Clinical Trials

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)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Ambroxol functions as a potent inhibitor of neuronal sodium (Na+) channels, directly binding to the channel complex to block sodium influx and suppress aberrant cellular depolarization. This blockade attenuates pathological neuronal hyperexcitability and downstream neuroinflammatory responses, providing a strong rationale for its therapeutic application in clinical conditions such as Parkinson's disease, Lewy body dementia, and diabetic peripheral neuropathy.

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.