Multiple clinical trials in Phase 2 and Phase 3 have evaluated Ampalex (CX-516) across neurodegenerative, neurodevelopmental, and psychiatric disorders, including schizophrenia, Fragile X syndrome, autism, Alzheimer's disease, dementia, and mild cognitive impairment. Sponsored by industry and government entities, including RespireRx and the National Institute of Neurological Disorders and Stroke, these completed studies assessed the safety, tolerability, and cognitive efficacy of CX-516 as both monotherapy and adjunctive treatment.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT00235352 | COMPLETED | Schizophrenia |
North Suffolk Mental Health Association |
2002-02 | PHASE2; PHASE3 |
| NCT00040443 | COMPLETED | Mild Cognitive Impairment |
RespireRx |
2002-04 | PHASE2 |
| NCT00235352 | Completed | Schizophrenia |
North Suffolk Mental Health Association|RespireRx |
2002-02 | Phase 2|Phase 3 |
| NCT00054730 | COMPLETED | Fragile X Syndrome; Autism |
RespireRx |
2002-06 | PHASE2 |
| NCT00001662 | COMPLETED | Alzheimer's Disease; Dementia |
National Institute of Neurological Disorders and Stroke (NINDS) |
1996-12 | PHASE2 |
(data from https://clinicaltrials.gov, updated on 2009-02-26)
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>).