Clinical Trials

Amonafide (AS1413) has been evaluated in several clinical trials spanning Phase 1 through pivotal Phase 3, sponsored by academic and industry entities including Antisoma Research, Xanthus Pharmaceuticals, and Memorial Sloan Kettering Cancer Center. These studies assessed combination regimens and phenotype-guided dosing strategies across indications such as acute myeloid leukemia, secondary acute myeloid leukemia, metastatic breast cancer, and androgen-independent prostate cancer. Recorded trial recruitment statuses are listed as either completed or unknown.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT01066494 UNKNOWN
Acute Myeloid Leukemia
Antisoma Research
2010-01 PHASE2
NCT00715637 UNKNOWN
Secondary Acute Myeloid Leukemia (Secondary AML, sAML)
Antisoma Research
2007-06 PHASE3
NCT01066494 Unknown status
Acute Myeloid Leukemia
Antisoma Research
2010-01 Phase 2
NCT00087854 COMPLETED
Prostate Cancer
Xanthus Pharmaceuticals, Inc.
2004-03 PHASE1; PHASE2
NCT00273884 Completed
Acute Myeloid Leukemia
Xanthus Pharmaceuticals Inc.
2005-08 Phase 2
NCT00087854 Completed
Prostate Cancer
Xanthus Pharmaceuticals Inc.
2004-03 Phase 1|Phase 2
NCT00074100 COMPLETED
Breast Cancer
Memorial Sloan Kettering Cancer Center
2003-08 PHASE2
NCT00273884 COMPLETED
Acute Myeloid Leukemia
Xanthus Pharmaceuticals, Inc.
2005-08 PHASE2

(data from https://clinicaltrials.gov, updated on 2011-01-17)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Amonafide intercalates into DNA and binds to topoisomerase II, inducing protein-associated DNA double-strand breaks and inhibiting topoisomerase II-mediated DNA ligation without affecting topoisomerase I activity. This disruption of DNA replication and transcription triggers apoptotic cell death in rapidly proliferating malignant cells, providing the mechanistic foundation for its therapeutic application in acute myeloid leukemia, breast cancer, and prostate cancer.

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.