Clinical Trials

Numerous clinical trials across all phases have evaluated cidofovir for cytomegalovirus retinitis, herpes simplex virus infection, high-grade cervical epithelial neoplasia, and viral complications associated with blood and marrow transplantation. These studies are supported by government bodies like the National Institute of Allergy and Infectious Diseases, academic research hospitals, and biopharmaceutical firms including Gilead Sciences and SymBio Pharmaceuticals. Current registry records reflect varying recruitment statuses, encompassing completed, active, recruiting, and terminated protocols.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT01295645 ACTIVE_NOT_RECRUITING
Transplantation Infection
M.D. Anderson Cancer Center
2011-03-17 PHASE2
NCT07387367 RECRUITING
Adenovirus Infections
SymBio Pharmaceuticals
2026-03-17 PHASE3
NCT06439342 RECRUITING
Cytomegalovirus (CMV)
Takeda
2024-12-16 PHASE3
NCT04706923 COMPLETED
Adenovirus Infections; Cytomegalovirus Infection
SymBio Pharmaceuticals
2021-08-16 PHASE2
NCT04055142 COMPLETED
High-grade Anal Intraepithelial Neoplasia
Hospital Universitari Vall d'Hebron Research Institute
2020-09-18 PHASE3
NCT04542252 Completed
Drug Drug Interaction
SymBio Pharmaceuticals
2020-11-09 Phase 1
NCT02931539 COMPLETED
Cytomegalovirus (CMV)
Shire
2016-12-22 PHASE3
NCT03532035 WITHDRAWN
Adenovirus
Jazz Pharmaceuticals
2018-12-15 PHASE2
NCT03339401 TERMINATED
Adenovirus
Jazz Pharmaceuticals
2017-12-22 PHASE2
NCT01816646 COMPLETED
Blood And Marrow Transplantation
M.D. Anderson Cancer Center
2013-09 PHASE1
NCT02555800 UNKNOWN
Recurrent Respiratory Papillomatosis
Centro de Investigación en. Enfermedades Infecciosas, Mexico
2014-12 PHASE2
NCT02567149 WITHDRAWN
Warts
University of Minnesota
2016-06 PHASE2
NCT02976987 COMPLETED
High Grade Cervical Epithelial Neoplasia (CIN2+)
Brugmann University Hospital
2013-02 PHASE2
NCT01610765 Withdrawn
Herpes Simplex Virus
University of Alabama at Birmingham
2016-01 Phase 1|Phase 2
NCT01769170 COMPLETED
CMV
Jazz Pharmaceuticals
2013-08 PHASE3
NCT01946009 COMPLETED
HIV
Fundacion SEIMC-GESIDA
2013-09
NCT01816646 Completed
Blood And Marrow Transplantation
M.D. Anderson Cancer Center|Gilead Sciences
2013-09 Phase 1
NCT00948506 COMPLETED
Prevention of Hair Growth
University of Pennsylvania
2009-07 PHASE2
NCT00989443 COMPLETED
Uterine Cervical Neoplasms; Cervix Intraepithelial Neoplasia
Mithra Pharmaceuticals
2010-05 PHASE1
NCT00138424 TERMINATED
BK Virus (Nephropathy)
National Institute of Allergy and Infectious Diseases (NIAID)
2006-05 PHASE1; PHASE2
NCT00550589 COMPLETED
Anal Cancer; Precancerous Condition
AIDS Malignancy Consortium
2007-09 PHASE2
NCT00205374 COMPLETED
Recurrent Respiratory Papillomatosis
University of Wisconsin, Madison
1999-11 PHASE4
NCT00811408 UNKNOWN
Cervical Cancer; Precancerous Condition
Gustave Roussy, Cancer Campus, Grand Paris
2008-04 PHASE1
NCT00780182 COMPLETED
Healthy
Jazz Pharmaceuticals
2008-10 PHASE1
NCT00780182 Completed
Healthy
Chimerix|National Institutes of Health (NIH)
2008-10 Phase 1
NCT01866397 COMPLETED
Cytomegalovirus Retinitis; Acute Renal Failure
Medical University of Vienna
2002-03 PHASE4
NCT00000143 COMPLETED
Cytomegalovirus Retinitis; HIV Infections
Johns Hopkins Bloomberg School of Public Health
1997-05 PHASE3
NCT00000894 COMPLETED
Cytomegalovirus Retinitis; HIV Infections
National Institute of Allergy and Infectious Diseases (NIAID)
PHASE4
NCT00000142 COMPLETED
HIV Infections; CMV Cytomegalovirus Retinitis
Johns Hopkins Bloomberg School of Public Health
1994-04 PHASE2; PHASE3
NCT00000799 COMPLETED
Cytomegalovirus Retinitis; HIV Infections
National Institute of Allergy and Infectious Diseases (NIAID)
NCT00002116 COMPLETED
Herpes Simplex; HIV Infections
Gilead Sciences
PHASE1
NCT00001126 COMPLETED
Papilloma
National Institute of Allergy and Infectious Diseases (NIAID)
PHASE1
NCT00002327 COMPLETED
HIV Infections; Condyloma Acuminata
Gilead Sciences
PHASE1
NCT00002142 COMPLETED
Cytomegalovirus Retinitis; HIV Infections
Gilead Sciences
NCT00000881 WITHDRAWN
Cytomegalovirus Infections; Cytomegalovirus Retinitis; HIV Infections
National Institute of Allergy and Infectious Diseases (NIAID)
PHASE1
NCT00002181 COMPLETED
Herpes Simplex; HIV Infections
Gilead Sciences
NCT00002437 COMPLETED
Cytomegalovirus Retinitis; HIV Infections
Gilead Sciences
PHASE2
NCT00004794 COMPLETED
Cytomegalovirus Retinitis; Acquired Immunodeficiency Syndrome
National Center for Research Resources (NCRR)
1995-03 PHASE2
NCT00002384 UNKNOWN
Cytomegalovirus Retinitis; HIV Infections
Gilead Sciences
NCT00019240 COMPLETED
Sarcoma
National Cancer Institute (NCI)
1996-11 PHASE2
NCT00000945 COMPLETED
HIV Infections; Leukoencephalopathy, Progressive Multifocal
National Institute of Allergy and Infectious Diseases (NIAID)
NCT00956176 WITHDRAWN
Cystitis; Bladder Diseases
M.D. Anderson Cancer Center

(data from https://clinicaltrials.gov, updated on 2026-03-06)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Cidofovir functions by selectively targeting and inhibiting viral DNA polymerase, which blocks viral DNA synthesis and prevents elongation of nascent viral DNA strands. This blockade disrupts viral replication within infected host cells, ultimately reducing viral load to mitigate clinical pathology in DNA virus infections such as cytomegalovirus retinitis and herpes simplex virus.

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.