Clinical Trials

Numerous clinical trials evaluate Thioguanine across various therapeutic domains, primarily focusing on hematologic malignancies—including acute lymphoblastic leukemia, acute myeloid leukemia, and myelodysplastic syndromes—and inflammatory bowel conditions such as Crohn's disease. Spanning Phase 1 through Phase 4, these investigations exhibit recruitment statuses ranging from active and completed to terminated or withdrawn. They are sponsored by academic medical centers, cooperative research organizations, and regional healthcare institutions, including the Children's Oncology Group, Rigshospitalet Denmark, and the European Organisation for Research and Treatment of Cancer.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07072585 NOT_YET_RECRUITING
Stage II T Lymphoblastic Leukemia/Lymphoma; Stage III T Lymphoblastic Leukemia/Lymphoma; Stage IV T Lymphoblastic Leukemia/Lymphoma; T Acute Lymphoblastic Leukemia; T Lymphoblastic Lymphoma
Children's Oncology Group
2026-08-28 PHASE2; PHASE3
NCT03959085 RECRUITING
B Acute Lymphoblastic Leukemia; B Lymphoblastic Lymphoma; Central Nervous System Leukemia; Mixed Phenotype Acute Leukemia; Testicular Leukemia
Children's Oncology Group
2019-10-31 PHASE3
NCT07636564 NOT_YET_RECRUITING
Acute Leukemia of Ambiguous Lineage; B Acute Lymphoblastic Leukemia; B Acute Lymphoblastic Leukemia, Philadelphia Chromosome Negative; T Acute Lymphoblastic Leukemia
SWOG Cancer Research Network
2026-10-14 PHASE2
NCT06124157 RECRUITING
B Acute Lymphoblastic Leukemia
National Cancer Institute (NCI)
2025-05-30 PHASE2
NCT04043494 RECRUITING
Lymphoblastic Lymphoma, Childhood
University Hospital Muenster
2019-08-23 PHASE3
NCT06336395 RECRUITING
B Lymphoblastic Leukemia
National University Hospital, Singapore
2020-03-04 PHASE2
NCT06317662 RECRUITING
Acute Leukemia of Ambiguous Lineage; B Acute Lymphoblastic Leukemia
National Cancer Institute (NCI)
2025-06-05 PHASE2
NCT06533748 RECRUITING
Acute Lymphoblastic Leukemia; Lymphoblastic Lymphoma
St. Jude Children's Research Hospital
2025-01-23 PHASE2
NCT06390319 RECRUITING
T-cell Acute Lymphoblastic Leukemia; T-cell Lymphoma; Mixed Phenotype Acute Leukemia
St. Jude Children's Research Hospital
2024-12-27 PHASE2
NCT03914625 ACTIVE_NOT_RECRUITING
B Acute Lymphoblastic Leukemia; B Lymphoblastic Lymphoma; Down Syndrome
National Cancer Institute (NCI)
2019-07-03 PHASE3
NCT03150693 RECRUITING
B Acute Lymphoblastic Leukemia
Alliance for Clinical Trials in Oncology
2017-09-20 PHASE3
NCT03117751 ACTIVE_NOT_RECRUITING
Acute Lymphoblastic Leukemia; Acute Lymphoblastic Lymphoma
St. Jude Children's Research Hospital
2017-03-29 PHASE2; PHASE3
NCT06210750 WITHDRAWN
T Acute Lymphoblastic Leukemia; T Lymphoblastic Lymphoma
National Cancer Institute (NCI)
2024-08-09 PHASE2
NCT03571321 RECRUITING
Acute Lymphoblastic Leukemia; ALL, Childhood; ALL
University of Chicago
2019-05-28 PHASE1
NCT03007147 ACTIVE_NOT_RECRUITING
Acute Lymphoblastic Leukemia; B Acute Lymphoblastic Leukemia; Mixed Phenotype Acute Leukemia; T Acute Lymphoblastic Leukemia
Children's Oncology Group
2017-08-08 PHASE3
NCT02723994 COMPLETED
Leukemia
Incyte Corporation
2016-09-30 PHASE2
NCT05276284 COMPLETED
Solid Tumor, Adult; Metastatic Cancer
Kristoffer Rohrberg
2022-09-01 PHASE1; PHASE2
NCT02521493 ACTIVE_NOT_RECRUITING
Acute Myeloid Leukemia; Down Syndrome; Myelodysplastic Syndrome; Myeloid Leukemia Associated With Down Syndrome; Myeloproliferative Neoplasm
Children's Oncology Group
2015-12-23 PHASE3
NCT06351306 WITHDRAWN
Acute Myeloid Leukemia
Columbia University
2024-04-01 PHASE2
NCT02883049 COMPLETED
B Acute Lymphoblastic Leukemia; B Acute Lymphoblastic Leukemia, BCR-ABL1-Like; Central Nervous System Leukemia; Testicular Leukemia
National Cancer Institute (NCI)
2012-02-29 PHASE3
NCT01117441 COMPLETED
Leukemia
University Hospital Schleswig-Holstein
2010-06 PHASE3
NCT02101853 ACTIVE_NOT_RECRUITING
Recurrent B Acute Lymphoblastic Leukemia
National Cancer Institute (NCI)
2014-12-17 PHASE3
NCT01451515 COMPLETED
Lymphoblastic Lymphoma
St. Jude Children's Research Hospital
2012-05-25 PHASE2
NCT00550992 UNKNOWN
Leukemia
Dutch Childhood Oncology Group
2006-01
NCT02828358 COMPLETED
Acute Leukemia of Ambiguous Lineage; B Acute Lymphoblastic Leukemia; Mixed Phenotype Acute Leukemia
National Cancer Institute (NCI)
2017-04-01 PHASE2
NCT00549848 COMPLETED
Acute Lymphoblastic Leukemia
St. Jude Children's Research Hospital
2007-10-29 PHASE3
NCT02112916 ACTIVE_NOT_RECRUITING
Adult T Acute Lymphoblastic Leukemia; Ann Arbor Stage II Adult Lymphoblastic Lymphoma; Ann Arbor Stage II Childhood Lymphoblastic Lymphoma; Ann Arbor Stage III Adult Lymphoblastic Lymphoma; Ann Arbor Stage III Childhood Lymphoblastic Lymphoma; Ann Arbor Stage IV Adult Lymphoblastic Lymphoma; Ann Arbor Stage IV Childhood Lymphoblastic Lymphoma; Childhood T Acute Lymphoblastic Leukemia
National Cancer Institute (NCI)
2014-10-04 PHASE3
NCT02912676 COMPLETED
Acute Lymphoblastic Leukemia; Lymphoblastic Lymphoma
Kjeld Schmiegelow
2016-10 PHASE1; PHASE2
NCT01228331 COMPLETED
Leukemia
Universitätsklinikum Hamburg-Eppendorf
2010-10 PHASE2; PHASE3
NCT01190930 COMPLETED
Acute Lymphoblastic Leukemia; Adult B Lymphoblastic Lymphoma; Ann Arbor Stage I B Lymphoblastic Lymphoma; Ann Arbor Stage II B Lymphoblastic Lymphoma; Childhood B Acute Lymphoblastic Leukemia; Childhood B Acute Lymphoblastic Leukemia With t(9;22)(q34.1;q11.2); BCR-ABL1; Childhood B Lymphoblastic Lymphoma; Down Syndrome; Hypodiploid B Acute Lymphoblastic Leukemia; Philadelphia Chromosome Positive
Children's Oncology Group
2010-08-11 PHASE3
NCT02660762 UNKNOWN
Leukaemia,Lymphoblastic
Sun Yat-sen University
2016-01 PHASE2
NCT02894645 UNKNOWN
Acute Lymphoblastic Leukemia (ALL)
National University Hospital, Singapore
2008-10 PHASE4
NCT00866749 COMPLETED
Lymphoblastic Leukemia; Lymphoblastic Lymphoma
M.D. Anderson Cancer Center
2006-09-12 PHASE2
NCT01156883 COMPLETED
Leukemia
Gruppo Italiano Malattie EMatologiche dell'Adulto
2010-04
NCT00408005 COMPLETED
T Acute Lymphoblastic Leukemia; T Lymphoblastic Lymphoma
National Cancer Institute (NCI)
2007-01-30 PHASE3
NCT02419469 TERMINATED
Leukemia; Precursor-B Acute Lymphoblastic Leukemia; Lymphoblastic Lymphoma; Lymphoma
M.D. Anderson Cancer Center
2015-11-13 PHASE2
NCT03022747 Unknown status
Lymphoblastic Leukemia Acute Childhood
Vastra Gotaland Region
2017-01 Phase 2
NCT02141100 WITHDRAWN
Non-Hodgkin Lymphoma
Kjeld Schmiegelow
2014-07 PHASE1; PHASE2
NCT00558519 COMPLETED
Leukemia
Alliance for Clinical Trials in Oncology
2008-03-12 PHASE2
NCT04304950 Completed
Inflammatory Bowel Diseases
Rush University Medical Center
2016-04-25 Phase 4
NCT00866307 COMPLETED
Acute Lymphoblastic Leukemia; Adult B Acute Lymphoblastic Leukemia; Childhood B Acute Lymphoblastic Leukemia
Children's Oncology Group
2009-02-23 PHASE1
NCT00103285 COMPLETED
Acute Lymphoblastic Leukemia; Childhood B Acute Lymphoblastic Leukemia
Children's Oncology Group
2005-04-11 PHASE3
NCT00369317 COMPLETED
Childhood Acute Basophilic Leukemia; Childhood Acute Eosinophilic Leukemia; Childhood Acute Erythroleukemia (M6); Childhood Acute Megakaryocytic Leukemia (M7); Childhood Acute Minimally Differentiated Myeloid Leukemia (M0); Childhood Acute Monoblastic Leukemia (M5a); Childhood Acute Monocytic Leukemia (M5b); Childhood Acute Myeloblastic Leukemia With Maturation (M2); Childhood Acute Myeloblastic Leukemia Without Maturation (M1); Childhood Acute Myelomonocytic Leukemia (M4); Childhood Myelodysplastic Syndromes; de Novo Myelodysplastic Syndromes; Secondary Acute Myeloid Leukemia; Secondary Myelodysplastic Syndromes; Untreated Childhood Acute Myeloid Leukemia and Other Myeloid Malignancies
Children's Oncology Group
2007-03 PHASE3
NCT00430118 COMPLETED
Leukemia
University Hospital Schleswig-Holstein
2000-07 PHASE3
NCT00184041 COMPLETED
Acute Lymphoblastic Leukemia
University of Southern California
2004-07 PHASE2
NCT00849368 COMPLETED
Inflammatory Bowel Disease
University of Zurich
2009-01 PHASE1
NCT00198991 COMPLETED
Adult Acute Lymphocytic Leukemia
Goethe University
2003-04 PHASE4
NCT00671034 COMPLETED
Acute Lymphoblastic Leukemia; Adult B Acute Lymphoblastic Leukemia; Childhood B Acute Lymphoblastic Leukemia
Children's Oncology Group
2008-07-21 PHASE3
NCT00075725 COMPLETED
Acute Lymphoblastic Leukemia; Adult B Acute Lymphoblastic Leukemia; Childhood B Acute Lymphoblastic Leukemia
Children's Oncology Group
2003-12-29 PHASE3
NCT00109837 COMPLETED
Leukemia
SWOG Cancer Research Network
2005-04 PHASE2
NCT00504660 COMPLETED
Anaplastic Glioma of Brain; Glioblastoma Multiforme; Brain Cancer
M.D. Anderson Cancer Center
2003-09 PHASE2
NCT00002517 COMPLETED
Leukemia; Myelodysplastic Syndromes
European Organisation for Research and Treatment of Cancer - EORTC
1993-03 PHASE3
NCT00275106 TERMINATED
Lymphoma
Children's Cancer and Leukaemia Group
2004-09 PHASE3
NCT00439296 TERMINATED
Recurrent Pediatric ALL; Relapsed Pediatric ALL; Acute Lymphoblastic Leukemia; Refractory Pediatric ALL
Therapeutic Advances in Childhood Leukemia Consortium
2006-05-22 PHASE1; PHASE2
NCT00186966 COMPLETED
Acute Myeloid Leukemia
Dutch Childhood Oncology Group
2002-03 PHASE3
NCT00199017 COMPLETED
Lymphoma, Lymphoblastic
Johann Wolfgang Goethe University Hospital
2004-04 PHASE4
NCT00199004 COMPLETED
Adult Acute Lymphocytic Leukemia
Johann Wolfgang Goethe University Hospital
2004-04 PHASE4
NCT00176462 COMPLETED
Acute Lymphocytic Leukemia
Rutgers, The State University of New Jersey
2001-02 PHASE2
NCT00004228 COMPLETED
Lymphoma
Children's Oncology Group
2000-06 PHASE3
NCT00588536 COMPLETED
Langerhans Cell Histiocytosis
Memorial Sloan Kettering Cancer Center
1995-01 PHASE2
NCT00003728 UNKNOWN
Leukemia; Lymphoma
European Organisation for Research and Treatment of Cancer - EORTC
1998-12 PHASE3
NCT00548431 Completed
Leukemia Lymphocytic Acute
Rigshospitalet Denmark
2007-12 Phase 2
NCT00005945 COMPLETED
Leukemia
Children's Oncology Group
2000-06 PHASE3
NCT00764907 UNKNOWN
Leukemia
University Hospital, Motol
2002-11 PHASE3
NCT00005585 COMPLETED
Leukemia
Children's Oncology Group
2000-04 PHASE3
NCT00016302 COMPLETED
T-cell Childhood Acute Lymphoblastic Leukemia; Untreated Childhood Acute Lymphoblastic Leukemia
National Cancer Institute (NCI)
2001-04
NCT00003593 COMPLETED
Leukemia; Myelodysplastic Syndromes; Myelodysplastic/Myeloproliferative Neoplasms
Children's Oncology Group
1999-06 PHASE3
NCT00002744 COMPLETED
Leukemia
Children's Oncology Group
1996-05 PHASE3
NCT00266136 COMPLETED
Acute Myeloid Leukemia
University Hospital Muenster
1999-06 PHASE3
NCT00002514 COMPLETED
Leukemia
Eastern Cooperative Oncology Group
1993-05-07 PHASE3
NCT00002798 COMPLETED
Childhood Acute Erythroleukemia (M6); Childhood Acute Megakaryocytic Leukemia (M7); Childhood Acute Monoblastic Leukemia (M5a); Childhood Acute Monocytic Leukemia (M5b); Childhood Acute Myeloblastic Leukemia With Maturation (M2); Childhood Acute Myeloblastic Leukemia Without Maturation (M1); Childhood Acute Myelomonocytic Leukemia (M4); Childhood Myelodysplastic Syndromes; Chronic Myelomonocytic Leukemia; de Novo Myelodysplastic Syndromes; Refractory Anemia; Refractory Anemia With Excess Blasts; Refractory Anemia With Excess Blasts in Transformation; Refractory Anemia With Ringed Sideroblasts; Secondary Myelodysplastic Syndromes; Untreated Childhood Acute Myeloid Leukemia and Other Myeloid Malignancies
National Cancer Institute (NCI)
1996-08 PHASE3
NCT00613457 COMPLETED
Leukemia
Associazione Italiana Ematologia Oncologia Pediatrica
2000-09 PHASE3
NCT00002812 COMPLETED
Leukemia
Children's Oncology Group
1996-09 PHASE3
NCT00002944 COMPLETED
Brain Tumors; Central Nervous System Tumors
Children's Oncology Group
1997-04 PHASE3
NCT00005603 COMPLETED
Leukemia
Children's Oncology Group
2000-03 PHASE3
NCT00005596 COMPLETED
Leukemia
Children's Oncology Group
2000-04 PHASE3
NCT00098111 Terminated
Crohn''s Disease
Massachusetts General Hospital
2005-04 Phase 3
NCT00022126 COMPLETED
Leukemia
Children's Oncology Group
2002-11 PHASE2
NCT00587873 COMPLETED
Hodgkin's Disease
Memorial Sloan Kettering Cancer Center
1994-03 PHASE2
NCT00199056 COMPLETED
Adult Acute Lymphocytic Leukemia
Goethe University
1999-10 PHASE4
NCT00002816 COMPLETED
Leukemia
Children's Oncology Group
1996-12 PHASE3
NCT00003671 COMPLETED
Leukemia
Children's Oncology Group
1998-12 PHASE2
NCT00004056 COMPLETED
Leukemia
Children's Oncology Group
1999-10 PHASE1
NCT00002665 COMPLETED
Leukemia; Neutropenia; Thrombocytopenia
SWOG Cancer Research Network
1995-07 PHASE2
NCT00002590 COMPLETED
Lymphoma
Children's Oncology Group
1994-07 PHASE2
NCT00199069 COMPLETED
Adult Acute Lymphocytic Leukemia
Goethe University
1993-04 PHASE4
NCT00005823 COMPLETED
Leukemia; Myelodysplastic Syndromes; Myelodysplastic/Myeloproliferative Neoplasms
Leukemia Research Fund
1998-12 PHASE3
NCT00002701 UNKNOWN
Leukemia
European Organisation for Research and Treatment of Cancer - EORTC
1995-10 PHASE3
NCT00002531 UNKNOWN
Leukemia
Johann Wolfgang Goethe University Hospital
1993-01 PHASE2
NCT00343369 UNKNOWN
Leukemia
Universitätsklinikum Hamburg-Eppendorf
2003-01
NCT00003437 UNKNOWN
Leukemia
Medical Research Council
1997-01 PHASE3
NCT00003423 UNKNOWN
Lymphoma
United Kingdom Children's Cancer Study Group
1995-05 PHASE3
NCT00002658 UNKNOWN
Leukemia; Neutropenia
Medical Research Council
1994-01 PHASE3

(data from https://clinicaltrials.gov, updated on 2026-07-30)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Thioguanine acts as a purine antimetabolite that induces ubiquitin-mediated degradation of DNA methyltransferase 1, thereby disrupting DNA methylation patterns and impairing nucleic acid synthesis in rapidly dividing cells. This biochemical inhibition triggers cytotoxic cell cycle arrest and apoptosis, providing therapeutic efficacy in clinical indications such as acute lymphoblastic leukemia and inflammatory bowel diseases.

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.