Clinical Trials

Several clinical trials evaluate atracurium besylate for applications in anesthesia, surgical procedures, and patient recovery monitoring across Phase 3 and non-phased research projects. Sponsored by academic and healthcare centers, these studies address conditions including prolonged neuromuscular block, neuromuscular residual curarization, meningioma, and posterior spine surgery. Ranging from recruiting to completed recruitment statuses, these trials reflect ongoing efforts to optimize neuromuscular monitoring and patient safety during surgical operations.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05657756 Recruiting
Neuromuscular Block Prolonged
Al Safwa University College
2023-06-01 Not Applicable
NCT05231525 Completed
Neuromuscular Residual Curarization
Poitiers University Hospital
2022-03-09 Not Applicable
NCT03558516 Completed
Meningioma
Mahidol University
2018-08-01 Phase 3
NCT03319563 Completed
Posterior Spine Surgery
Mansoura University
2017-04-11 Not Applicable

(data from https://clinicaltrials.gov, updated on 2024-05-22)

Check the Atracurium Besylate product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Atracurium besylate functions as a competitive antagonist at neuromuscular nicotinic acetylcholine receptors, preventing endogenous acetylcholine from binding to motor end-plate receptors. This competitive receptor blockade prevents end-plate depolarization and channel opening, which halts muscle excitation-contraction coupling to induce reversible skeletal muscle relaxation required during spine and craniotomy surgeries.

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.