Ireland
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Priya Life Science Compound trial record
Compound · clinical trials

Metronidazole clinical trials

Also listed in trial records as Fuliclin, Tolizole, Flagyl
Source: ClinicalTrials.gov, U.S. National Library of Medicine — the 18 trials in our Taiwan, China, Switzerland, France, Egypt, Germany, Canada, Brazil and Australia registers that name Metronidazole as an intervention. Synced 11 Nov 2026
18Current trials
9Recruiting now
16Lead sponsors
9Country registers
At a glance

Metronidazole is named as an intervention in 18 current clinical trials in our Taiwan, China, Switzerland, France, Egypt, Germany, Canada, Brazil and Australia registers. 9 are recruiting patients now. The most common phase is Phase 4. The sponsor with the most trials is Assistance Publique - Hôpitaux de Paris (2). The most-studied condition is Helicobacter Pylori Infection. The EU clinical trials register (CTIS) separately lists 4 authorised or ongoing trials.

Where Metronidazole is approved

All regulators →

Of the three regulators tracked here, the first to approve Metronidazole was the US, on 18 Jul 1963. It is approved in 2 of the 3 regulators tracked here.

USUnited States (FDA)
18 Jul 1963
Flagyl
NDA012623 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
No centralised EU authorisation (it may be authorised nationally)
First centralised authorisation
CACanada (Health Canada)
7 Jul 1995
Noritate
Notice of Compliance 5144
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

Metronidazole patents and exclusivity

Expiry tracker →

Protections still running for marketed products containing Metronidazole, as listed by the regulators. Expired patents and exclusivities, and discontinued products, are not shown.

US FDA Orange Book Flagyl, Metrocream, Noritate
  • 9 listed patents; the last listed expires 4 Oct 2039 (US 11541035).
See the Orange Book listing for NDA 020334
Patents and exclusivities above are pooled across 8 applications for this substance.

Reproduced from the FDA Orange Book and Purple Book (checked 8 Nov 2026) and the European Commission's Union Register of medicinal products (CC BY 4.0; the EU expiry date is calculated exactly as the Commission's register displays it). Listed patents and dates are as submitted to or published by the regulator and may not reflect litigation, invalidation, settlements, lapsed fees or later extensions. This is not legal advice or a freedom-to-operate opinion, and it does not say when a generic or biosimilar will launch.

What health systems spend on Metronidazole

All medicines →
ENNHS England
£6.8m
1,451,406 items dispensed, Sep 2025 to Aug 2026
-6% on the previous 12 months
Net ingredient cost, community prescriptions
USUS Medicaid
$49.0m
3,333,837 prescriptions in 2025 · Metronidazole, Metronidazole Vaginal Gel, 0.75%, Nuvessa
-15% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Metronidazole works

All drug targets →
Diseases it has been tested for in clinical trials, by furthest phase
  • Crohn diseasePhase 3
  • Helicobacter pylori infectious diseasePhase 3
  • Abdominal abscessPhase 3
  • AppendicitisPhase 3
  • BlepharitisPhase 3
  • Chronic periodontitisPhase 3
  • Clostridium difficile infectionPhase 3
  • GingivitisPhase 3
  • Hidradenitis suppurativaPhase 3
  • Infectious peritonitisPhase 3
59 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL137, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3.1), ligand 10914, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

Patient leaflets for Metronidazole

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Reference identifiers for Metronidazole

ATC codes
P01AB01, J01XD01, G01AF01, D06BX01, A01AB17
ChEMBL
CHEMBL137
DrugBank
DB00916
PubChem CID
4173
CAS number
443-48-1
FDA UNII
140QMO216E
Wikidata
Q169569
Wikipedia
Metronidazole

Codes that identify this medicine in other databases, from Wikidata (CC0), matched by its ChEMBL ID. The ATC code is the WHO classification of what the medicine is used for.

Trials by status

  • Recruiting950%
  • Not yet open633%
  • Active, closed16%
  • By invitation211%

Trials by phase

  • Phase 4633%
  • Phase 3422%
  • Phase 2317%
  • Not applicable211%
  • Observational16%
  • Phase 1/216%
  • Phase 116%
01

Clinical trials of Metronidazole

18 trials
StudyPhaseStatusLead sponsorRegisters
Efficacies of Susceptibility-guided vs Empiric Therapy for Rescue Treatment of Helicobacter Pylori Infection
NCT05332444 · Helicobacter Pylori Infection
Phase 4 Recruiting National Taiwan University Hospital Taiwan
Doxycycline for Helicobacter Pylori Rescue Treatment
NCT05874570 · ClinicalTrials.gov ↗ · Helicobacter Pylori Infection
Phase 4 Recruiting Shanghai Jiao Tong University School of Medicine China
Study of Nitazoxanide (NTZ) for Helicobacter Pylori in Children
NCT04415983 · ClinicalTrials.gov ↗ · Helicobacter Pylori Infection
Phase 3 Recruiting Tanta University Egypt
ORal Antibiotics in Acute Mesenteric Ischemia
NCT06387147 · ClinicalTrials.gov ↗ · Acute Mesenteric Ischemia
Phase 3 Recruiting Assistance Publique - Hôpitaux de Paris France
Metronidazole as Preoperative Therapy in CRC / FusoMetro-001
NCT05748145 · ClinicalTrials.gov ↗ · Colorectal Cancer
Phase 2 Recruiting Oncology Institute of Southern Switzerland Switzerland
Intestinal Microbiome Modulation With Antibiotics in the Neoadjuvant Treatment of Locally Advanced Rectal Cancer
NCT06793137 · ClinicalTrials.gov ↗ · Rectal Cancer, Adenocarcinoma
Phase 2 Recruiting AC Camargo Cancer Center Brazil
Chlorhexidine and/or Metronidazole Plus FB301 Pre-treatment Trial
NCT07481955 · ClinicalTrials.gov ↗ · Bacterial Vaginosis (BV)
Phase 2 Recruiting Freya Biosciences ApS Germany
Combination Study of Antibiotics With Enzalutamide (PROMIZE)
NCT06126731 · ClinicalTrials.gov ↗ · Metastatic Castration-Resistant Prostate Cancer (mCRPC)
Phase 1/2 Recruiting Institute of Cancer Research, United Kingdom Switzerland
Conventional and Nano-Metronidazole Irrigation With/Without Activation in Necrotic Teeth With Apical Periodontitis
NCT07897591 · ClinicalTrials.gov ↗ · Pulp Necrosis, Apical Periodontitis
Not applicable Recruiting October 6 University Egypt
Gut Decolonisation With Neomycin/Metronidazole or Rifaximin Before Colon Surgery
NCT07180615 · ClinicalTrials.gov ↗ · Surgical Site Infection, Colon Surgery, Surgical Site Infections
Phase 4 Not yet open Universität Luzern Switzerland
A Combination of Antibiotics to Decrease Neonatal Morbidity and Mortality for Previable Threatened Labor
NCT06572761 · ClinicalTrials.gov ↗ · Previable Labour With Intact Membranes
Phase 3 Not yet open Assistance Publique - Hôpitaux de Paris France
Study to Assess the Efficacy and Safety of Meropenem and Pralurbactam in CIAI
NCT06633718 · ClinicalTrials.gov ↗ · Intra-abdominal Infections
Phase 3 Not yet open Qilu Pharmaceutical Co., Ltd China
A Study to Test New Investigational Drugs (LCFA-01and LC103) for Bacterial Vaginosis (BV) Treatment
NCT07875673 · ClinicalTrials.gov ↗ · Bacterial Vaginosis
Phase 1 Not yet open Massachusetts General Hospital Australia
Efficacy of a 14-Day Bismuth-Containing Quadruple Therapy Guided by Drug Susceptibility Testing in Patients with Extremely Refractory Helicobacter Pylori Infection: an Exploratory Study
NCT06731023 · ClinicalTrials.gov ↗ · HELICOBACTER PYLORI INFECTIONS
Observational Not yet open Xiuli Zuo China
Efficacy And Safety of Bismuth-Tetracycline-Rabeprazole Triple For First-Line Eradication of Helicobacter Pylori Infection
NCT07788053 · ClinicalTrials.gov ↗ · Helicobatcer Pylori, First-Line Eradication
Not applicable Not yet open Chih-An Shih, MD Taiwan
The Efficacy of 10-day and 14-day Bismuth-based Quadruple Therapy in First-line H. Pylori Eradication
NCT04527055 · ClinicalTrials.gov ↗ · Helicobacter Pylori Infection, Dysbiosis, Probiotics
Phase 4 By invitation National Cheng-Kung University Hospital Taiwan
Optimal Duration of Bismuth Quadruple Therapy for Helicobacter Pylori Eradication in Females As Compared with Males
NCT06509139 · ClinicalTrials.gov ↗ · Helicobacter Pylori Infection, Sex, Bismuth Quadruple Therapy
Phase 4 By invitation National Cheng-Kung University Hospital Taiwan
Comparing No Mechanical Bowel Preparation With Oral Antibiotics Alone in Patients Undergoing Elective Colon Surgery
NCT03663504 · ClinicalTrials.gov ↗ · Elective Colon Surgery
Phase 4 Active, closed Ottawa Hospital Research Institute Canada

Registers list studies that are recruiting, about to open, active but closed to enrolment, or enrolling by invitation. The UK and USA registers cover industry-sponsored studies only. Trial titles and statuses are copied from the registry as published.

02

Metronidazole in the EU trials register (CTIS)

4 trials

Authorised or ongoing trials in the EU Clinical Trials Information System that list a product containing Metronidazole. Many trials are registered in both CTIS and ClinicalTrials.gov, so these are shown separately rather than added to the count above. Trials with a site in Ireland are listed first.

StudyPhaseStatusSponsorCountries
A Randomized, Multicenter, Single-Blind, Parallel-Group Phase III Non-Inferiority Trial Comparing the Efficacy and Tolerability of a Fixed-Dose Combination of Metronidazole, Bismuth Oxide and Tetracycline HCl to Standard Concomitant Non-Bismuth Quadruple Therapy for First-Line Eradication of Helicobacter pylori in Adults.
2026-525291-26-00 · CTIS ↗ · Bacterial Infections and Mycoses
Phase 3 Ongoing Verisfield Single Member S.A Greece
EPISSOC : Randomized controlled trial comparing an Early Pleural Irrigation strategy with Saline to the Standard of Care for the management of complicated pleural infections
2025-524697-42-00 · CTIS ↗ · Respiratory Tract Diseases
Phase 3 Authorised Centre Hospitalier Universitaire Amiens Picardie France
LIBRETTO: Stimulan™ Local Antibiotic Delivery System Versus 4-Week Systemic Antibiotic Therapy for Diabetic Foot Osteomyelitis – A Prospective, Randomized, Controlled Trial
2025-524723-52-00 · CTIS ↗ · Bacterial Infections and Mycoses
Phase 3 Authorised Pirkanmaan hyvinvointialue Finland
AUTOP 2 : Screen-and-treat strategy for vaginal flora abnormalities by molecular biology in pregnant women at high risk of preterm birth: A Multicentre, Randomized Study
2023-509421-41-03 · CTIS ↗ · Bacterial Infections and Mycoses
Phase 3 Authorised Assistance Publique Hopitaux De Marseille France
03

Metronidazole across our data

Ireland · EU · US

The same active substance in our other registers, matched by its exact name. Each entry links to the register record it comes from.

Licensed in Ireland (HPRA)

6 single-substance products containing Metronidazole on the HPRA medicines list.

All 6 Irish products →

Supply shortages

  • Metronidazole InjectionUS (FDA) · Current · updated 3 Nov 2026
04

Conditions studied with Metronidazole

22 conditions
Helicobacter Pylori Infection5HELICOBACTER PYLORI INFECTIONS1Intra-abdominal Infections1Bacterial Vaginosis (BV)1Previable Labour With Intact Membranes1Acute Mesenteric Ischemia1Surgical Site Infection1Colon Surgery1Surgical Site Infections1Metastatic Castration-Resistant Prostate Cancer (mCRPC)1Colorectal Cancer1Elective Colon Surgery1
All 22 conditions
Condition (as registered)Trials
Helicobacter Pylori Infection5
HELICOBACTER PYLORI INFECTIONS1
Intra-abdominal Infections1
Bacterial Vaginosis (BV)1
Previable Labour With Intact Membranes1
Acute Mesenteric Ischemia1
Surgical Site Infection1
Colon Surgery1
Surgical Site Infections1
Metastatic Castration-Resistant Prostate Cancer (mCRPC)1
Colorectal Cancer1
Elective Colon Surgery1
Rectal Cancer, Adenocarcinoma1
Helicobatcer Pylori1
First-Line Eradication1
Sex1
Bismuth Quadruple Therapy1
Dysbiosis1
Probiotics1
Bacterial Vaginosis1
Pulp Necrosis1
Apical Periodontitis1
05

Sponsors

lead sponsor per trial
Lead sponsorTrials
Assistance Publique - Hôpitaux de Paris2
National Cheng-Kung University Hospital2
Shanghai Jiao Tong University School of Medicine1
Xiuli Zuo1
Qilu Pharmaceutical Co., Ltd1
Freya Biosciences ApS1
Universität Luzern1
Institute of Cancer Research, United Kingdom1
Oncology Institute of Southern Switzerland1
Ottawa Hospital Research Institute1
AC Camargo Cancer Center1
Chih-An Shih, MD1
National Taiwan University Hospital1
Massachusetts General Hospital1
Tanta University1

+ 1 more sponsors in the trial list above.

06

By country register

RegisterTrialsRecruiting
Clinical trials in Taiwan41
Clinical trials in China31
Clinical trials in Switzerland32
Clinical trials in France21
Clinical trials in Egypt22
Clinical trials in Germany11
Clinical trials in Canada10
Clinical trials in Brazil11
Clinical trials in Australia10
EU register (CTIS)4—

A trial with sites in more than one country appears in each of those registers. CTIS does not publish a recruiting flag; its trials may also appear in the registers above.

07

Related compounds

08

Questions about Metronidazole trials

How many clinical trials are testing Metronidazole?

18 current trials in our Taiwan, China, Switzerland, France, Egypt, Germany, Canada, Brazil and Australia registers name Metronidazole as a drug or biological intervention, as of the registry sync on 11 November 2026. Completed and withdrawn studies are not counted.

Are Metronidazole trials recruiting patients?

Yes. 9 of the 18 trials are recruiting: 1 with sites in Taiwan, 1 with sites in China, 2 with sites in Switzerland, 1 with sites in France, 2 with sites in Egypt, 1 with sites in Germany and 1 with sites in Brazil. Eligibility and site contacts are on each trial's record. Only the study team can confirm whether a patient is eligible.

Who sponsors Metronidazole clinical trials?

Assistance Publique - Hôpitaux de Paris (2), National Cheng-Kung University Hospital (2), Shanghai Jiao Tong University School of Medicine (1) and Xiuli Zuo (1), among 16 lead sponsors in total. The number in brackets is how many trials each organisation leads.

Is Metronidazole licensed in Ireland?

Yes. The HPRA medicines list includes 6 single-substance products containing Metronidazole, for example Flagyl 400mg Tablets (Fidia Farmaceutici S.p.A.). A licence does not mean a product is currently marketed or reimbursed; see each product's record.

Is there a Metronidazole shortage?

The registers we track list 1 entry for Metronidazole: US FDA: current. Shortages are product- and country-specific; check with a pharmacist.

Where does this information come from?

Every trial, status, phase and sponsor on this page is copied from public ClinicalTrials.gov records by a daily sync. Nothing here describes how Metronidazole works or whether it is effective, and it is not medical advice.

Approvals, shortages and trials, every Friday

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How this page is built

Everything on this page is copied from public ClinicalTrials.gov registry records — it is not written from memory, and nothing here describes how Metronidazole works or whether it is effective. Each trial links to its own record so you can check it yourself.

This page is built automatically: a daily sync job reads the registry records behind our country trial registers, collects every trial that lists Metronidazole (or a registered synonym) as a drug or biological intervention, and tabulates the registry fields directly. Placebos and generic comparators are excluded. There is no AI drafting and no per-compound editorial pass, and the page has not been clinically reviewed. The “last verified” date above is the timestamp of that sync, not a review date. Our general editorial approach is described in our editorial standards and corrections policy. The ClinicalTrials.gov data on this page was last retrieved on 11 Nov 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.