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)
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>).