Clinical Trials

Limantrafin (CB-103) has been evaluated across multiple Phase 1 and Phase 2 clinical trials targeting various oncological conditions, including lymphoblastic leukemia, advanced breast cancer, adenoid cystic carcinoma, and solid tumors. Sponsored by biopharmaceutical entities such as Cellestia Biotech AG and clinical investigators at institutions like M.D. Anderson Cancer Center, these studies exhibit recruitment statuses ranging from active recruitment to termination. For example, a clinical trial is currently recruiting patients with NOTCH-activated adenoid cystic carcinoma, whereas earlier studies have been terminated.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05774899 RECRUITING
Adenoid Cystic Carcinoma; Metastatic Adenoid Cystic Carcinoma; Recurrent Adenoid Cystic Carcinoma
Glenn J. Hanna
2023-06-01 PHASE1; PHASE2
NCT05464836 TERMINATED
Leukemia, Lymphoblastic; Leukemia
M.D. Anderson Cancer Center
2023-04-06 PHASE2
NCT05464836 Recruiting
Leukemia Lymphoblastic|Leukemia
M.D. Anderson Cancer Center
2023-04-06 Phase 2
NCT03422679 TERMINATED
Breast Cancer; Colorectal Cancer; Adenoid Cystic Carcinoma; Non-hodgkin Lymphoma; Glomus Tumor, Malignant; Hepatocellular Carcinoma; Osteosarcoma; T-ALL
Cellestia Biotech AG
2017-12-05 PHASE1; PHASE2
NCT04714619 TERMINATED
Advanced Breast Cancer
MedSIR
2021-05-06 PHASE2
NCT04714619 Terminated
Advanced Breast Cancer
MedSIR|Cellestia Biotech AG
2021-05-06 Phase 2

(data from https://clinicaltrials.gov, updated on 2026-06-29)

Check the Limantrafin (CB-103) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Limantrafin (CB-103) directly binds and inhibits the Notch transcription activation complex, thereby disrupting Notch receptor-mediated downstream transcriptional activity required for neoplastic cell proliferation and survival. This targeted transcriptional block produces Notch loss-of-function phenotypes and suppresses oncogenic growth, providing the mechanistic basis for its clinical investigation in Notch-driven malignancies including lymphoblastic leukemia, advanced breast cancer, and adenoid cystic carcinoma.

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.