Clinical Trials

Varespladib has been evaluated in multiple Phase 1 to Phase 3 clinical trials sponsored by organizations such as Anthera Pharmaceuticals, Ophirex, Inc., and the University Health Network, Toronto. These studies examined diverse indications—including acute coronary syndrome, snakebite envenoming, sickle cell vaso-occlusive crisis, COVID-19, and renal impairment—alongside pharmacokinetic evaluations in healthy volunteers. While several early- and late-stage studies, such as a Phase 2 snake envenomation trial, reached completion, others including the Phase 3 VISTA-16 study were terminated prior to completion.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05717062 COMPLETED
Snakebite; Envenoming, Snake
Ophirex, Inc.
2023-05-30 PHASE2
NCT04996264 COMPLETED
Snakebites; Envenoming; Envenoming, Snake; Envenomation, Snake
Ophirex, Inc.
2021-08-15 PHASE2
NCT04969991 TERMINATED
Coronavirus Disease 2019; Disease Caused by Severe Acute Respiratory Syndrome Coronavirus 2
Ophirex, Inc.
2021-06-30 PHASE2
NCT01359579 TERMINATED
Renal Impairment
Anthera Pharmaceuticals
2011-06 PHASE1
NCT01522196 TERMINATED
Sickle Cell Disease; Vaso-occlusive Crisis
Anthera Pharmaceuticals
2012-02 PHASE2
NCT01130246 TERMINATED
Acute Coronary Syndrome
Anthera Pharmaceuticals
2010-05 PHASE3
NCT01359605 COMPLETED
Healthy Volunteers
Anthera Pharmaceuticals
2011-06 PHASE1
NCT01359605 Completed
Healthy Volunteers
Anthera Pharmaceuticals
2011-06 Phase 1
NCT01359579 Terminated
Renal Impairment
Anthera Pharmaceuticals
2011-06 Phase 1
NCT00743925 COMPLETED
Acute Coronary Syndrome
Anthera Pharmaceuticals
2008-07 PHASE2
NCT00434473 COMPLETED
Sickle Cell Disease; Vaso-occlusive Crisis; Acute Chest Syndrome
Anthera Pharmaceuticals
2006-12 PHASE2
NCT00533039 COMPLETED
Coronary Artery Disease
University Health Network, Toronto
2007-10 PHASE2

(data from https://clinicaltrials.gov, updated on 2025-06-27)

Check the Varespladib (LY315920) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Varespladib acts as a potent, selective inhibitor of human non-pancreatic secretory phospholipase A2 (sPLA2), binding to the enzyme to block the cleavage of membrane phospholipids and suppress downstream release of inflammatory lipid mediators such as thromboxane A2. By suppressing sPLA2-mediated lipid signaling and tissue injury, this mechanism mitigates vascular inflammation and venom toxicity, providing the biological rationale for its clinical evaluation in acute coronary syndromes, sickle cell crisis, and snakebite envenomation.

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.