Clinical Trials

Benzalkonium chloride has been evaluated in numerous Phase I through Phase IV clinical trials spanning dermatological, ophthalmic, respiratory, and reproductive applications, such as glaucoma, COPD, wound healing, COVID-19, and skin microbiome composition. Sponsored by academic institutions, specialty hospitals, and pharmaceutical entities including GlaxoSmithKline and the University of California, San Diego, these studies encompass various recruitment statuses, including completed, recruiting, terminated, and unknown.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07000877 RECRUITING
Perioperative Respiratory Adverse Events; Anesthesia Outcomes
Telethon Kids Institute
2025-06-25 PHASE4
NCT06404541 UNKNOWN
Ocular Surface Disease; Dry Eye Syndromes
Kasr El Aini Hospital
2024-01-10 PHASE4
NCT02533154 UNKNOWN
Dry Eye Syndromes
Medical University of Vienna
2015-07-27 PHASE4
NCT05287425 COMPLETED
Nasal and Pharyngeal Microbiome
Medical University of Vienna
2019-08-12 PHASE2
NCT04951349 COMPLETED
Covid19
Turn Therapeutics
2021-01-21 PHASE2
NCT03102450 COMPLETED
Contraception
Laboratoire Innotech International
2017-12-26 PHASE4
NCT02966184 TERMINATED
Status Asthmaticus
Norton Healthcare
2018-09-10 PHASE4
NCT03331770 COMPLETED
Primary Open-angle Glaucoma
Laboratorios Poen
2017-01-06 PHASE4
NCT03323528 COMPLETED
Pharyngitis
Medice Arzneimittel Pütter GmbH & Co KG
2017-02-01 PHASE4
NCT03125785 Unknown status
Congenital Cataract
St. Erik Eye Hospital
2017-06 --
NCT02594449 UNKNOWN
Healthy Volunteers
Lustre Pharmaceutical Lab Co., Ltd
2015-10 PHASE4
NCT02269800 UNKNOWN
Chronic Obstructive Pulmonary Disease
Lustre Pharmaceutical Lab Co., Ltd
2014-10 PHASE4
NCT02012348 COMPLETED
Survival of Bacteria on Skin After Using Different Soaps
University of California, San Diego
2013-12
NCT01951391 COMPLETED
Healthy Skin
University of California, San Diego
2013-09
NCT03104621 COMPLETED
Primary Open-angle Glaucoma
Gangnam Severance Hospital
2013-03 PHASE4
NCT01779284 COMPLETED
Glaucoma
Aristotle University Of Thessaloniki
2012-01 PHASE4
NCT01762982 COMPLETED
Wound Healing
GlaxoSmithKline
2012-02
NCT00845299 COMPLETED
Glaucoma; Ocular Hypertension
Mati Therapeutics Inc.
2009-01 PHASE2
NCT00874887 COMPLETED
Anti-biotic Resistance
Allergan
2009-03 PHASE4
NCT00468988 COMPLETED
Glaucoma
Alcon Research
2007-05 PHASE4
NCT00692952 COMPLETED
Healthy
Shanghai Institute of Planned Parenthood Research
2004-03 PHASE2
NCT00414739 UNKNOWN
Eye Diseases
University of Rostock
PHASE1

(data from https://clinicaltrials.gov, updated on 2025-11-19)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Benzalkonium chloride acts as a cationic surfactant that inserts into bacterial lipid bilayers and disrupts membrane integrity, leading to the leakage of cytoplasmic contents and subsequent cellular lysis. This potent membrane-disrupting antimicrobial activity underpins its clinical application as an antiseptic agent and preservative across dermatological, wound healing, and ophthalmic conditions evaluated in clinical trials.

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.