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)
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>).