Multiple Phase 1 and Phase 1/2 clinical trials are evaluating ASTX-029 to assess its safety, pharmacokinetics, and efficacy in healthy volunteers and patients with advanced solid tumors, acute myeloid leukemia, or RAS pathway mutant myelodysplastic or myeloproliferative neoplasms. Sponsored by pharmaceutical companies such as Astex Pharmaceuticals, Inc. and Taiho Oncology, Inc., alongside academic institutions including M.D. Anderson Cancer Center, these studies encompass active not recruiting, completed, and withdrawn recruitment statuses.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT06284460 | WITHDRAWN | Pathway Mutant Myelodysplastic Syndromes; Myelodysplastic Neoplasm; Myeloproliferative Neoplasm |
M.D. Anderson Cancer Center |
2025-01-31 | PHASE1; PHASE2 |
| NCT06113289 | WITHDRAWN | Acute Myeloid Leukemia |
M.D. Anderson Cancer Center |
2024-02-08 | PHASE1; PHASE2 |
| NCT03520075 | COMPLETED | Solid Tumor, Adult |
Taiho Oncology, Inc. |
2018-05-07 | PHASE1; PHASE2 |
| NCT04466514 | COMPLETED | Healthy Volunteers |
Astex Pharmaceuticals, Inc. |
2020-07-23 | PHASE1 |
| NCT03520075 | Active not recruiting | Solid Tumor Adult |
Astex Pharmaceuticals Inc. |
2018-05-10 | Phase 1|Phase 2 |
(data from https://clinicaltrials.gov, updated on 2026-02-13)
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>).