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)
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>).
- Argatroban (MCI-9038) Solubility in DMSO
- Argatroban (MCI-9038) Stock Solution
- Argatroban (MCI-9038) Storage
- Argatroban (MCI-9038) Stability
- Argatroban (MCI-9038) Molecular Weight
- Argatroban (MCI-9038) SMILES
- Argatroban (MCI-9038) CAS Number
- Argatroban (MCI-9038) Chemical Structure (2D and 3D)
- Argatroban (MCI-9038) SDS|MSDS