Multiple Phase 3 clinical trials sponsored by academic medical centers, including the Washington University School of Medicine and National Taiwan University Hospital, investigate benzathine penicillin for early syphilis. These studies encompass a completed trial evaluating serologic responses to standard regimens and an upcoming, not-yet-recruiting study assessing lidocaine co-administration to reduce adverse reactions from intramuscular therapy. Together, these efforts aim to optimize treatment outcomes and injection tolerability against Treponema pallidum.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT06391125 | Not yet recruiting | Syphilis Infection|Benzathine Penicillin Adverse Reaction |
Washington University School of Medicine |
2024-06 | Phase 3 |
| NCT01944358 | Completed | Serologic Response of Syphilis|Early Syphilis|High Risk Behavior |
National Taiwan University Hospital|Far Eastern Memorial Hospital|Taichung Veterans General Hospital|National Cheng-Kung University Hospital|Chang Gung Memorial Hospital|Chi Mei Medical Hospital|Kaohsiung Medical University Chung-Ho Memorial Hospital|E-DA Hospital |
2007-01 | -- |
(data from https://clinicaltrials.gov, updated on 2024-05-22)
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>).
- Benzathine penicilline Solubility in DMSO
- Benzathine penicilline Stock Solution
- Benzathine penicilline Storage
- Benzathine penicilline Stability
- Benzathine penicilline Molecular Weight
- Benzathine penicilline SMILES
- Benzathine penicilline CAS Number
- Benzathine penicilline Chemical Structure (2D and 3D)
- Benzathine penicilline SDS|MSDS