Multiple clinical trials evaluate terbinafine across Phase 1 through Phase 3 development, encompassing both completed and actively recruiting studies. Sponsored by academic institutions, military hospital networks, and biotechnology firms, these trials primarily target superficial fungal conditions such as onychomycosis, distal subungual nail infections, and dermatophyte skin infections, alongside antiviral indications like chronic hepatitis B. Specific investigations compare continuous dosing against alternative antifungals or evaluate novel topical and iontophoretic delivery systems.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT06295328 | Recruiting | Chronic Hepatitis b |
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) |
2022-04-13 | Phase 1|Phase 2 |
| NCT05578950 | Completed | Onychomycosis |
Combined Military Hospital Abbottabad |
2022-03-01 | Phase 1 |
| NCT04880980 | Completed | Dermatophyte Infection|Terbinafine Adverse Reaction|Itraconazole Adverse Reaction |
Pak Emirates Military Hospital |
2021-03-15 | Phase 3 |
| NCT04188574 | Completed | Distal Subungual Onychomycosis|Fungal Infection|Fungus Nail |
Blueberry Therapeutics|IQVIA Biotech |
2021-03-22 | Phase 2 |
| NCT01484145 | Completed | Onychomycosis |
Nitric BioTherapeutics Inc |
2011-12 | Phase 2 |
(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>).