Anidulafungin has been evaluated in numerous Phase 1 through Phase 4 clinical trials assessing its safety, pharmacokinetics, and efficacy in conditions such as candidemia, invasive candidiasis, invasive aspergillosis, and systemic fungemia, as well as in morbidly obese patients. Sponsored by pharmaceutical leaders including Pfizer, Astellas Pharma, and Gilead Sciences alongside academic institutions like Radboud University Medical Center and Erasmus Medical Center, these investigations encompass recruitment statuses ranging from completed to terminated or withdrawn.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT04876716 | TERMINATED | Invasive Aspergillosis |
Erasmus Medical Center |
2021-05-11 | PHASE3 |
| NCT04876716 | Terminated | Invasive Aspergillosis |
Erasmus Medical Center|ZonMw: The Netherlands Organisation for Health Research and Development|Stichting Hemato-Oncologie voor Volwassenen Nederland |
2021-05-11 | Phase 3 |
| NCT00761267 | COMPLETED | Candidemia |
Pfizer |
2009-02 | PHASE3 |
| NCT02021123 | COMPLETED | Obesity Morbid |
Radboud University Medical Center |
2014-08 | PHASE4 |
| NCT01188759 | WITHDRAWN | Aspergillosis; Invasive Pulmonary Aspergillosis; Neuroaspergillosis |
Pfizer |
2012-05 | PHASE3 |
| NCT02021123 | Completed | Obesity Morbid |
Radboud University Medical Center |
2014-08 | Phase 4 |
| NCT01303549 | COMPLETED | Liver Disease; Fungal Infection |
Fundacion SEIMC-GESIDA |
2011-11 | PHASE4 |
| NCT01734525 | COMPLETED | Candidemia |
Universidade Federal do Rio de Janeiro |
2012-11 | PHASE4 |
| NCT00841971 | COMPLETED | Mycoses; Fungemia; Central Nervous System Fungal Infections; Lung Diseases, Fungal |
University of Pittsburgh |
2010-02 | PHASE4 |
| NCT01236261 | Completed | Fungemia |
Fundacion SEIMC-GESIDA|Astellas Pharma Inc|Gilead Sciences|Merck Sharp & Dohme LLC|Pfizer |
2013-03 | -- |
| NCT01270490 | UNKNOWN | Candidemia |
Radboud University Medical Center |
2011-01 | PHASE3 |
| NCT01249820 | COMPLETED | Leukemia; Myelodysplastic Syndrome; Leukemia, Myeloid, Acute |
Radboud University Medical Center |
2010-11 | PHASE2 |
| NCT01307930 | COMPLETED | Obesity; Mycoses |
Texas Tech University Health Sciences Center |
2011-01 | PHASE4 |
| NCT01734525 | Completed | Candidemia |
Universidade Federal do Rio de Janeiro |
2012-11 | Phase 4 |
| NCT00934934 | TERMINATED | Ventilator Associated Pneumonia; Respiratory Tract Infection |
Daren K. Heyland |
2010-04 | PHASE2 |
| NCT00805740 | TERMINATED | Candidiasis; Fungemia |
Pfizer |
2009-04 | PHASE3 |
| NCT01188759 | Withdrawn | Aspergillosis|Invasive Pulmonary Aspergillosis|Neuroaspergillosis |
Pfizer |
2012-05 | Phase 3 |
| NCT01176058 | TERMINATED | Candidemia |
Pfizer |
2010-12 | PHASE3 |
| NCT00806351 | TERMINATED | Fungemia; Neutropenia; Candidiasis |
Pfizer |
2009-08 | PHASE3 |
| NCT01053884 | TERMINATED | Hematologic Malignancies |
Elisabethinen Hospital |
2009-10 | PHASE2 |
| NCT00531479 | COMPLETED | Aspergillosis |
Pfizer |
2008-07 | PHASE3 |
| NCT00672841 | COMPLETED | Invasive Candidiasis |
Duke University |
2008-06 | |
| NCT00734500 | COMPLETED | Invasive Fungal Infections |
Michael Cohen-Wolkowiez |
2008-01 | PHASE1 |
| NCT00496197 | COMPLETED | Candidiasis |
Pfizer |
2007-07 | PHASE4 |
| NCT00689338 | COMPLETED | Invasive Candidiasis |
Pfizer |
2008-07 | PHASE3 |
| NCT00892359 | UNKNOWN | Acute Renal Failure; Infection |
Medical University of Vienna |
2009-04 | PHASE2 |
| NCT00548262 | COMPLETED | Candidemia; Invasive Candidiasis |
Pfizer |
2008-02 | PHASE4 |
| NCT00537329 | COMPLETED | Candidemia |
Pfizer |
2008-01 | PHASE3 |
| NCT00620074 | TERMINATED | Aspergillosis |
Pfizer |
2008-08 | PHASE4 |
| NCT00940017 | COMPLETED | Aspergillosis; Candidemia |
Pfizer |
2008-09 | PHASE4 |
| NCT00037206 | COMPLETED | Aspergillosis |
Pfizer |
2002-05 | PHASE2; PHASE3 |
| NCT00068471 | COMPLETED | Infection; Neutropenia; Unspecified Childhood Solid Tumor, Protocol Specific |
National Cancer Institute (NCI) |
2003-07 | PHASE1; PHASE2 |
| NCT00058682 | COMPLETED | Candida; Candidiasis |
National Cancer Institute (NCI) |
2003-04 | PHASE3 |
| NCT00056381 | COMPLETED | Neutropenia |
Pfizer |
2003-07 | PHASE1; PHASE2 |
| NCT00037219 | COMPLETED | Candidiasis |
Pfizer |
2001-08 | PHASE2 |
| NCT00056368 | COMPLETED | Candidiasis |
Pfizer |
2003-03 | PHASE3 |
| NCT00041704 | COMPLETED | Candidiasis |
Pfizer |
2002-08 | PHASE2 |
(data from https://clinicaltrials.gov, updated on 2024-05-07)
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>).