Multiple clinical trials sponsored by academic and governmental medical institutions evaluate BFA interventions for pain management, specifically targeting chronic musculoskeletal pain, knee osteoarthritis, fibromyalgia, and cancer-related pain. Lacking formal phase designations, these studies encompass recruitment statuses ranging from completed and active to not yet recruiting or unknown. The protocols assess these non-pharmacologic interventions in patient populations such as veterans, individuals with chronic pain, and post-procedural recovery cohorts.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT02979574 | ACTIVE_NOT_RECRUITING | Chronic Pain; Musculoskeletal Pain; Fibromyalgia; Pain Management |
Memorial Sloan Kettering Cancer Center |
2016-11 | |
| NCT05969353 | UNKNOWN | Assessing the Effectiveness of BFA as a Non-pharmacologic Pain Management Intervention: A Randomised Sham Controlled Study |
Bnai Zion Medical Center |
2023-07-23 | |
| NCT06783556 | NOT_YET_RECRUITING | Percutaneous Nephrolithotomy |
Indonesia University |
2025-01-20 | |
| NCT06115330 | COMPLETED | Gynecologycal Cancer; Cancer Related Pain; Cancer Pain |
Indonesia University |
2023-08-30 | |
| NCT05417724 | COMPLETED | Acupuncture; Homelessness; Pain; Veterans |
Edith Nourse Rogers Memorial Veterans Hospital |
2022-03-28 | |
| NCT03456011 | UNKNOWN | Knee Osteoarthritis |
Brooke Army Medical Center |
2018-02-23 |
(data from https://clinicaltrials.gov, updated on 2025-12-04)
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>).
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