Several Phase II and Phase III clinical trials sponsored by academic and commercial entities, including AstraZeneca, Areteia Therapeutics, and the National Institute of Allergy and Infectious Diseases, are evaluating therapies for severe eosinophilic asthma, hypereosinophilic syndrome, and angioedema with eosinophilia. Multiple late-stage clinical trials are currently recruiting participants or enrolling by invitation for long-term extension assessments, although a clinical trial examining episodic angioedema was terminated. Together, these studies represent ongoing clinical research into eosinophilic inflammatory pathologies.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT06388889 | Enrolling by invitation | Eosinophilic Asthma |
Areteia Therapeutics |
2024-05-08 | Phase 3 |
| NCT05813288 | Recruiting | Eosinophilic Asthma|Asthma; Eosinophilic|Asthma |
Areteia Therapeutics |
2023-03-27 | Phase 3 |
| NCT05748600 | Recruiting | Eosinophilic Asthma|Asthma; Eosinophilic|Asthma Attack |
Areteia Therapeutics |
2023-01-30 | Phase 3 |
| NCT05763121 | Recruiting | Eosinophilic Asthma|Asthma; Eosinophilic|Asthma |
Areteia Therapeutics |
2023-01-30 | Phase 3 |
| NCT04128371 | Terminated | Eosinophilia|Angioedema |
National Institute of Allergy and Infectious Diseases (NIAID)|National Institutes of Health Clinical Center (CC) |
2021-01-14 | Phase 2 |
| NCT04191304 | Recruiting | Hypereosinophilic Syndrome |
AstraZeneca |
2020-07-20 | Phase 3 |
(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>).
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