Several Phase II and Phase III clinical trials, sponsored by both academic medical centers and pharmaceutical companies, have evaluated diethylstilbestrol for the treatment of prostatic neoplasms, including metastatic castration-resistant and advanced androgen-independent prostate cancer. All of these completed studies investigated diethylstilbestrol in combination regimens with docetaxel or corticosteroid therapy. Together, they provide key data regarding the compound's clinical utility and pharmacodynamic parameters in advanced prostate malignancies.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT02217566 | COMPLETED | Prostatic Neoplasms |
Janssen Research & Development, LLC |
2014-09-23 | PHASE2 |
| NCT00136526 | COMPLETED | Prostate Cancer |
University of Washington |
2002-12 | PHASE2 |
| NCT00316927 | COMPLETED | Prostate Cancer |
St. Bartholomew's Hospital |
2002-12 | PHASE3 |
(data from https://clinicaltrials.gov, updated on 2020-01-13)
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>).