Clinical Trials

Lomustine has been evaluated across numerous clinical trials spanning Early Phase 1 to Phase 3, focusing primarily on central nervous system malignancies including glioblastoma, recurrent glioblastoma, malignant glioma, and lymphoma. Sponsored by academic medical centers, cooperative networks such as the European Organisation for Research and Treatment of Cancer, and commercial entities like Karyopharm Therapeutics, these protocols encompass completed, actively recruiting, terminated, and withdrawn studies. Notable Phase 3 investigations evaluate lomustine as monotherapy or combination treatment in progressive and newly diagnosed methylated glioblastoma.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06419946 RECRUITING
Glioblastoma, IDH-wildtype; MGMT-Methylated Glioblastoma
Vastra Gotaland Region
2025-02-01 PHASE3
NCT07629089 NOT_YET_RECRUITING
Brain Cancer
Megan Mantica
2026-06-30 PHASE1
NCT05382338 RECRUITING
Childhood Medulloblastoma
Children's Oncology Group
2023-02-20 PHASE3
NCT06177964 RECRUITING
Recurrent Supratentorial Glioblastoma
Darell Bigner
2024-07-15 PHASE2
NCT06325683 SUSPENDED
Progressive Glioblastoma; Recurrent Glioblastoma
National Cancer Institute (NCI)
2024-11-08 PHASE2
NCT07632209 NOT_YET_RECRUITING
SCLC, Extensive Stage
Yayi He
2026-06 PHASE2
NCT03970447 RECRUITING
Glioblastoma
Global Coalition for Adaptive Research
2019-07-30 PHASE2; PHASE3
NCT02724579 ACTIVE_NOT_RECRUITING
Medulloblastoma
Children's Oncology Group
2017-11-17 PHASE2
NCT05902169 RECRUITING
Glioblastoma; Recurrent Glioblastoma; GBM
CarThera
2024-01-29 PHASE3
NCT05904119 RECRUITING
First Progression of Glioblastoma
European Organisation for Research and Treatment of Cancer - EORTC
2024-03-15 PHASE3
NCT07100730 RECRUITING
Neoplastic Disease; Glioblastoma; Glioblastoma (GBM); Glioblastoma Multiform; Glioblastoma Multiforme, Adult; Glioblastoma Multiforme (GBM) WHO Grade IV
Telix Pharmaceuticals (Innovations) Pty Limited
2025-11-02 PHASE3
NCT07145112 RECRUITING
Glioblastoma
University of California, Davis
2025-10-01 PHASE1
NCT04049669 ACTIVE_NOT_RECRUITING
Glioblastoma; Medulloblastoma; Ependymoma; Diffuse Intrinsic Pontine Glioma
Theodore S. Johnson
2019-10-02 PHASE2
NCT05410301 WITHDRAWN
Glioblastoma; Recurrent Glioblastoma
Varun Monga, MD
2023-04
NCT04863950 RECRUITING
Glioblastoma
The University of Texas Health Science Center at San Antonio
2022-05-25 PHASE2
NCT03678883 ACTIVE_NOT_RECRUITING
Cancer; Pancreatic Cancer; Sarcoma; Renal Cancer; Refractory Cancer; Refractory Neoplasm; Refractory Non-Hodgkin Lymphoma; Pancreatic Adenocarcinoma; Resistant Cancer; Neoplasm Metastasis; Neoplasm of Bone; Neoplasm, Breast; Neoplasm of Lung; Neoplasms,Colorectal; Neoplasms Pancreatic; Malignant Glioma; Malignancies; Malignancies Multiple; Bone Metastases; Bone Neoplasm; Bone Cancer; Pancreas Cancer; Pancreatic Neoplasms; Breast Neoplasms; Acute T Cell Leukemia Lymphoma
Actuate Therapeutics Inc.
2019-01-04 PHASE2
NCT06336291 ACTIVE_NOT_RECRUITING
Glioblastoma
Philogen S.p.A.
2024-05-22 PHASE2
NCT04762069 ACTIVE_NOT_RECRUITING
Glioblastoma Multiforme, Adult
CNS Pharmaceuticals, Inc.
2021-05-18 PHASE2
NCT05095376 ACTIVE_NOT_RECRUITING
Glioblastoma; Gliosarcoma
NRG Oncology
2022-03-28 PHASE3
NCT03382977 TERMINATED
Glioblastoma Multiforme
VBI Vaccines Inc.
2017-12-06 PHASE1; PHASE2
NCT04402073 TERMINATED
Medulloblastoma
European Organisation for Research and Treatment of Cancer - EORTC
2022-11-11 PHASE2
NCT04573192 UNKNOWN
Glioblastoma
Philogen S.p.A.
2021-02-19 PHASE1; PHASE2
NCT05326464 COMPLETED
Glioblastoma
University of Texas Southwestern Medical Center
2022-10-07 PHASE3
NCT05304663 WITHDRAWN
Glioblastoma
Philogen S.p.A.
2022-06-01 PHASE1
NCT05904119 Recruiting
First Progression of Glioblastoma
European Organisation for Research and Treatment of Cancer - EORTC
2024-03-15 Phase 3
NCT04421378 TERMINATED
Glioblastoma Multiforme
Karyopharm Therapeutics Inc
2020-06-08 PHASE1; PHASE2
NCT02796261 UNKNOWN
Anaplastic Astrocytoma; Recurrent Anaplastic Astrocytoma
Orbus Therapeutics, Inc.
2016-07 PHASE3
NCT04933942 WITHDRAWN
First Progression of MGMT Promoter-methylated Glioblastoma
European Organisation for Research and Treatment of Cancer - EORTC
2022-09-13 PHASE2
NCT05017610 WITHDRAWN
Recurrent Glioblastoma; Recurrent Gliosarcoma
Emory University
2021-10-20 EARLY_PHASE1
NCT02986178 COMPLETED
Malignant Glioma
Istari Oncology, Inc.
2017-06-01 PHASE2
NCT03425292 COMPLETED
Newly Diagnosed High Grade Glioma
Saint John's Cancer Institute
2018-03-01 PHASE1
NCT03463265 COMPLETED
High Grade Recurrent Glioma and Newly Diagnosed Glioblastoma
Aadi Bioscience, Inc.
2018-08-01 PHASE2
NCT05304663 Withdrawn
Glioblastoma
Philogen S.p.A.
2022-06-01 Phase 1
NCT03025893 UNKNOWN
Glioblastoma Multiforme; Glioblastoma, Adult; Glioblastoma; Recurrent Brain Tumor; GBM
Amsterdam UMC, location VUmc
2018-08-31 PHASE2; PHASE3
NCT01775475 COMPLETED
AIDS-related Diffuse Large Cell Lymphoma; AIDS-related Diffuse Mixed Cell Lymphoma; AIDS-related Diffuse Small Cleaved Cell Lymphoma; AIDS-related Immunoblastic Large Cell Lymphoma; AIDS-related Lymphoblastic Lymphoma; AIDS-related Peripheral/Systemic Lymphoma; AIDS-related Small Noncleaved Cell Lymphoma; Stage III AIDS-related Lymphoma; Stage IV AIDS-related Lymphoma
AIDS Malignancy Consortium
2016-09-15 PHASE2
NCT03022578 TERMINATED
IDH Family Wildtype; Recurrent Anaplastic Astrocytoma; Recurrent Glioblastoma
M.D. Anderson Cancer Center
2017-11-07 PHASE2
NCT03758014 UNKNOWN
GBM
Sichuan J.Z. Bio-chemical Science and Technology Development Co., Ltd
2018-11-27 PHASE2; PHASE3
NCT02765165 TERMINATED
Solid Tumors (Phase 1); Relapsed/Recurrent GBM (Phase 2)
Proximagen, LLC
2016-04 PHASE1; PHASE2
NCT02343406 COMPLETED
Glioblastoma
AbbVie
2015-02-17 PHASE2
NCT00058370 COMPLETED
Brain and Central Nervous System Tumors
Memorial Sloan Kettering Cancer Center
2003-02
NCT02414165 TERMINATED
Glioblastoma Multiforme; Anaplastic Astrocytoma
Tocagen Inc.
2015-11-30 PHASE2; PHASE3
NCT03149575 TERMINATED
Glioblastoma Multiforme; Glioblastoma; Glioma; GBM; Brain Cancer
DelMar Pharmaceuticals, Inc.
2017-10-27 PHASE3
NCT02212574 TERMINATED
Medulloblastoma
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
2017-04-04 EARLY_PHASE1
NCT01562197 COMPLETED
Glioblastoma Multiforme
Bart Neyns
2014-04 PHASE2
NCT02333513 UNKNOWN
Recurrent High-grade Glioma
Hebei Yanda Hospital
2015-02
NCT02926222 COMPLETED
Glioblastoma Multiforme
Istituto Oncologico Veneto IRCCS
2015-11 PHASE2
NCT01149109 COMPLETED
Glioblastoma
University Hospital, Bonn
2010-10 PHASE3
NCT01860638 COMPLETED
Glioblastoma
Hoffmann-La Roche
2013-08-19 PHASE2
NCT01067469 COMPLETED
Brain Cancer; Glioblastoma
M.D. Anderson Cancer Center
2010-01 PHASE2
NCT01934361 COMPLETED
Recurrent Glioblastoma Multiforme
Novartis Pharmaceuticals
2014-02-28 PHASE1
NCT00085735 COMPLETED
Medulloblastoma
Children's Oncology Group
2004-04-30 PHASE3
NCT01563614 TERMINATED
Leptomeningeal Metastasis From Malignant Melanoma
University Hospital, Bonn
2012-03 PHASE1
NCT01290939 COMPLETED
Glioblastoma Multiforme; Cognition Disorders; Disability Evaluation
European Organisation for Research and Treatment of Cancer - EORTC
2011-10 PHASE3
NCT01989052 TERMINATED
Malignant Glioma (WHO Grade III or IV)
Annick Desjardins
2014-05 PHASE1
NCT01582269 COMPLETED
Glioblastoma
Eli Lilly and Company
2012-04-26 PHASE2
NCT01989052 Terminated
Malignant Glioma (WHO Grade III or IV)
Annick Desjardins|Tactical Therapeutics Inc.|Duke University
2014-05 Phase 1
NCT01562197 Completed
Glioblastoma Multiforme
Bart Neyns|Pfizer|Universitair Ziekenhuis Brussel
2014-04 Phase 2
NCT00317408 UNKNOWN
Lymphoma
European Inter-group Cooperation on Childhood and Adolescent Non Hodgkin Lymphoma
2004-04
NCT00303810 COMPLETED
Brain and Central Nervous System Tumors
Universitätsklinikum Hamburg-Eppendorf
2001-01
NCT01737346 UNKNOWN
Recurrent Glioblastoma Multiforme
Incheon St.Mary's Hospital
2012-10 PHASE2
NCT00590837 COMPLETED
Acute Myeloid Leukemia
University Hospital, Bordeaux
2008-02 PHASE3
NCT00100802 COMPLETED
Anaplastic Astrocytoma; Central Nervous System Neoplasm; Glioblastoma; Gliosarcoma; Spinal Cord Neoplasm
Children's Oncology Group
2005-03-21 PHASE2
NCT01682187 COMPLETED
Glioma
Eli Lilly and Company
2005-12-15 PHASE1
NCT00527657 COMPLETED
Brain Neoplasms; Melanoma
M.D. Anderson Cancer Center
2006-02-09 PHASE1
NCT00761280 TERMINATED
Anaplastic Astrocytoma; Glioblastoma
Isarna Therapeutics GmbH
2008-12 PHASE3
NCT00989352 UNKNOWN
Primary Non Hodgkin Lymphoma of the Central Nervous System
University Hospital Freiburg
2009-09 PHASE2
NCT00948389 TERMINATED
Glioblastoma
Bristol-Myers Squibb
2009-10 PHASE1; PHASE2
NCT00031590 TERMINATED
Brain Tumors; Central Nervous System Tumors; Medulloblastoma
Children's Hospital of Philadelphia
2001-04 PHASE2
NCT01149109 Completed
Glioblastoma
University Hospital Bonn
2010-10 Phase 3
NCT00504660 COMPLETED
Anaplastic Glioma of Brain; Glioblastoma Multiforme; Brain Cancer
M.D. Anderson Cancer Center
2003-09 PHASE2
NCT00777153 COMPLETED
Recurrent Glioblastoma
AstraZeneca
2008-10 PHASE3
NCT00278278 UNKNOWN
Brain and Central Nervous System Tumors
German Society for Pediatric Oncology and Hematology GPOH gGmbH
2003-09 PHASE3
NCT00274911 UNKNOWN
Brain and Central Nervous System Tumors
Children's Cancer and Leukaemia Group
2004-02 PHASE2
NCT00276666 UNKNOWN
Brain and Central Nervous System Tumors
Children's Cancer and Leukaemia Group
2001-11 PHASE2
NCT00503204 COMPLETED
Recurrent Glioblastoma; Brain Tumor
AstraZeneca
2007-09 PHASE1
NCT00295815 COMPLETED
Glioblastoma
Eli Lilly and Company
2006-01 PHASE3
NCT00293280 COMPLETED
Lung Cancer
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
2005-07 PHASE2
NCT00002875 COMPLETED
Brain Tumors; Central Nervous System Tumors
Children's Oncology Group
1996-12 PHASE3
NCT00002944 COMPLETED
Brain Tumors; Central Nervous System Tumors
Children's Oncology Group
1997-04 PHASE3
NCT00049439 COMPLETED
Lymphoma
Case Comprehensive Cancer Center
1998-03 PHASE2
NCT00003375 COMPLETED
Brain and Central Nervous System Tumors
Radiation Therapy Oncology Group
1998-10 PHASE2; PHASE3
NCT00002569 COMPLETED
Brain and Central Nervous System Tumors
Radiation Therapy Oncology Group
1994-07 PHASE3
NCT00006024 COMPLETED
Brain Tumor; Central Nervous System Tumor
Children's Oncology Group
2000-11 PHASE1
NCT00072345 COMPLETED
Intraocular Melanoma; Melanoma (Skin)
Memorial Sloan Kettering Cancer Center
2003-07 PHASE2
NCT00005796 COMPLETED
Bone Marrow Suppression; Brain and Central Nervous System Tumors; Drug/Agent Toxicity by Tissue/Organ
Indiana University
2000-02 PHASE1
NCT00002806 COMPLETED
Brain and Central Nervous System Tumors
Alliance for Clinical Trials in Oncology
1996-07 PHASE2
NCT00003113 TERMINATED
Lymphoma
Case Comprehensive Cancer Center
1997-07 PHASE2
NCT00003114 COMPLETED
Lymphoma
Case Comprehensive Cancer Center
1997-07 PHASE2
NCT00002840 COMPLETED
Brain and Central Nervous System Tumors
European Organisation for Research and Treatment of Cancer - EORTC
1996-08 PHASE3
NCT00003101 COMPLETED
Brain and Central Nervous System Tumors
Memorial Sloan Kettering Cancer Center
1997-08 PHASE2
NCT00074191 COMPLETED
Lymphoma
OHSU Knight Cancer Institute
2000-01 PHASE2
NCT00003929 WITHDRAWN
Lymphoma
Case Comprehensive Cancer Center
1998-06 PHASE2
NCT00003788 UNKNOWN
Brain and Central Nervous System Tumors
Colorado Health Foundation
1998-04 PHASE3
NCT00053872 UNKNOWN
Brain and Central Nervous System Tumors
University of Leicester
2003-02 PHASE3
NCT00003603 UNKNOWN
Multiple Myeloma and Plasma Cell Neoplasm
Riverside Haematology Group
1998-03 PHASE3
NCT00480064 COMPLETED
Acute Myeloid Leukemia
French Innovative Leukemia Organisation
1995-07 PHASE3
NCT00052455 COMPLETED
Brain and Central Nervous System Tumors
Institute of Cancer Research, United Kingdom
2002-10 PHASE3
NCT00068952 COMPLETED
Glioblastoma
Pfizer
2003-08 PHASE3

(data from https://clinicaltrials.gov, updated on 2026-04-13)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

As a lipophilic nitrosourea alkylating agent, lomustine undergoes in vivo hydrolysis to form reactive metabolites that covalently alkylate and cross-link DNA strands, thereby inhibiting DNA synthesis and arresting cell cycle progression. This cellular disruption prevents uncontrolled tumor cell division, providing the pharmacological rationale for its clinical evaluation in aggressive brain cancers such as glioblastoma and malignant glioma.

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>).

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Note: Technical data last updated: Sep 1, 2026.