Clinical Trials

Multiple clinical trials evaluate the therapeutic application of bisoprolol across various cardiovascular conditions, including heart failure, arterial hypertension, coronary artery disease, acute coronary syndrome, and postoperative atrial fibrillation. These studies encompass Phase 2, Phase 4, and non-phased observational designs, spanning recruiting, completed, and unknown recruitment statuses. Sponsored by both academic institutions and pharmaceutical companies, these investigations reflect ongoing efforts to optimize bisoprolol treatment protocols in clinical practice.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06004453 Recruiting
Heart Failure
Novartis Pharmaceuticals|Novartis
2023-04-04 --
NCT05536284 Completed
Acute Coronary Syndrome
Damanhour University|Alexandria University
2021-09-01 Phase 2
NCT05730413 Recruiting
Coronary Artery Bypass Grafting|Postoperative Atrial Fibrillation|Coronary Artery Disease
Cairo University
2021-08-25 Phase 4
NCT04656847 Completed
Coronary Artery Disease|Myocardial Infarction|Arterial Hypertension
Servier Russia
2021-03-01 --
NCT03730116 Completed
Arterial Hypertension|CHD - Coronary Heart Disease
Servier Russia
2018-11-14 --
NCT03644446 Unknown status
Heart Failure With Reduced Ejection Fraction
University Hospital Caen
2017-11-02 --

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

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Bisoprolol selectively binds to and competitively inhibits cardiac β1-adrenergic receptors, which suppresses catecholamine-stimulated adenylate cyclase activity and decreases intracellular cyclic AMP accumulation. This downstream inhibition reduces sinoatrial node automaticity and myocardial contractility, thereby lowering heart rate and cardiac workload to provide therapeutic efficacy in clinical trial conditions such as heart failure, arterial hypertension, and coronary artery disease.

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>).

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Note: Technical data last updated: Sep 1, 2026.