Multiple clinical trials have evaluated the therapeutic application of cinobufotalin across Phase I and Phase III investigations targeting gastrointestinal and hepatic malignancies, including metastatic small intestine cancer and advanced hepatitis B virus-related hepatocellular carcinoma. Sponsored by academic and industry organizations such as the Shanghai University of Traditional Chinese Medicine and Beijing Shenogen Biomedical Co., Ltd., these studies focus on traditional Chinese medicine paradigms and comparative treatment efficacy. The recruitment status for these trials is currently listed as unknown.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT03236636 | UNKNOWN | Advanced HBV-Related Hepatocellular Carcinoma (HCC) |
Beijing Shenogen Biomedical Co., Ltd |
2017-09-08 | PHASE3 |
| NCT03189992 | UNKNOWN | Malignant Tumor of Small Intestine Metastatic to Liver |
Shanghai University of Traditional Chinese Medicine |
2014-01 | PHASE1 |
(data from https://clinicaltrials.gov, updated on 2021-01-27)
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>).