Several Phase 1 and Phase 2 clinical trials sponsored by Clear Creek Bio, Inc. have evaluated Brequinar across viral infection and hematologic malignancy indications, specifically COVID-19 and acute myeloid leukemia. These studies, encompassing both completed and terminated trials, investigated safety, pharmacokinetics, and clinical response to determine the efficacy of host nucleotide synthesis inhibition. Collectively, these trials assess Brequinar's therapeutic potential for treating acute respiratory viral infections and hematologic malignancies.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT05166876 | TERMINATED | COVID-19 |
Clear Creek Bio, Inc. |
2022-02-01 | PHASE2 |
| NCT04575038 | COMPLETED | COVID-19 Infection |
Clear Creek Bio, Inc. |
2020-11-19 | PHASE2 |
| NCT03760666 | TERMINATED | Acute Myeloid Leukemia |
Clear Creek Bio, Inc. |
2018-12-20 | PHASE1; PHASE2 |
| NCT04425252 | COMPLETED | COVID-19 |
Clear Creek Bio, Inc. |
2020-08-19 | PHASE1; PHASE2 |
| NCT03760666 | Terminated | Acute Myeloid Leukemia |
Clear Creek Bio Inc. |
2018-12-20 | Phase 1|Phase 2 |
(data from https://clinicaltrials.gov, updated on 2023-11-07)
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>).