Clinical Trials

Multiple clinical trials evaluate AZD5991 in patients with relapsed or refractory acute myeloid leukemia (AML) as well as previously untreated AML across Phase 1, Phase 2, and Phase 3 evaluations. AstraZeneca initiated a terminated Phase 1/1b/2a trial to assess the safety, pharmacokinetics, and initial efficacy of AZD5991 in relapsed or refractory AML. Additionally, Beat AML, LLC sponsored an actively recruiting, biomarker-based master protocol trial spanning Phase 2 and Phase 3 interventions.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT03013998 RECRUITING
Previously Untreated Relapsed Refractory Acute Myeloid Leukemia
Beat AML, LLC
2016-11 PHASE2; PHASE3
NCT03218683 TERMINATED
Relapsed or Refractory Acute Myeloid Leukemia (AML)
AstraZeneca
2017-08-02 PHASE1
NCT03218683 Terminated
Relapsed or Refractory Acute Myeloid Leukemia (AML)
AstraZeneca
2017-08-02 Phase 1

(data from https://clinicaltrials.gov, updated on 2026-09-03)

Check the AZD5991 product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

AZD5991 is a macrocyclic small-molecule inhibitor that selectively binds to myeloid cell leukemia-1 (MCL-1) with sub-nanomolar affinity (Ki = 0.13 nM), blocking its anti-apoptotic binding interactions. By suppressing MCL-1 activity, AZD5991 promotes mitochondrial outer membrane permeabilization and induces apoptotic cell death in dependent malignant cells, demonstrating therapeutic potential for the treatment of relapsed or refractory acute myeloid leukemia.

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.