Last Updated: May 11, 2026

CLINICAL TRIALS PROFILE FOR PYRIDOXINE HYDROCHLORIDE


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All Clinical Trials for pyridoxine hydrochloride

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000638 ↗ Preventive Treatment Against Tuberculosis (TB) in Patients With Human Immunodeficiency Virus (HIV) Infection and Confirmed Latent Tuberculous Infection Completed Hoechst Marion Roussel N/A 1969-12-31 To evaluate and compare the safety and effectiveness of a one-year course of isoniazid (INH) versus a two-month course of rifampin plus pyrazinamide for the prevention of reactivation tuberculosis in individuals infected with both HIV and latent (inactive) Mycobacterium tuberculosis. Current guidelines from the American Thoracic Society and the Centers for Disease Control recommend 6 to 12 months of INH for PPD (purified protein derivative)-positive individuals. Although the effectiveness of this treatment is not known for HIV-infected individuals, several studies using INH to prevent tuberculosis in presumably normal hosts have shown 60 to 80 percent effectiveness. Problems with this treatment include compliance, adverse reaction, and the possibility of not preventing disease due to tuberculosis organisms being resistant to INH. A two-month preventive treatment plan should help in increasing compliance. In addition, the use of two drugs (rifampin / pyrazinamide) may help overcome problems with drug resistance. If this study shows equal or greater effectiveness of the two-month rifampin / pyrazinamide treatment, it could alter the approach to tuberculosis prevention for both HIV-positive and HIV-negative individuals.
NCT00000638 ↗ Preventive Treatment Against Tuberculosis (TB) in Patients With Human Immunodeficiency Virus (HIV) Infection and Confirmed Latent Tuberculous Infection Completed Lederle Laboratories N/A 1969-12-31 To evaluate and compare the safety and effectiveness of a one-year course of isoniazid (INH) versus a two-month course of rifampin plus pyrazinamide for the prevention of reactivation tuberculosis in individuals infected with both HIV and latent (inactive) Mycobacterium tuberculosis. Current guidelines from the American Thoracic Society and the Centers for Disease Control recommend 6 to 12 months of INH for PPD (purified protein derivative)-positive individuals. Although the effectiveness of this treatment is not known for HIV-infected individuals, several studies using INH to prevent tuberculosis in presumably normal hosts have shown 60 to 80 percent effectiveness. Problems with this treatment include compliance, adverse reaction, and the possibility of not preventing disease due to tuberculosis organisms being resistant to INH. A two-month preventive treatment plan should help in increasing compliance. In addition, the use of two drugs (rifampin / pyrazinamide) may help overcome problems with drug resistance. If this study shows equal or greater effectiveness of the two-month rifampin / pyrazinamide treatment, it could alter the approach to tuberculosis prevention for both HIV-positive and HIV-negative individuals.
NCT00000638 ↗ Preventive Treatment Against Tuberculosis (TB) in Patients With Human Immunodeficiency Virus (HIV) Infection and Confirmed Latent Tuberculous Infection Completed National Institute of Allergy and Infectious Diseases (NIAID) N/A 1969-12-31 To evaluate and compare the safety and effectiveness of a one-year course of isoniazid (INH) versus a two-month course of rifampin plus pyrazinamide for the prevention of reactivation tuberculosis in individuals infected with both HIV and latent (inactive) Mycobacterium tuberculosis. Current guidelines from the American Thoracic Society and the Centers for Disease Control recommend 6 to 12 months of INH for PPD (purified protein derivative)-positive individuals. Although the effectiveness of this treatment is not known for HIV-infected individuals, several studies using INH to prevent tuberculosis in presumably normal hosts have shown 60 to 80 percent effectiveness. Problems with this treatment include compliance, adverse reaction, and the possibility of not preventing disease due to tuberculosis organisms being resistant to INH. A two-month preventive treatment plan should help in increasing compliance. In addition, the use of two drugs (rifampin / pyrazinamide) may help overcome problems with drug resistance. If this study shows equal or greater effectiveness of the two-month rifampin / pyrazinamide treatment, it could alter the approach to tuberculosis prevention for both HIV-positive and HIV-negative individuals.
NCT00000778 ↗ A Pilot Study of Methodology to Rapidly Evaluate Drugs for Bactericidal Activity, Tolerance, and Pharmacokinetics in the Treatment of Pulmonary Tuberculosis Using Isoniazid and Levofloxacin Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 1 1969-12-31 To evaluate the methodology for rapidly determining the early bactericidal activity (EBA), tolerance, and pharmacokinetics of isoniazid and levofloxacin in the treatment of pulmonary tuberculosis (TB). Traditionally, in trials for treatment of TB, a new drug is administered in combination with two or more other antituberculous agents of known effectiveness over a long period of time. In this setting, it is difficult to determine the effect of any single drug or dose level. Development of new agents for the treatment of TB may be accelerated by a methodology in which a new agent could be evaluated for activity by administering it as a single agent over a short time period. This study utilizes a method to measure the amount of bacteria present each day in the lungs.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for pyridoxine hydrochloride

Condition Name

Condition Name for pyridoxine hydrochloride
Intervention Trials
Tuberculosis 16
HIV Infections 7
Lymphoma 5
West Syndrome 2
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Condition MeSH

Condition MeSH for pyridoxine hydrochloride
Intervention Trials
Tuberculosis 22
HIV Infections 11
Vomiting 7
Acquired Immunodeficiency Syndrome 6
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Clinical Trial Locations for pyridoxine hydrochloride

Trials by Country

Trials by Country for pyridoxine hydrochloride
Location Trials
United States 135
South Africa 15
Brazil 13
India 11
Zimbabwe 8
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Trials by US State

Trials by US State for pyridoxine hydrochloride
Location Trials
Texas 12
California 9
Florida 8
Ohio 6
New York 6
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Clinical Trial Progress for pyridoxine hydrochloride

Clinical Trial Phase

Clinical Trial Phase for pyridoxine hydrochloride
Clinical Trial Phase Trials
PHASE2 5
PHASE1 1
Phase 4 11
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Clinical Trial Status

Clinical Trial Status for pyridoxine hydrochloride
Clinical Trial Phase Trials
COMPLETED 44
RECRUITING 16
Withdrawn 10
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Clinical Trial Sponsors for pyridoxine hydrochloride

Sponsor Name

Sponsor Name for pyridoxine hydrochloride
Sponsor Trials
National Institute of Allergy and Infectious Diseases (NIAID) 13
M.D. Anderson Cancer Center 7
National Cancer Institute (NCI) 6
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Sponsor Type

Sponsor Type for pyridoxine hydrochloride
Sponsor Trials
Other 119
Industry 25
NIH 25
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Pyridoxine Hydrochloride: Clinical Trials Update, Market Analysis, and Projection

Last updated: February 20, 2026

What Is the Current Status of Clinical Trials for Pyridoxine Hydrochloride?

Pyridoxine hydrochloride, a form of vitamin B6, primarily used for deficiency treatment and certain metabolic conditions, has limited new clinical trial activity reported over the last five years. Its established safety profile results in fewer investigatory trials compared to novel pharmaceuticals.

Summary of Clinical Trial Landscape

Parameter Data
Number of Trials (2018–2022) 12 registered, with 7 completed, mainly focused on deficiency and neuropathy management
Trial Phases Mostly phase 2 and phase 3
Key Objectives Dose optimization, efficacy in neuropathy, and metabolic disorder management
Regulatory Status Approved by FDA, EMA for deficiency treatment; no recent major indication extensions

Notable Trials and Findings

  • Neuropathy management: Several studies evaluate pyridoxine's combination with other B vitamins to treat diabetic neuropathy, with mixed results indicating moderate symptom relief.
  • Perinatal deficiency: Trials assess safety during pregnancy, affirming its safety profile.
  • Drug interactions: Minor investigations focus on interactions with drugs like isoniazid.

Recent Publications

Most peer-reviewed research confirms the safety and efficacy of traditional uses but does not suggest major shifts in clinical application.

What Is the Current Market Size and Key Players?

Market Overview

The global pyridoxine hydrochloride market was valued at approximately USD 400 million in 2022. Growth is driven by demand in dietary supplements, functional foods, and pharmaceutical formulations. Compound annual growth rate (CAGR) is projected at 4.2% from 2023 to 2030.

Market Segmentation

Segment Share (%) Primary Applications
Dietary Supplements 55% Vitamins, fortified foods
Pharmaceutical Use 35% Deficiency treatment, peripheral neuropathy
Food & Beverages 10% Fortification in cereals and drinks

Leading Companies

  • BASF SE: Largest producer, supplying bulk vitamin B6 globally.
  • DSM: Active in formulations for dietary supplements.
  • Changsha Sunshine Pharmaceutical Co.: Focuses on intermediates and finished products.

Distribution Channels

  • Bulk API (Active Pharmaceutical Ingredient): 60%
  • Finished dosage forms: 40%

Regulatory and Supply Chain Factors

  • Driven by global vitamin regulations, notably in the US, EU, and Asia.
  • Supply chain disruptions caused by geopolitical factors and raw material sourcing pose risks.

What Are the Market Growth Drivers and Challenges?

Drivers

  • Aging populations increase demand for deficiency correction.
  • Growing consumer preference for immunity-boosting supplements.
  • Expanding regulations on nutritional fortification.

Challenges

  • Market saturation in developed economies.
  • Limited innovation due to well-established applications.
  • Price pressures from generic suppliers.

Market Projection 2023–2030

Year Estimated Market Size (USD billions) Growth Rate (%) Key Factors Influencing Growth
2023 0.44 4.2 Sustained supplement demand
2025 0.55 4.2 Expansion into emerging markets
2030 0.77 4.2 New formulations, increased awareness

What Are the Future Opportunities and Risks?

Opportunities

  • Development of combination therapies for neuropathic conditions.
  • Expansion into functional foods for targeted health benefits.
  • Regulatory approval for new indications, especially in emerging markets.

Risks

  • Regulatory delays for new claims.
  • Competition from other B6 formulations with different bioavailability profiles.
  • Margins under pressure due to commoditization.

Key Takeaways

  • Clinical trial activity for pyridoxine hydrochloride remains limited, focused on established uses.
  • Market size has grown steadily, with a shift toward dietary supplements and functional foods.
  • Growth projections suggest continued expansion, driven by aging demographics and health-conscious consumers.
  • Innovation in formulation and new indications could present future opportunities.

FAQs

Q1: Are there ongoing clinical trials exploring new uses of pyridoxine hydrochloride?
Most current trials concentrate on traditional applications. Few recent studies investigate new indications.

Q2: How does the market for pyridoxine hydrochloride compare regionally?
North America and Europe dominate the market, but rapid growth occurs in Asia-Pacific, driven by increasing supplement consumption.

Q3: What factors could disrupt the supply chain of pyridoxine hydrochloride?
Raw material sourcing disruptions, geopolitical tensions, and regulatory changes are primary risks.

Q4: How competitive is the market for pyridoxine hydrochloride?
Highly competitive, with several large manufacturers and low differentiation among products.

Q5: What are the main trends influencing future demand?
Aging populations, a shift toward preventive healthcare, and increased fortification of foods.


References

[1] MarketWatch. (2023). Pyridoxine Hydrochloride Market Size, Share & Trends Analysis Report.
[2] ClinicalTrials.gov. (2022). Pyridoxine Hydrochloride Trials.
[3] Grand View Research. (2023). Vitamin B Market Forecasts.
[4] EMA. (2021). Summary of Product Characteristics for Pyridoxine.
[5] FDA. (2022). Approved Uses of Pyridoxine Hydrochloride.

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