Multiple clinical trials evaluate amitriptyline hydrochloride across Phase 1 through Phase 3 and non-phase designs for indications such as depression, migraine prevention, ultraviolet B-induced rosacea redness, and chemotherapy-induced peripheral neuropathy in patients with solid tumors or hematologic malignancies. Sponsored by academic institutions, medical centers, and national networks, these studies encompass completed, actively recruiting, and unknown statuses, highlighting both historic and ongoing clinical interest in this compound.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT06312813 | Recruiting | Rosacea |
Wright State University |
2024-02-27 | Phase 2 |
| NCT02519400 | Unknown status | Depression |
Asan Medical Center |
2015-08 | Phase 1 |
| NCT02101892 | Completed | Migraine|Preventive Treatment |
Rambam Health Care Campus|Migraine Research Foundation |
2014-04 | Not Applicable |
| NCT00516503 | Completed | Chronic Myeloproliferative Disorders|Leukemia|Lymphoma|Lymphoproliferative Disorder|Multiple Myeloma and Plasma Cell Neoplasm|Myelodysplastic Syndromes|Myelodysplastic/Myeloproliferative Neoplasms|Neurotoxicity|Pain|Unspecified Adult Solid Tumor Protocol Specific |
Alliance for Clinical Trials in Oncology|National Cancer Institute (NCI) |
2008-02 | Phase 3 |
(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>).