Clinical Trials

Multiple clinical trials evaluate Brequinar across several disease areas, including viral respiratory infections such as COVID-19, hematologic malignancies like acute myeloid leukemia, and pediatric gastrointestinal disorders. Spanning Phase 1 and Phase 2 evaluations alongside behavioral interventions, these studies are sponsored by biopharmaceutical companies like Clear Creek Bio, Inc. and academic institutions such as Karolinska Institutet. Recruitment statuses across these protocols vary, encompassing active, completed, and terminated trials.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05945251 Recruiting
Functional Abdominal Pain Syndrome
Karolinska Institutet|Child and Adolescent Psychiatry Stockholm
2023-11-01 --
NCT05166876 TERMINATED
COVID-19
Clear Creek Bio, Inc.
2022-02-01 PHASE2
NCT04575038 COMPLETED
COVID-19 Infection
Clear Creek Bio, Inc.
2020-11-19 PHASE2
NCT03760666 TERMINATED
Acute Myeloid Leukemia
Clear Creek Bio, Inc.
2018-12-20 PHASE1; PHASE2
NCT04425252 COMPLETED
COVID-19
Clear Creek Bio, Inc.
2020-08-19 PHASE1; PHASE2
NCT04294420 Completed
Functional Gastrointestinal Disorders
Karolinska Institutet
2020-05-01 Not Applicable
NCT03252743 Completed
Functional Gastrointestinal Disorders|Irritable Bowel Syndrome|Dyspepsia|Functional Abdominal Pain
Karolinska Institutet
2017-09-01 Not Applicable
NCT02873078 Completed
Functional Abdominal Pain Disorders
Karolinska Institutet
2016-08 Not Applicable
NCT02475096 Completed
Functional Gastrointestinal Disorders
Karolinska Institutet
2015-07 Not Applicable

(data from https://clinicaltrials.gov, updated on 2024-05-22)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Brequinar Sodium potently and selectively inhibits dihydroorotate dehydrogenase (DHODH), blocking the de novo pyrimidine biosynthesis pathway and depleting intracellular pyrimidine nucleotide pools to promote cellular differentiation and inhibit cellular proliferation. This disruption of pyrimidine availability limits host nucleotide resources necessary for viral replication in COVID-19 while suppressing leukemic expansion in acute myeloid leukemia.

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.