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)
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>).