Several clinical trials have evaluated the therapeutic potential of betahistine across early-phase studies, encompassing healthy subjects as well as patients affected by obesity, overweight, overnutrition, and recurrent major depressive disorder with atypical features. Sponsored by commercial entities such as OBEcure Ltd. alongside academic and governmental institutions including the University of Cincinnati and the Eunice Kennedy Shriver National Institute of Child Health and Human Development, these protocols range from completed studies assessing drug interactions and metabolic parameters to a terminated trial evaluating efficacy in major depression.
| 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>).