Several clinical trials evaluate benznidazole for Chagas disease, chronic indeterminate Chagas disease, and drug transfer during lactation across Phases 1, 2, and 4, encompassing both adult and pediatric pharmacokinetic assessments. Sponsored by non-profit research consortia, hospital networks, and pharmaceutical entities—including the Drugs for Neglected Diseases initiative and Eisai Co. Ltd.—the majority of these studies are completed, while others have unknown status. These trials collectively provide critical safety and pharmacokinetic insights across diverse patient populations.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT03892213 | Completed | Chagas Disease |
Drugs for Neglected Diseases|PhinC Development |
2014-10 | Phase 1 |
| NCT01755403 | Completed | Chagas Disease |
Barcelona Centre for International Health Research |
2012-12 | Phase 4 |
| NCT01547533 | Completed | Chagas Disease|Lactation |
Hospital de Niños R. Gutierrez de Buenos Aires |
2011-08 | -- |
| NCT01489228 | Unknown status | Chronic Chagas Disease Indeterminate |
Drugs for Neglected Diseases|Eisai Co. Ltd. |
2011-06 | Phase 2 |
| NCT00699387 | Completed | Chagas Disease |
Hospital de Niños R. Gutierrez de Buenos Aires|Thrasher Research Fund|The Hospital for Sick Children|Fundacion Bunge y Born (Argentina)|Universidad Nacional de La Plata|Consejo de Investigacion en Salud Gobierno de Buenos Aires |
2007-04 | Not Applicable |
(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>).