The clinical trial landscape for prilocaine includes a clinical trial evaluating its utility as a local anesthetic agent during specialized diagnostic procedures. Specifically, an actively recruiting Phase IV study sponsored by an academic hospital, Hospital General Universitario Gregorio Marañón, is investigating the median effective dose of intrathecal hyperbaric prilocaine in patients undergoing transperineal magnetic resonance imaging-transrectal ultrasound fusion-guided prostate biopsy. Overall, this research emphasizes establishing optimized local anesthesia protocols to achieve effective analgesia during targeted prostate biopsies.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT05649020 | Recruiting | Evaluate Requirements of 2% Prilocaine in MR-UF Prostate Biopsy |
Hospital General Universitario Gregorio Marañon |
2022-11-24 | Phase 4 |
(data from https://clinicaltrials.gov, updated on 2024-05-22)
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>).