Clinical Trials

Multiple Phase 2 clinical trials sponsored by academic and industry entities, including the University of Michigan and Access Pharmaceuticals, Inc., have evaluated Amlexanox across metabolic and inflammatory conditions such as type 2 diabetes mellitus, non-alcoholic fatty liver disease, obesity, and oral mucositis. These completed and terminated studies assessed endpoints ranging from glucose and lipid control to oral rinse efficacy. Overall, these investigations highlight the therapeutic potential of Amlexanox in managing metabolic disorders and mucosal inflammatory conditions.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT01975935 COMPLETED
Diabetes Mellitus Type 2; Non-alcoholic Fatty Liver Disease; Obesity
University of Michigan
2014-01 PHASE2
NCT01842282 TERMINATED
Diabetes Mellitus Type 2; Non Alcoholic Fatty Liver Disease; Obesity
University of Michigan
2013-07-19 PHASE2
NCT01083875 COMPLETED
Oral Mucositis
Access Pharmaceuticals, Inc.
2000-02 PHASE2

(data from https://clinicaltrials.gov, updated on 2018-11-07)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Amlexanox acts as an inhibitor of TANK-binding kinase 1 (TBK1) and IKK-ε, blocking downstream inflammatory kinase signaling cascades and modulating cellular energy expenditure. By suppressing aberrant immunomodulatory pathways and cellular inflammatory responses, this target inhibition promotes metabolic homeostasis and tissue protection, offering clinical relevance in conditions such as type 2 diabetes, obesity, non-alcoholic fatty liver disease, and oral mucositis.

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.