Clinical Trials

Numerous clinical trials spanning Phase 1 to Phase 4 evaluate anagrelide for myeloproliferative neoplasms—specifically essential thrombocythemia and elevated platelet counts—alongside pharmacokinetic and bioequivalence assessments in healthy volunteers. Diverse commercial sponsors, including Shire/Takeda, PharmaEssentia, Galena Biopharma, and Merck Sharp & Dohme, have spearheaded these investigations. Although many protocols are completed, several advanced Phase 3 and Phase 4 studies remain active or active-not-recruiting, demonstrating anagrelide's ongoing clinical evaluation in hematological disorders.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06079879 ACTIVE_NOT_RECRUITING
Essential Thrombocythemia
Merck Sharp & Dohme LLC
2023-12-31 PHASE3
NCT04285086 ACTIVE_NOT_RECRUITING
Essential Thrombocythemia
PharmaEssentia
2020-08-25 PHASE3
NCT02962388 TERMINATED
Essential Thrombocythemia
French Innovative Leukemia Organisation
2017-01-03 PHASE2; PHASE3
NCT03232177 COMPLETED
Essential Thrombocythemia
Yuhan Corporation
2017-06-05 PHASE4
NCT03123588 TERMINATED
MPN (Myeloproliferative Neoplasms)
Incyte Corporation
2017-11-14 PHASE2
NCT03866434 COMPLETED
Healthy Volunteers
Shire
2019-02-26 PHASE1
NCT03866434 Completed
Healthy Volunteers
Shire|Takeda
2019-02-26 Phase 1
NCT02125318 COMPLETED
Thrombocytosis; Myeloproliferative Neoplasms
Galena Biopharma, Inc.
2014-05 PHASE2
NCT00202644 COMPLETED
Thrombocythemia, Hemorrhagic
Shire
2006-01-13 PHASE4
NCT01467661 COMPLETED
Essential Thrombocythemia (ET)
Shire
2010-10-27 PHASE3
NCT02076815 COMPLETED
Essential Thrombocythemia
AOP Orphan Pharmaceuticals AG
2014-02 PHASE3
NCT01230775 COMPLETED
Essential Thrombocythaemia
AOP Orphan Pharmaceuticals AG
2010-12 PHASE3
NCT02125318 Completed
Thrombocytosis|Myeloproliferative Neoplasms
Galena Biopharma Inc.
2014-05 Phase 2
NCT01214915 COMPLETED
Essential Thrombocythemia (ET)
Shire
2010-10-27 PHASE3
NCT01552928 COMPLETED
Healthy
Shire
2012-03-29 PHASE1
NCT01192347 Completed
Essential Thrombocythemia
Shire|Takeda
2010-09-13 --
NCT00413634 COMPLETED
Essential Thrombocythaemia
Shire
2006-11-13 PHASE2
NCT00648024 COMPLETED
Healthy
Mylan Pharmaceuticals Inc
2003-01 PHASE1
NCT00648765 COMPLETED
Healthy
Mylan Pharmaceuticals Inc
2003-01 PHASE1
NCT01065038 COMPLETED
Essential Thrombocythaemia
AOP Orphan Pharmaceuticals AG
2002-09 PHASE3

(data from https://clinicaltrials.gov, updated on 2026-08-13)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Anagrelide functions by selectively inhibiting cyclic AMP phosphodiesterase III, which elevates intracellular cyclic AMP levels and subsequently suppresses megakaryocyte maturation and platelet formation. This targeted reduction in circulating blood platelets provides significant therapeutic efficacy in controlling thrombocytosis associated with essential thrombocythemia and related myeloproliferative neoplasms.

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.