Numerous clinical trials have evaluated R406, the active moiety of fostamatinib, through Phase I and Phase II studies targeting rheumatoid arthritis as well as pharmacokinetic profiles in healthy volunteers and subjects with renal or hepatic impairment. Sponsored primarily by major pharmaceutical companies, multiple clinical trials assessed drug bioavailability, metabolic clearance, drug-drug interactions, and systemic exposure. Although recruitment across these trials is predominantly completed, select protocols were terminated during clinical evaluation.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT04238832 | COMPLETED | Smoking; Tobacco Use |
Medical University of South Carolina |
2020-06-16 | |
| NCT02571855 | COMPLETED | Healthy Subjects |
Idorsia Pharmaceuticals Ltd. |
2015-10-01 | PHASE1 |
| NCT02453022 | COMPLETED | Pulmonary Disease, Chronic Obstructive |
GlaxoSmithKline |
2015-05-18 | PHASE1 |
| NCT01645085 | COMPLETED | Healthy Volunteers |
AstraZeneca |
2012-07 | PHASE1 |
| NCT01682408 | COMPLETED | Pharmacokinetics |
AstraZeneca |
2012-09 | PHASE1 |
| NCT01725230 | Completed | Rheumatoid Arthritis |
AstraZeneca |
2012-11 | Phase 1 |
| NCT01598571 | COMPLETED | Healthy |
AstraZeneca |
2012-05 | PHASE1 |
| NCT01648179 | COMPLETED | Infections, Bacterial |
GlaxoSmithKline |
2012-03 | PHASE1 |
| NCT01598571 | Completed | Healthy |
AstraZeneca |
2012-05 | Phase 1 |
| NCT01398475 | COMPLETED | Chronic Inflammatory Disorder; Arthritis, Rheumatoid |
Eli Lilly and Company |
2011-07 | PHASE1 |
| NCT01387308 | Completed | Healthy |
AstraZeneca |
2011-08 | Phase 1 |
| NCT01336218 | COMPLETED | Rheumatoid Arthritis; Healthy Volunteers |
AstraZeneca |
2011-04 | PHASE1 |
| NCT01245790 | COMPLETED | Rheumatoid Arthritis; Renal Impairment |
AstraZeneca |
2010-11 | PHASE1 |
| NCT01222455 | COMPLETED | Hepatic Impairment; Healthy Volunteers; Pharmacokinetics; Amount of R406 in Blood |
AstraZeneca |
2010-10 | PHASE1 |
| NCT01355354 | Completed | Healthy Volunteers|Rheumatoid Arthritis |
AstraZeneca |
2011-06 | Phase 1 |
| NCT01234142 | COMPLETED | Smoking Cessation |
Pfizer |
2010-11 | PHASE1 |
| NCT01358344 | COMPLETED | Acute Coronary Syndrome |
Merck Sharp & Dohme LLC |
2010-08 | PHASE1 |
| NCT01322451 | COMPLETED | Healthy |
Lakefront Biotherapeutics NV |
2010-11 | PHASE1 |
| NCT01197781 | COMPLETED | Drug Drug Interactions; Healthy Volunteers |
AstraZeneca |
2010-09 | PHASE1 |
| NCT01013454 | COMPLETED | Smoking Cessation |
Pfizer |
2009-12 | PHASE1 |
| NCT00774605 | COMPLETED | Smoking Cessation |
Pfizer |
2008-12 | PHASE1 |
| NCT02172131 | TERMINATED | Healthy |
Boehringer Ingelheim |
2006-10 | PHASE1 |
| NCT02249403 | COMPLETED | Alzheimer Disease |
Boehringer Ingelheim |
1999-01 | PHASE2 |
(data from https://clinicaltrials.gov, updated on 2021-08-09)
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>).