Clinical Trials

Decernotinib (VX-509) has undergone multiple completed clinical trials sponsored exclusively by Vertex Pharmaceuticals Incorporated, spanning Phase 1 through Phase 2/3 evaluations. These studies primarily investigated dose-ranging efficacy, safety, and long-term therapeutic outcomes in adult patients with active rheumatoid arthritis. Additionally, Phase 1 trials in healthy volunteers evaluated single- and multiple-dose pharmacokinetics as well as drug interaction profiles with corticosteroids.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT01590459 COMPLETED
Rheumatoid Arthritis
Vertex Pharmaceuticals Incorporated
2012-04 PHASE2
NCT01830985 COMPLETED
Rheumatoid Arthritis
Vertex Pharmaceuticals Incorporated
2013-04 PHASE2; PHASE3
NCT01754935 COMPLETED
Rheumatoid Arthritis
Vertex Pharmaceuticals Incorporated
2013-01 PHASE2
NCT01886209 COMPLETED
Drug Interactions
Vertex Pharmaceuticals Incorporated
2013-06 PHASE1
NCT01886209 Completed
Drug Interactions
Vertex Pharmaceuticals Incorporated
2013-06 Phase 1
NCT01830985 Completed
Rheumatoid Arthritis
Vertex Pharmaceuticals Incorporated
2013-04 Phase 2|Phase 3
NCT01754935 Completed
Rheumatoid Arthritis
Vertex Pharmaceuticals Incorporated
2013-01 Phase 2
NCT01052194 COMPLETED
Rheumatoid Arthritis
Vertex Pharmaceuticals Incorporated
2010-02 PHASE2
NCT01052194 Completed
Rheumatoid Arthritis
Vertex Pharmaceuticals Incorporated
2010-02 Phase 2
NCT00789126 COMPLETED
Healthy
Vertex Pharmaceuticals Incorporated
2008-10 PHASE1

(data from https://clinicaltrials.gov, updated on 2015-11-20)

Check the Decernotinib (VX-509) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Decernotinib selectively binds to Janus kinase 3 (JAK3) with a Ki of 2.5 nM, blocking downstream STAT protein phosphorylation and suppressing pro-inflammatory cytokine signaling in immune cells. This inhibition halts lymphocyte-mediated autoimmune responses, thereby mitigating systemic inflammation and tissue damage in rheumatoid arthritis.

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.