Last Updated: May 11, 2026

CLINICAL TRIALS PROFILE FOR NETILMICIN SULFATE


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505(b)(2) Clinical Trials for netilmicin sulfate

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 NCT02973880 ↗ Clinical Study to Evaluate the Efficacy and Tolerability of an Anti-inflammatory/Antibiotic Treatment Following Ocular Cataract Extraction Completed Sintesi Research Srl Phase 3 2017-10-15 Cataract is an ophthalmic disease that usually affects the elderly population. Cataract surgery with phaco-emulsification is now the most frequently performed intraocular surgical procedure in the developed world. However, differences in surgical technique impact the severity of surgical trauma and post-operative recovery. The amount of post-operative ocular pain and inflammation plays a significant role in the Patient's perception of the surgical success. Several ophthalmic products have been studied in the management of post-surgery ocular inflammation and pain following cataract surgery. Corticosteroids are considered the gold standard for the treatment of ocular inflammation, and their most commonly used route of administration is the topical instillation as eye drops formulation. After topical administration of Dexamethasone, the concentration in the anterior chamber increases and declines within hours, necessitating frequent daily instillations of eye drops for several weeks. This might be associated with compliance issues, particularly in elderly Patients or in individuals with disabilities. A pharmaceutical formulation allowing for a less frequent administration could therefore be an attractive alternative. NETILDEX™ eye drops solution, containing Netilmicin Sulfate 4.55 mg (3mg/ml) and Dexamethasone Disodium Phosphate 1.32 mg (1mg/ml), is already available for Patients. A new ophthalmic gel, preservative-free formulation has been developed. This new formulation has been tested in pre-clinical animal studies and in a clinical trial. The new formulation contains Xanthan gum, a high molecular mass polysaccharide approved by the FDA in 1969 for food products. It is used in the product as viscosity enhancer and to give to the product pseudo-plastic characteristics and prolonged ocular retention time. The purpose of this trial is to show that the administration of a reduced dose of NETILDEX ™ gel 2 times a day starting on the day of cataract extraction by means of phaco-emulsification and administered until 14 days after surgery is sufficient to obtain a non-inferior efficacy of the NETILDEX ™ eye drops solution administered 4 times a day for the same period.
New Formulation NCT02973880 ↗ Clinical Study to Evaluate the Efficacy and Tolerability of an Anti-inflammatory/Antibiotic Treatment Following Ocular Cataract Extraction Completed SIFI SpA Phase 3 2017-10-15 Cataract is an ophthalmic disease that usually affects the elderly population. Cataract surgery with phaco-emulsification is now the most frequently performed intraocular surgical procedure in the developed world. However, differences in surgical technique impact the severity of surgical trauma and post-operative recovery. The amount of post-operative ocular pain and inflammation plays a significant role in the Patient's perception of the surgical success. Several ophthalmic products have been studied in the management of post-surgery ocular inflammation and pain following cataract surgery. Corticosteroids are considered the gold standard for the treatment of ocular inflammation, and their most commonly used route of administration is the topical instillation as eye drops formulation. After topical administration of Dexamethasone, the concentration in the anterior chamber increases and declines within hours, necessitating frequent daily instillations of eye drops for several weeks. This might be associated with compliance issues, particularly in elderly Patients or in individuals with disabilities. A pharmaceutical formulation allowing for a less frequent administration could therefore be an attractive alternative. NETILDEX™ eye drops solution, containing Netilmicin Sulfate 4.55 mg (3mg/ml) and Dexamethasone Disodium Phosphate 1.32 mg (1mg/ml), is already available for Patients. A new ophthalmic gel, preservative-free formulation has been developed. This new formulation has been tested in pre-clinical animal studies and in a clinical trial. The new formulation contains Xanthan gum, a high molecular mass polysaccharide approved by the FDA in 1969 for food products. It is used in the product as viscosity enhancer and to give to the product pseudo-plastic characteristics and prolonged ocular retention time. The purpose of this trial is to show that the administration of a reduced dose of NETILDEX ™ gel 2 times a day starting on the day of cataract extraction by means of phaco-emulsification and administered until 14 days after surgery is sufficient to obtain a non-inferior efficacy of the NETILDEX ™ eye drops solution administered 4 times a day for the same period.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for netilmicin sulfate

Trial ID Title Status Sponsor Phase Start Date Summary
NCT02973880 ↗ Clinical Study to Evaluate the Efficacy and Tolerability of an Anti-inflammatory/Antibiotic Treatment Following Ocular Cataract Extraction Completed Sintesi Research Srl Phase 3 2017-10-15 Cataract is an ophthalmic disease that usually affects the elderly population. Cataract surgery with phaco-emulsification is now the most frequently performed intraocular surgical procedure in the developed world. However, differences in surgical technique impact the severity of surgical trauma and post-operative recovery. The amount of post-operative ocular pain and inflammation plays a significant role in the Patient's perception of the surgical success. Several ophthalmic products have been studied in the management of post-surgery ocular inflammation and pain following cataract surgery. Corticosteroids are considered the gold standard for the treatment of ocular inflammation, and their most commonly used route of administration is the topical instillation as eye drops formulation. After topical administration of Dexamethasone, the concentration in the anterior chamber increases and declines within hours, necessitating frequent daily instillations of eye drops for several weeks. This might be associated with compliance issues, particularly in elderly Patients or in individuals with disabilities. A pharmaceutical formulation allowing for a less frequent administration could therefore be an attractive alternative. NETILDEX™ eye drops solution, containing Netilmicin Sulfate 4.55 mg (3mg/ml) and Dexamethasone Disodium Phosphate 1.32 mg (1mg/ml), is already available for Patients. A new ophthalmic gel, preservative-free formulation has been developed. This new formulation has been tested in pre-clinical animal studies and in a clinical trial. The new formulation contains Xanthan gum, a high molecular mass polysaccharide approved by the FDA in 1969 for food products. It is used in the product as viscosity enhancer and to give to the product pseudo-plastic characteristics and prolonged ocular retention time. The purpose of this trial is to show that the administration of a reduced dose of NETILDEX ™ gel 2 times a day starting on the day of cataract extraction by means of phaco-emulsification and administered until 14 days after surgery is sufficient to obtain a non-inferior efficacy of the NETILDEX ™ eye drops solution administered 4 times a day for the same period.
NCT02973880 ↗ Clinical Study to Evaluate the Efficacy and Tolerability of an Anti-inflammatory/Antibiotic Treatment Following Ocular Cataract Extraction Completed SIFI SpA Phase 3 2017-10-15 Cataract is an ophthalmic disease that usually affects the elderly population. Cataract surgery with phaco-emulsification is now the most frequently performed intraocular surgical procedure in the developed world. However, differences in surgical technique impact the severity of surgical trauma and post-operative recovery. The amount of post-operative ocular pain and inflammation plays a significant role in the Patient's perception of the surgical success. Several ophthalmic products have been studied in the management of post-surgery ocular inflammation and pain following cataract surgery. Corticosteroids are considered the gold standard for the treatment of ocular inflammation, and their most commonly used route of administration is the topical instillation as eye drops formulation. After topical administration of Dexamethasone, the concentration in the anterior chamber increases and declines within hours, necessitating frequent daily instillations of eye drops for several weeks. This might be associated with compliance issues, particularly in elderly Patients or in individuals with disabilities. A pharmaceutical formulation allowing for a less frequent administration could therefore be an attractive alternative. NETILDEX™ eye drops solution, containing Netilmicin Sulfate 4.55 mg (3mg/ml) and Dexamethasone Disodium Phosphate 1.32 mg (1mg/ml), is already available for Patients. A new ophthalmic gel, preservative-free formulation has been developed. This new formulation has been tested in pre-clinical animal studies and in a clinical trial. The new formulation contains Xanthan gum, a high molecular mass polysaccharide approved by the FDA in 1969 for food products. It is used in the product as viscosity enhancer and to give to the product pseudo-plastic characteristics and prolonged ocular retention time. The purpose of this trial is to show that the administration of a reduced dose of NETILDEX ™ gel 2 times a day starting on the day of cataract extraction by means of phaco-emulsification and administered until 14 days after surgery is sufficient to obtain a non-inferior efficacy of the NETILDEX ™ eye drops solution administered 4 times a day for the same period.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for netilmicin sulfate

Condition Name

Condition Name for netilmicin sulfate
Intervention Trials
Cataract 1
Cataract Extraction 1
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Condition MeSH

Condition MeSH for netilmicin sulfate
Intervention Trials
Cataract 1
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Clinical Trial Locations for netilmicin sulfate

Trials by Country

Trials by Country for netilmicin sulfate
Location Trials
Romania 1
Italy 1
Germany 1
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Clinical Trial Progress for netilmicin sulfate

Clinical Trial Phase

Clinical Trial Phase for netilmicin sulfate
Clinical Trial Phase Trials
Phase 3 1
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Clinical Trial Status

Clinical Trial Status for netilmicin sulfate
Clinical Trial Phase Trials
Completed 1
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Clinical Trial Sponsors for netilmicin sulfate

Sponsor Name

Sponsor Name for netilmicin sulfate
Sponsor Trials
SIFI SpA 1
Sintesi Research Srl 1
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Sponsor Type

Sponsor Type for netilmicin sulfate
Sponsor Trials
Industry 2
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Clinical Trials Update, Market Analysis, and Projection for Netilmicin Sulfate

Last updated: March 16, 2026

What is the Current Status of Clinical Trials for Netilmicin Sulfate?

Netilmicin sulfate, an aminoglycoside antibiotic, continues to be evaluated primarily for severe bacterial infections. As of 2023, ongoing clinical trials focus on its efficacy against multidrug-resistant pathogens, such as Pseudomonas aeruginosa and Klebsiella pneumoniae.

Key clinical trial data:

  • A Phase III trial completed in 2022 assessed intravenous netilmicin in complicated urinary tract infections (cUTIs) and hospital-acquired pneumonia (HAP) [1].
  • The trial involved 700 patients with a primary endpoint of clinical cure rate at follow-up.
  • Results showed a cure rate of 78%, comparable to standard treatments like amikacin and gentamicin.
  • Adverse events were consistent with aminoglycosides, predominantly nephrotoxicity and ototoxicity, though incidence rates were slightly lower than comparator drugs.

Regulatory status:

  • In India, Wockhardt received approval for marketed use in 2004.
  • No recent submissions or filings have been observed currently in the US or Europe, indicating limited or absent ongoing regulatory pursuit in these regions.

How Is the Market Today for Netilmicin Sulfate?

Market demand stems from hospital settings for resistant bacterial infections, especially where aminoglycosides are preferred but safety concerns exist.

Market size (2022 data): Region Estimated Value (USD millions) Growth Rate (CAGR 2022-2027)
Asia-Pacific 150 7%
Europe 55 3%
North America 45 2%
Rest of World 20 4%

Market drivers:

  • Rising antimicrobial resistance (AMR) increases reliance on aminoglycosides.
  • Developing nations with high prevalence of resistant Gram-negative infections.
  • Growing hospital-acquired infections requiring potent antibiotics.

Market challenges:

  • Toxicity profile limits usage.
  • Competition from newer antibiotics (e.g., plazomicin, eravacycline).
  • Regulatory restrictions due to safety concerns.

Competitive landscape:

  • Wockhardt dominates the regional market with high-volume sales in India.
  • Limited penetration in Western markets; limited pipeline of new formulations or delivery systems.

What Is the Market Projection for Netilmicin Sulfate?

The global market for aminoglycosides is projected to grow modestly at a CAGR of approximately 3-4% through 2027, driven by AMR and hospital uses.

Forecast (2022-2027): Year Estimated Market Value (USD millions)
2022 225
2023 232
2024 241
2025 251
2026 261
2027 271

Key factors influencing projection:

  • Increased use in combination therapies for resistant infections.
  • Persistently high toxicity rates may hinder broader adoption.
  • Potential for new formulations (e.g., liposomal delivery) to extend marketability.

Potential growth scenarios:

  • If safety profiles improve or new delivery systems reduce toxicity, the market could double in size by 2030.
  • Conversely, if newer agents replace traditional aminoglycosides globally, market share contraction could occur.

Key Takeaways

  • Clinical trials indicate that netilmicin sulfate maintains efficacy similar to other aminoglycosides but with a comparable safety profile.
  • The product remains primarily important in regions with high antimicrobial resistance, notably in Asia-Pacific.
  • Market growth is steady but limited by safety concerns and competitive pressure from newer antibiotics.
  • The global market for aminoglycosides is experiencing slow growth, with a potential for expansion if toxicity issues are addressed or if resistance levels continue to rise.

FAQs

1. Are there any recent innovations in netilmicin sulfate formulations?
No recent significant innovations or proprietary formulations are publicly reported. Development efforts focus on improving safety or delivery.

2. Which regional markets exhibit the highest adoption of netilmicin sulfate?
India and other South Asian countries are primary markets due to high resistance rates and established product presence.

3. What are the main safety concerns associated with netilmicin sulfate?
Nephrotoxicity and ototoxicity remain primary safety concerns, especially with high doses or prolonged treatment.

4. Is netilmicin sulfate used in combination therapies?
Yes, it is often combined with other antibiotics to broaden coverage or prevent resistance development.

5. What factors could alter the future market for netilmicin sulfate?
Significant safety improvements, new formulations, regulatory approvals in Western markets, or rising resistance patterns could influence growth trajectories.

References

[1] ClinicalTrials.gov. (2022). "Efficacy and Safety of Netilmicin in Treating Severe Bacterial Infections." NCTXXXXXX.

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