Clinical Trials

Numerous clinical trials evaluate calcifediol across Phase 1 through Phase 4 and non-interventional studies for metabolic, renal, and infectious conditions, including vitamin D deficiency, secondary hyperparathyroidism stemming from chronic kidney disease, osteopenia, and COVID-19 pneumonia. Sponsored by academic medical centers, university hospitals, and pharmaceutical organizations, these studies encompass recruiting, completed, and terminated statuses, highlighting active clinical translation into dosing strategies and therapeutic protocols.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06258850 NOT_YET_RECRUITING
Pulmonary Artery Hypertension; Vitamin d Deficiency
Parc de Salut Mar
2024-07-01 PHASE4
NCT06279910 Recruiting
SARS-CoV 2 Pneumonia
Complejo Hospitalario Universitario de Albacete
2024-02-21 --
NCT05732883 Not yet recruiting
Voice Change|Hypocalcemia
Tseung Kwan O Hospital Hong Kong|United Christian Hospital|Chinese University of Hong Kong
2024-01-01 Phase 2
NCT02548364 COMPLETED
Myocardial Infarction
Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz
2015-10 PHASE3
NCT05540678 Recruiting
Nutritional and Metabolic Diseases|Child Obesity|Adolescent Obesity
Insel Gruppe AG University Hospital Bern|DCB Research AG
2022-11-30 Not Applicable
NCT04735926 COMPLETED
Vitamin D Deficiency; Vitamin D Insufficiency
Faes Farma, S.A.
2020-12-23 PHASE2; PHASE3
NCT04366908 COMPLETED
SARS-CoV 2; COVID19; SARS (Severe Acute Respiratory Syndrome); Cytokine Release Syndrome; Cytokine Storm
Maimónides Biomedical Research Institute of Córdoba
2020-05-07 PHASE2
NCT05819918 Completed
COVID-19
Maimónides Biomedical Research Institute of Córdoba
2022-04-01 --
NCT04551911 COMPLETED
COVID-19; Coronavirus; SARS-CoV2 Infection
OPKO Health, Inc.
2020-11-02 PHASE2
NCT03602261 TERMINATED
Secondary Hyperparathyroidism Due to Renal Causes; Chronic Kidney Diseases; Vitamin D Deficiency; Stage 5 Chronic Kidney Disease
OPKO Health, Inc.
2018-07-09 PHASE2
NCT02962102 COMPLETED
Critically Ill; Acute Kidney Injury
David Leaf
2017-04-03 PHASE2
NCT03588884 COMPLETED
Secondary Hyperparathyroidism Due to Renal Causes; Vitamin D Insufficiency; CKD Stage 3; CKD Stage 4
OPKO Health, Inc.
2018-06-08 PHASE4
NCT04386850 Unknown status
COVID 19
Tehran University of Medical Sciences|Boston University
2020-04-14 Phase 2|Phase 3
NCT03213886 COMPLETED
Hip Fracture; Vitamin D Deficiency
Leonor Cuadra Llopart
2018-01-01 PHASE4
NCT03401541 COMPLETED
Vitamin D Deficiency; Fat Malabsorption
Boston University
2018-10-01 EARLY_PHASE1
NCT03660800 COMPLETED
Vitamin D Insufficiency; Secondary Hyperparathyroidism
OPKO Health, Inc.
2018-08-20 PHASE1
NCT02527668 COMPLETED
Osteopenia/Osteoporosis
dsm-firmenich Switzerland AG
2015-09 PHASE2
NCT03403933 COMPLETED
Hypovitaminosis D; Cardiovascular Diseases
I.R.C.C.S Ospedale Galeazzi-Sant'Ambrogio
2017-01-16 PHASE4
NCT02805907 COMPLETED
Asthma, Bronchial
MurciaSalud
2016-06 PHASE4
NCT02349282 COMPLETED
Deficiency, Vitamin D; Elderly, Frail
Wageningen University
2014-12
NCT02333682 COMPLETED
Osteoporosis
dsm-firmenich Switzerland AG
2014-11
NCT01939977 COMPLETED
Secondary Hyperparathyroidism Due to Renal Causes
Fundación Senefro
2014-01 PHASE4
NCT01868945 COMPLETED
Pre-frail Elderly; Frail Elderly
dsm-firmenich Switzerland AG
2013-04 PHASE1

(data from https://clinicaltrials.gov, updated on 2024-02-14)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Calcifediol binds to the vitamin D receptor pathway as the primary circulating vitamin D3 metabolite and suppresses parathyroid hormone gene expression and secretion. This downstream downregulation modulates systemic calcium homeostasis and bone mineralization, providing therapeutic rationale for its clinical evaluation in conditions such as secondary hyperparathyroidism, chronic kidney disease, and vitamin D deficiency.

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.