Multiple mid- to late-phase clinical trials evaluate the efficacy and safety of mizoribine across renal, autoimmune, and transplant-related indications, including lupus nephritis, rheumatoid arthritis, nephrotic syndrome, kidney transplant immunosuppression, and BK virus complications. Sponsored by pharmaceutical companies such as Asahi Kasei Therapeutics Corporation, Sanofi, Lee's Pharmaceutical Limited, and Chong Kun Dang Pharmaceutical, these studies include both completed trials and those that are active or of unknown recruitment status.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT06114953 | UNKNOWN | Kidney Transplant Immunosuppression |
Lee's Pharmaceutical Limited |
2023-01-01 | PHASE4 |
| NCT05293704 | UNKNOWN | Kidney Transplant Recipients; BK Virus |
Lee's Pharmaceutical Limited |
2022-05-01 | PHASE4 |
| NCT02256150 | COMPLETED | Lupus Nephritis |
Asahi Kasei Therapeutics Corporation |
2014-11 | PHASE3 |
| NCT02257697 | COMPLETED | Nephrotic Syndrome |
Asahi Kasei Therapeutics Corporation |
2014-11 | PHASE3 |
| NCT02373202 | COMPLETED | Rheumatoid Arthritis |
Sanofi |
2015-02 | PHASE3 |
| NCT02005757 | UNKNOWN | Rheumatoid Arthritis |
Chong Kun Dang Pharmaceutical |
2013-11 | PHASE2 |
(data from https://clinicaltrials.gov, updated on 2023-11-02)
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>).