Clinical Trials

Azathioprine is documented in numerous clinical trials spanning Phase 1 through Phase 4 alongside non-interventional protocols, evaluating its efficacy in inflammatory bowel diseases, autoimmune hepatitis, systemic lupus erythematosus, uveitis, idiopathic pulmonary fibrosis, and transplant-related disorders. Sponsored by major academic medical centers and health organizations, including Hospices Civils de Lyon and the Institute of Liver and Biliary Sciences, this research portfolio encompasses completed, active, and currently enrolling studies.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07616154 RECRUITING
Sickle Cell Disease
St. Jude Children's Research Hospital
2026-09 PHASE2
NCT07352566 NOT_YET_RECRUITING
Psoriasis; Atopic Dermatitis
University of California, San Francisco
2026-08-01 PHASE4
NCT05584228 NOT_YET_RECRUITING
Crohn Disease
Nantes University Hospital
2026-10-01
NCT07659353 NOT_YET_RECRUITING
Chrohn's Disease
University Hospital Schleswig-Holstein
2026-08-01 PHASE4
NCT02939573 RECRUITING
Primary Cutaneous Vasculitis; Cutaneous Polyarteritis Nodosa; IgA Vasculitis; Henoch-Schönlein Purpura
University of Pennsylvania
2017-01-01 PHASE2
NCT07619898 NOT_YET_RECRUITING
Colitis; Hepatitis; Melanoma (Skin Cancer)
Therakos LLC
2026-07 PHASE2
NCT07424040 NOT_YET_RECRUITING
Crohn's Diseases; Crohn's Disease in Pediatric Patient
The Children's Hospital of Zhejiang University School of Medicine
2026-03-01
NCT07718308 NOT_YET_RECRUITING
Kidney Transplantation; Antibody-mediated Rejection
wujianyong
2026-07-15
NCT07235904 RECRUITING
Ulcerative Colitis (UC)
University Hospital Schleswig-Holstein
2025-12-05 PHASE4
NCT03414502 RECRUITING
Rheumatoid Arthritis
University of Nebraska
2007-12-10 PHASE3
NCT07138898 RECRUITING
Rheumatic Disease
NYU Langone Health
2025-12-12 PHASE2
NCT04654988 RECRUITING
Myocarditis; Heart Failure; Endomyocardial Biopsy; Cardiomyopathies, Secondary; Immunosuppression
Medical University of Warsaw
2022-12-01 PHASE4
NCT06941376 RECRUITING
Relapsing Polychondritis
University of Pennsylvania
2025-11-11 PHASE2
NCT04469842 RECRUITING
Lung Transplant; Complications
Vanderbilt University Medical Center
2023-12-01 EARLY_PHASE1
NCT07769333 NOT_YET_RECRUITING
Pemphigus Vulgaris; Rituximab (RTx)
Khyber Teaching Hospital
2026-12-02 EARLY_PHASE1
NCT07168161 RECRUITING
ANCA Associated Vasculitis (AAV)
Staidson (Beijing) Biopharmaceuticals Co., Ltd
2025-11-10 PHASE3
NCT05545384 RECRUITING
Acute Demyelinating Syndrome; Myelin Oligodendrocyte Glycoprotein Antibody-associated Disease
Assistance Publique - Hôpitaux de Paris
2025-06-23 PHASE3
NCT05349006 RECRUITING
Central Nervous System Inflammation; MOG-IgG Associated Disease
Hospices Civils de Lyon
2023-12-12 PHASE3
NCT05040464 RECRUITING
Crohn Disease; Azathioprine; Methotrexate
Centre Hospitalier Universitaire, Amiens
2021-08-26 PHASE3
NCT04362293 ACTIVE_NOT_RECRUITING
Sickle Cell Disease
St. Jude Children's Research Hospital
2020-04-30 PHASE2
NCT05813860 NOT_YET_RECRUITING
Crohn Disease; Infliximab
Sixth Affiliated Hospital, Sun Yat-sen University
2023-04-30 PHASE4
NCT06650124 NOT_YET_RECRUITING
Autoimmune Hepatitis
Institute of Liver and Biliary Sciences, India
2024-11-01 PHASE2; PHASE3
NCT05965284 RECRUITING
ANCA-associated Vasculitis; Maintenance Therapy
Chinese SLE Treatment And Research Group
2023-03-09 PHASE4
NCT06476366 COMPLETED
Chronic Actinic Dermatitis
Pak Emirates Military Hospital
2024-07-14 EARLY_PHASE1
NCT05030155 ACTIVE_NOT_RECRUITING
Eosinophilic Granulomatosis With Polyangiitis
Assistance Publique - Hôpitaux de Paris
2022-05-30 PHASE3
NCT07044141 ACTIVE_NOT_RECRUITING
Vitiligo
Lahore General Hospital
2025-03-01 PHASE1
NCT05237323 COMPLETED
Lymphocytic Myocarditis (Disorder); Heart Failure; Dilated Cardiomyopathy; Cardiomyopathies; Sudden Cardiac Death
I.M. Sechenov First Moscow State Medical University
2020-10-01 PHASE3
NCT06213857 RECRUITING
Ulcerative Colitis
Tanta University
2025-02-01 PHASE2
NCT05969730 COMPLETED
Atopic Dermatitis
Mazandaran University of Medical Sciences
2023-08-15
NCT04737343 UNKNOWN
ANCA Associated Vasculitis; Maintenance Therapy
Chinese SLE Treatment And Research Group
2021-06-30
NCT03164473 COMPLETED
Eosinophilic Granulomatosis With Polyangiitis
Assistance Publique - Hôpitaux de Paris
2018-03-07 PHASE3
NCT04660539 COMPLETED
Neuromyelitis Optica Spectrum Disorder
Hoffmann-La Roche
2021-03-02 PHASE3
NCT06066957 Recruiting
Cytomegalovirus Infections|Transplant-Related Disorder
University of Pennsylvania|Merck Sharp & Dohme LLC
2024-04-04 Phase 2
NCT02332356 UNKNOWN
Crohn Disease
Tokyo Medical and Dental University
2014-09 PHASE3
NCT04773392 TERMINATED
Kidney Transplantation; Kidney Transplant Rejection
University of Southern California
2021-11-23 PHASE4
NCT05861297 UNKNOWN
Immune Thrombocytopenia Purpura
Nahda University
2020-05-05 PHASE4
NCT03770663 UNKNOWN
Antisynthetase Syndrome (ASS); Interstitial Lung Disease
Assistance Publique - Hôpitaux de Paris
2021-02-05 PHASE3
NCT04713631 UNKNOWN
Crohn's Disease
Sanjay Gandhi Postgraduate Institute of Medical Sciences
2021-01-21 PHASE2
NCT04371718 UNKNOWN
Autoimmune Hepatitis
TaiwanJ Pharmaceuticals Co., Ltd
2020-11 PHASE2
NCT04160325 UNKNOWN
Crohn Disease
Zhu Weiming
2018-01-01
NCT05263505 TERMINATED
Mucous Membrane Pemphigoid; Cicatrizing Conjunctivitis
Washington University School of Medicine
2022-02-21 PHASE2
NCT05859191 Recruiting
Systemic Lupus Erythematosus|Physiopathology
University Hospital Tours|Research Center for Respiratory Diseases Inserm U1100
2023-07-21 --
NCT02900443 UNKNOWN
Autoimmune Hepatitis
Radboud University Medical Center
2017-01 PHASE4
NCT06786689 COMPLETED
Alopecia Areata; Alopecia Areata(AA)
Sheikh Zayed Medical College
2023-03-01 PHASE2
NCT05994716 Enrolling by invitation
Inflammatory Bowel Diseases|Crohn Disease|Ulcerative Colitis
Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department|Sechenov University
2023-04-25 Not Applicable
NCT05349006 Not yet recruiting
Central Nervous System Inflammation|MOG-IgG Associated Disease
Hospices Civils de Lyon
2023-01-01 Phase 3
NCT05896605 COMPLETED
NMO Spectrum Disorder; Azathioprine Adverse Reaction
First Affiliated Hospital of Guangxi Medical University
2020-01-01 PHASE4
NCT04761952 UNKNOWN
Inflammatory Bowel Diseases; Crohn Disease; Polyunsaturated Acid Lipidosis
Sixth Affiliated Hospital, Sun Yat-sen University
2021-02-13
NCT05321485 UNKNOWN
Inflammatory Bowel Diseases; Crohn Disease; Ulcerative Colitis
Maxima Medical Center
2022-03-16
NCT04882683 UNKNOWN
Ulcerative Colitis
Shandong Qilu Stem Cells Engineering Co., Ltd.
2021-06-01
NCT02425852 COMPLETED
Ulcerative Colitis
Groupe d'Etude Therapeutique des Affections Inflammatoires Digestives
2016-12 PHASE4
NCT05370690 Unknown status
Uveitis
University Hospital Brest
2022-05-01 --
NCT04933292 UNKNOWN
Autoimmune Hepatitis; Primary Biliary Cirrhosis
Xiaoli Fan
2021-06-16 PHASE4
NCT03789006 UNKNOWN
Kidney Transplant Rejection
University of Khartoum
2018-03-21 PHASE4
NCT05321485 Unknown status
Inflammatory Bowel Diseases|Crohn Disease|Ulcerative Colitis
Maxima Medical Center
2022-03-16 Not Applicable
NCT02498977 TERMINATED
Transplantation, Liver
King's College London
2015-10 PHASE4
NCT06846255 COMPLETED
Pemphigus Vulgaris
Jinnah Postgraduate Medical Centre
2021-06-15 PHASE4
NCT01727193 COMPLETED
Myasthenia Gravis
First Affiliated Hospital, Sun Yat-Sen University
2012-09 PHASE3
NCT02852694 COMPLETED
Crohn's Disease
PIBD-Net
2017-02-28 PHASE4
NCT02177071 COMPLETED
Crohn's Disease
Groupe d'Etude Therapeutique des Affections Inflammatoires Digestives
2015-10-09 PHASE4
NCT03760003 COMPLETED
Ulcerative Colitis
Abivax S.A.
2019-08-13 PHASE2
NCT02936375 UNKNOWN
Lupus Nephritis
RenJi Hospital
2017-09-07 PHASE2
NCT02598596 COMPLETED
Gout
Ampel BioSolutions, LLC
2015-12 PHASE2
NCT03026907 UNKNOWN
Hand Eczema
University Medical Center Groningen
2016-05 PHASE3
NCT02517684 COMPLETED
Crohn's Disease
Erasmus Medical Center
2015-04 PHASE4
NCT03101800 UNKNOWN
Colitis, Ulcerative; Colitis Ulcerative Exacerbation
Hvidovre University Hospital
2016-12-14 PHASE3
NCT03151525 UNKNOWN
Colitis, Ulcerative
Istituto Clinico Humanitas
2017-05-08 PHASE4
NCT02994927 COMPLETED
ANCA-Associated Vasculitis
Amgen
2017-03-15 PHASE3
NCT03350633 COMPLETED
Neuromyelitis Optica Spectrum Disorders; Neuromyelitis Optica
Tianjin Medical University General Hospital
2017-11-01 PHASE2; PHASE3
NCT03449758 COMPLETED
Rheumatoid Arthritis
Sanofi
2018-03-05 PHASE4
NCT03498703 COMPLETED
Recurrent Implantation Failure; In Vitro Fertilization; Intracytoplsmic Sperm Injection
Ain Shams University
2018-04-25 PHASE2
NCT03580876 UNKNOWN
Clinical Failure After Switch
Védrines, Philippe, M.D.
2018-07-23 PHASE4
NCT03930264 COMPLETED
Therapeutic Equivalency
Nova Laboratories Limited
2019-04-11 PHASE1
NCT03370601 TERMINATED
Inflammatory Bowel Diseases
University Hospital, Lille
2017-01-03
NCT02444728 TERMINATED
Thrombocytopenia
Chinese SLE Treatment And Research Group
2015-07 PHASE3
NCT02579733 TERMINATED
Ulcerative Colitis
Kyungpook National University Hospital
2016-02-01 PHASE4
NCT01697267 COMPLETED
Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis; Microscopic Polyangiitis; Wegener Granulomatosis
Cambridge University Hospitals NHS Foundation Trust
2013-04 PHASE3
NCT03393247 UNKNOWN
Crohn Disease
Sixth Affiliated Hospital, Sun Yat-sen University
2017-06-01
NCT03229746 COMPLETED
Immune Thrombocytopenia
Assiut University
2017-08-01 PHASE4
NCT01172002 UNKNOWN
Nephritis; Lupus
RenJi Hospital
2010-03
NCT02929706 UNKNOWN
Thiopurine-induced Leukopenia
Sixth Affiliated Hospital, Sun Yat-sen University
2016-07
NCT02789397 WITHDRAWN
Granulomatous and Lymphocytic Interstitial Lung Disease
Medical College of Wisconsin
2016-05-02 PHASE2
NCT02413047 TERMINATED
Inflammatory Bowel Disease; Ulcerative Colitis; Crohn's Disease
Indiana University
2015-05
NCT03185611 UNKNOWN
Crohn Disease
Sixth Affiliated Hospital, Sun Yat-sen University
2017-05-18 PHASE3
NCT02281799 WITHDRAWN
Pancreatitis; Inflammatory Bowel Diseases
Shaare Zedek Medical Center
2015-03 PHASE4
NCT03250143 COMPLETED
Chronic Refractory Urticaria
Post Graduate Institute of Medical Education and Research, Chandigarh
2016-12-06 PHASE1; PHASE2
NCT02998827 UNKNOWN
Crohn Disease
Sixth Affiliated Hospital, Sun Yat-sen University
2016-11
NCT00987116 COMPLETED
Myasthenia Gravis
Assistance Publique - Hôpitaux de Paris
2009-06 PHASE4
NCT02723786 TERMINATED
Kidney Transplantation (Status Post)
GlaxoSmithKline
2016-08-27 PHASE2
NCT01663623 COMPLETED
Vasculitis
Human Genome Sciences Inc., a GSK Company
2013-03-20 PHASE3
NCT02949349 COMPLETED
Lupus Nephritis
Genovate Biotechnology Co., Ltd.,
2015-07 PHASE2
NCT02645565 COMPLETED
Lupus Nephritis
Jawaharlal Institute of Postgraduate Medical Education & Research
2015-12 PHASE4
NCT01235689 COMPLETED
Crohn's Disease
AbbVie (prior sponsor, Abbott)
2011-02-11 PHASE3
NCT03002038 COMPLETED
Neuromyelitis Optica Spectrum Disorder
Isfahan University of Medical Sciences
2015-09 PHASE2; PHASE3
NCT01941095 COMPLETED
Rheumatoid Arthritis
Hoffmann-La Roche
2013-11-20 PHASE3
NCT00494741 COMPLETED
Kidney Transplant
Mario Negri Institute for Pharmacological Research
2007-05 PHASE4
NCT02493465 UNKNOWN
Left Ventricular Hypertrophy
Instituto de Urologia e Nefrologia
2015-07 PHASE4
NCT01284725 COMPLETED
Nephritis of Lupus
Assistance Publique Hopitaux De Marseille
2011-02-16 PHASE3
NCT01802593 TERMINATED
Crohn's Disease
Prof. Arie Levine
2013-02 PHASE4
NCT01112215 COMPLETED
Systemic Lupus Erythematosus
Hospital Universitari Vall d'Hebron Research Institute
2009-12 PHASE4
NCT01877746 UNKNOWN
Inflammatory Cardiomyopathy
St. Anne's University Hospital Brno, Czech Republic
2013-01 PHASE3
NCT02463331 COMPLETED
Autoimmune Hepatitis
University of Sao Paulo General Hospital
2003-05 PHASE4
NCT00647166 COMPLETED
MPA; PAN or EGPA With FFS=0; At Diagnosis or Within the First 15 Days Following Initiation of Corticosteroids
Assistance Publique - Hôpitaux de Paris
2008-05 PHASE3
NCT01564823 COMPLETED
Crohn´s Disease
Grupo Espanol de Trabajo en Enfermedad de Crohn y Colitis Ulcerosa
2012-06 PHASE3
NCT01880307 TERMINATED
Crohn's Disease
Erasmus Medical Center
2013-01 PHASE4
NCT01817972 UNKNOWN
Crohn's Disease
Gastroenterology Research of America
2013-03 PHASE3
NCT00128895 TERMINATED
Vasculitis
University Medical Center Groningen
2003-06 PHASE4
NCT02247258 TERMINATED
Crohn Disease; Recurrence; Azathioprine; Prevention
Universitaire Ziekenhuizen KU Leuven
2005-10 PHASE2
NCT03189888 COMPLETED
Ulcerative Colitis
Valduce Hospital
2013-01
NCT00650091 COMPLETED
Pulmonary Fibrosis
Duke University
2009-10 PHASE3
NCT01823042 UNKNOWN
Crohn's Disease
Jinling Hospital, China
2012-10
NCT01015391 UNKNOWN
Crohn's Disease
Jinling Hospital, China
2009-11
NCT01056237 COMPLETED
Lupus Nephritis
Zhi-Hong Liu, M.D.
2010-02
NCT01957423 COMPLETED
Crohn's Disease
University of Campinas, Brazil
2012-03
NCT00748644 COMPLETED
Wegener Granulomatosis; Microscopic Polyangiitis
Assistance Publique - Hôpitaux de Paris
2008-10 PHASE3
NCT00546546 COMPLETED
Crohn's Disease
Groupe d'Etude Therapeutique des Affections Inflammatoires Digestives
2005-07 PHASE4
NCT00768729 COMPLETED
Kidney Failure, Chronic; Kidney Transplantation; Immunosuppression
National Institute of Allergy and Infectious Diseases (NIAID)
2009-05 PHASE1
NCT00774852 COMPLETED
Lupus Nephritis; Lupus Erythematosus, Systemic
National Institute of Allergy and Infectious Diseases (NIAID)
2008-11 PHASE2
NCT01446211 TERMINATED
Wegeners Granulomatosis
Nordic Pharma SAS
2011-11 PHASE3
NCT00741338 COMPLETED
Mucopolysaccharidosis I
Genzyme, a Sanofi Company
2008-09 PHASE1; PHASE2
NCT01559142 UNKNOWN
Crohn Disease
Children's Memorial Health Institute, Poland
2008-11 PHASE3
NCT00984568 TERMINATED
Colitis, Ulcerative
Merck Sharp & Dohme LLC
2009-11 PHASE3
NCT00521950 COMPLETED
Inflammatory Bowel Diseases; Crohn Disease; Ulcerative Colitis
ZonMw: The Netherlands Organisation for Health Research and Development
2007-09
NCT00849368 COMPLETED
Inflammatory Bowel Disease
University of Zurich
2009-01 PHASE1
NCT00204022 COMPLETED
Lupus Nephritis
Frédéric A. Houssiau, MD, PhD
2001-02 PHASE3
NCT00321906 COMPLETED
Delayed Graft Function; Acute Graft Rejection
University of Chicago
2002-04 PHASE4
NCT00539838 TERMINATED
Systemic Lupus Erythematosus
Genentech, Inc.
2007-12-19 PHASE3
NCT00656656 COMPLETED
Pemphigus
University of Luebeck
2008-01 PHASE2
NCT00307671 COMPLETED
Vasculitis; Wegener's Granulomatosis; Microscopic Polyangiitis; Churg-Strauss Syndrome; Polyarteritis Nodosa
Assistance Publique - Hôpitaux de Paris
2005-07 PHASE4
NCT00997412 UNKNOWN
Myasthenia Gravis
Qualitix Clinical Research Co., Ltd.
2009-05
NCT00866684 TERMINATED
Skin Cancer
Charite University, Berlin, Germany
2007-01-01 PHASE4
NCT00976690 COMPLETED
Crohn Disease
Groupe d'Etude Therapeutique des Affections Inflammatoires Digestives
2002-10 PHASE3
NCT00695344 UNKNOWN
Cardiac Transplant
Fundacion Investigacion y Desarrollo
2006-01 PHASE4
NCT00377962 COMPLETED
Disorder Related to Cardiac Transplantation
Novartis Pharmaceuticals
2005-12 PHASE4
NCT00537316 TERMINATED
Ulcerative Colitis
Merck Sharp & Dohme LLC
2007-07 PHASE3
NCT00626197 TERMINATED
Lupus Nephritis; Systemic Lupus Erythematosus
Genentech, Inc.
2008-02-15 PHASE3
NCT00170846 COMPLETED
Renal Transplantation
Novartis Pharmaceuticals
2005-02 PHASE4
NCT00504244 TERMINATED
Systemic Lupus Erythematosus
Erasmus Medical Center
2007-07 PHASE3
NCT00368264 TERMINATED
Lupus Erythematosus, Systemic; Lupus Nephritis
Medical University of Vienna
2006-09 PHASE2; PHASE3
NCT00608894 TERMINATED
Autoimmune Hepatitis
Veloxis Pharmaceuticals
2007-12 PHASE2
NCT00104299 COMPLETED
Vasculitis; Wegener's Granulomatosis; Microscopic Polyangiitis
National Institute of Allergy and Infectious Diseases (NIAID)
2005-01 PHASE2; PHASE3
NCT00626678 COMPLETED
Pemphigus Vulgaris
Tehran University of Medical Sciences
2008-01 PHASE2
NCT00615173 COMPLETED
Kidney Diseases; Lupus Nephritis; Tacrolimus; Induction Phase; Maintenance Phase
Sun Yat-sen University
2006-07 PHASE3
NCT00359814 COMPLETED
Heart Transplantation
Hannover Medical School
2004-11
NCT00425438 TERMINATED
Lupus Nephritis
Hoffmann-La Roche
2007-03 PHASE3
NCT00094458 COMPLETED
Crohn Disease
Centocor Ortho Biotech Services, L.L.C.
2005-03 PHASE3
NCT00113503 TERMINATED
Crohn's Disease
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
2005-07 PHASE2
NCT00267189 COMPLETED
Liver Transplantation
Novartis Pharmaceuticals
2005-11 PHASE3
NCT00098111 TERMINATED
Crohn's Disease
Massachusetts General Hospital
2005-04 PHASE3
NCT00262405 COMPLETED
Idiopathic Pulmonary Fibrosis
University of Michigan
2001-01 PHASE2
NCT00946946 COMPLETED
Crohn's Disease
Dr. Falk Pharma GmbH
2002-02 PHASE3
NCT00377637 COMPLETED
Lupus Nephritis
Hoffmann-La Roche
2005-07 PHASE3
NCT01392833 COMPLETED
IgA Nephropathy; Chronic Kidney Disease
A. Manzoni Hospital
1999-12 PHASE3
NCT00753103 COMPLETED
Wegener's Granulomatosis; Renal Limited Vasculitis; Microscopic Polyangiitis
University Hospital Birmingham NHS Foundation Trust
2003-01 PHASE2
NCT00189397 COMPLETED
Parthenium Dermatitis
All India Institute of Medical Sciences
2003-02
NCT00796250 TERMINATED
Crohn's Disease
Merck Sharp & Dohme LLC
2003-11-01 PHASE3
NCT00755859 COMPLETED
IGA Nephropathy
A. Manzoni Hospital
1998-05 PHASE4
NCT00176059 COMPLETED
Renal Failure, Chronic; Renal Transplantation
University of Giessen
2001-10 EARLY_PHASE1
NCT00230035 WITHDRAWN
Systemic Lupus Erythematosus
National Institute of Allergy and Infectious Diseases (NIAID)
2005-09 PHASE2
NCT00461825 COMPLETED
Kidney Transplantation
Poitiers University Hospital
1998-07 PHASE3
NCT00518310 UNKNOWN
Idiopathic Pulmonary Fibrosis
Thorax National Institute
2005-05
NCT00336414 WITHDRAWN
Systemic Lupus Erythematosus Nephritis
Istituto Giannina Gaslini
2006-06 PHASE3
NCT00307645 TERMINATED
ANCA Associated Systemic Vasculitis Including Wegener's; Granulomatosis and Microscopic Polyangiitis and; Renal Limited Vasculitis
Assistance Publique - Hôpitaux de Paris
2003-05 PHASE3
NCT00349674 UNKNOWN
Systemic Wegener's Granulomatosis
Hospices Civils de Lyon
1999-01 PHASE3
NCT00431119 COMPLETED
Bullous Pemphigoid
University Hospital Muenster
1997-10 PHASE2
NCT00052039 TERMINATED
Lung Disease; Pulmonary Fibrosis
InterMune
2002-04 PHASE3
NCT00400075 UNKNOWN
Polyarteritis Nodosa; Microscopic Polyangiitis
Hospices Civils de Lyon
1996-07 PHASE4
NCT00268515 COMPLETED
Lung Diseases
National Heart, Lung, and Blood Institute (NHLBI)
1998-04 PHASE2
NCT00399399 UNKNOWN
Churg-Strauss Syndrome
Hospices Civils de Lyon
1996-07 PHASE4
NCT00554710 COMPLETED
Crohn's Disease
Belgian Inflammatory Bowel Disease Research and Development (BIRD) VZW
2001-05 PHASE4

(data from https://clinicaltrials.gov, updated on 2026-07-23)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Azathioprine acts as a prodrug converted into antimetabolites that inhibit purine nucleotide synthesis and Rac1 GTPase activation, thereby blocking DNA replication and inducing apoptosis in proliferating T and B lymphocytes. This targeted suppression of adaptive immune cell expansion mitigates aberrant inflammatory cascades, directly underlying its therapeutic efficacy in clinical trials for inflammatory bowel diseases, autoimmune hepatitis, and transplant-related disorders.

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.