Clinical Trials

Numerous clinical trials evaluate cytidine-derived therapeutic strategies across conditions including hematologic malignancies (such as acute myeloid leukemia, myelodysplastic syndromes, and chronic lymphocytic leukemia), solid tumors like breast and colorectal cancers, and healthy volunteer cohorts. Spanning Early Phase 1 through Phase 4, these studies encompass various recruitment statuses—including recruiting, active not recruiting, completed, and terminated—and are supported by academic, government, and pharmaceutical sponsors.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05355051 RECRUITING
Hodgkin's Lymphoma
M.D. Anderson Cancer Center
2022-10-05 PHASE2
NCT03875287 ACTIVE_NOT_RECRUITING
Solid Tumor
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
2019-04-17 PHASE1
NCT06536959 RECRUITING
Relapsed Acute Myeloid Leukemia; Refractory Acute Myeloid Leukemia; Myelodysplastic Syndromes; Minimal Residual Disease
Beijing 302 Hospital
2024-07-18 PHASE2
NCT06886425 RECRUITING
Myelodysplastic Syndromes (MDS); Leukemia Acute Myeloid - AML
Assistance Publique Hopitaux De Marseille
2021-06-14
NCT06291285 Not yet recruiting
Healthy Volunteers
Novo Nordisk A/S
2024-02-27 Phase 1
NCT05262465 UNKNOWN
Adult Acute Myeloid Leukemia
guomei
2020-07-01
NCT01892371 COMPLETED
FLT3 Gene Mutation Negative; FLT3 Internal Tandem Duplication Positive; Recurrent Acute Myeloid Leukemia; Recurrent Chronic Myelomonocytic Leukemia; Recurrent Myelodysplastic Syndrome; Refractory Acute Myeloid Leukemia; Refractory Chronic Myelomonocytic Leukemia; Refractory Myelodysplastic Syndrome
M.D. Anderson Cancer Center
2013-11-12 PHASE1; PHASE2
NCT04722952 UNKNOWN
Immunotherapy; Refractory Leukemia; Relapsed Adult AML; Acute Myeloid Leukemia
The First Affiliated Hospital of Soochow University
2021-05-01 PHASE3
NCT01333046 COMPLETED
Hodgkin Lymphoma; Non-Hodgkin Lymphoma; Hodgkin Disease
Baylor College of Medicine
2012-01 PHASE1
NCT01839240 COMPLETED
Adult Acute Megakaryoblastic Leukemia (M7); Adult Acute Monoblastic Leukemia (M5a); Adult Acute Monocytic Leukemia (M5b); Adult Acute Myeloblastic Leukemia With Maturation (M2); Adult Acute Myeloblastic Leukemia Without Maturation (M1); Adult Acute Myeloid Leukemia in Remission; Adult Acute Myeloid Leukemia With 11q23 (MLL) Abnormalities; Adult Acute Myeloid Leukemia With Del(5q); Adult Acute Myeloid Leukemia With Inv(16)(p13;q22); Adult Acute Myeloid Leukemia With t(16;16)(p13;q22); Adult Acute Myeloid Leukemia With t(8;21)(q22;q22); Adult Acute Myelomonocytic Leukemia (M4); Adult Erythroleukemia (M6a); Adult Pure Erythroid Leukemia (M6b); Recurrent Adult Acute Myeloid Leukemia; Secondary Acute Myeloid Leukemia; Untreated Adult Acute Myeloid Leukemia
University of Chicago
2012-06-06 PHASE1
NCT02940483 COMPLETED
Brain Tumor Recurrent
The University of Texas Health Science Center, Houston
2017-02-01 EARLY_PHASE1
NCT03337516 Unknown status
Acute Myeloid Leukemia
Assistance Publique Hopitaux De Marseille
2017-06-21 Not Applicable
NCT03955991 Active not recruiting
Stress
University of Miami|Florida Department of Health
2016-07-21 Phase 4
NCT03465202 Unknown status
Breast Cancer|Colorectal Cancer
Newcastle-upon-Tyne Hospitals NHS Trust|University of Newcastle Upon-Tyne
2016-05 Phase 4
NCT00413478 TERMINATED
Chronic Lymphocytic Leukemia; Leukemia
M.D. Anderson Cancer Center
2006-09 PHASE2
NCT00996515 COMPLETED
Advanced Solid Tumor Malignancies
New Mexico Cancer Research Alliance
2008-06 PHASE1
NCT00997243 TERMINATED
Leukemia; Myelodysplastic Syndromes
Alison Walker
2009-11 PHASE2
NCT00739388 COMPLETED
Leukemia
Swiss Cancer Institute
2008-07 PHASE2
NCT00089089 TERMINATED
Hematopoietic/Lymphoid Cancer; Unspecified Adult Solid Tumor, Protocol Specific
National Cancer Institute (NCI)
2004-09 PHASE1
NCT00075010 COMPLETED
Leukemia; Myelodysplastic Syndromes
M.D. Anderson Cancer Center
2004-01-23 PHASE1; PHASE2
NCT00061620 COMPLETED
Hematologic Malignancies
M.D. Anderson Cancer Center
2001-09-06 PHASE1
NCT00043381 COMPLETED
Myelodysplastic Syndrome
Astex Pharmaceuticals, Inc.
2001-04 PHASE3
NCT00002818 COMPLETED
Drug/Agent Toxicity by Tissue/Organ; Leukemia; Lymphoma; Multiple Myeloma and Plasma Cell Neoplasm
Virginia Commonwealth University
1995-02 PHASE1
NCT00001040 COMPLETED
HIV Infections
Hoffmann-La Roche
PHASE2
NCT00042016 COMPLETED
Chronic Myelogenous Leukemia
Astex Pharmaceuticals, Inc.
2002-07 PHASE2
NCT00000969 COMPLETED
HIV Infections
National Institute of Allergy and Infectious Diseases (NIAID)
NCT00001022 COMPLETED
HIV Infections
National Institute of Allergy and Infectious Diseases (NIAID)
PHASE3
NCT00002265 COMPLETED
HIV Infections
Hoffmann-La Roche
PHASE2

(data from https://clinicaltrials.gov, updated on 2026-05-18)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

As an endogenous pyrimidine nucleoside, cytidine undergoes intracellular conversion to cytidine triphosphate, serving as a critical substrate for RNA assembly and phospholipid biosynthesis. Perturbation or analog-mediated targeting of cytidine metabolic pathways inhibits proper nucleic acid synthesis and induces apoptotic cell death, underlying its therapeutic relevance in clinical trials targeting acute myeloid leukemia and myelodysplastic syndromes.

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.