Multiple clinical trials evaluate ajmaline across conditions such as Brugada syndrome 1S, electrocardiographic Brugada patterns, and sudden death risk. Primarily sponsored by academic and medical centers—including Cardiocentro Ticino, St George's University of London, and IRCCS Policlinico S. Donato—these Phase II, interventional, and unclassified studies range in recruitment status from actively recruiting to terminated or unknown. Individual investigations focus on assessing electrocardiographic and genetic responses during ajmaline challenge testing, epicardial ablation, and implantable defibrillator algorithm optimization.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT04504591 | Terminated | Brugada Syndrome 1S |
Angelo Auricchio|Cardiocentro Ticino |
2017-12-14 | -- |
| NCT02933437 | Unknown status | Brugada Syndrome|Sudden Death |
St George''s University of London |
2017-10-22 | Phase 2 |
| NCT03106701 | Recruiting | ECG Brugada Pattern |
IRCCS Policlinico S. Donato |
2017-03-14 | Not Applicable |
(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>).