Clinical Trials

Multiple clinical trials spanning Phase 1 to Phase 2 have evaluated birinapant as monotherapy and in combination with agents like azacitidine and pembrolizumab across hematologic malignancies and solid tumors, including acute myeloid leukemia, myelodysplastic syndrome, epithelial ovarian cancer, and head and neck squamous cell carcinoma. Sponsored by pharmaceutical entities such as TetraLogic Pharmaceuticals and Medivir, as well as government and academic institutions like the National Cancer Institute, these studies reflect varied recruitment statuses including completed, active not recruiting, terminated, and withdrawn.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT04553692 TERMINATED
Solid Tumor; Colorectal Cancer; Non Hodgkin Lymphoma; Sarcoma; Chondrosarcoma; Small Lymphocytic Lymphoma; Chronic Lymphocytic Leukemia; Acute Myeloid Leukemia
IGM Biosciences, Inc.
2020-09-23 PHASE1
NCT03803774 ACTIVE_NOT_RECRUITING
Locally Recurrent Head and Neck Squamous Cell Carcinoma; Nasopharyngeal Squamous Cell Carcinoma; Sinonasal Squamous Cell Carcinoma
National Cancer Institute (NCI)
2019-09-25 PHASE1
NCT02587962 TERMINATED
Solid Tumors
Medivir
2017-08-04 PHASE1; PHASE2
NCT02756130 WITHDRAWN
High Grade Fallopian Tube Serous Adenocarcinoma; High Grade Ovarian Serous Adenocarcinoma; Primary Peritoneal High Grade Serous Adenocarcinoma; Recurrent Fallopian Tube Carcinoma; Recurrent Ovarian Carcinoma; Recurrent Primary Peritoneal Carcinoma
Jonsson Comprehensive Cancer Center
2018-08-01 PHASE1; PHASE2
NCT02147873 TERMINATED
Myelodysplastic Syndrome (MDS); Chronic Myelomonocytic Leukemia (CMML)
TetraLogic Pharmaceuticals
2014-06 PHASE2
NCT01940172 COMPLETED
Relapsed Epithelial Ovarian Cancer; Relapsed Primary Peritoneal Cancer; Relapsed Fallopian Tube Cancer
TetraLogic Pharmaceuticals
2013-11 PHASE1
NCT01828346 COMPLETED
Myelodysplastic Syndrome
TetraLogic Pharmaceuticals
2013-06 PHASE1; PHASE2
NCT02288208 TERMINATED
Hepatitis B
TetraLogic Pharmaceuticals
2014-11 PHASE1
NCT01486784 TERMINATED
Acute Myelogenous Leukemia
Abramson Cancer Center at Penn Medicine
2011-11 PHASE1; PHASE2
NCT01681368 TERMINATED
Epithelial Ovarian Cancer; Peritoneal Neoplasms; Fallopian Tube Neoplasms
National Cancer Institute (NCI)
2012-08-15 PHASE2
NCT01188499 COMPLETED
Cancer
TetraLogic Pharmaceuticals
2010-10 PHASE1; PHASE2
NCT01766622 WITHDRAWN
Ovarian Neoplasms; Ovarian Cancer; Fallopian Tube Neoplasms; Fallopian Tube Cancer
National Institutes of Health Clinical Center (CC)
2012-11-30 PHASE2
NCT01681368 Terminated
Epithelial Ovarian Cancer|Peritoneal Neoplasms|Fallopian Tube Neoplasms
National Cancer Institute (NCI)|National Institutes of Health Clinical Center (CC)
2012-08-15 Phase 2
NCT00993239 COMPLETED
Cancer
TetraLogic Pharmaceuticals
2009-11 PHASE1
NCT01486784 Terminated
Acute Myelogenous Leukemia
Abramson Cancer Center at Penn Medicine
2011-11 Phase 1|Phase 2

(data from https://clinicaltrials.gov, updated on 2025-03-28)

Check the Birinapant (TL32711) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Birinapant functions as a SMAC mimetic that high-affinity binds cellular inhibitor of apoptosis protein 1 (cIAP1), triggering rapid cIAP degradation and uninhibiting downstream caspase activation to drive cell apoptosis. This reactivation of programmed cell death restores chemo-sensitivity and suppresses tumor growth, underlying its clinical investigation for conditions such as acute myeloid leukemia, myelodysplastic syndrome, and ovarian cancer.

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.