Multiple clinical trials sponsored primarily by Otsuka Pharmaceutical Development & Commercialization Inc. and Avanir Pharmaceuticals have evaluated deudextromethorphan (AVP-786) across Phase 1 and Phase 3 development. Completed early-stage Phase 1 studies in healthy volunteers established the compound's pharmacokinetics, drug-drug interaction profiles, safety, and tolerability. Advanced clinical development includes actively recruiting Phase 3 testing to evaluate the long-term safety and efficacy of AVP-786 in managing agitation in patients with dementia of the Alzheimer's type.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT02446132 | Recruiting | Agitation in Patients With Dementia of the Alzheimer''s Type |
Otsuka Pharmaceutical Development & Commercialization Inc. |
2015-12 | Phase 3 |
| NCT02402595 | Completed | Healthy |
Avanir Pharmaceuticals |
2015-03 | Phase 1 |
| NCT02336347 | Completed | Healthy Volunteer |
Avanir Pharmaceuticals |
2014-05 | Phase 1 |
| NCT02174822 | Completed | Drug-drug Interaction |
Otsuka Pharmaceutical Development & Commercialization Inc. |
2014-01 | Phase 1 |
| NCT02174835 | Completed | Healthy |
Avanir Pharmaceuticals |
2013-09 | Phase 1 |
(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>).
- Deudextromethorphan (AVP-786) Solubility in DMSO
- Deudextromethorphan (AVP-786) Stock Solution
- Deudextromethorphan (AVP-786) Storage
- Deudextromethorphan (AVP-786) Stability
- Deudextromethorphan (AVP-786) Molecular Weight
- Deudextromethorphan (AVP-786) SMILES
- Deudextromethorphan (AVP-786) CAS Number
- Deudextromethorphan (AVP-786) Chemical Structure (2D and 3D)
- Deudextromethorphan (AVP-786) SDS|MSDS