Several clinical trials across Phase I and Phase II evaluated betahistine dihydrochloride in healthy volunteers, overweight or obese individuals, and patients with recurrent major depressive disorder exhibiting atypical features. Sponsored by academic, governmental, and industry entities—including the University of Cincinnati, the Eunice Kennedy Shriver National Institute of Child Health and Human Development, and OBEcure Ltd.—these studies investigated metabolic outcomes, drug-drug interactions, and psychiatric efficacy. While multiple clinical trials assessing metabolic effects and drug interactions were completed, a clinical trial in major depression was terminated.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT00852956 | Completed | Healthy |
OBEcure Ltd. |
2009-02 | Phase 1 |
| NCT00585585 | Terminated | Recurrent Major Depressive Disorder With Atypical Features |
University of Cincinnati |
2007-07 | Phase 2 |
| NCT00459992 | Completed | Obesity|Overweight|Overnutrition |
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)|National Institutes of Health Clinical Center (CC) |
2007-04-10 | Phase 1 |
(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>).