Clinical Trials

Adenosine has been evaluated in numerous clinical trials spanning Early Phase 1 through Phase 4 across diverse indications, including supraventricular tachycardia, coronary artery disease, ischemia-reperfusion injury, mild persistent asthma, and solid tumors such as pancreatic ductal adenocarcinoma and ovarian cancer. Sponsored by academic institutions, medical centers, and pharmaceutical leaders—such as Pfizer, Chiesi Farmaceutici, and Radboud University Medical Center—these studies feature recruitment statuses ranging from active or completed to terminated or not yet recruiting. Key investigative focus areas encompass anti-arrhythmic administration protocols and combination immunotherapeutic strategies targeting adenosine pathways.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT04666454 RECRUITING
Takotsubo Syndrome
Vastra Gotaland Region
2020-12-14 PHASE4
NCT07249034 NOT_YET_RECRUITING
Epilepsy; Drug-resistant Focal Epilepsy; Healthy Controls
Hospices Civils de Lyon
2026-08-07
NCT06921720 RECRUITING
Phosphate Diabetes; X-linked Hypophosphatemia
Hospices Civils de Lyon
2025-05-16
NCT05309655 ACTIVE_NOT_RECRUITING
Breast Cancer; Triple Negative Breast Cancer; Cardiovascular Complications
Duke University
2022-09-02
NCT05272709 RECRUITING
Advanced Solid Tumors
Cancer Research UK
2022-01-19 PHASE1; PHASE2
NCT07296354 NOT_YET_RECRUITING
Neuropathic Pain
Egyptian International Pharmaceutical Industries Co
2026-01-10 PHASE4
NCT05217498 NOT_YET_RECRUITING
Spinal Cord Injuries; Myelopathy
Randy Trumbower, PT, PhD
2027-09-01 PHASE1; PHASE2
NCT07426237 NOT_YET_RECRUITING
Myocardial Protection
Hospital Nossa Senhora da Conceicao
2026-03-30 PHASE4
NCT06993038 RECRUITING
Supraventricular Tachycardia (SVT)
Anne E. Zepeski
2025-08-01 PHASE4
NCT00412594 RECRUITING
Hairy Cell Leukemia; Recurrent Hairy Cell Leukemia
M.D. Anderson Cancer Center
2004-06-10 PHASE2
NCT06048484 RECRUITING
Pancreatic Ductal Adenocarcinoma
Gulam Manji
2024-05-10 PHASE2
NCT04600115 RECRUITING
MRI Scans
University of Utah
2017-03-03 EARLY_PHASE1
NCT06763172 RECRUITING
Healthy; Caffeine; Adenosine; Dopamine D2/3 Receptor Availability
Hsiao-Ying Wey
2023-05-17 PHASE4
NCT06578234 RECRUITING
Chronic Coronary Syndrome; Coronary Artery Disease; Ischemic Heart Disease
Region Skane
2024-10-23 PHASE4
NCT05915442 RECRUITING
Oligometastatic Prostate Cancer
Catherine Spina
2023-07-01 PHASE2
NCT05024097 RECRUITING
Rectal Cancer
Weill Medical College of Cornell University
2022-03-31 PHASE2
NCT05501054 ACTIVE_NOT_RECRUITING
Renal Cell Carcinoma
M.D. Anderson Cancer Center
2023-02-09 PHASE1; PHASE2
NCT02205762 ACTIVE_NOT_RECRUITING
Langerhans Cell Histiocytosis
North American Consortium for Histiocytosis
2016-11-02 PHASE2; PHASE3
NCT04969315 RECRUITING
Renal Cell Cancer; Castrate Resistant Prostate Cancer; Non Small Cell Lung Cancer; Head and Neck Squamous Cell Carcinoma; Colorectal Cancer (CRC); Endometrial Cancer; Ovarian Cancer
Portage Biotech
2023-06-23 PHASE1; PHASE2
NCT07536802 RECRUITING
ST-Segment Elevation Myocardial Infarction (STEMI); No-Reflow Phenomenon; Coronary Slow Flow; Acute Myocardial Infarction
National Institute of Cardiovascular Diseases, Pakistan
2025-06-01 PHASE4
NCT05017649 UNKNOWN
Hypercholesterolemia
Assistance Publique Hopitaux De Marseille
2021-09-20
NCT06650605 COMPLETED
Glioma Glioblastoma Multiforme
Theragnostics Ltd
2024-07-04 PHASE1
NCT05325502 ACTIVE_NOT_RECRUITING
Caffeine
Yu-Shiuan Lin
2022-05-05
NCT04822649 RECRUITING
Heart Failure With Preserved Ejection Fraction (HFpEF)
Korea University Anam Hospital
2021-04-15
NCT07554170 COMPLETED
Supraventricular Tachycardia; Supraventricular Tachycardias; Supraventricular Arrhythmia; SVT; PSVT
Hormozgan University of Medical Sciences
2024-05-21 PHASE4
NCT04588441 WITHDRAWN
Acute Respiratory Distress
University of Florida
2023-12 PHASE2
NCT04892875 WITHDRAWN
Head and Neck Cancer; Squamous Cell Carcinoma of Head and Neck; Oral Cavity Squamous Cell Carcinoma; Oral Cavity Cancer; Oropharynx Cancer; Oropharynx Squamous Cell Carcinoma; Larynx Cancer; Pharynx Cancer; Hypopharynx Cancer; Hypopharynx Squamous Cell Carcinoma
Jennifer Choe
2023-12-31 PHASE1
NCT07456423 COMPLETED
Supraventricular Tachycardia (SVT); Atrioventricular Nodal Re Entrant Tachycardia
Haseki Training and Research Hospital
2024-07-01 PHASE4
NCT03537586 ACTIVE_NOT_RECRUITING
Coronary Microvascular Disease; Ischemic Heart Disease; Myocardial Ischemia
NYU Langone Health
2018-06-29
NCT06145490 COMPLETED
Panic Disorder; Healthy
Uppsala University
2024-10-29
NCT06717685 RECRUITING
Supraventricular Tachycardia (SVtach)
Rashid Latif Medical College
2024-10-28 PHASE3
NCT05022290 UNKNOWN
Supraventricular Tachycardia
Khon Kaen University
2020-10-01
NCT06167512 Not yet recruiting
Multi-organ Failure After Severe Trauma
Assistance Publique - Hôpitaux de Paris
2024-04-01 --
NCT05713019 UNKNOWN
Cough
Imperial College London
2023-02-28
NCT05091749 ACTIVE_NOT_RECRUITING
Chronic Coronary Syndromes
Assistance Publique Hopitaux De Marseille
2021-11-09
NCT06269874 Not yet recruiting
Microvascular Coronary Artery Disease
Johannes Gutenberg University Mainz
2024-03-02 Not Applicable
NCT03661827 COMPLETED
Heart Failure; Coronary Artery Disease; Cardiac MRI
University of Leicester
2019-02-05
NCT04640844 UNKNOWN
Chronic Coronary Artery Disease
Assistance Publique Hopitaux De Marseille
2021-01-25
NCT03848325 COMPLETED
HIV-1-infection; Sleep Deprivation; Inflammation
University of Pittsburgh
2020-11-09
NCT03722849 COMPLETED
Cough
Stuart Mazzone
2019-03-01
NCT03557385 COMPLETED
Percutaneous Coronary Intervention
Duke University
2019-01-17 PHASE4
NCT05100589 COMPLETED
Cognitive Change; Mood
University of Central Florida
2021-10-06
NCT03330405 TERMINATED
Avelumab in Combination With Talazoparib Will be Investigated in Patients With Locally Advanced (Primary or Recurrent) or Metastatic Solid Tumors
Pfizer
2017-10-19 PHASE1; PHASE2
NCT04401657 UNKNOWN
Coronary Artery Stenosis
Asan Medical Center
2020-05-08
NCT03642132 TERMINATED
Ovarian Cancer
Pfizer
2018-07-19 PHASE3
NCT04577443 COMPLETED
Headache, Migraine
Danish Headache Center
2020-11-01
NCT03765632 COMPLETED
Severe Combined Immunodeficiency Due to ADA Deficiency
Great Ormond Street Hospital for Children NHS Foundation Trust
2018-01-03 PHASE1; PHASE2
NCT04961931 UNKNOWN
Chronic Kidney Disease stage3
Medical University of Lodz
2019-01-01
NCT04140539 WITHDRAWN
Severe Combined Immunodeficiency Due to ADA Deficiency
University of California, Los Angeles
2019-10-15 PHASE2; PHASE3
NCT03072589 UNKNOWN
Lung Transplant
Christine Lau, MD
2017-11-30 PHASE1
NCT03972683 WITHDRAWN
Vasoconstriction; Vasodilation
Colorado State University
2019-04-16 EARLY_PHASE1
NCT03738943 COMPLETED
Receptor Blockade
Colorado State University
2019-02-07 EARLY_PHASE1
NCT04699110 COMPLETED
Acute Coronary Syndrome; No-Reflow Phenomenon; Normotensive
National Institute of Cardiovascular Diseases, Pakistan
2021-01-01 PHASE4
NCT02509546 COMPLETED
Acute Myeloid Leukemia Arising From Previous Myelodysplastic Syndrome; Recurrent Acute Myeloid Leukemia; Refractory Acute Myeloid Leukemia
City of Hope Medical Center
2015-09-02 PHASE1; PHASE2
NCT05247385 COMPLETED
Coronary Artery Disease
University of Sao Paulo
2017-03-20 PHASE4
NCT04392362 COMPLETED
Supra-ventricular Tachycardia
University of Pretoria
2018-04-01 PHASE3
NCT04203368 COMPLETED
Supraventricular Tachycardia
Ain Shams University
2020-02-01
NCT04312477 UNKNOWN
Diarrhea-predominant Irritable Boewl Syndrome
Xiyuan Hospital of China Academy of Chinese Medical Sciences
2019-04-01 EARLY_PHASE1
NCT03235700 UNKNOWN
Heart Failure With Reduced Ejection Fraction; Coronary Artery Disease
Sejong General Hospital
2017-03-01
NCT03774290 COMPLETED
Asthma
Palobiofarma SL
2018-06-01 PHASE2
NCT03039205 COMPLETED
Platelet Aggregation; Adenosine; Coronary Artery Disease; Kidney Dysfunction; Antiplatelet Therapy
University of Sao Paulo
2017-11-07 PHASE2
NCT01672346 UNKNOWN
Paroxysmal Atrial Fibrillation
Texas Cardiac Arrhythmia Research Foundation
2013-05 PHASE3
NCT04057547 UNKNOWN
Ulcerative Colitis
Xiyuan Hospital of China Academy of Chinese Medical Sciences
2019-04-01 EARLY_PHASE1
NCT04051541 COMPLETED
Supraventricular Tachycardia
HealthPartners Institute
2019-05-06
NCT03138681 UNKNOWN
Major Depressive Disorder
Zhujiang Hospital
2017-05-03 PHASE2
NCT03249272 TERMINATED
Hypertrophic Cardiomyopathy; Non-ischemic Dilated Cardiomyopathy; Microvascular Ischaemia of Myocardium
Duke University
2017-09-05 PHASE4
NCT01852071 COMPLETED
ADA-SCID
University of California, Los Angeles
2013-08-02 PHASE1; PHASE2
NCT03461705 TERMINATED
Coronary; Ischemic
Columbia University
2017-10-20
NCT02681913 UNKNOWN
Pathological Processes; Cardiomyopathies
Amphia Hospital
2016-02 PHASE2
NCT03111420 COMPLETED
Risk Factor, Cardiovascular; Platelet Dysfunction Due to Drugs
Aggredyne, Inc.
2017-01-09
NCT03098979 COMPLETED
Heart Failure
Bayer
2017-05-10 PHASE2
NCT02580851 COMPLETED
Stable Coronary Artery Disease; Cardiac Magnetic Resonance Imaging; Coronary Angiography; Myocardial Revascularization; Outcomes and Prognosis; Quality of Life
University of Ulm
2011-12
NCT03119818 COMPLETED
End-Stage Renal Disease (ESRD)
Hospices Civils de Lyon
2017-06-14
NCT01477983 COMPLETED
Atrial Fibrillation
Kyoto University, Graduate School of Medicine
2011-11 PHASE4
NCT03344679 COMPLETED
Breast Surgery
Menoufia University
2015-02-01
NCT01481168 COMPLETED
Syncope
Newcastle-upon-Tyne Hospitals NHS Trust
2012-04-12
NCT00580905 TERMINATED
Inflammation
Vanderbilt University
2007-06 PHASE1
NCT01690884 COMPLETED
Coronary Artery Disease
Vanderbilt University
2012-08 PHASE1
NCT00179010 TERMINATED
Ischemia
Vanderbilt University Medical Center
2003-10 PHASE1
NCT02885740 UNKNOWN
Atrial Fibrillation
Central Hospital, Nancy, France
2010-03
NCT02284048 UNKNOWN
Microvascular Angina
Second Xiangya Hospital of Central South University
2014-11 PHASE4
NCT02527616 COMPLETED
Coronary Artery Disease
Diasolve Ltd
2016-05
NCT00714103 COMPLETED
Leukemia; Chronic Lymphocytic Leukemia
M.D. Anderson Cancer Center
2008-06 PHASE1
NCT01939912 COMPLETED
Heart Failure; Peripheral Chemoreceptor Hypersensitivity
Noblewell
2013-08
NCT01680081 TERMINATED
Coronary Artery Disease
Yonsei University
2012-01-30 PHASE4
NCT03327168 COMPLETED
Obesity
Turku University Hospital
2015-11-01
NCT02574975 UNKNOWN
Asthma
Zhujiang Hospital
2015-04 PHASE4
NCT02462941 COMPLETED
Sinus Bradycardia; Atrioventricular Block
Columbia University
2015-07 PHASE1
NCT02279511 COMPLETED
Alzheimer's Disease
Sara Varea
2014-12 PHASE2
NCT02121288 WITHDRAWN
Peripheral Artery Disease; Vascular Disease; Arterial Occlusion Disease; Intermittent Claudication; Ankle Brachial Index (0.9 or Less)
AstraZeneca
2014-12 PHASE4
NCT02040233 COMPLETED
Heart Failure
Bayer
2014-01-28 PHASE2
NCT02255006 UNKNOWN
Healthy
Kyunghee University Medical Center
2014-05
NCT01939587 COMPLETED
Asthma
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
2013-12 PHASE2
NCT01495481 COMPLETED
Supraventricular Tachycardia
University of Pittsburgh
2012-01
NCT02238392 COMPLETED
Paroxysmal Atrial Fibrillation
Johannes Gutenberg University Mainz
2012-01
NCT01034306 COMPLETED
Rheumatoid Arthritis
Can-Fite BioPharma
2010-10 PHASE2
NCT02161081 COMPLETED
Myocardial Ischemia
Samsung Medical Center
2012-01
NCT01837108 COMPLETED
Pharmacodynamics
Radboud University Medical Center
2013-04 PHASE4
NCT01996735 COMPLETED
Healthy
Radboud University Medical Center
2013-04 PHASE4
NCT01610921 COMPLETED
Asthma
University Medical Center Groningen
2012-02
NCT01809743 COMPLETED
Coronary Artery Disease
Lokien van Nunen
2013-01 PHASE3
NCT02357212 COMPLETED
Acute Coronary Syndrome
University of Florida
2009-04
NCT01058980 COMPLETED
Paroxysmal Atrial Fibrillation; Pulmonary Vein Isolation; Dormant Pulmonary Vein Conduction
Montreal Heart Institute
2009-12 PHASE4
NCT01295593 UNKNOWN
Chronic Lymphocytic Leukemia
Cliniques universitaires Saint-Luc- Université Catholique de Louvain
2010-12 PHASE1; PHASE2
NCT01161121 COMPLETED
Coronary Artery Disease
St. Louis University
2010-07 PHASE1
NCT02764892 COMPLETED
Parkinson's Disease
Vernalis (R&D) Ltd
2012-08 PHASE1
NCT01642966 COMPLETED
Acute Coronary Syndrome
University of Patras
2012-09 PHASE4
NCT00781404 COMPLETED
Acute Myocardial Infarction
David Garcia-Dorado
2008-10 PHASE3
NCT01313572 TERMINATED
Coronary Artery Disease
Forest Laboratories
2011-08 PHASE3
NCT00990327 TERMINATED
Coronary Artery Disease
Forest Laboratories
2009-11 PHASE3
NCT01370265 COMPLETED
Coronary Artery Disease
Mayo Clinic
2011-02
NCT00923962 COMPLETED
Type 2 Diabetes Mellitus
University Hospital, Gentofte, Copenhagen
2009-06
NCT01234870 COMPLETED
Heart Disease, Ischemic; Atherosclerosis, Coronary
Northwestern University
2010-06 PHASE2; PHASE3
NCT01331902 UNKNOWN
Coronary Artery Disease; Myocardial Ischemia
Seoul National University Hospital
2011-03 PHASE4
NCT00733993 COMPLETED
Cocaine Dependence
Virginia Commonwealth University
2008-04 PHASE1; PHASE2
NCT00590070 COMPLETED
Myocardial Infarction
Catholic University of the Sacred Heart
2008-01 PHASE2; PHASE3
NCT01162824 UNKNOWN
Endothelial Dysfunction; Atherosclerosis; Inflammation; Myocardial Ischemia
St George's Healthcare NHS Trust
2011-01
NCT01226602 COMPLETED
Blood Flow Speed; Coronary Flow Velocity
AstraZeneca
2010-12 PHASE1
NCT01123525 COMPLETED
Angina Pectoris
University Hospital of North Norway
2010-04 PHASE1; PHASE2
NCT03231371 COMPLETED
Orthotopic Heart Transplant
Bryan Goldstein
2008-11 PHASE3
NCT01148147 COMPLETED
Coronary Angioplasty
Azienda Ospedaliero Universitaria Maggiore della Carita
2009-11 PHASE3
NCT00859833 COMPLETED
Obesity; Endothelial Dysfunction; Decreased Vascular Flow
University of Utah
2009-02
NCT00744341 TERMINATED
Acute Decompensated Heart Failure; Renal Dysfunction
Solvay Pharmaceuticals
2009-02 PHASE2
NCT00851175 COMPLETED
Atherosclerosis; Cardiovascular Disease
Radboud University Medical Center
2009-03 PHASE4
NCT00881686 COMPLETED
Heart Defects, Congenital; Cardiac Surgical Procedures; Myocardial Reperfusion Injury; Adenosine
Xijing Hospital
2008-06 PHASE1; PHASE2
NCT00612521 TERMINATED
Coronary Artery Stenosis; Coronary Artery Disease
Ottawa Heart Institute Research Corporation
2007-08 PHASE3
NCT01343745 COMPLETED
Mild Persistent Asthma
Chiesi Farmaceutici S.p.A.
2008-02 PHASE2
NCT00531193 COMPLETED
Healthy
Biogen
2007-09 PHASE1
NCT00349921 COMPLETED
Pain
Wake Forest University Health Sciences
2004-08 PHASE2
NCT02318043 COMPLETED
Asthma
Guangzhou Institute of Respiratory Disease
2007-01
NCT00133042 COMPLETED
Asthma
University of Florida
2004-12 PHASE4
NCT00380198 TERMINATED
Coronary Artery Disease
Forest Laboratories
2006-07 PHASE3
NCT00944294 COMPLETED
Coronary Artery Disease
Pfizer
2004-02 PHASE3
NCT00483067 COMPLETED
Leukemia
M.D. Anderson Cancer Center
1998-03 PHASE2
NCT00053027 COMPLETED
Lymphoma
Alliance for Clinical Trials in Oncology
2003-02 PHASE2
NCT00003746 COMPLETED
Leukemia
Swiss Cancer Institute
1998-09 PHASE3
NCT00400855 COMPLETED
Asthma
GlaxoSmithKline
2005-01 PHASE2
NCT00208312 COMPLETED
Coronary Artery Disease
Gilead Sciences
2004-04 PHASE3
NCT00712764 COMPLETED
Ocular Physiology; Microcirculation
Medical University of Vienna
2005-01
NCT00159315 COMPLETED
Asthma; COPD; Smoking
Imperial College London
2002-10
NCT00014248 COMPLETED
Cachexia; Unspecified Adult Solid Tumor, Protocol Specific
Dartmouth-Hitchcock Medical Center
2000-10 PHASE1
NCT00006337 COMPLETED
Parkinson's Disease
National Institute of Neurological Disorders and Stroke (NINDS)
2000-10 PHASE2
NCT00253929 COMPLETED
Blood Flow in Healthy Volunteers
Radboud University Medical Center
2005-11
NCT00845689 UNKNOWN
Liver Tumors
Ludwig-Maximilians - University of Munich
PHASE1; PHASE2
NCT00004762 COMPLETED
Cholangitis, Sclerosing
National Center for Research Resources (NCRR)
1994-12 PHASE2
NCT00200629 TERMINATED
Coronary Artery Disease
Midwest Heart Foundation
2005-06 PHASE4
NCT01280071 UNKNOWN
Venoarteriolar Reflex
Tel-Aviv Sourasky Medical Center
NCT00960817 UNKNOWN
Coronary Angiography
Hillel Yaffe Medical Center
EARLY_PHASE1
NCT00298636 COMPLETED
Perioperative Pain
Xsira Pharmaceuticals
2005-10 PHASE2
NCT00184886 COMPLETED
Methotrexate; Vasodilation
Radboud University Medical Center
2003-11
NCT00184847 SUSPENDED
Ischemia-Reperfusion Injury
Radboud University Medical Center
2005-03
NCT00565188 COMPLETED
Cancer; Palliative Care; Survival; Quality of Life
Maastricht University Medical Center
2002-03 PHASE3

(data from https://clinicaltrials.gov, updated on 2024-12-02)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Adenosine binds to cell-surface purinergic adenosine receptors, suppressing adenylyl cyclase-mediated cyclic AMP production and altering downstream second messenger signaling to diminish cellular metabolic stress and modulate vascular tone. This targeted receptor activation induces cytoprotective, anti-inflammatory, and dromotropic effects, mitigating tissue damage in ischemia-reperfusion injury and slowing conduction through the atrioventricular node in supraventricular tachycardia.

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.