Clinical Trials

Numerous clinical trials spanning Phase 1 through Phase 4, alongside non-applicable phase designs, evaluate cilostazol primarily for arterial occlusive diseases, peripheral arterial disease with claudication, coronary artery disease, migraine, and chemotherapy-induced peripheral neuropathy. Sponsored by academic medical centers, government organizations, and pharmaceutical entities, these studies encompass various recruitment statuses—including active, recruiting, completed, and terminated—to investigate therapeutic vascular outcomes and headache mechanisms.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06530537 RECRUITING
Cerebral Microbleeds; Stroke
Zhejiang Provincial People's Hospital
2024-07-18 PHASE3
NCT07174414 NOT_YET_RECRUITING
Stroke Recurrence; Myocardial Infarction; Vascular Death; Ischemic Stroke; TIA (Transient Ischemic Attack); Stroke (CVA) or Transient Ischemic Attack; Recurrent Stroke
Stanford University
2026-08 PHASE3
NCT04753970 RECRUITING
Cerebral Small Vessel Diseases; Cerebral Autosomal Dominant Arteriopathy With Subcortical Infarcts and Leukoencephalopathy; Cerebral Microbleeding; Sporadic White Matter Disease
Mayo Clinic
2021-02-09 PHASE1; PHASE2
NCT07144956 NOT_YET_RECRUITING
Aneurysmal Subarachnoid Hemorrhage
Centre Hospitalier St Anne
2025-12-15 PHASE3
NCT06919835 NOT_YET_RECRUITING
Stroke
Northern California Institute of Research and Education
2026-08-01 PHASE3
NCT07719894 RECRUITING
Type 2 Diabetes Mellitus (T2DM); Atherosclerosis
Seoul National University Bundang Hospital
2026-05-06 PHASE4
NCT06757764 RECRUITING
Cerebral Infarction; Stenosis Artery
Asan Medical Center
2025-07-10 PHASE4
NCT07588932 RECRUITING
Stroke
Spaulding Rehabilitation Hospital
2026-05-18 EARLY_PHASE1
NCT07180472 NOT_YET_RECRUITING
Cerebral Small Vessel Disease
First Affiliated Hospital of Chengdu Medical College
2025-09-20 PHASE4
NCT07249853 NOT_YET_RECRUITING
Aneurysmal Subarachnoid Hemorrhage
Beijing Tiantan Hospital
2025-11-30 PHASE3
NCT06504576 RECRUITING
ICH - Intracerebral Hemorrhage
National Taiwan University Hospital
2025-06-16 PHASE2
NCT03109288 RECRUITING
Multiple Sclerosis
National Institute of Allergy and Infectious Diseases (NIAID)
2017-08-11 PHASE1; PHASE2
NCT06402747 RECRUITING
Type 2 Diabetes; Atherosclerosis
Seoul National University Bundang Hospital
2024-04-16 PHASE4
NCT06989697 RECRUITING
Type 2 Diabets Mellitus; Cognitive Ability, General
Seoul National University Bundang Hospital
2025-01-01 PHASE3
NCT06492070 RECRUITING
Cervical Carcinoma; Fallopian Tube Carcinoma; Malignant Solid Neoplasm; Malignant Uterine Neoplasm; Ovarian Carcinoma; Primary Peritoneal Carcinoma; Vulvar Carcinoma
Emory University
2024-08-01 PHASE2
NCT07238985 RECRUITING
Fatty Liver
Tanta University
2025-11-01 PHASE1; PHASE2
NCT06561867 UNKNOWN
Ischemic Stroke
Kafrelsheikh University
2024-08-30 PHASE3
NCT06053021 UNKNOWN
Acute Ischemic Stroke; Thrombocytopenia
Second Affiliated Hospital, Zhejiang University, School of Medicine
2023-09-15
NCT06612593 NOT_YET_RECRUITING
Parkinson's Disease
Ain Shams University
2024-10-01 PHASE2
NCT06591377 RECRUITING
Ischemic Stroke
Kafrelsheikh University
2024-08-10 PHASE3
NCT06202755 UNKNOWN
Ischemic Stroke
Kafrelsheikh University
2024-03-30 PHASE3
NCT06117436 COMPLETED
Wound Heal
Ain Shams University
2023-10-19 PHASE2; PHASE3
NCT04789837 WITHDRAWN
Osteoarthritis
Sadat City University
2021-03-01 PHASE1; PHASE2
NCT06196047 UNKNOWN
Ischemic Stroke
Kafrelsheikh University
2023-12-01 PHASE3
NCT05759819 ACTIVE_NOT_RECRUITING
Peripheral Arterial Disease
Otsuka Medical Devices Co., Ltd. Japan
2023-03-10
NCT05594680 UNKNOWN
Rheumatoid Arthritis
Tanta University
2022-10-01 PHASE3
NCT06138834 UNKNOWN
Acute Ischemic Stroke; Large Vessel Occlusion; Reperfusion
Beijing Tiantan Hospital
2023-11 PHASE2
NCT04761848 WITHDRAWN
Fatty Liver, Nonalcoholic
Sadat City University
2021-02-16 PHASE1; PHASE2
NCT05671497 COMPLETED
Rheumatoid Arthritis
Ain Shams University
2022-11-01 PHASE2; PHASE3
NCT06591351 RECRUITING
Ischemic Stroke
Kafrelsheikh University
2022-05-01 PHASE3
NCT06591390 RECRUITING
Ischemic Stroke
Kafrelsheikh University
2022-02-09 PHASE3
NCT06591299 RECRUITING
Ischemic Stroke
Kafrelsheikh University
2022-04-15 PHASE3
NCT06242132 COMPLETED
Ischemic Stroke
Kafrelsheikh University
2022-06-01 PHASE3
NCT06242145 COMPLETED
Ischemic Stroke
Kafrelsheikh University
2023-01-01 PHASE3
NCT05836766 UNKNOWN
Acute Ischemic Stroke; Reperfusion; Large Vessel Occlusion
Beijing Tiantan Hospital
2023-06-05 PHASE2
NCT06268470 UNKNOWN
Chronic Urticaria
Chulalongkorn University
2018-06-01 PHASE2
NCT05595993 UNKNOWN
Post-Traumatic Headache
Danish Headache Center
2022-10-25
NCT06167265 COMPLETED
Intermittent Claudication
Genovate Biotechnology Co., Ltd.,
2023-11-28 PHASE1
NCT05906199 COMPLETED
Diabetic Peripheral Angiopathy
SK Chemicals Co., Ltd.
2021-07-28 PHASE4
NCT04148105 TERMINATED
Aneurysmal Subarachnoid Hemorrhage
Henry Ford Health System
2019-11-01 PHASE4
NCT03855332 COMPLETED
Small Vessel Cerebrovascular Disease
University of Oxford
2019-07-11 PHASE2
NCT05298696 COMPLETED
Peripheral Neuropathy; Breast Cancer
Mansoura University
2022-03-28 PHASE1; PHASE2
NCT06522113 COMPLETED
Ischemic Stroke; TIA
Incheon St.Mary's Hospital
2019-07-18 PHASE4
NCT05466734 COMPLETED
Intermittent Claudication
Genovate Biotechnology Co., Ltd.,
2022-07-05 PHASE1
NCT05126836 COMPLETED
Heart Failure With Preserved Ejection Fraction
University of Minnesota
2021-09-01 PHASE2
NCT03451591 COMPLETED
Cerebral Small Vessel Diseases; Stroke, Lacunar
University of Edinburgh
2018-01-08 PHASE2; PHASE3
NCT05191862 TERMINATED
Intermittent Claudication
Genovate Biotechnology Co., Ltd.,
2022-04-23 PHASE1
NCT04452929 UNKNOWN
Migraine; Migraine Without Aura; Migraine With Aura
Danish Headache Center
2020-07-22
NCT04069819 COMPLETED
Major Depressive Disorder
Sadat City University
2019-08-01
NCT02770274 UNKNOWN
Peripheral Arterial Disease
Attikon Hospital
2016-12 PHASE3
NCT02829151 UNKNOWN
Critical Limb Ischemia
Yonsei University
2017-02-21 PHASE4
NCT03581409 COMPLETED
Aneurysm, Cerebral; Endovascular Procedures
Seoul National University Hospital
2018-10-24 PHASE4
NCT02491268 COMPLETED
Mild Cognitive Impairment
National Cerebral and Cardiovascular Center, Japan
2015-05-01 PHASE2
NCT03189641 COMPLETED
Coronary Artery Disease
JIMRO Co., Ltd.
2017-05-31
NCT01261832 UNKNOWN
Acute Myocardial Infarction
Korea University Guro Hospital
2011-07 PHASE4
NCT02983214 COMPLETED
Ischemic Stroke; Peripheral Artery Disease; Diabetes Mellitus, Type 2
University of Ioannina
2016-11 PHASE4
NCT01932203 UNKNOWN
Cerebral Small Vessel Disease
Inha University Hospital
2013-07-17 PHASE4
NCT03864666 COMPLETED
Intermittent Claudication
Genovate Biotechnology Co., Ltd.,
2019-02-11 PHASE1
NCT01261234 COMPLETED
In-stent Restenosis After Carotid Artery Stenting
Kobe City General Hospital
2010-12
NCT04407312 UNKNOWN
Myocardial Infarction, Acute
Gyeongsang National University Hospital
2016-01-01 PHASE4
NCT01995370 COMPLETED
Noncardioembolic Cerebral Infarction
Japan Cardiovascular Research Foundation
2013-12-13 PHASE4
NCT03248401 COMPLETED
Type 2 Diabetes Mellitus; Carotid Atherosclerosis
Seoul National University Bundang Hospital
2016-09-26 PHASE4
NCT03422796 COMPLETED
Migraine
Danish Headache Center
2017-11-01
NCT02549898 COMPLETED
Migraine Headache; Migraine Without Aura
Danish Headache Center
2015-08
NCT03480321 COMPLETED
Intermittent Claudication
Genovate Biotechnology Co., Ltd.,
2018-03-06 PHASE1
NCT02554721 COMPLETED
Healthy
Otsuka Pharmaceutical Co., Ltd.
2015-08 PHASE1
NCT03156920 COMPLETED
Migraine
Danish Headache Center
2017-05-23
NCT02174939 UNKNOWN
Coronary Artery Disease
National Cheng-Kung University Hospital
2014-02 PHASE4
NCT01359423 COMPLETED
Claudication
Yonsei University
2011-09-26
NCT02481323 COMPLETED
Cerebral Small Vessel Diseases; Cognitive Impairment; Stroke
University of Edinburgh
2016-03 PHASE2
NCT02374957 TERMINATED
Peripheral Arterial Disease; Claudication (Finding)
Wake Forest University Health Sciences
2015-02 PHASE4
NCT03156920 Completed
Migraine
Danish Headache Center
2017-05-23 Not Applicable
NCT06886620 TERMINATED
Intermittent Claudication
Genovate Biotechnology Co., Ltd.,
2016-03-14 PHASE3
NCT01955200 COMPLETED
Coronary Artery Disease
The First Affiliated Hospital with Nanjing Medical University
2013-10-05 PHASE4
NCT02933788 UNKNOWN
Type 2 Diabetes Mellitus
Kangbuk Samsung Hospital
2016-10 PHASE4
NCT01291641 COMPLETED
Hyperlipidemias
Seoul National University Hospital
2011-03 PHASE4
NCT02266030 COMPLETED
Coronary Artery Disease
Seoul National University Bundang Hospital
2011-02 PHASE3
NCT01013532 UNKNOWN
Brain Ischemia; Intracranial Hemorrhages
Asan Medical Center
2009-06 PHASE4
NCT02483169 UNKNOWN
Brain Ischemia; Intracranial Hemorrhages
Asan Medical Center
2009-06 PHASE4
NCT01779401 COMPLETED
Coronary Heart Disease
Chinese Academy of Medical Sciences, Fuwai Hospital
2012-09
NCT02486276 COMPLETED
Migraine
Danish Headache Center
2015-06
NCT02098460 COMPLETED
Severe Hypercholesterolemia
Otsuka Beijing Research Institute
2013-10 PHASE4
NCT02094469 COMPLETED
Vasospastic Angina
Korea Otsuka Pharmaceutical Co., Ltd.
2013-12 PHASE3
NCT01895400 TERMINATED
Recurrent Vestibulopathy
Jong Woo Chung
2013-07 PHASE3
NCT02253004 COMPLETED
Migraine With Aura; Stroke
Herlev Hospital
2014-09 EARLY_PHASE1
NCT02431013 UNKNOWN
Dyslipidemias; Peripheral Artery Disease
Ajou University School of Medicine
2015-04 PHASE1
NCT02087007 COMPLETED
Vasospastic Angina
Korea Otsuka Pharmaceutical Co., Ltd.
2013-11 PHASE3
NCT02625714 Completed
Arterial Occlusive Diseases
SK Chemicals Co. Ltd.
2015-06 Phase 1
NCT02374957 Terminated
Peripheral Arterial Disease|Claudication (Finding)
Wake Forest University Health Sciences
2015-02 Phase 4
NCT01346865 TERMINATED
Coronary Artery Disease
Seung-Jung Park
2011-05 PHASE4
NCT03116269 COMPLETED
Ischemic Stroke; Endothelial Dysfunction
Ajou University School of Medicine
2012-03-01 PHASE4
NCT01915069 COMPLETED
Contraception
University of Southern California
2013-07 PHASE2
NCT01711333 COMPLETED
Chronic Occlusive Arterial Disease
Korea Otsuka Pharmaceutical Co., Ltd.
2012-10-26 PHASE4
NCT02194686 COMPLETED
Cardiovascular Diseases
National Cheng-Kung University Hospital
2013-01 PHASE4
NCT02098460 Unknown status
Severe Hypercholesterolemia
Otsuka Beijing Research Institute
2013-10 Phase 4
NCT01952756 COMPLETED
Peripheral Arterial Diseases
National Cheng-Kung University Hospital
2012-01 PHASE4
NCT01870466 COMPLETED
Healthy
Samsung Medical Center
2012-06 PHASE1
NCT00132743 UNKNOWN
Cardiovascular Diseases; Peripheral Vascular Diseases; Atherosclerosis
Joselyn Cerezo, MD
2007-02 PHASE3
NCT01188824 COMPLETED
Ischemic Stroke
China Medical University Hospital
2010-09 PHASE4
NCT01841827 COMPLETED
Migraine
Danish Headache Center
2013-04
NCT01378650 COMPLETED
Tinnitus
Jong Woo Chung
2011-07
NCT01841827 Completed
Migraine
Danish Headache Center
2013-04 Not Applicable
NCT01192724 COMPLETED
Coronary Artery Disease
Yonsei University
2010-03 PHASE4
NCT01252056 COMPLETED
Diabetic Nephropathy
Otsuka Beijing Research Institute
2010-03 PHASE4
NCT01142284 COMPLETED
Peripheral Artery Disease
Korea Otsuka Pharmaceutical Co., Ltd.
2010-05-19 PHASE2
NCT01872858 UNKNOWN
Mild Cognitive Impairment
Huashan Hospital
2010-11
NCT01354808 COMPLETED
Platelet Aggregation Inhibitors; Anti-inflammatory Agent; Myocardial Reperfusion Injury
Gyeongsang National University Hospital
2010-07 PHASE4
NCT01444885 COMPLETED
Variant Angina
Korea Otsuka Pharmaceutical Co., Ltd.
2011-10 PHASE2
NCT01409564 COMPLETED
Alzheimer's Dementia
Seoul National University Hospital
2010-05 PHASE4
NCT00912756 UNKNOWN
Arteriosclerosis Obliterans
Kansai Rosai Hospital
2009-03 PHASE4
NCT01094457 COMPLETED
Acute Coronary Syndromes; Percutaneous Coronary Intervention; Clopidogrel Low Responsiveness
Shenyang Northern Hospital
2009-03 PHASE4
NCT00333164 COMPLETED
Cerebrovascular Disease
Translational Research Center for Medical Innovation, Kobe, Hyogo, Japan
2006-05 PHASE3
NCT01482117 COMPLETED
Interaction
Inje University
2011-11
NCT01383395 COMPLETED
Healthy
Samsung Medical Center
2011-06 PHASE1
NCT01031667 COMPLETED
Therapy
Yonsei University
2009-11 PHASE4
NCT00847860 COMPLETED
Vascular Dementia; Stroke
Peking University First Hospital
2008-03 PHASE4
NCT00886574 UNKNOWN
Type 2 Diabetes Mellitus
Hanyang University
2009-04 PHASE4
NCT00938522 UNKNOWN
Angioplasty, Transluminal, Percutaneous Coronary
Samsung Medical Center
2009-07 PHASE4
NCT00822172 COMPLETED
Peripheral Vascular Disease; Intermittent Claudication; Peripheral Arterial Disease
Colorado Prevention Center
2008-09 PHASE4
NCT01328470 COMPLETED
Chronic Kidney Disease; Stable Angina
Kyunghee University Medical Center
2009-09 PHASE4
NCT00783081 COMPLETED
Intermittent Claudication
Kowa Research Institute, Inc.
2008-11 PHASE2
NCT00776828 COMPLETED
Coronary Artery Disease
Seoul National University Hospital
2006-11 PHASE4
NCT00823875 COMPLETED
Atherosclerosis Cerebral Infarction
Otsuka Beijing Research Institute
2009-03 PHASE4
NCT00589927 COMPLETED
Coronary Artery Disease
CardioVascular Research Foundation, Korea
2007-12 PHASE4
NCT00915733 COMPLETED
Myocardial Infarction
Gyeongsang National University Hospital
2009-05 PHASE4
NCT01455558 COMPLETED
Healthy
Severance Hospital
2009-02 PHASE1
NCT00823849 COMPLETED
Type 2 Diabetes Mellitus; Arteriosclerosis Obliterans
Otsuka Beijing Research Institute
2008-10 PHASE4
NCT01012193 COMPLETED
Coronary Artery Disease; Percutaneous Coronary Intervention
Gyeongsang National University Hospital
2008-01 PHASE4
NCT00891670 UNKNOWN
Coronary Artery Stenosis; Maximal Platelet Aggregation; Late Platelet Aggregation; High Post-Treatment Platelet Reactivity
Gyeongsang National University Hospital
2009-05 PHASE3
NCT00773630 COMPLETED
Intermittent Claudication
Otsuka Frankfurt Research Institute GmbH
2008-12 PHASE1
NCT00130039 COMPLETED
Cerebral Infarction; Atherosclerosis
Asan Medical Center
2005-08 PHASE4
NCT00620646 COMPLETED
Clopidogrel Non-Responsiveness
Samsung Medical Center
2008-02
NCT00234065 COMPLETED
Cerebral Infarction
Otsuka Pharmaceutical Co., Ltd.
2003-12 PHASE4
NCT00741286 COMPLETED
Cerebral Infarction
Inje University
2006-11 PHASE4
NCT00443287 COMPLETED
Intermittent Claudication
Sanofi
2007-02 PHASE2
NCT00689858 COMPLETED
Healthy
SK Chemicals Co., Ltd.
2007-05 PHASE1
NCT00446641 COMPLETED
Cerebral Infarction
Asan Medical Center
2007-03 PHASE4
NCT00549978 COMPLETED
Healthy
Korea Otsuka Pharmaceutical Co., Ltd.
2007-10 PHASE4
NCT00431249 COMPLETED
Hemodialysis Patients; Peripheral Vascular Disease
Tungs' Taichung Metroharbour Hospital
2007-02 PHASE4
NCT00272831 COMPLETED
Diabetes Mellitus, Type 2; Diabetes Complications
Chinese University of Hong Kong
2005-12 PHASE4
NCT00300339 COMPLETED
Intermittent Claudication
Sanofi
2006-02 PHASE2
NCT00404781 COMPLETED
Ischemic Heart Disease; Acute Coronary Syndromes
Shenyang Northern Hospital
2006-06 PHASE4
NCT00685802 COMPLETED
Therapeutic Equivalency, Healthy
Mutual Pharmaceutical Company, Inc.
2004-06 PHASE1
NCT00648388 COMPLETED
Healthy
Mylan Pharmaceuticals Inc
2004-03 PHASE1
NCT00602407 COMPLETED
Intermittent Claudication
Roxane Laboratories
2004-02
NCT00684762 COMPLETED
Therapeutic Equivalency
Mutual Pharmaceutical Company, Inc.
2004-03 PHASE1
NCT00839930 COMPLETED
Healthy
Teva Pharmaceuticals USA
2004-02 PHASE1
NCT00881231 COMPLETED
Pain
Sandoz
2004-01 PHASE1
NCT00838630 COMPLETED
Healthy
Teva Pharmaceuticals USA
2003-11 PHASE1
NCT00602173 COMPLETED
Intermittent Claudication
Roxane Laboratories
2003-05
NCT00766545 COMPLETED
Cerebral Infarction
Otsuka Pharmaceutical Co., Ltd.
1992-04 PHASE3
NCT00048776 COMPLETED
Raynaud's Disease
Otsuka America Pharmaceutical
2001-10 PHASE4
NCT00573950 UNKNOWN
Diabetes Mellitus, Type 2; Metabolic Syndrome X
Korea University Anam Hospital
2007-12 PHASE4
NCT00048763 COMPLETED
Raynaud's Disease
Otsuka America Pharmaceutical
2001-10 PHASE4
NCT00272454 COMPLETED
Cerebral Infarction
Korea Otsuka Pharmaceutical Co., Ltd.
2006-01 PHASE4
NCT00202020 COMPLETED
Cerebral Infarction
Otsuka Beijing Research Institute
2004-05 PHASE3
NCT01076478 COMPLETED
Polyneuropathy
Otsuka Pharmaceutical, Inc., Philippines
2004-03 PHASE4
NCT00404716 COMPLETED
Acute Coronary Syndrome
Shenyang Northern Hospital
2004-12 PHASE4

(data from https://clinicaltrials.gov, updated on 2024-07-31)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Cilostazol selectively inhibits cyclic nucleotide phosphodiesterase type 3 (PDE3), thereby suppressing the degradation of intracellular cyclic adenosine monophosphate (cAMP) and inhibiting cellular adenosine uptake. The resulting elevation in intracellular cAMP levels suppresses platelet activation and relaxes vascular smooth muscle, inducing potent arterial vasodilation and antiplatelet aggregation that directly alleviates symptoms of intermittent claudication in peripheral arterial disease.

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.