Clinical Trials

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)

Check the Brefeldin A (BFA chemical) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Brefeldin A acts as a lactone antibiotic that inhibits ATPase activity and blocks protein transport, thereby impairing downstream vesicular trafficking, autophagy, and mitophagy. This biochemical blockade induces cancer cell differentiation and apoptosis with an IC50 of 0.2 μM in HCT 116 cells, demonstrating therapeutic relevance for oncological conditions such as gynecological cancer and cancer-related pain.

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.