Clinical Trials

Pyrazinamide is currently evaluated across several clinical trials of unspecified phases assessing its pharmacokinetics, diagnostic applications, and efficacy in active pulmonary tuberculosis, multidrug-resistant tuberculosis, HIV or diabetes comorbidities, and breastfeeding mother-infant pairs. Sponsored by academic institutions, national research agencies, and healthcare trusts, these studies currently encompass recruiting, active not recruiting, completed, and unknown recruitment statuses.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05329415 Active not recruiting
Tuberculosis|Diabetes Mellitus
London North West Healthcare NHS Trust
2022-02-01 --
NCT05840809 Recruiting
Tuberculosis Active|Breastfeeding|Tuberculosis
University of Liverpool|Infectious Diseases Institute Makerere University College of Health Sciences
2022-01-20 --
NCT04972903 Unknown status
Tuberculosis|Pulmonary
Institut National de la Santé Et de la Recherche Médicale France|National Agency for Research on AIDS and Viral Hepatitis (ANRS)
2021-08 --
NCT04239326 Completed
Tuberculosis Multidrug-Resistant
Foundation for Innovative New Diagnostics Switzerland
2021-04-16 --
NCT03800381 Recruiting
Tuberculosis|Human Immunodeficiency Virus|Coinfection
University of Florida|Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
2019-01-28 --

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

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Pyrazinamide acts as a prodrug converted by mycobacterial pyrazinamidase into pyrazinoic acid under acidic conditions, which depletes membrane potential and disrupts cellular energy production and fatty acid synthesis in *Mycobacterium tuberculosis*. This bactericidal intracellular accumulation eradicates dormant bacilli, rendering pyrazinamide an essential frontline agent in clinical regimens targeting active pulmonary and multidrug-resistant tuberculosis.

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.