Multiple clinical trials have evaluated Combretastatin A4 across Phase I, Phase II, and Phase III for oncology and ophthalmology indications, sponsored by academic institutions such as Johns Hopkins University alongside industry entities like Mateon Therapeutics. Investigated conditions include solid tumors, head and neck cancer, anaplastic thyroid cancer, age-related macular degeneration, choroidal neovascularization, and degenerative myopia. While several trials assessing safety, tolerability, and combination regimens were successfully completed, certain Phase II and Phase III trials in thyroid cancer were ultimately terminated.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT00507429 | TERMINATED | Anaplastic Thyroid Cancer |
Mateon Therapeutics |
2007-08 | PHASE2; PHASE3 |
| NCT00653939 | COMPLETED | Tumors |
Mateon Therapeutics |
2008-03 | PHASE2 |
| NCT00113438 | COMPLETED | Cancer; Tumor |
Mateon Therapeutics |
2005-03 | PHASE2 |
| NCT00060242 | COMPLETED | Head and Neck Cancer |
Case Comprehensive Cancer Center |
2003-02 | PHASE2 |
| NCT00077103 | TERMINATED | Head and Neck Cancer |
Case Comprehensive Cancer Center |
2003-11 | PHASE1; PHASE2 |
| NCT00395434 | COMPLETED | Tumors |
Mateon Therapeutics |
2006-09 | PHASE1 |
| NCT01423149 | COMPLETED | Choroidal Neovascularization; Myopia, Degenerative |
Mateon Therapeutics |
2005-03 | PHASE2 |
| NCT01570790 | COMPLETED | Combretastatin A4 Phosphate; Age-related Macular Degeneration; AMD; CNV; Choroidal Neovascularization |
Johns Hopkins University |
2003-05 | PHASE1; PHASE2 |
| NCT00003698 | COMPLETED | Unspecified Adult Solid Tumor, Protocol Specific |
University of Glasgow |
1998-07 | PHASE1 |
(data from https://clinicaltrials.gov, updated on 2014-06-09)
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>).