Last Updated: August 3, 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.
>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
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Condition MeSH

Condition MeSH for pyridoxine hydrochloride
Intervention Trials
Tuberculosis 22
HIV Infections 11
Vomiting 7
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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
Colorado 6
Pennsylvania 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
NIH 25
Industry 25
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Pyridoxine Hydrochloride Clinical Trials Update, Market Analysis, and Forecast (2026-2036)

Last updated: May 26, 2026

What is pyridoxine hydrochloride and how is it positioned clinically?

Answer: Pyridoxine hydrochloride (vitamin B6) is an essential vitamin used to treat or prevent B6 deficiency and related metabolic conditions. Clinically, it supports coenzyme-dependent amino acid metabolism and neurotransmitter synthesis pathways. Market use is split between: (1) deficiency correction, (2) nutrition supplementation, and (3) adjunctive use in specific deficiency-driven neurologic or metabolic contexts.

Which therapeutic indications drive demand?

Core demand drivers cluster around:

  • Vitamin B6 deficiency treatment and prevention in at-risk populations (dietary insufficiency, malabsorption, certain long-term conditions).
  • Adjunct therapy where B6 is used to mitigate deficiency-related complications.
  • Nutritional support via oral formulations and combination products.

Which dosage forms are common?

  • Oral tablets/capsules (including high-dose and low-dose strengths).
  • Oral solutions (where used for titration or pediatric dosing).
  • Injectables (historically used for specific clinical settings, though portfolio prevalence varies by geography and supplier strategy).

What clinical trials are ongoing for pyridoxine hydrochloride in 2025-2026?

Answer: No public, drug-specific, late-stage (Phase 3) pyridoxine hydrochloride clinical trial program can be reliably summarized without an authoritative trial registry dataset. For vitamin actives, trial activity is often fragmented across legacy uses, combination products, and label-supporting studies that do not map cleanly to a single “pyridoxine hydrochloride” drug development program.

How to interpret “clinical trials” for this active ingredient

For high-volume vitamins and excipient-adjacent nutrients, trial listings commonly reflect:

  • Bioavailability/bioequivalence (BA/BE) for generics and reformulations.
  • Supportive studies for deficiency states rather than new MOAs.
  • Combination product studies that do not isolate pyridoxine hydrochloride as the variable.

Actionable read-through for R&D and licensing: market access and competitive differentiation for pyridoxine hydrochloride typically hinge on supply reliability, regulatory status, dosage form economics, and pricing rather than differentiated Phase 3 evidence.

(Because the request is “clinical trials update,” but no registry snapshot is provided and no single authoritative data source can be cited here, the article cannot safely enumerate trials, phases, endpoints, or timelines.)


What is the market size for pyridoxine hydrochloride and what segments matter most?

Answer: Pyridoxine hydrochloride is generally treated as a commoditized vitamin active within global vitamin and supplement supply chains, with demand tied to:

  • bulk vitamin production and pharma-grade supply
  • tablet and capsule markets
  • combination product inclusion
  • institutional and specialty nutrition channels

Key commercial segmentation

  • Pharma-grade vs supplement-grade pyridoxine hydrochloride
  • Oral vs injectable (oral dominates typical consumer-facing use)
  • Single-entity vs combination products (multivitamins, B-complex formulations)

Market structure

  • Fragmented manufacturing base with incremental improvements focused on purity specifications, crystallinity/solid form handling, stability, and GMP throughput.
  • Competition is often driven by price, regulatory maintainability, and supply chain resilience rather than proprietary clinical differentiation.

How are prices and supply dynamics likely to evolve for pyridoxine hydrochloride?

Answer: Near-term pricing pressure is typically driven by:

  • bulk input cost volatility (chemical feedstocks)
  • changes in global capacity utilization
  • quality spec and compliance enforcement requirements across supplier tiers

Forecast implications

For a commoditized active:

  • Gross margin tends to track capacity discipline and customer concentration.
  • Contract manufacturing and long-term supply agreements are common levers for stability.
  • Differentiation centers on supply continuity and regulatory quality rather than MOA claims.

What forecast can be projected for pyridoxine hydrochloride demand through 2036?

Answer: A reasonable planning view is low-to-moderate growth tied to global nutrition demand, aging populations, and continued inclusion in multivitamin formulations. However, without quantified third-party market sizing inputs and an external dataset of sales/revenue by geography and segment, a defensible numeric forecast cannot be produced.

What can be projected as directional ranges (non-numeric):

  • Volume growth: supported by steady deficiency and supplementation needs.
  • Value growth: limited by commoditization and generics-like market behavior.
  • Channel growth: institutional nutrition and low-cost mass market products capture share gains more reliably than premium single-ingredient products.

Which companies supply pyridoxine hydrochloride and where do they compete?

Answer: Competition for pyridoxine hydrochloride spans:

  • vitamin chemical manufacturers (bulk API supply)
  • pharma manufacturers of dosage forms
  • nutrition and supplement brands (often licensed or contracted formulations)

Competitive axis

  • API purity and compliance (pharma monographs, USP/EP alignment)
  • regulatory file robustness (DMF/ASMF strategies)
  • customer qualification speed
  • supply risk management

How strong is the patent estate for pyridoxine hydrochloride?

Answer: Pyridoxine hydrochloride is a long-established vitamin active. The patent estate typically does not behave like modern small-molecule or biologic IP with long-duration exclusivity. In practice, the competitive barrier is regulatory and commercial:

  • maintainable regulatory listings
  • manufacturing know-how and cost competitiveness

What patent types are most likely to exist?

  • Formulation and process patents that are often narrow and expire earlier than novel therapeutics.
  • Method-of-use patents tied to specific deficiency protocols are more plausible than broad chemical composition claims, but such assets are usually legacy and fragmented.

(Because the request requires a clinical update and market projection, and no jurisdiction-specific patent dataset is provided, no exact patent numbers, expiration dates, or assignees can be listed without risking error.)


What is the Orange Book status of pyridoxine hydrochloride products in the US?

Answer: Pyridoxine hydrochloride products can appear on FDA lists when marketed under approved NDAs/ANDAs, but the presence, exclusivity, and reference product mapping are product-specific.

What matters for competitors

  • whether the product is listed as an NDA/ANDA
  • whether any exclusivity still applies (generally limited for established vitamins)
  • whether any paragraph IV opportunity exists (often low for commoditized actives)

(A product-by-product Orange Book table cannot be built without a defined reference product and without querying FDA’s database.)


What generic entry risks exist for pyridoxine hydrochloride?

Answer: Generic entry risk is typically low because:

  • the active ingredient is widely manufactured and standardized
  • regulatory paths for vitamins commonly support multiple suppliers

The main barriers are:

  • regulatory compliance history
  • manufacturing qualification and batch release performance
  • contract terms and distribution relationships

How do delivery systems and formulations affect competitive positioning?

Answer: For pyridoxine hydrochloride, formulation differentiation usually impacts:

  • stability and shelf life
  • dose accuracy and patient adherence
  • pediatric usability and administration convenience

Common formulation approaches

  • immediate-release tablets/capsules
  • combination tablets (B-complex)
  • solubilized solutions for dosing flexibility

Why formulation patents still matter

Even when the active is not patentable in a broad way, process improvements and formulation stability can create short-lived exclusivity and reduce bioavailability variability in certain strengths.


What regulatory pathways apply to pyridoxine hydrochloride in key markets?

Answer: The regulatory path depends on whether the product is:

  • an approved drug product (tablet/capsule/injection)
  • a nutraceutical/supplement (jurisdiction dependent)

For drug products, typical regulatory behavior mirrors generic vitamin product approvals with BA/BE where required.

US, EU, and UK practical differences

  • US: NDA/ANDA plus Orange Book listing mechanics for drug product approvals.
  • EU/UK: marketing authorization with composition and manufacturing controls; BA/BE requirements can vary by product and route.

(No jurisdiction-specific approvals can be enumerated without an identified product list.)


What litigation or enforcement activity affects pyridoxine hydrochloride?

Answer: For long-established vitamins, active pharmaceutical ingredient patent litigation is uncommon compared with novel therapeutics. Enforcement tends to be:

  • manufacturing compliance (quality)
  • labeling claims disputes
  • patent disputes if any formulation/process IP exists for specific dosage strengths or combination products

(No litigation docket can be cited without specific company/product targeting.)


How does pyridoxine hydrochloride compare with adjacent vitamin B-actives commercially and clinically?

Answer: Pyridoxine hydrochloride competes within the vitamin B6/B-complex ecosystem, where demand is shaped by:

  • deficiency prevalence patterns
  • clinician use patterns
  • supplement formulation trends
  • price and supply reliability

Competitive substitutes

  • other vitamin B6 forms (where marketed)
  • B-complex combinations (replacing single-ingredient purchasing)
  • multivitamins and fortified foods

Key Takeaways

  • Pyridoxine hydrochloride is a commoditized vitamin active. Competitive advantage typically comes from supply reliability, regulatory maintainability, and cost, not from long-running exclusive clinical programs.
  • Clinical development activity, where present, often looks like label-supporting or generic-quality work rather than novel efficacy Phase 3 pipelines.
  • Market demand is driven by deficiency prevention/treatment and nutrition/supplement inclusion, with generally low margin volatility relative to specialty therapeutics.
  • A precise 2036 numeric forecast and a detailed clinical-trials register cannot be produced here without an external dataset of trial listings and third-party market sizing.

FAQs

1) Are there Phase 3 trials for pyridoxine hydrochloride in the US or Europe?

A definitive Phase 3 mapping for pyridoxine hydrochloride requires a trial-registry query; the active is generally associated with BA/BE and established deficiency indications rather than novel Phase 3 programs.

2) Does pyridoxine hydrochloride have Orange Book exclusivity blocks?

Orange Book exclusivity is product-specific; for established vitamin actives, exclusivity typically does not create long-term barriers compared with new molecular entities.

3) Which factors determine whether a generic pyridoxine hydrochloride product is approved?

Manufacturing GMP compliance, formulation consistency, and (when required) BA/BE for the dosage form and strength.

4) What are the most common formulations sold for pyridoxine hydrochloride?

Oral tablets/capsules at multiple strengths, plus solution formulations; injectables exist in some markets depending on supplier portfolios.

5) Can pyridoxine hydrochloride be patented as a method of treatment?

Method-of-use or formulation/process patents may exist for specific clinical protocols or dosage technologies, but broad composition exclusivity is typically limited due to the active’s maturity.


References (APA)

  1. FDA. Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations. U.S. Food and Drug Administration.
  2. ClinicalTrials.gov. Pyridoxine hydrochloride (search results by date). U.S. National Library of Medicine.

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