Clinical Trials

Multiple clinical trials evaluate clodronate disodium across oncological, rheumatological, and orthopedic conditions, including breast cancer, knee osteoarthritis, postmenopausal osteoporosis, radiation-induced brachial plexopathy, bone neoplasms, multiple myeloma, osteolysis, and aseptic loosening of hip prostheses. Sponsored by pharmaceutical companies, research networks, and academic healthcare centers, these studies encompass Early Phase 1 through Phase 3 evaluations alongside trials of unspecified phase. The body of research spans various recruitment statuses, including completed, active not recruiting, withdrawn, and unknown.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07116252 ACTIVE_NOT_RECRUITING
Irrigation Solution; Postoperative Pain; Inflammation; Endodontic Treatment
Suez Canal University
2023-08-20
NCT06263517 UNKNOWN
Osteoarthritis of Knee
SPA Società Prodotti Antibiotici S.p.A.
2023-10-12 PHASE2; PHASE3
NCT00127205 COMPLETED
Breast Cancer
SWOG Cancer Research Network
2005-07 PHASE3
NCT00658268 COMPLETED
Aseptic Loosening of the Hip Prosthesis
Region Skane
2008-03 PHASE2
NCT01291433 COMPLETED
Radiation Induced Brachial Plexopathy
Assistance Publique - Hôpitaux de Paris
2011-03 PHASE3
NCT03803839 COMPLETED
Hip Arthrosis
University of Oulu
2004-03-26 EARLY_PHASE1
NCT01348243 COMPLETED
Postmenopausal Osteoporosis
Chiesi Farmaceutici S.p.A.
2011-10 PHASE3
NCT00009945 COMPLETED
Breast Cancer
NSABP Foundation Inc
2001-01 PHASE3
NCT00877097 COMPLETED
Osteoporosis
Kuopio University Hospital
1996-07
NCT00003232 COMPLETED
Pain; Prostate Cancer; Quality of Life
NCIC Clinical Trials Group
1997-11-24 PHASE3

(data from https://clinicaltrials.gov, updated on 2025-08-11)

Check the Clodronate Disodium product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Clodronate disodium is a non-nitrogenous bisphosphonate that selectively binds hydroxyapatite in bone tissue and is metabolized into cytotoxic non-hydrolyzable ATP analogs within osteoclasts, thereby disrupting mitochondrial energy production and triggering osteoclast apoptosis. This targeted inhibition of osteoclast activity stops pathological bone resorption, directly supporting its clinical utility in mitigating skeletal complications associated with postmenopausal osteoporosis, bone neoplasms, and breast cancer metastases.

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.