Clinical Trials

Multiple clinical trials are evaluating colistin across various clinical settings, primarily investigating nosocomial infections, hospital-acquired bacterial pneumonia, ventilator-associated pneumonia, and gram-negative bacterial infections. These studies encompass Phase 2, Phase 4, and phase not applicable classifications, sponsored by biopharmaceutical entities and academic medical institutions. Across these trials, recruitment statuses include not yet recruiting, terminated, and unknown status.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06087536 Not yet recruiting
Hospital-acquired Bacterial Pneumonia|Ventilator-associated Bacterial Pneumonia
Omnix Medical Ltd
2024-01 Phase 2
NCT05542446 Terminated
Colistin
St. Anne''s University Hospital Brno Czech Republic|Palacky University
2022-09-01 Phase 4
NCT04775238 Unknown status
Nosocomial Infections
Sohag University
2021-02-27 Not Applicable
NCT04208945 Unknown status
Pneumonia Ventilator-associated|Gram-Negative Pneumonia
University of Thessaly
2019-12 Not Applicable

(data from https://clinicaltrials.gov, updated on 2024-05-22)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Colistin electrostatically binds to lipopolysaccharides and phospholipids in the outer membrane of Gram-negative bacteria, displacing divalent calcium and magnesium ions to disrupt membrane stability and cause intracellular leakage leading to bacterial cell death. This rapid bactericidal disruption of the outer bacterial membrane provides the mechanistic basis for treating severe Gram-negative infections, such as hospital-acquired and ventilator-associated bacterial pneumonia.

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.