Multiple clinical trials evaluate Cisatracurium Besylate in neuromuscular blockade management, focusing on conditions including prolonged neuromuscular block, residual neuromuscular curarization, and postoperative nausea and vomiting. Encompassing both completed and recruiting studies classified as Phase Not Applicable, these trials are sponsored by academic and medical institutions such as Al Safwa University College, Poitiers University Hospital, and The Second Hospital of Anhui Medical University. Protocols investigate physical recovery parameters, residual blockade monitoring, and related postoperative symptoms.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT05657756 | Recruiting | Neuromuscular Block Prolonged |
Al Safwa University College |
2023-06-01 | Not Applicable |
| NCT05231525 | Completed | Neuromuscular Residual Curarization |
Poitiers University Hospital |
2022-03-09 | Not Applicable |
| NCT05240482 | Completed | Postoperative Nausea and Vomiting |
The Second Hospital of Anhui Medical University |
2022-02-20 | Not Applicable |
(data from https://clinicaltrials.gov, updated on 2024-05-22)
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>).