Multiple clinical trials have evaluated 2-aminoethanethiol across genetic and metabolic disorders, primarily cystinosis and cystic fibrosis, encompassing Phase 1/2, Phase 2, and Phase 3 interventional evaluations alongside observational cohort studies. Sponsored by biopharmaceutical companies and healthcare institutions, all of these registered trials have completed recruitment. Together, they establish a valuable clinical foundation regarding the safety, pharmacokinetics, and therapeutic efficacy of cysteamine formulations.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT03000348 | Completed | Cystic Fibrosis |
NovaBiotics Ltd.|Agility Clinical Inc.|PSR Group B.V. |
2016-12 | Phase 2 |
| NCT02212431 | Completed | Cystic Fibrosis |
University of Aberdeen|Cystic Fibrosis Trust|NHS Grampian|University of Huddersfield |
2014-08 | Phase 1|Phase 2 |
| NCT01733316 | Completed | Cystinosis |
Horizon Pharma USA Inc. |
2013-01-31 | Phase 3 |
| NCT01744782 | Completed | Cystinosis |
Horizon Pharma USA Inc. |
2012-12-20 | Phase 3 |
| NCT02012114 | Completed | Cystinosis |
Hospices Civils de Lyon |
2011-12 | Not Applicable |
(data from https://clinicaltrials.gov, updated on 2024-05-22)
Mechanism and Biochemical Profile
Appendix RUO and cGMP Quality Standards
| Quality Dimension | RUO (Research Use Only) | cGMP (Current Good Manufacturing Practice) |
|---|---|---|
| Clinical Applicability | Prohibited in human clinical trials or medical diagnostics. | Mandatory for human clinical trials (Phase I–III) and therapies. |
| Regulatory Status | Non-regulated grade; exempt from drug manufacturing laws. | Legally enforced by health authorities (e.g., FDA, EMA, NMPA). |
| Facility Environment | Unclassified analytical or research laboratories. | Validated Cleanrooms (ISO Class 5–8) with continuous monitoring. |
| Quality Control | Basic purity and activity testing. | Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma). |
| Process Validation | Basic equipment calibration; no process validation required. | Full qualification (IQ/OQ/PQ) and complete batch records. |
| Quality Assurance | Vendor self-declared without required formal QMS. | Mandatory QA/QC unit, Change Control, CAPA, and vendor audits. |
| Regulatory Impact | High risk of IND rejection if used as a critical raw material. | Required for IND/NDA filings, supported by Drug Master Files (DMF). |
Footnotes
Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).