Clinical Trials

Multiple Phase II clinical trials have evaluated Belnacasan (VX-765) across diverse indications, including epilepsy, treatment-resistant partial epilepsy, COVID-19, and chronic plaque psoriasis. Sponsored by pharmaceutical entities such as Vertex Pharmaceuticals Incorporated alongside healthcare research centers like MedStar Health, these studies are officially recorded as either completed or terminated.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05164120 COMPLETED
COVID-19
MedStar Health
2021-12-14 PHASE2
NCT01501383 TERMINATED
Epilepsy
Vertex Pharmaceuticals Incorporated
2011-12 PHASE2
NCT01501383 Terminated
Epilepsy
Vertex Pharmaceuticals Incorporated
2011-12 Phase 2
NCT01048255 COMPLETED
Partial Epilepsy
Vertex Pharmaceuticals Incorporated
2010-01 PHASE2
NCT00205465 COMPLETED
Psoriasis
Vertex Pharmaceuticals Incorporated
2004-12 PHASE2

(data from https://clinicaltrials.gov, updated on 2024-09-19)

Check the Belnacasan (VX-765) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Belnacasan (VX-765) selectively and irreversibly binds to interleukin-1β converting enzyme (caspase-1), preventing the proteolytic cleavage and maturation of pro-inflammatory cytokines such as IL-1β and IL-18 to suppress neuroinflammatory and peripheral inflammatory cascades. By attenuating inflammatory mediator release and neuronal hyperexcitability, this targeted caspase-1 inhibition provides a therapeutic rationale for managing inflammatory and seizure disorders such as psoriasis, COVID-19, and partial epilepsy.

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.