Clinical Trials

Multiple clinical trials evaluate the therapeutic application of tetrandrine across diverse inflammatory, autoimmune, and respiratory conditions, primarily focusing on Phase 4 protocols. Key indications under investigation include COVID-19, interstitial lung disease, connective tissue disease-associated interstitial lung disease, and rheumatoid arthritis. Led by academic medical institutions and regional hospitals, recruitment statuses vary from actively recruiting for lung disease evaluations to unknown or withdrawn for COVID-19 and combination therapy studies.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07319598 RECRUITING
Interstitial Lung Disease (ILD); Connective Tissue Disease-associated Interstitial Lung Disease
Peking University Third Hospital
2023-11-02 PHASE4
NCT05697029 WITHDRAWN
COVID-19
Peking University Third Hospital
2023-12-31 PHASE4
NCT05245448 UNKNOWN
Rheumatoid Arthritis
Peking University People's Hospital
2022-02-22
NCT04308317 UNKNOWN
Corona Virus Disease 2019,COVID-19
Henan Provincial People's Hospital
2020-03-05 PHASE4

(data from https://clinicaltrials.gov, updated on 2026-01-06)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Tetrandrine functions as a calcium channel blocker that alters cytoskeleton distribution and induces p21 expression while inhibiting cyclin D1 and activating caspase-3, leading to cell cycle arrest, apoptosis, and suppression of mast cell degranulation. These anti-inflammatory, immunomodulatory, and antiproliferative downstream effects provide the biological rationale for its clinical investigation in inflammatory and respiratory disorders, including rheumatoid arthritis, interstitial lung disease, and COVID-19.

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.