Cilnidipine has been evaluated in several clinical trials spanning Phase 1 through Phase 4, focusing on hypertension, stroke, metabolic syndrome X, autosomal dominant polycystic kidney disease, and pharmacokinetic evaluations in healthy volunteers. Key late-phase investigations assess therapeutic efficacy, cerebral blood flow, and combination drug regimens, sponsored by pharmaceutical companies such as IlDong and Boryung alongside institutions like Kyorin University and the Ministry of Health, Labour and Welfare of Japan. These trials encompass both completed and unknown recruitment statuses.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT02145104 | COMPLETED | Hypertension |
IlDong Pharmaceutical Co Ltd |
2014-06-17 | PHASE3 |
| NCT02343250 | COMPLETED | Hypertension |
IlDong Pharmaceutical Co Ltd |
2015-03 | PHASE1 |
| NCT02088008 | UNKNOWN | Healthy Volunteers |
IlDong Pharmaceutical Co Ltd |
2014-05 | PHASE1 |
| NCT01838967 | COMPLETED | Healthy |
IlDong Pharmaceutical Co Ltd |
2013-04 | PHASE1 |
| NCT00890279 | UNKNOWN | Kidney, Polycystic, Autosomal Dominant |
Ministry of Health, Labour and Welfare, Japan |
2009-07 | PHASE2 |
| NCT00325637 | COMPLETED | Hypertension; Stroke |
Boryung Pharmaceutical Co., Ltd |
2005-01 | PHASE3 |
| NCT00325936 | COMPLETED | Hypertension; Metabolic Syndrome X |
Boryung Pharmaceutical Co., Ltd |
2005-07 | PHASE4 |
| NCT00541853 | UNKNOWN | Kidney, Polycystic, Autosomal Dominant |
Kyorin University |
2007-12 | PHASE4 |
(data from https://clinicaltrials.gov, updated on 2018-06-13)
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>).