Several clinical trials are currently evaluating ambroxol across neurodegenerative and neuropathic conditions, including Parkinson's disease, Lewy body disease, Gaucher disease with GBA gene mutations, and diabetic peripheral neuropathy. Spanning Phase 1/2 through Phase 3 as well as observational designs, these studies are sponsored by academic and medical institutions such as University College London, Lawson Health Research Institute, Ain Shams University, Shaare Zedek Medical Center, and Italian neurological research centers. Across these active and planned studies, recruitment statuses range from not yet recruiting and active not recruiting to actively recruiting patient cohorts.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT04405596 | Not yet recruiting | Lewy Body Disease |
Lawson Health Research Institute |
2025-01 | Phase 1|Phase 2 |
| NCT05778617 | Not yet recruiting | Parkinson Disease |
University College London |
2023-09 | Phase 3 |
| NCT05558878 | Not yet recruiting | Diabetic Neuropathy Peripheral |
Ain Shams University |
2022-10-01 | Not Applicable |
| NCT05287503 | Active not recruiting | Parkinson Disease|GBA Gene Mutation |
Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta|IRCCS National Neurological Institute C. Mondino Foundation|University of Campania Luigi Vanvitelli |
2022-02-15 | Phase 2 |
| NCT04388969 | Recruiting | Gaucher Disease|Parkinson Disease|GBA Gene Mutation |
Shaare Zedek Medical Center |
2020-05-06 | -- |
(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>).