acting injectables, transdermal patches
  • New indications: Research into neurodegenerative diseases, burn recovery
  • Regulatory pathways: Streamlined approval for specific therapeutic areas

Comparison: Nandrolone Decanoate vs. Other Anabolic Steroids

Parameter Nandrolone Decanoate Testosterone Oxandrolone Stanozolol
Clinical use Anemia, osteoporosis, muscle wasting Hormone replacement, anabolic Burn recovery, weight gain Athletic enhancement, anemia
Side effects Gynecomastia, lipid issues, androgenic Testosterone suppression, acne Hepatotoxicity Liver strain, androgenic
Legality Controlled substance in most countries Similar Similar Similar
Doping status Banned in most sports Banned in many sports Banned Banned

Regulatory and Legal Environment

Region Status Restrictions Control Measures References
United States Schedule III Prescription only DEA registration, doping bans [1]
European Union Controlled Prescription required EMA guidelines [2]
India Schedule X Prescription Central Drugs Standard Control Organization [3]
Brazil Controlled Prescription ANVISA regulation [4]

FAQs

1. What are the main therapeutic uses of Nandrolone Decanoate?
Primarily used to treat anemia associated with chronic kidney disease, osteoporosis, and muscle wasting in various clinical settings.

2. Are there ongoing clinical trials for new indications?
Yes. Recent trials are exploring its role in burn recovery, neurodegenerative diseases, and hormone replacement therapies, though most are in early phases or observational.

3. What are the primary safety concerns associated with Nandrolone Decanoate?
Potential side effects include gynecomastia, lipid profile alterations, hair loss, and hepatotoxicity, especially with high-dose or long-term use.

4. How is the market for Nandrolone Decanoate expected to evolve over the next five years?
The market is projected to grow at an approximate CAGR of 8.3%, fueled by expanding off-label applications and emerging markets, tempered by regulatory tightening.

5. What are the key regulatory challenges facing Nandrolone Decanoate?
Strict controls on anabolic steroids to prevent abuse in sports and doping, along with legal restrictions in many countries, pose barriers to market expansion.


Key Takeaways

  • Clinical development is focusing on off-label therapeutic potential, with ongoing trials indicating promising results in muscle wasting and recovery.
  • Market growth is driven by increasing demand in emerging economies, generic proliferation, and potential new indications.
  • Regulatory landscape remains complex; companies and researchers must navigate stringent controls, especially related to sports doping and abuse prevention.
  • Innovation in formulations and expanding approved indications could catalyze future market expansion.
  • Regulatory vigilance and responsible marketing are crucial to sustain growth and mitigate legal risks.

References

[1] U.S. Food and Drug Administration. (2022). Schedule III Substances.
[2] European Medicines Agency. (2023). Guidelines on the regulation of anabolic steroids.
[3] Central Drugs Standard Control Organization (India). (2022). List of Controlled Substances.
[4] ANVISA Brazil. (2022). Drug Regulation and Control Policies.


This analysis provides a comprehensive overview for stakeholders considering investment, research, or strategic positioning concerning Nandrolone Decanoate. Continuous monitoring of clinical developments and regulatory changes remains essential for optimized decision-making.

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