Clinical Trials

Multiple completed clinical trials have evaluated phenprocoumon across diverse therapeutic indications and phases. A Phase 3 trial, sponsored by the Atrial Fibrillation Network, Bristol-Myers Squibb, and Pfizer, evaluated oral anticoagulation regimens in patients with atrial fibrillation and end-stage kidney disease. Additionally, a Phase 1 study sponsored by Hoffmann-La Roche assessed pharmacokinetic interactions involving phenprocoumon in patients with malignant melanoma neoplasms.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT02933697 Completed
Atrial Fibrillation|End-stage Kidney Disease
Atrial Fibrillation Network|Bristol-Myers Squibb|Pfizer
2017-06-20 Phase 3
NCT01849666 Completed
Malignant Melanoma Neoplasms
Hoffmann-La Roche
2013-09 Phase 1

(data from https://clinicaltrials.gov, updated on 2024-05-22)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Phenprocoumon acts as a vitamin K reductase antagonist that blocks the reduction of vitamin K, thereby preventing the essential post-translational gamma-carboxylation and activation of clotting factors II, VII, IX, and X. This inhibition disrupts the coagulation cascade to attenuate thrombin generation and blood clot formation, establishing its clinical utility in mitigating thromboembolic complications in conditions such as atrial fibrillation.

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.