Clinical Trials

Multiple clinical trials evaluate the therapeutic application and monitoring of argatroban across cardiovascular and hematological conditions, primarily focusing on heparin-induced thrombocytopenia, ischemic stroke, extracorporeal membrane oxygenation complications, and acute respiratory distress syndrome. Spanning Phase 1 through Phase 4, these studies assess argatroban as a monotherapy direct thrombin inhibitor and in combination with agents such as tissue plasminogen activator. Sponsored by major medical centers and pharmaceutical entities including GlaxoSmithKline and Assistance Publique - Hôpitaux de Paris, trial statuses range from completed and actively recruiting to terminated.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07499037 NOT_YET_RECRUITING
Pneumonia; Heart Failure
University Hospital Ostrava
2027-01 PHASE2
NCT06442267 RECRUITING
Respiratory Insufficiency; Circulatory Failure; Thromboembolism; Bleeding
Medical University of Vienna
2024-07-30 PHASE4
NCT05226442 COMPLETED
Extracorporeal Membrane Oxygenation Complication; Anticoagulants and Bleeding Disorders
Medical University of Vienna
2021-12-01 PHASE2; PHASE3
NCT04925167 COMPLETED
Respiratory Failure
Beijing Chao Yang Hospital
2021-07-06
NCT03735979 COMPLETED
Acute Ischemic Stroke
Washington University School of Medicine
2019-10-15 PHASE3
NCT06066762 Not yet recruiting
Heparin-induced Thrombocytopenia
Assistance Publique - Hôpitaux de Paris
2023-11-01 --
NCT04275180 COMPLETED
Acute Progressive Ischemic Stroke
Second Affiliated Hospital, Zhejiang University, School of Medicine
2020-03-21 PHASE4
NCT03809481 TERMINATED
Heparin-induced Thrombocytopenia
Aspen Global Incorporated
2019-05-16 PHASE3
NCT05325346 COMPLETED
Heparin-induced Thrombocytopenia
Veralox Therapeutics
2022-03-07 PHASE1
NCT05325346 Completed
Heparin-induced Thrombocytopenia
Veralox Therapeutics|Celerion
2022-03-07 Phase 1
NCT03740958 COMPLETED
Stroke
General Hospital of Shenyang Military Region
2018-12-21 PHASE4
NCT05226442 Recruiting
Extracorporeal Membrane Oxygenation Complication|Anticoagulants and Bleeding Disorders
Medical University of Vienna
2021-12-01 Phase 2|Phase 3
NCT05740371 COMPLETED
Stable Coronary Artery Disease (CAD); Unstable Angina (Troponin Negative)
Tanabe Pharma GmbH
2017-04-18 PHASE4
NCT04406389 TERMINATED
COVID-19
Weill Medical College of Cornell University
2020-10-13 PHASE4
NCT04751357 Unknown status
Heparin-induced Thrombocytopenia
Medical University of Vienna
2020-08-01 --
NCT06038682 Completed
ARDS|COVID-19
University Hospital Ostrava
2020-04-01 --
NCT03506009 TERMINATED
Argatroban, Rt-PA
Hui-Sheng Chen
2018-07-11 PHASE4
NCT03552354 COMPLETED
Stroke, Ischemic
General Hospital of Shenyang Military Region
2017-10-25 PHASE4
NCT02935530 COMPLETED
Gynecologic Neoplasms; Venous Thromboembolism; Low Molecular Weight Heparin; Argatroban
Huazhong University of Science and Technology
2016-01 PHASE3
NCT02448069 COMPLETED
Stroke; Cerebral Ischemia
The University of Texas Health Science Center, Houston
2015-05 PHASE2
NCT01734252 COMPLETED
Achievement of a Sufficient Thrombosis Prohpylaxis in Clitically Ill Patients With Heparin Resistance
Medical University Innsbruck
2012-07-29 PHASE2
NCT01464788 TERMINATED
Ischemic Stroke
Andrew D. Barreto, MD
2011-10 PHASE2
NCT02448069 Completed
Stroke|Cerebral Ischemia
The University of Texas Health Science Center Houston
2015-05 Phase 2
NCT01163604 COMPLETED
CVD
Jinling Hospital, China
2010-08 PHASE4
NCT00798525 TERMINATED
Heparin Induced Thrombocytopenia (HIT)
Heinrich-Heine University, Duesseldorf
2009-01 PHASE4
NCT01980316 COMPLETED
CVD
Xinfeng Liu
2010-04 PHASE4
NCT01246011 TERMINATED
Coronary Artery Bypass Graft Surgery; Presence of Heparin/Platelet Factor 4 Antibody
Massachusetts General Hospital
2010-11 PHASE4
NCT00861692 COMPLETED
Heparin-induced Thrombocytopenia Type II
Tanabe Pharma Corporation
2009-04 PHASE2
NCT00268762 COMPLETED
Ischemic Stroke
The University of Texas Health Science Center, Houston
2003-02 PHASE1; PHASE2
NCT00787332 TERMINATED
Suspected Heparin-Induced Thrombocytopenia
Canyon Pharmaceuticals, Inc.
2008-09 PHASE4
NCT00603824 WITHDRAWN
Heparin-Induced Thrombocytopenia
Methodist Healthcare - Memphis
2008-01 PHASE4
NCT00153946 COMPLETED
Stroke
Combination Therapy for Acute Ischemic Stroke Study Group
2004-08 PHASE4
NCT00198588 COMPLETED
Heparin-Induced Thrombocytopenia
Ministry of Health, Labour and Welfare, Japan
2005-06 PHASE3
NCT00035178 COMPLETED
Kidney Failure, Chronic; Renal Disease, End-Stage
Texas Biotechnology Corporation
2002-05 PHASE4
NCT00039858 COMPLETED
Thrombocytopenia; Thrombosis
Encysive Pharmaceuticals
2003-09 PHASE4
NCT00508924 COMPLETED
Coronary Artery Disease; Angina, Unstable
Tanabe Pharma Corporation
2005-08 PHASE2

(data from https://clinicaltrials.gov, updated on 2026-04-02)

Check the Argatroban (MCI-9038) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Argatroban reversibly binds directly to the active catalytic site of thrombin, selectively inhibiting its enzymatic activity to prevent the cleavage of fibrinogen into fibrin monomers and the activation of clotting factors V, VIII, and XIII. By interrupting thrombin-mediated fibrin clot formation and platelet activation, this direct thrombin inhibitor provides critical systemic anticoagulation to prevent thromboembolic complications in clinical conditions such as heparin-induced thrombocytopenia and acute ischemic stroke.

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.