Clinical Trials

Multiple clinical trials sponsored by healthcare and research institutions, including the International Centre for Diarrhoeal Disease Research Bangladesh, Seattle Children's Hospital, and Fondazione Poliambulanza Istituto Ospedaliero, evaluate conditions such as pediatric malnutrition, chronic nonbacterial or recurrent multifocal osteomyelitis, respiratory distress syndrome, and preterm birth. Although these studies do not list standard interventional phases, several clinical trials focusing on pediatric nutrition and neonatal respiratory support have completed recruitment. Meanwhile, a clinical trial is currently recruiting participants for an international disease registry.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT02772835 COMPLETED
Respiratory Distress Syndrome; Preterm Birth
Fondazione Poliambulanza Istituto Ospedaliero
2016-01
NCT00372242 Completed
Mild and Moderate Malnourished Children
International Centre for Diarrhoeal Disease Research Bangladesh
2000-12 Not Applicable

(data from https://clinicaltrials.gov, updated on 2018-02-27)

Check the Clozapine N-oxide (CNO chemical) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Clozapine N-oxide selectively binds to and activates engineered human muscarinic designer receptors (DREADDs), triggering downstream G-protein-coupled signaling cascades to precisely regulate intracellular second messengers and cellular excitability. This targeted receptor activation modulates specific cellular physiology, offering a powerful chemogenetic tool to investigate underlying mechanisms relevant to physiological dysfunctions such as pediatric malnutrition, inflammatory bone disorders, and neonatal respiratory distress syndrome.

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.