Clinical Trials

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)

Check the Acipimox product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Acipimox functions as a niacin derivative that inhibits lipolysis and hepatic triglyceride production, leading to decreased secretion of very-low-density lipoproteins and circulating free fatty acids. By lowering systemic free fatty acid levels, Acipimox alleviates lipid-induced insulin resistance and improves tissue glucose dynamics, which underlines its therapeutic relevance in managing pre-diabetes and type 2 diabetes mellitus.

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>).

Note: Technical data last updated: Sep 1, 2026.