Clinical Trials

Several clinical trials have evaluated Apilimod across autoimmune, infectious, neurodegenerative, and oncological indications. Early investigations included a Phase 2 trial in Crohn's disease sponsored by Synta Pharmaceuticals Corp., NIAID, and the NIH, while subsequent Phase 1 and Phase 2 studies sponsored by OrphAI Therapeutics addressed non-Hodgkin lymphoma, chronic lymphocytic leukemia, COVID-19, and C9ORF72-associated amyotrophic lateral sclerosis, alongside an expanded access protocol for frontotemporal dementia. Across the trial portfolio, recruitment statuses are reported as completed or no longer available.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05163886 COMPLETED
Amyotrophic Lateral Sclerosis; ALS
OrphAI Therapeutics
2021-12-23 PHASE2
NCT04446377 COMPLETED
COVID-19 Disease
OrphAI Therapeutics
2020-07-15 PHASE2
NCT02594384 COMPLETED
Lymphoma, Non-Hodgkin; Leukemia, Chronic Lymphocytic
OrphAI Therapeutics
2015-10 PHASE1
NCT00234741 Completed
Crohn''s Disease
Synta Pharmaceuticals Corp.|National Institute of Allergy and Infectious Diseases (NIAID)|National Institutes of Health (NIH)
2005-11 Phase 2

(data from https://clinicaltrials.gov, updated on 2025-06-22)

Check the Apilimod (STA-5326) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Apilimod selectively binds to and inhibits the lipid kinase PIKfyve while suppressing interleukin-12 (IL-12) and interleukin-23 (IL-23) expression, thereby disrupting phosphoinositide-regulated endolysosomal trafficking and downstream pro-inflammatory signaling cascades. This inhibition alters intracellular vesicular transport and attenuates pathological cytokine release, providing a strong rationale for its clinical investigation in inflammatory disorders such as Crohn's disease, viral infections like COVID-19, neurodegenerative diseases, and hematologic malignancies.

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.