Last Updated: May 11, 2026

CLINICAL TRIALS PROFILE FOR PROPARACAINE HYDROCHLORIDE


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505(b)(2) Clinical Trials for proparacaine 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 NCT04515329 ↗ Tear Film Markers in Dry Eye Syndrome Not yet recruiting Sun Pharma Global FZE Phase 4 2021-12-01 Dry eye is the most common reason for visit to an ophthalmologist's office. The prevalence is on the rise and is mainly attributed to factors such as increased environmental pollution and contact lens use. The current management options are limited to over the counter artificial tear drops and three FDA-approved drugs. Of these, cyclosporine has been used worldwide for treating mild to moderate dry eyes. The earlier version consisted of 0.05% cyclosporine which worked well for a limited number of inflammatory dry eye conditions. Recently, 0.09% cyclosporine was approved by the FDA. The nearly double concentration is expected to be more beneficial for severe inflammation which is often seen in Sjögren syndrome and other Rheumatological conditions associated with dry eyes. In this pilot project, the investigator proposes to evaluate the change in expression of SLURP1 and other markers of ocular surface inflammation before and after treatment with 0.09% cyclosporine eye drops.
OTC NCT04515329 ↗ Tear Film Markers in Dry Eye Syndrome Not yet recruiting Vishal Jhanji Phase 4 2021-12-01 Dry eye is the most common reason for visit to an ophthalmologist's office. The prevalence is on the rise and is mainly attributed to factors such as increased environmental pollution and contact lens use. The current management options are limited to over the counter artificial tear drops and three FDA-approved drugs. Of these, cyclosporine has been used worldwide for treating mild to moderate dry eyes. The earlier version consisted of 0.05% cyclosporine which worked well for a limited number of inflammatory dry eye conditions. Recently, 0.09% cyclosporine was approved by the FDA. The nearly double concentration is expected to be more beneficial for severe inflammation which is often seen in Sjögren syndrome and other Rheumatological conditions associated with dry eyes. In this pilot project, the investigator proposes to evaluate the change in expression of SLURP1 and other markers of ocular surface inflammation before and after treatment with 0.09% cyclosporine eye drops.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for proparacaine hydrochloride

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00620997 ↗ Proparacaine vs Placebo for Corneal Injuries Completed London Health Sciences Centre Phase 1 2005-10-01 Introduction: Traumatic injuries to the outer covering of the eye (the cornea) are a common emergency department complaint. They cause significant patient distress including pain, loss of sleep and missed work days. There is currently no accepted, uniform approach to pain management in this patient population. Emergency medicine and ophthalmology texts state that prolonged use of medications that anesthetize the cornea is not recommended. Several recent publications in the ophthalmology literature show that the outpatient use of dilute local anesthesia in patients after eye surgery is a safe and effective method of pain control. In this study, we used Proparacaine (a local anesthetic), in a similar manner, for the outpatient emergency department management of traumatic corneal injuries. Methods: We performed a clinical trial on a sample of adult patients presenting with traumatic corneal injuries to two university affiliated emergency departments in London, Canada. Patients providing signed informed consent to participate in the study received a vial of clear liquid that contained either Proparacaine or plain water (placebo), a pain log, topical antibiotics and oral Acetaminophen (Tylenol) with Codeine for breakthrough pain. Patients were instructed to use the "study drug" on an "as-needed" basis for the next seven days. Patients completed a pain scale describing their discomfort immediately prior to, and five minutes after self-administration of the study drug. All patients were followed closely in an ophthalmology outpatient clinic on Days 1, 3 and 5 after presentation to the emergency department. At the last ophthalmology clinic visit, the patients' pain logs were collected. The protocol was approved by the Research Ethics Board for Health Sciences Research Involving Human Subjects at the University of Western Ontario.
NCT00656435 ↗ Bevacizumab and Long Acting Gas in Diabetic Vitrectomy Completed National Taiwan University Hospital Phase 3 2006-12-01 Persistent or recurrent vitreous hemorrhage after vitrectomy for diabetic retinopathy complications is a common occurrence with an incidence of 12% to 63%. This complication may prolong vitreous clear-up and delay visual rehabilitation significantly, and sometimes requires additional procedures or surgery. The causes of bleeding are diverse. Evidence suggests fibrovascular proliferation from the sclerotomy sites or from the vitreous base may be an important source of recurrent vitreous hemorrhage; other sources of bleeding include iatrogenic intraoperative injury of retinal vessels, and incomplete removal of fibrovascular tissues. We have reported on the possible benefit of peripheral retinal cryotherapy and cryotherapy treatment of sclerotomy sites to prevent delayed-onset recurrent vitreous hemorrhage, and the possible benefit of intravitreal long-acting gas to reduce the occurrence of early postoperative recurrent vitreous hemorrhage, especially for cases with active fibrovascular proliferation. However, minor recurrent vitreous hemorrhage and prolonged reabsorption of lysed blood clots from surgical trauma remain important factors to cause media opacity long enough to prevent quick visual rehabilitation. Intravitreal bevacizumab has been noted to induce rapid regression of retinal and iris neovascularization in proliferative diabetic retinopathy. Further, presurgical administration of intravitreal bevacizumab may reduce intraoperative bleeding during membrane dissection in PDR with traction retinal detachment. We hypothesize that presurgical treatment of intravitreal bevacizumab may reduce intraoperative bleeding and the amount of residual blood clots, while intraoperative infusion of long-acting gas may facilitate post-operative recovery of surgically injured retinal vessels. These combined effects would thus enhance early clear-up of vitreous opacity from clot lysis and recurrent retinal bleeding. To investigate this hypothesis, a clinical prospective study was undertaken to evaluate the effects of bevacizumab pretreatment combined with intravitreal infusion of long-acting gas on the clearance speed and the recurrence rate of early postoperative vitreous hemorrhage in vitrectomy for active diabetic fibrovascular proliferation.
NCT00769392 ↗ Pilot Study: A Randomized Trial Of Anesthetic Agents For Intravitreal Injection Completed Lahey Clinic N/A 2008-09-01 This study is designed to compare four currently used types of anesthesia used prior to intravitreal injection in order to evaluate the most effective method of anesthesia in reducing pain and discomfort associated with intravitreal injections.
NCT01027611 ↗ Patient Assessment of Topical Anesthetic Effectiveness for Intravitreal Injections Completed Illinois Retina Associates Phase 3 2009-10-01 There are currently several different commercially available topical eye drops and gels used to reduce eye discomfort (topical anesthetics) during and after eye injections. Dr. Pollack is performing a research study to evaluate three commercially available topical anesthetics (eye numbing treatments) to determine if individuals have a preference for one over the other. The three topical anesthetics being studied are 1) 0.5% proparacaine hydrochloride (generic, Akorn, Inc), 2) 0.5% proparacaine hydrochloride (generic, Akorn, Inc) PLUS 4% lidocaine hydrochloride topical solution (generic, Roxane Laboratories), and 3) 3.5% lidocaine hydrochloride ophthalmic gel (Akten, Akorn, Inc). These eye anesthetics are NOT experimental medications. They are all commercially available topical anesthetics currently used in our offices and their use is widespread among retina specialists throughout the United States. Dr. Pollack will randomly select one topical anesthetic to use and he will ask you to grade your level of pain associated with the injection procedure. Answering these questions should take less than one minute of your time and your identity will NOT be revealed with the results of this study. The results of this study will be used to inform doctors which eye anesthetics patients find most effective for pain control during eye injections.
NCT01243086 ↗ OZURDEX in Age Related Macular Degeneration as Adjunct to Ranibizumab Completed Hamilton Health Sciences Corporation Phase 2 2011-03-01 In the Western World, Age Related Macular Degeneration (ARMD) is a leading cause of blindness. This disease was once thought to be a natural part of aging, but recent research has introduced effective treatments. ARMD is related to the body initiating an immune response in the eye, as if responding to an infection. Vision is impacted as ocular tissue becomes inflamed and new blood vessels form at the back of the eye, a process called angiogenesis. In the more severe wet form of ARMD, blood and fluid leak out of the vessels and impair the eye's structure and function. Many studies have shown that ranibizumab, a drug that stops the formation of new blood vessels (an anti-angiogenic agent) can delay damage to the eye and often restore vision. The investigators believe the best drug therapy will also stop the inflammation. OZURDEX, a steroid drug, has shown the potential to effectively reduce inflammation in this application. The investigators aim to investigate if patients receiving a combination treatment of ranibizumab and OZURDEX improve their visual abilities more than those receiving just ranibizumab treatment alone. Secondarily, the investigators will also investigate how often patients receiving each drug therapy regime require re-treatment and how often they experience further vision loss.
NCT01243086 ↗ OZURDEX in Age Related Macular Degeneration as Adjunct to Ranibizumab Completed St. Joseph's Healthcare Hamilton Phase 2 2011-03-01 In the Western World, Age Related Macular Degeneration (ARMD) is a leading cause of blindness. This disease was once thought to be a natural part of aging, but recent research has introduced effective treatments. ARMD is related to the body initiating an immune response in the eye, as if responding to an infection. Vision is impacted as ocular tissue becomes inflamed and new blood vessels form at the back of the eye, a process called angiogenesis. In the more severe wet form of ARMD, blood and fluid leak out of the vessels and impair the eye's structure and function. Many studies have shown that ranibizumab, a drug that stops the formation of new blood vessels (an anti-angiogenic agent) can delay damage to the eye and often restore vision. The investigators believe the best drug therapy will also stop the inflammation. OZURDEX, a steroid drug, has shown the potential to effectively reduce inflammation in this application. The investigators aim to investigate if patients receiving a combination treatment of ranibizumab and OZURDEX improve their visual abilities more than those receiving just ranibizumab treatment alone. Secondarily, the investigators will also investigate how often patients receiving each drug therapy regime require re-treatment and how often they experience further vision loss.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for proparacaine hydrochloride

Condition Name

Condition Name for proparacaine hydrochloride
Intervention Trials
Diabetic Macular Edema 4
Age-related Macular Degeneration 3
Epiphora 2
Wet Macular Degeneration 2
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Condition MeSH

Condition MeSH for proparacaine hydrochloride
Intervention Trials
Macular Degeneration 7
Macular Edema 4
Cataract 3
Diabetic Retinopathy 2
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Clinical Trial Locations for proparacaine hydrochloride

Trials by Country

Trials by Country for proparacaine hydrochloride
Location Trials
United States 15
Canada 5
China 3
Israel 1
India 1
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Trials by US State

Trials by US State for proparacaine hydrochloride
Location Trials
Pennsylvania 4
Florida 2
New York 1
Wisconsin 1
Michigan 1
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Clinical Trial Progress for proparacaine hydrochloride

Clinical Trial Phase

Clinical Trial Phase for proparacaine hydrochloride
Clinical Trial Phase Trials
PHASE4 1
Phase 4 10
Phase 3 4
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Clinical Trial Status

Clinical Trial Status for proparacaine hydrochloride
Clinical Trial Phase Trials
Completed 13
Recruiting 7
Unknown status 5
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Clinical Trial Sponsors for proparacaine hydrochloride

Sponsor Name

Sponsor Name for proparacaine hydrochloride
Sponsor Trials
Sun Yat-sen University 2
McMaster University 2
Hebei Provincial Eye Hospital 1
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Sponsor Type

Sponsor Type for proparacaine hydrochloride
Sponsor Trials
Other 46
Industry 3
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Proparacaine Hydrochloride: Clinical Trials Update, Market Analysis, and Projection

Last updated: April 27, 2026

What is proparacaine hydrochloride and how is it used clinically?

Proparacaine hydrochloride is a topical local anesthetic used to provide surface anesthesia in ophthalmic and otic settings. Commercially, it is typically positioned as a short-acting anesthetic for procedures that require rapid onset and brief duration (for example, ocular surface procedures and ear-related interventions). Current branded and generic offerings generally vary by concentration, dosage form (solution/gel-like presentations), and labeled indications by country and regulator.

What do recent clinical-trial records show?

A complete, regulator-level clinical trials update requires authoritative trial databases (eg, ClinicalTrials.gov and EU Clinical Trials Register) with query-specific filtering for interventional studies, status changes, and enrollment timing. No such trial registry content was provided in the input, and no external trial database access is available in this environment.

Because you asked for a clinical trials update, market analysis, and projection, producing an accurate, complete update without trial-record data would violate the requirement to be complete and accurate.

What does the current market landscape look like?

Proparacaine hydrochloride is an established, off-patent topical anesthetic in many jurisdictions. Market outcomes typically track:

  • Generic penetration: cost competition and frequent formulation-based substitutions
  • Procedural volume: ophthalmology and minor ENT procedural throughput
  • Regulatory and labeling: country-specific approved indications and concentrations
  • Tender and hospital procurement: buyer-driven price compression

Competitive structure

Market supply is usually dominated by:

  • Generic manufacturers producing the same active ingredient under multiple product strengths and pack formats
  • Localized brand remnants in select geographies where branded products keep limited share
  • Substitution pressure from other topical local anesthetics (amide and ester classes) used for similar procedural anesthesia

Pricing and volume dynamics (industry pattern for off-patent topical anesthetics)

In off-patent topical anesthetic classes, price per unit tends to be driven by:

  • Form factor (single-dose vs multi-dose)
  • Concentration and vial size
  • Sourcing geography and tender cycles
  • Shelf-life and logistics (pharmacy and OR handling constraints)

No numeric market-size figures, ASP ranges, or shipment/unit estimates were provided in the input, and none can be asserted without citations to a market intelligence source.

What is the demand outlook for proparacaine hydrochloride?

Demand is structurally linked to healthcare service utilization:

  • Ophthalmic procedures where topical surface anesthesia is standard of care in many workflows
  • ENT/otic procedures where topical anesthesia is used for canal instrumentation or examination

For mature, off-patent products, growth typically comes from:

  • Unit growth tied to procedure volumes
  • Share shifts between competitors based on tender pricing
  • Regulatory expansions into additional labeled indications in specific countries

Without numeric baseline demand and geography, any projection would not be complete or accurate.

What market projection can be made?

No market projection model can be produced accurately without at least one anchored dataset: base-year market size (value and/or unit volume), geography scope, and either (a) forecast drivers and weights or (b) historical time series. None were supplied, and no external market dataset is available in this environment.

Accordingly, a numeric forecast (CAGR, unit growth, revenue trajectory) cannot be stated.

What can be concluded for a decision on R&D or investment?

For an off-patent topical anesthetic, the typical commercial decision framework is not about new molecular entity development but about:

  • Product differentiation through formulation, packaging, and stability
  • Regulatory strategy focused on generic or “line extension” pathways
  • Cost-out and procurement fit for hospital and ambulatory surgery settings

But a precise, proparacaine-specific investment or R&D recommendation depends on verified evidence of:

  • active trial pipelines (comparators or label expansions)
  • supply constraints or quality/regulatory actions affecting availability
  • country-by-country pricing and tender patterns

No such evidence was provided, and none can be generated without the underlying trial and market datasets.


Key Takeaways

  • Proparacaine hydrochloride is an established topical local anesthetic used for surface anesthesia in ophthalmic and otic procedural workflows.
  • A complete clinical-trials update requires validated registry data; none was provided, so a factual update cannot be stated.
  • A credible market analysis and numerical projection require baseline market size, geography, and cited datasets; none were provided, so projections cannot be produced.
  • For off-patent topical anesthetics, commercial outcomes generally hinge on generics competition, tender pricing, procurement fit, and procedural volume.

FAQs

1) Is proparacaine hydrochloride still commercially active in major markets?

Yes, it is used as a topical local anesthetic in clinical workflows, with ongoing generic competition in many jurisdictions.

2) What drives demand for proparacaine hydrochloride?

Demand is tied to procedure volumes in ophthalmology and ENT settings that use topical surface anesthesia.

3) Why is market growth usually limited for off-patent proparacaine?

Generic penetration and tender-based procurement pressure compress prices, so growth often tracks unit volume rather than premium pricing.

4) What type of differentiation typically matters for proparacaine products?

Formulation stability, packaging convenience (single-dose vs multi-dose), labeled indication fit, and reliable supply chain performance.

5) Can a numeric market projection be produced without baseline data?

No. A credible projection needs anchored market-size or unit-volume baselines plus a referenced forecasting method.


References

[1] No external sources were provided or retrievable in this environment.

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