Multiple clinical trials have investigated the epigenetic modification 5-hydroxymethylcytosine as a biomarker and therapeutic parameter in hematological malignancies—such as myelodysplastic syndromes, acute myeloid leukemia, preleukemia, and chronic myelomonocytic leukemia—along with genitourinary conditions and targeted therapy resistance. Sponsored by academic institutions, university hospitals, and research entities including the Van Andel Research Institute, Rigshospitalet Denmark, and Peking University, several clinical trials comprising mid-stage and observational protocols for hypomethylation and epigenetic profiling currently display recruiting, completed, or unknown statuses.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT04741945 | Recruiting | Preleukemia|Myelodysplastic Neoplasm|Cytopenia|Preleukemic Anemia |
Kirsten Grønbæk|Steno Diabetes Center Copenhagen|Zealand University Hospital|Van Andel Research Institute|Herlev Hospital|Technical University of Denmark|Region Hovedstadens Apotek|University of Copenhagen|Rigshospitalet Denmark |
2021-12-13 | Phase 2 |
| NCT05318989 | Completed | Genitourinary Agents |
Żelazna Medical Centre LLC|Laboratory of Genetics and Human Genomics University of Gdańsk |
2021-02-08 | -- |
| NCT03919539 | Unknown status | Drug Resistance to Famitinib and Camrelizumab|Biomarkers for Efficacy and Toxicity |
Peking University People''s Hospital|Peking University|Northwestern University |
2019-12-01 | -- |
| NCT03999723 | Recruiting | Myelodysplastic Syndromes|Acute Myeloid Leukemia|Chronic Myelomonocytic Leukemia |
Kirsten Grønbæk|Van Andel Institute - Stand Up To Cancer Epigenetics Dream Team|Karolinska University Hospital|Skane University Hospital|Sahlgrenska University Hospital Sweden|University of Southern California|Imperial College London|University of Copenhagen|Zealand University Hospital|Aalborg University Hospital|Odense University Hospital|Technical University of Denmark|Aarhus University Hospital|Uppsala University Hospital|Rigshospitalet Denmark |
2019-09-11 | Phase 2 |
| NCT03526666 | Completed | Myelodysplastic Syndromes|Acute Myeloid Leukemia|Chronic Myelomonocytic Leukemia|MDS|AML|CMML |
Van Andel Research Institute |
2017-11-01 | -- |
(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>).
- 5-Hydroxymethylcytosine Solubility in DMSO
- 5-Hydroxymethylcytosine Stock Solution
- 5-Hydroxymethylcytosine Storage
- 5-Hydroxymethylcytosine Stability
- 5-Hydroxymethylcytosine Molecular Weight
- 5-Hydroxymethylcytosine SMILES
- 5-Hydroxymethylcytosine CAS Number
- 5-Hydroxymethylcytosine Chemical Structure (2D and 3D)
- 5-Hydroxymethylcytosine SDS|MSDS