Last Updated: August 8, 2026

CLINICAL TRIALS PROFILE FOR VALPROIC ACID


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All Clinical Trials for valproic acid

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00000629 ↗ The Effects of Valproic Acid on Zidovudine Glucuronidation and Pharmacokinetics in HIV-Infected Patients. Completed National Institute of Allergy and Infectious Diseases (NIAID) Phase 1 1969-12-31 Primary objective: To study the pharmacokinetic interaction between zidovudine (AZT) and valproic acid in asymptomatic HIV-infected patients, characterizing AZT's oral bioavailability, plasma elimination half-time, plasma levels, and urinary excretion of AZT, 5'-O-glucuronide (GAZT), and 3'-amino-3'-deoxythymidine (AMT). Secondary objective: To establish the safety of short-term administration of AZT and valproic acid in combination with regard to hematologic parameters and liver function in asymptomatic HIV-infected patients. Preliminary studies using human liver tissue have shown that valproic acid inhibits the metabolic inactivation of zidovudine (AZT), which may prolong the plasma half-life of AZT and thus prolong the duration of the drug's effects in the body.
NCT00004758 ↗ Phase II Randomized Study of Early Surgery Vs Multiple Sequential Antiepileptic Drug Therapy for Infantile Spasms Refractory to Standard Treatment Completed National Institute of Neurological Disorders and Stroke (NINDS) Phase 2 1993-11-01 OBJECTIVES: I. Evaluate the efficacy of surgical resection of an identifiable zone of cortical abnormality versus multiple drug therapy in children with infantile spasms refractory to standard therapy. II. Assess how infantile spasms interfere with development and whether this is partially reversible. III. Determine the predictors of good surgical outcome and whether surgery permanently controls seizures and improves development.
NCT00004758 ↗ Phase II Randomized Study of Early Surgery Vs Multiple Sequential Antiepileptic Drug Therapy for Infantile Spasms Refractory to Standard Treatment Completed University of California, Los Angeles Phase 2 1993-11-01 OBJECTIVES: I. Evaluate the efficacy of surgical resection of an identifiable zone of cortical abnormality versus multiple drug therapy in children with infantile spasms refractory to standard therapy. II. Assess how infantile spasms interfere with development and whether this is partially reversible. III. Determine the predictors of good surgical outcome and whether surgery permanently controls seizures and improves development.
NCT00004758 ↗ Phase II Randomized Study of Early Surgery Vs Multiple Sequential Antiepileptic Drug Therapy for Infantile Spasms Refractory to Standard Treatment Completed National Center for Research Resources (NCRR) Phase 2 1993-11-01 OBJECTIVES: I. Evaluate the efficacy of surgical resection of an identifiable zone of cortical abnormality versus multiple drug therapy in children with infantile spasms refractory to standard therapy. II. Assess how infantile spasms interfere with development and whether this is partially reversible. III. Determine the predictors of good surgical outcome and whether surgery permanently controls seizures and improves development.
NCT00005658 ↗ Glycine to Treat Psychotic Disorders in Children Completed National Institute of Mental Health (NIMH) Phase 2 2000-05-01 This study will test the safety and effectiveness of the amino acid glycine in treating psychotic disorders in children. The drug will be given as an adjunct (in addition) to the patient's current antipsychotic medication. Children age nine to 18 with schizophrenia or schizoaffective disorder whose symptoms began before age 13 may be eligible for this 10-week study. Patients will be hospitalized during the course of the trial. Weekend visits home may be permitted. Children enrolled in the study will be evaluated during a two-week pre-treatment period with written tests for IQ and academic functioning and with a magnetic resonance imaging (MRI) scan of the brain. For the MRI, the child lies on a table that slides into a large donut-shaped machine with a strong magnetic field. This procedure produces images of the brain that may help identify brain abnormalities in schizophrenia that develop in childhood. During the eight-week treatment phase, patients will receive glycine powder dissolved in water once a day, in addition to their other antipsychotic medications. They will undergo the following additional procedures during the course of treatment: 1. Comprehensive psychiatric examination 2. Blood pressure and pulse monitoring once a week 3. Blood tests every other week - About one ounce of blood is drawn per week to measure glycine levels 4. Eye movement study at week eight - Using a technique called infrared oculography, special detectors measure infrared light reflected off the child's eyes while he or she watches a moving square on a video monitor. 5. Lumbar puncture (spinal tap) once during the study - About one-half ounce of cerebrospinal fluid (the fluid surrounding the brain and spinal cord) is withdrawn through a needle placed in the lower part of the spine for analysis of brain chemicals. Patients who respond well may continue to receive glycine treatment through their referring physician after the study is completed. NIMH will follow patients by phone every six months and with visits at two-year intervals.
NCT00006773 ↗ Bortezomib in Treating Patients With Recurrent Glioma Terminated National Cancer Institute (NCI) Phase 1 2001-05-01 Phase I trial to study the effectiveness of bortezomib in treating patients who have recurrent glioma. Bortezomib may stop the growth of tumor cells by blocking the enzymes necessary for tumor cell growth
NCT00008424 ↗ Irinotecan in Treating Children With Refractory or Advanced Solid Tumors Who Are Receiving Anticonvulsants Completed National Cancer Institute (NCI) Phase 1 2000-10-01 RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: Phase I trial to study the effectiveness of irinotecan in treating children with refractory or advanced solid tumors who are receiving anticonvulsants.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for valproic acid

Condition Name

Condition Name for valproic acid
Intervention Trials
Epilepsy 16
Bipolar Disorder 10
Seizures 7
Acute Myelogenous Leukemia 6
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Condition MeSH

Condition MeSH for valproic acid
Intervention Trials
Leukemia 21
Epilepsy 20
Leukemia, Myeloid 14
Myelodysplastic Syndromes 14
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Clinical Trial Locations for valproic acid

Trials by Country

Trials by Country for valproic acid
Location Trials
United States 255
Germany 23
Italy 23
Canada 14
Brazil 8
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Trials by US State

Trials by US State for valproic acid
Location Trials
Texas 26
Maryland 18
California 16
Ohio 13
New York 13
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Clinical Trial Progress for valproic acid

Clinical Trial Phase

Clinical Trial Phase for valproic acid
Clinical Trial Phase Trials
PHASE2 5
PHASE1 4
Phase 4 34
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Clinical Trial Status

Clinical Trial Status for valproic acid
Clinical Trial Phase Trials
Completed 106
Terminated 26
Unknown status 24
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Clinical Trial Sponsors for valproic acid

Sponsor Name

Sponsor Name for valproic acid
Sponsor Trials
National Cancer Institute (NCI) 19
M.D. Anderson Cancer Center 14
Abbott 12
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Sponsor Type

Sponsor Type for valproic acid
Sponsor Trials
Other 233
Industry 69
NIH 30
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Valproic Acid Clinical Trials Update, Market Analysis, and Patent-Driven Projection (2024–2035)

Last updated: July 22, 2026

Valproic acid is an established, off-patent antiseizure active ingredient with broad generic availability in the U.S. and EU. Market growth is driven by formulation management (ER vs DR, branded retail and institutional preference pockets), competition among generics, and ongoing safety and adherence-oriented studies rather than fundamental pipeline breakthroughs. Commercial risk centers on price compression from generic entry and ongoing substitution by payers. Patent and regulatory exclusivity are not expected to materially extend compound-level control in most major markets, shifting the competitive edge toward formulation-specific IP, label-differentiation, and lifecycle-management litigation.


What is the latest clinical trials landscape for valproic acid (2024–2026)?

What types of trials are currently most active?

Across the valproic acid space, newer trial activity is concentrated in:

  • Formulation and bioequivalence (immediate-release vs extended-release, sprinkle formulations)
  • Safety, tolerability, and real-world adherence studies
  • Switching studies (IR to ER, brand-to-generic switching)
  • Pediatric and special-population observational or pragmatic trials tied to dosing schedules and monitoring
  • Combination regimen trials rather than monotherapy repositioning

Clinical trial novelty is typically incremental because the active ingredient is mature and widely substituted.

Are there meaningful late-stage (Phase 3) programs for valproic acid?

For valproic acid specifically, late-stage Phase 3 programs have been uncommon in recent years. Trial updates that remain active are more often:

  • Post-approval studies
  • Formulation comparability work
  • Studies supporting label refinements (dose timing, tolerability in subgroups)
  • Real-world effectiveness and pharmacovigilance efforts

Which trial endpoints matter commercially?

For market influence, trials most often target:

  • Trough exposure stability and GI tolerability (ER vs IR)
  • Adherence proxies (missed doses, persistence on therapy)
  • Hospital utilization and seizure-control metrics in pragmatic designs
  • Liver enzyme and hematology monitoring feasibility in routine workflows

These endpoints influence prescriber behavior and payer coverage policies even if they do not change compound-level regulatory status.


What is the current global market size for valproic acid and how is it growing?

Market drivers

  • Persistent epilepsy prevalence and chronic prescribing patterns
  • Use in bipolar disorder and agitation syndromes in certain geographies and historical clinical pathways
  • Broad prescriber familiarity and long-established monitoring protocols
  • Institutional formularies that lock in generics but can favor particular formulations (notably ER)

Market headwinds

  • Generic price compression across most markets
  • Switching to alternative antiseizure medicines with perceived safety advantages in women of childbearing potential
  • Safety management requirements (e.g., hepatotoxicity risk, teratogenicity labeling constraints) that influence formulary decisions
  • Payer push toward lower cost and preferred generics

Near-term growth outlook (2024–2028)

Valproic acid demand is expected to remain stable-to-low growth in volume terms, while value growth remains constrained by generic price dynamics. Growth is more likely to be:

  • Mix-driven (ER preference pockets)
  • Geography-driven (where generic penetration is slower or formularies are sticky)
  • Institutional contracting driven (national hospital tenders favoring specific manufacturers)

How do clinical trial updates translate into market share changes for valproic acid?

Mechanisms that actually move share

  • ER formulation acceptance: Trials that support tolerability and exposure consistency increase probability of formulary inclusion for specific ER products.
  • Switching and equivalence: Bioequivalence and switching studies reduce clinical friction for pharmacists and institutions, accelerating conversion to the lowest-cost equivalent product.
  • Safety monitoring usability: Pragmatic trials that show manageable monitoring in real workflows help keep valproate in preferred pathways despite safety communications.

What does not usually change outcomes

  • New efficacy signals are less likely because the active ingredient is already established.
  • New mechanistic claims rarely overturn entrenched prescribing patterns without major effect-size improvements.

What patents protect valproic acid and which ones matter commercially?

Valproic acid as an active ingredient is widely expired. Commercially relevant protection is typically limited to:

  • Specific branded product formulations
  • Extended-release or sprinkle technologies
  • Method-of-use or dosing regimens tied to specific label language
  • Manufacturing process patents (granulation, coating, dissolution controls)

Practical implication

Most revenue capture in a commodity anti-seizure molecule is driven less by compound patents and more by:

  • Formulation-level IP around release characteristics
  • Trademark and brand retention (where present)
  • Lifecycle litigation strategy by brand owners or formulation rightsholders
  • Supply-chain reliability and tender outcomes

When does valproic acid lose exclusivity (patent and regulatory) by key market?

U.S. exclusivity and patent posture

For valproic acid:

  • Compound-level patent exclusivity is already out of cycle for major markets.
  • What remains is usually product-specific, formulation-specific, or method-of-use intellectual property, and it is highly variable by manufacturer and dosage form.

EU posture

EU market exclusivity is similarly driven by:

  • Product authorization history
  • Formulation or method claims where still protected
  • National tender and reference product policies

Net: There is no broad, compound-level exclusivity window likely to meaningfully delay generic substitution for the majority of valproic acid products.


What is the Orange Book status of valproic acid products?

Orange Book reality

Because valproic acid is extensively genericized:

  • Many entries will show approved generics for IR and ER
  • The Orange Book typically reflects ongoing product-level differentiation rather than active compound protection

Commercially important Orange Book findings usually include:

  • Whether any listed patents are still active for a specific branded ER or DR product
  • Whether any method-of-use patents remain unexpired
  • Whether any formulation patents claim dissolution, coating, granulation, or release profiles

Given the need for exact product-level Orange Book identification and patent listing dates, this section cannot be completed without product-specific Orange Book data.


How strong is the patent estate for valproic acid versus generic substitution risk?

Risk profile

For valproic acid, generic substitution risk is structurally high because:

  • Generic versions are already standard of care in many formularies
  • Prescriber and patient selection tends to follow price, availability, and dosing convenience
  • Persistent restrictions are usually formulation-specific and not molecule-wide

Where IP still matters

  • If a specific manufacturer has a still-active formulation patent for ER characteristics, that can temporarily protect a narrow slice of the market.
  • If a product has label-specific method-of-use language under still-active protection, risk can persist for that exact claimed use.

Net: For compound-level investor and litigation strategies, the molecule has limited remaining patent leverage. For formulation rightsholders, leverage is case-by-case.


What Paragraph IV challenges exist for valproic acid?

Paragraph IV litigation is most relevant when:

  • A branded reference product has active listed patents in the Orange Book
  • A generic applicant submits a patent certification challenging those patents

For valproic acid overall, the dominant market structure is mature generic competition, which reduces frequency of high-profile Paragraph IV events. A precise mapping of Paragraph IV challenges requires product-specific Orange Book patent lists and litigation dockets tied to each reference drug.


What generic entry risks exist for valproic acid in 2024–2030?

Baseline expectation

Generic entry risk is low in the sense that generic presence is already widespread. The more relevant risks are:

  • Contract churn in tender markets
  • Margin compression from additional supply
  • Substitution at dispensing and hospital switching driven by cost
  • Product discontinuations or supply constraints by specific manufacturers, which can transiently lift prices

Where disruption can still occur

  • ER formulation supply: fewer suppliers for specific ER technologies can create temporary availability and price events
  • Regulatory inspections and supply GMP outcomes: can cause short-term changes in market share

How do valproic acid products (IR vs ER) compare commercially?

ER mix impact

Extended-release products tend to hold value share where:

  • Payors seek tolerability and adherence benefits
  • Hospitals prefer fewer dosing events
  • Clinicians prefer stable trough levels to reduce breakthrough symptoms

IR mix impact

Immediate-release products typically compete more directly on:

  • Unit price
  • Familiarity and ease of dose adjustment
  • Broader generic coverage

Projection logic

Market value outlook depends on whether payers and institutions keep shifting share toward ER. In mature markets, ER share gains can offset some value loss from generic price compression, but not usually enough to reverse overall decline in average unit pricing.


Which companies dominate valproic acid supply and how do they compete?

Competition model

  • High generic participation
  • Differentiation through formulation line competence (ER technology)
  • Tender-driven share allocation
  • Contract pharmacy influence

What to watch

  • Manufacturer capacity expansions or closures for ER lines
  • FDA manufacturing inspection outcomes affecting distribution continuity
  • Product discontinuations that can temporarily increase market value for remaining suppliers

What biosimilar risk exists for valproic acid?

Valproic acid is a small-molecule drug, not a biologic. Biosimilar pathways do not apply.


How do regulatory milestones and label safety communications affect the market?

Key regulatory themes

  • Pregnancy and teratogenicity risk management: influences patient selection and prescribing, especially in women of childbearing potential
  • Hepatotoxicity and blood dyscrasia monitoring: drives clinician burden and adherence to monitoring schedules
  • Drug-drug interaction warnings: influences combination therapy selection

Market impact

Safety communications can compress demand at the margin, particularly when:

  • Alternative antiseizure medicines are preferred for high-risk populations
  • Formularies restrict valproate use for certain patient groups

Valproic acid revenue projection (2024–2035): what the business cases should assume

Base-case assumption

  • Volume: stable to low growth globally
  • Value: modest decline to flat, with intermittent stability from ER mix and tender dynamics
  • Competitive environment: persistent generic-driven price pressure

Scenario framework

  • Bull case (mix and contracting): ER share expansion and stable institutional contracts reduce average price erosion.
  • Bear case (safety-driven substitution): further payer and clinician restrictions in specific populations accelerate substitution to alternative antiseizure medicines.
  • Neutral case: market behaves like a mature generic commodity with mix-driven stability.

Where to focus

For market players, the highest ROI is typically:

  • Formulation lifecycle management (IR/ER optimization)
  • Supply reliability and tender readiness
  • Portfolio rationalization to avoid margin-destroying SKUs
  • Label-aligned patient segment targeting (where clinically and payer-compatible)

Key Takeaways

  • Valproic acid is mature and largely out of compound exclusivity; clinical trial activity is incremental and geared toward formulation, safety monitoring, and adherence.
  • Market growth is expected to be volume-stable with value constrained by generic price pressure.
  • Competitive advantage is most often formulation-specific (ER mix), tender execution, and supply continuity, not molecule-level innovation.
  • Patent leverage is largely product-specific; compound-level exclusivity is not a meaningful driver for 2024–2035 projections.

FAQs

1) Are there ongoing Phase 3 trials for valproic acid in epilepsy or bipolar disorder?

Late-stage Phase 3 programs are uncommon for valproic acid; most current activity clusters around post-approval, formulation, and pragmatic real-world studies.

2) Does extended-release valproic acid have a different market trajectory than immediate-release?

Usually yes: ER can retain value share through tolerability and dosing convenience, but it still faces generic and tender-driven price compression.

3) What safety monitoring requirements drive real-world prescribing of valproic acid?

Clinicians rely on liver function and hematology monitoring and follow pregnancy risk constraints in women of childbearing potential, which impacts selection and persistence.

4) Can formulation patents protect valproic acid products even after compound patents expire?

Yes, protection typically shifts to formulation, release control, dissolution behavior, and manufacturing process claims, but enforcement depends on specific product patent lists.

5) Is there any biosimilar risk for valproic acid?

No. Valproic acid is a small molecule; biosimilar pathways do not apply.


References (APA)

No sources were provided or cited in the prompt, and no external document set was supplied. Without identifiable, citable inputs, this response contains no source citations.

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