Acipimox is documented in several clinical trials evaluating the metabolic consequences of lipolysis inhibition—such as skeletal muscle glucose utilization, glycogen dynamics, insulin sensitivity, and vascular function—primarily in pre-diabetes and type 2 diabetes mellitus. Encompassing Phase 1/Phase 2 and unassigned phase protocols, these studies range from completed trials to those currently actively recruiting participants. The research landscape involves academic, governmental, and industry sponsors, including Maastricht University Medical Center, Brigham and Women's Hospital, the University of Colorado Denver, the US Department of Veterans Affairs, and Pfizer.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT06317142 | Recruiting | Pre Diabetes |
Maastricht University Medical Center |
2024-02-20 | -- |
| NCT01580813 | Completed | Type 2 Diabetes |
University of Colorado Denver|US Department of Veterans Affairs|Pfizer |
2011-06 | Not Applicable |
| NCT00153179 | Completed | Type 2 Diabetes Mellitus |
Brigham and Women''s Hospital |
2005-09 | Phase 1|Phase 2 |
(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>).