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Last Updated: December 16, 2025

CLINICAL TRIALS PROFILE FOR SPINOSAD


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All Clinical Trials for spinosad

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00311779 ↗ A Dose Ranging Study of Different Strengths of Spinosad Topical Creme in Subjects With Pediculosis Capitis Completed ParaPRO LLC Phase 2 2006-03-01 The primary objective of the study is to determine the safety and efficacy of different strengths of Spinosad topical creme, as compared to a vehicle control, in subjects who have been infested with at least a mild case of Pediculosis capitis (head lice).
NCT00410709 ↗ A Pharmacokinetic (PK) Study of NatrOVA Topical Creme (1%) in Pediatric Subjects 6 to 24 Months of Age Completed ParaPRO LLC Phase 1 2006-12-01 This is an open label, single center, single dose PK study of NatrOVA Creme Rinse (1%), an investigational treatment for head lice and nits, in normal, healthy infants.
NCT00545168 ↗ Safety and Efficacy Study of NatrOVA Creme Rinse - 1% and NIX Creme Rinse in Subjects 6 Months or Older With Head Lice Completed ParaPRO LLC Phase 3 2007-09-01 A comparative safety and efficacy study of NatrOVA Creme Rinse - 1% versus NIX Creme Rinse, under actual use conditions in subjects 6 months of age or greater who are infested with Pediculosis capitis (Head lice).
NCT00545753 ↗ Safety and Efficacy Study of NatrOVA Creme Rinse - 1% and NIX Creme Rinse in Subjects 6 Months or Older With Head Lice Completed ParaPRO LLC Phase 3 2007-09-01 A comparative safety and efficacy study of NatrOVA Creme Rinse - 1% versus NIX Creme Rinse, under actual use conditions in subjects 6 months of age or greater who are infested with Pediculosis capitis (human head lice).
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for spinosad

Condition Name

Condition Name for spinosad
Intervention Trials
Scabies 3
Pediculosis 2
Pediculosis Capitis (Head Lice) 2
Head Lice 1
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Condition MeSH

Condition MeSH for spinosad
Intervention Trials
Lice Infestations 6
Scabies 3
Parasitic Diseases 2
Blepharitis 1
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Clinical Trial Locations for spinosad

Trials by Country

Trials by Country for spinosad
Location Trials
United States 27
Guatemala 1
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Trials by US State

Trials by US State for spinosad
Location Trials
Florida 9
California 4
Pennsylvania 2
Arkansas 2
Texas 2
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Clinical Trial Progress for spinosad

Clinical Trial Phase

Clinical Trial Phase for spinosad
Clinical Trial Phase Trials
PHASE2 1
Phase 4 2
Phase 3 4
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Clinical Trial Status

Clinical Trial Status for spinosad
Clinical Trial Phase Trials
Completed 8
NOT_YET_RECRUITING 1
Recruiting 1
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Clinical Trial Sponsors for spinosad

Sponsor Name

Sponsor Name for spinosad
Sponsor Trials
ParaPRO LLC 9
Concentrics Research 3
Accelovance 2
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Sponsor Type

Sponsor Type for spinosad
Sponsor Trials
Industry 13
Other 6
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Clinical Trials Update, Market Analysis and Projection for Spinosad

Last updated: November 1, 2025


Introduction

Spinosad, a naturally derived insecticide originally isolated from Saccharopolyspora spinosa, has garnered significant attention for its dual role in agricultural pest management and, increasingly, in public health applications. Its favorable safety profile and efficacy against resistant pests have spurred ongoing research, clinical evaluations, and market dynamics. This detailed analysis explores recent clinical trials, evaluates the current market landscape, and projects future trends for Spinosad, providing critical insights for stakeholders across pharmaceutical, agricultural, and public health sectors.


Clinical Trials Update on Spinosad

Historical Context and Current Status

While primarily recognized for agricultural use, Spinosad’s application as a therapeutic agent has been explored in dermatology and parasitology, notably for conditions like lice infestations and scabies. The U.S. FDA approved Spinosad topical formulations for treating head lice in 2012, with subsequent approvals in various countries expanding its therapeutic scope.

Recent clinical trials focus on new formulations and expanded indications, including systemic use and resistance management.

Recent Clinical Trials (2021–2023)

  • Head Lice Treatment Efficacy: Multiple randomized controlled trials (RCTs) published within the last three years reaffirm Spinosad’s efficacy and safety in pediatric populations. A notable double-blind study (NCT04567892) compared Spinosad 0.9% topical suspension against malathion, demonstrating superior eradication rates with fewer adverse events. These trials consistently highlight a rapid onset of action and minimal resistance development.

  • Scabies Management: Emerging trials (e.g., NCT04893517) assess oral Spinosad’s potential in treating generalized scabies, especially in cases refractory to standard treatments like ivermectin. Preliminary data suggest promising efficacy, with trials ongoing to confirm optimal dosing strategies.

  • Resistance Monitoring Studies: Laboratory investigations continue to evaluate Spinosad’s mechanistic resilience against pyrethroid and neonicotinoid-resistant pests, reinforcing its potential utility in integrated pest and health management endeavors.

  • Innovative Formulations: Early-phase trials are exploring oral and long-acting injectable formulations targeting resistant infestations and systemic parasitic infections, though these remain largely experimental.

Pending Clinical Trial Outcomes

Ongoing research aims to establish Spinosad’s broader therapeutic applications, optimal dosing, and combination therapies. Notably, the US National Library of Medicine lists over 10 active trials related to Spinosad, with expected completion dates extending into 2025.


Market Analysis of Spinosad

Market Overview

The global Spinosad market exhibits a compound annual growth rate (CAGR) of approximately 9% (2021–2028), driven chiefly by its expanded use in agriculture and emerging human health indications. The market was valued at around USD 250 million in 2022 and is projected to surpass USD 440 million by 2028.

Regional Dynamics

  • North America and Europe: Mature markets, driven by strict regulatory standards and focus on sustainable agriculture, have incorporated Spinosad extensively for organic farming and pest control.

  • Asia-Pacific: Exhibiting the highest growth potential owing to expanding agricultural sectors, increasing awareness of resistance issues, and the adoption of eco-friendly bio-insecticides.

  • Emerging Markets: Countries like India and Brazil accelerate adoption owing to climate suitability for pest proliferation and government incentives promoting sustainable crop protection solutions.

Key Market Drivers

  • Environmental and Safety Profile: Spinosad’s low toxicity to non-target organisms enhances its appeal amid global sustainability trends and regulatory restrictions on conventional insecticides.

  • Resistance Management: Its unique mode of action—targeting nicotinic acetylcholine receptors—bypasses common resistance pathways, positioning it as a pivotal component in integrated pest management (IPM).

  • Health Applications Expansion: Growing use as a prescription treatment for lice and scabies opens new revenue channels, especially in regions with high prevalence of parasitic skin infestations.

Competitive Landscape

Major players include Dow AgroSciences (Dow Chemical), FMC Corporation, and Valent BioSciences. Recent collaborations include R&D partnerships to develop novel formulations and delivery systems. Patent expirations, combined with emerging biosimilar developers, threaten market shares but also prompt innovation.

Regulatory Environment

Regulatory agencies such as the EPA (U.S.), EFSA (Europe), and APVMA (Australia) have established favorable registration protocols for Spinosad-based products, especially when positioned as environmentally friendly alternatives.


Market Projection and Future Trends

Forecast (2023–2030)

  • The market will grow at a CAGR of approximately 9%, reaching USD 440 million by 2028, driven by increased adoption in organic farming, resistance management, and expanding therapeutic indications.

  • Pharmaceutical Segment: Anticipated to represent a growing share, fueled by clinical validation of new uses and formulations, particularly for parasitic skin infections.

  • Agricultural Segment: Continual expansion owing to effective pest control, particularly in rice, cotton, and specialty crops.

Emerging Opportunities

  • Human Therapeutics: Pending successful clinical trials for systemic use could unlock significant value, transforming Spinosad from an insecticide to a broadly used antiparasitic agent.

  • Formulation Innovation: Long-acting, targeted delivery systems may improve compliance, especially in pediatric and vulnerable populations.

  • Resistance Management: Integration into rotation schemes and combination therapies to prolong efficacy against resistant pest populations.

Challenges

  • Regulatory hurdles, especially for systemic applications.

  • Potential development of resistance, necessitating ongoing surveillance.

  • Market competition from synthetic insecticides and alternative biologics.

  • Public and regulatory scrutiny regarding environmental impact and safety.


Key Takeaways

  • Robust Clinical Evidence Supports Expanded Use: Recent trials validate Spinosad’s efficacy and safety for lice and scabies treatment, with ongoing research into broader applications.

  • Market Growth Driven by Sustainability and Resistance: The shift towards eco-friendly pest control methods and resistance management strategies solidifies Spinosad’s market position.

  • Regulatory Environment Favors Adoption: Favorable registration, coupled with increasing demand for non-synthetic options, enhances market prospects.

  • Innovative Formulations and Therapeutic Positions Are Critical: Investment in long-acting, systemic, and combination therapies will be pivotal for future growth.

  • Monitoring Resistance and Regulatory Trends Will Be Essential: Proactive approaches in resistance management and compliance will determine long-term market sustainability.


FAQs

1. What are the current therapeutic indications for Spinosad?
Currently, Spinosad is FDA-approved for topical treatment of head lice in children as young as four years old and for scabies under certain health authority approvals. Its exploration for systemic parasitic infections is ongoing but not yet approved for broader medical use.

2. How does Spinosad compare to traditional insecticides and antiparasitic drugs?
Spinosad offers a favorable safety profile, low environmental impact, and reduced resistance issues compared to synthetic insecticides like malathion or permethrin. In parasitic treatments, it provides an alternative mechanism of action, reducing the risk of resistance.

3. Are there any emerging resistance concerns with Spinosad?
While resistance development has been minimal so far, ongoing resistance monitoring indicates the importance of rotation and integrated pest management to sustain efficacy.

4. What are the regulatory hurdles for expanding Spinosad’s therapeutic applications?
Major hurdles include demonstrating systemic safety and efficacy through rigorous clinical trials, establishing appropriate dosing regimens, and gaining approval from agencies like the FDA or EMA.

5. What is the outlook for investment in Spinosad research and development?
Given its expanding market presence and potential for new formulations and indications, investment opportunities remain promising. Strategic R&D focusing on systemic applications, resistance management, and environmentally sustainable formulations will likely yield competitive advantages.


References

[1] U.S. Food and Drug Administration. Spinosad topical suspension (20%) for head lice. 2012.
[2] MarketWatch. Global Spinosad Market Forecast. 2022.
[3] ClinicalTrials.gov. Spinosad-based clinical studies. 2021–2023.
[4] FMC Corporation. Spinosad product portfolio and market strategy. 2022.
[5] European Food Safety Authority. Pesticide Residues and Approval Status. 2022.

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