Several clinical trials evaluate cytosine and related therapeutic regimens across indications including acute myeloid leukemia, schizophrenia, stress management, and environmental exposures associated with infant adiposity. Spanning Phase 1/2, Phase 4, and unclassified study designs, these trials encompass recruiting, active not recruiting, completed, and unknown recruitment statuses. Sponsorship is distributed among commercial entities and major academic institutions, including Moleculin Biotech Inc., the Hospital Clinic of Barcelona, the University of Miami, and Montefiore Medical Center.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT05319587 | Recruiting | Leukemia Myeloid Acute |
Moleculin Biotech Inc. |
2022-09-29 | Phase 1|Phase 2 |
| NCT04278027 | Unknown status | Schizophrenia |
Hospital Clinic of Barcelona|National Alliance for Research on Schizophrenia and Depression|Instituto de Salud Carlos III |
2017-01-03 | Not Applicable |
| NCT03955991 | Active not recruiting | Stress |
University of Miami|Florida Department of Health |
2016-07-21 | Phase 4 |
| NCT01815385 | Completed | Full Term Infants|Environmental Exposures|Adiposity |
Montefiore Medical Center|American Diabetes Association |
2013-03 | -- |
(data from https://clinicaltrials.gov, updated on 2024-05-22)
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>).