Clinical Trials

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)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Cytosine functions as an essential pyrimidine nitrogenous base that binds complementary guanine residues within nucleic acid polymers, enabling the biochemical replication and transcriptional activity necessary for cellular proliferation and functional gene expression. Perturbation or enzymatic modification of cytosine incorporation disrupts cellular DNA and RNA synthesis as well as epigenetic signaling, thereby modulating cellular viability and gene expression profiles relevant to clinical conditions such as acute myeloid leukemia, schizophrenia, and stress-related metabolic alterations.

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.