Clinical Trials

Multiple clinical trials evaluate Miransertib (ARQ 092) across Phase I and Phase II studies in both adult and pediatric populations. These trials target oncology indications—such as advanced solid tumors, recurrent malignant lymphoma, ovarian cancer, and endometrial cancer—as well as rare overgrowth disorders like Proteus syndrome and PIK3CA-related overgrowth spectrum. Sponsored by industry developers such as ArQule Inc. and government bodies like the National Human Genome Research Institute, recruitment statuses span completed and active to terminated or unavailable expanded access programs.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT04980872 ACTIVE_NOT_RECRUITING
PIK3CA-Related Overgrowth Spectrum (PROS)/Proteus Syndrome (PS)
Merck Sharp & Dohme LLC
2021-11-02 PHASE2
NCT04316546 ACTIVE_NOT_RECRUITING
Proteus Syndrome
National Human Genome Research Institute (NHGRI)
2022-05-20 PHASE2
NCT03094832 TERMINATED
PIK3CA-Related Overgrowth Spectrum (PROS)/Proteus Syndrome
ArQule, Inc., a subsidiary of Merck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc. (Rahway, NJ USA)
2017-05-16 PHASE1; PHASE2
NCT02476955 TERMINATED
Solid Tumors; Ovarian Cancer; Endometrial Cancer
ArQule, Inc., a subsidiary of Merck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc. (Rahway, NJ USA)
2015-06-09 PHASE1
NCT02594215 COMPLETED
Proteus Syndrome
National Human Genome Research Institute (NHGRI)
2015-11-16 PHASE1
NCT01473095 COMPLETED
Solid Tumor; Malignant Lymphoma; Tumor
ArQule, Inc., a subsidiary of Merck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc. (Rahway, NJ USA)
2011-11 PHASE1
NCT01473095 Completed
Solid Tumor|Malignant Lymphoma|Tumor
ArQule Inc. a subsidiary of Merck Sharp & Dohme LLC a subsidiary of Merck & Co. Inc. (Rahway NJ USA)
2011-11 Phase 1

(data from https://clinicaltrials.gov, updated on 2025-02-07)

Check the Miransertib (ARQ 092) HCl product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Miransertib (ARQ 092) HCl is a potent, selective AKT pathway inhibitor that binds to the AKT protein kinase, thereby preventing target activation and blocking downstream signaling through effector pathways such as mTOR. By disrupting cell survival, proliferation, and abnormal tissue expansion, this targeted inhibition leads to apoptosis and growth attenuation, which underlies its clinical application in treating advanced solid tumors, malignant lymphomas, and PIK3CA-driven overgrowth disorders including Proteus syndrome.

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.