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these studies reflect varied recruitment statuses including completed, active not recruiting, terminated, and withdrawn.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| NCT02756130 | WITHDRAWN | High Grade Fallopian Tube Serous Adenocarcinoma; High Grade Ovarian Serous Adenocarcinoma; Primary Peritoneal High Grade Serous Adenocarcinoma; Recurrent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)
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>).
- Birinapant (TL32711) Mechanism of Action: cIAP1 Inhibition in Tumor Cell Research
- Birinapant (TL32711) Working Concentration | Cell Culture | Treatment
- Birinapant (TL32711) Solubility in DMSO
- Birinapant (TL32711) Stock Solution
- Birinapant (TL32711) Storage
- Birinapant (TL32711) Stability
- Birinapant (TL32711) Combination Database
- Birinapant (TL32711) Molecular Weight
- Birinapant (TL32711) SMILES
- Birinapant (TL32711) CAS Number
- Birinapant (TL32711) Chemical Structure (2D and 3D)
- Birinapant (TL32711) IC50 for Cell-based and Cell-free Assays
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- Birinapant (TL32711) SDS|MSDS