Clinical Trials

Several completed clinical trials across Phases 1, 2, and 3 have evaluated kanamycin sulfate in various therapeutic settings. Research primarily focuses on multidrug-resistant and extensively drug-resistant tuberculosis, HIV co-infections, colorectal neoplasm surgical prophylaxis, and pharmacokinetic studies in healthy participants. These studies were sponsored by academic medical centers, non-profit organizations, and government institutions, including the National Institute of Allergy and Infectious Diseases.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT02409290 COMPLETED
MDR-TB
IUATLD, Inc
2016-03 PHASE3
NCT02454205 COMPLETED
Tuberculosis; Multidrug Resistant Tuberculosis; Extensively-drug Resistant Tuberculosis
University of Cape Town
2015-11-12 PHASE2; PHASE3
NCT00816426 COMPLETED
Tuberculosis
National Institute of Allergy and Infectious Diseases (NIAID)
2008-12-29 PHASE1
NCT02128308 COMPLETED
Healthy
Seoul National University Hospital
2013-11 PHASE1
NCT00508690 COMPLETED
Colorectal Neoplasms
Japan Multinational Trial Organization
2007-09 PHASE3

(data from https://clinicaltrials.gov, updated on 2023-09-28)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Kanamycin sulfate selectively binds to the 30S subunit of prokaryotic ribosomes, inducing translation misreading and inhibiting translocation during bacterial protein synthesis. This disruption of essential polypeptide elongation causes bacterial cell death, providing therapeutic efficacy in clinical applications such as multidrug-resistant tuberculosis regimens and perioperative infection prophylaxis.

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.