Clinical Trials
Multiple clinical trials spanning Phase I through Phase III evaluate the comparative bioavailability, safety, and therapeutic delivery of Cremophor EL formulations versus vehicle-free alternatives. Sponsored by major governmental, academic, and corporate entities—including the National Institutes of Health Clinical Center, Celgene Corporation, Memorial Sloan Kettering Cancer Center, Oasmia Pharmaceutical AB, and NeuroVive Pharmaceutical AB—these studies involve healthy volunteers as well as patients with adult solid tumors, non-small cell lung cancer, epithelial ovarian, primary peritoneal, fallopian tube cancers, or hemodialysis graft dysfunction. Although the majority of these investigations have been completed, select studies were prematurely terminated.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT00989131 | COMPLETED | Epithelial Ovarian Cancer; Primary Peritoneal Cancer; Fallopian Tube Cancer |
Oasmia Pharmaceutical AB |
2009-02 | PHASE3 |
| NCT01692834 | COMPLETED | Healthy |
NeuroVive Pharmaceutical AB |
2009-06 | PHASE1 |
| NCT00077246 | COMPLETED | Lung Cancer |
Memorial Sloan Kettering Cancer Center |
2003-09 | PHASE1; PHASE2 |
| NCT00249002 | TERMINATED | Hemodialysis Graft Dysfunction |
Celgene |
2005-11-01 | PHASE2 |
| NCT00095914 | COMPLETED | Unspecified Adult Solid Tumor, Protocol Specific |
National Institutes of Health Clinical Center (CC) |
2004-09 | PHASE1 |
| NCT00073723 | COMPLETED | Non-Small Cell Lung Cancer |
Celgene Corporation |
2003-12 | PHASE1; PHASE2 |
(data from https://clinicaltrials.gov, updated on 2014-02-04)
Compliance for Clinical Use
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>).