Clinical Trials

Numerous clinical trials spanning early to late phases evaluate dexrazoxane primarily for anthracycline-induced cardiac toxicity, chemotherapy extravasation, pediatric solid tumors, acute myeloid leukemia, and sarcomas. Supported by academic institutions, industrial entities, and research consortia such as the National Cancer Institute and Children's Oncology Group, these studies encompass various recruitment statuses ranging from actively recruiting and completed to terminated and withdrawn protocols.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07654426 RECRUITING
Diffuse Large B-cell Lymphoma (DLBCL); Cardiotoxicity; Lymphoma
Beth Israel Deaconess Medical Center
2026-08-31 PHASE2
NCT03126916 RECRUITING
Ganglioneuroblastoma; Ganglioneuroblastoma, Nodular; Neuroblastoma
Children's Oncology Group
2018-05-14 PHASE3
NCT04293562 RECRUITING
Acute Myeloid Leukemia
Children's Oncology Group
2020-07-21 PHASE3
NCT06647953 RECRUITING
Pleuropulmonary Blastoma
Children's Oncology Group
2025-03-21 PHASE3
NCT06220032 RECRUITING
DLBCL - Diffuse Large B Cell Lymphoma
Stichting Hemato-Oncologie voor Volwassenen Nederland
2024-08-15 PHASE3
NCT05292664 RECRUITING
Myelodysplastic Syndromes, de Novo; Myelodysplastic Syndromes, Secondary; Myelodysplastic Syndromes, Previously Treated; Treatment-Related Acute Myeloid Leukemia; Therapy-Related Myelodysplastic Syndrome; Acute Lymphoblastic Leukemia, in Relapse; Acute Lymphoblastic Leukemia With Failed Remission; Lymphoblastic Lymphoma, in Relapse; Lymphoblastic Lymphoma, Refractory; Acute Leukemia of Ambiguous Lineage in Relapse; Acute Leukemia of Ambiguous Lineage
Andrew E. Place, MD
2023-03-29 PHASE1
NCT06262438 RECRUITING
Acute Myeloid Leukemia in Children
Princess Maxima Center for Pediatric Oncology
2024-02-06 PHASE2
NCT03589729 RECRUITING
Acute Myeloid Leukemia; Blast Phase Chronic Myelogenous Leukemia, BCR-ABL1 Positive; Blasts 10 Percent or More of Bone Marrow Nucleated Cells; High Risk Myelodysplastic Syndrome; Myeloid Sarcoma; Myeloproliferative Neoplasm; Philadelphia Chromosome Positive
M.D. Anderson Cancer Center
2018-09-19 PHASE2
NCT00077285 ACTIVE_NOT_RECRUITING
Sarcoma
Memorial Sloan Kettering Cancer Center
2003-10 PHASE2
NCT01864109 ACTIVE_NOT_RECRUITING
Newly Diagnosed Ewing Sarcoma
Memorial Sloan Kettering Cancer Center
2013-05 PHASE2
NCT01871766 ACTIVE_NOT_RECRUITING
Rhabdomyosarcoma
St. Jude Children's Research Hospital
2013-12-04 PHASE2
NCT03020030 ACTIVE_NOT_RECRUITING
Acute Lymphoblastic Leukemia, Pediatric
Dana-Farber Cancer Institute
2017-03-03 PHASE3
NCT03007147 ACTIVE_NOT_RECRUITING
Acute Lymphoblastic Leukemia; B Acute Lymphoblastic Leukemia; Mixed Phenotype Acute Leukemia; T Acute Lymphoblastic Leukemia
Children's Oncology Group
2017-08-08 PHASE3
NCT07502521 COMPLETED
Acute Myocardial Infarction (AMI)
Rohan Dharmakumar
2025-08-30 PHASE2
NCT03164057 ACTIVE_NOT_RECRUITING
Acute Myeloid Leukemia; Myelodysplastic Syndromes
St. Jude Children's Research Hospital
2017-06-15 PHASE2
NCT05858710 COMPLETED
Sarcoma, Soft Tissue
Thermosome GmbH
2023-04-19 PHASE1
NCT03930680 COMPLETED
Degradation of Top2b and Top2a in Human by Dexrazoxane; Time Course and Degradation of Top2b in Human by Dexrazoxane; Effects of Dexrazoxane on Healthy Human
University of Arkansas
2021-09-14 PHASE1
NCT02584309 COMPLETED
Sarcoma, Soft Tissue; Soft Tissue Sarcoma; Undifferentiated Pleomorphic Sarcoma; Leiomyosarcoma; Liposarcoma; Synovial Sarcoma; Myxofibrosarcoma; Angiosarcoma; Fibrosarcoma; Malignant Peripheral Nerve Sheath Tumor; Epithelioid Sarcoma
Washington University School of Medicine
2016-02-22 PHASE2
NCT03786783 COMPLETED
Ganglioneuroblastoma; High Risk Neuroblastoma
National Cancer Institute (NCI)
2019-03-04 PHASE2
NCT04997291 UNKNOWN
Heart Defects, Congenital
University of Texas at Austin
2021-04-09 PHASE1
NCT00980460 COMPLETED
PRETEXT I Hepatoblastoma; PRETEXT II Hepatoblastoma; PRETEXT III Hepatoblastoma; PRETEXT IV Hepatoblastoma
National Cancer Institute (NCI)
2009-09-15 PHASE3
NCT03698227 TERMINATED
Advanced Soft Tissue Sarcoma
Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest
2018-11-12 PHASE2
NCT01231906 COMPLETED
Localized Extraskeletal Ewing Sarcoma; Peripheral Primitive Neuroectodermal Tumor of Bone; Peripheral Primitive Neuroectodermal Tumor of Soft Tissues
Children's Oncology Group
2010-11-24 PHASE3
NCT02953184 UNKNOWN
Antineoplastic Combined Chemotherapy Protocols
Jilin University
2016-11 PHASE2
NCT01606878 COMPLETED
Childhood Solid Neoplasm; Recurrent Childhood Anaplastic Large Cell Lymphoma; Recurrent Neuroblastoma
Children's Oncology Group
2013-04-29 PHASE1
NCT02519335 TERMINATED
Heart Defects, Congenital
Medical City Children's Hospital
2014-09 PHASE1
NCT01523977 COMPLETED
Acute Lymphoblastic Leukemia
Dana-Farber Cancer Institute
2011-11 PHASE1
NCT00038142 TERMINATED
Ewing's Sarcoma
M.D. Anderson Cancer Center
1997-11 PHASE2
NCT01627938 UNKNOWN
Multiple Sclerosis
PD Dr. Andrew Chan
2012-04 PHASE2
NCT00400946 COMPLETED
Drug/Agent Toxicity by Tissue/Organ; Leukemia
Dana-Farber Cancer Institute
2005-04 PHASE3
NCT01596088 COMPLETED
Extravasations of Anthracycline Anti-cancer Agents
Kissei Pharmaceutical Co., Ltd.
PHASE1; PHASE2
NCT00933985 TERMINATED
Acute Leukemias of Ambiguous Lineage; Acute Undifferentiated Leukemia; Angioimmunoblastic T-cell Lymphoma; Blastic Phase Chronic Myelogenous Leukemia; Childhood Burkitt Lymphoma; Childhood Chronic Myelogenous Leukemia; Childhood Diffuse Large Cell Lymphoma; Childhood Immunoblastic Large Cell Lymphoma; Childhood Nasal Type Extranodal NK/T-cell Lymphoma; Cutaneous B-cell Non-Hodgkin Lymphoma; Hepatosplenic T-cell Lymphoma; Intraocular Lymphoma; Noncutaneous Extranodal Lymphoma; Peripheral T-cell Lymphoma; Recurrent Childhood Acute Lymphoblastic Leukemia; Recurrent Childhood Acute Myeloid Leukemia; Recurrent Childhood Anaplastic Large Cell Lymphoma; Recurrent Childhood Grade III Lymphomatoid Granulomatosis; Recurrent Childhood Large Cell Lymphoma; Recurrent Childhood Lymphoblastic Lymphoma; Recurrent Childhood Small Noncleaved Cell Lymphoma; Recurrent Cutaneous T-cell Non-Hodgkin Lymphoma; Recurrent Mycosis Fungoides/Sezary Syndrome; Recurrent/Refractory Childhood Hodgkin Lymphoma; Refractory Chronic Lymphocytic Leukemia; Refractory Hairy Cell Leukemia; Relapsing Chronic Myelogenous Leukemia; Small Intestine Lymphoma; Unspecified Childhood Solid Tumor, Protocol Specific
National Cancer Institute (NCI)
2009-06 PHASE1
NCT00742924 COMPLETED
Sarcoma
Children's Oncology Group
2008-08 PHASE1
NCT00955890 TERMINATED
Breast Cancer
Fudan University
2009-06 PHASE2
NCT00544778 TERMINATED
Sarcoma
City of Hope Medical Center
2001-08 PHASE2
NCT01258634 TERMINATED
Osteosarcoma; Lung Metastases
University of Chicago
2010-07 PHASE1
NCT00098839 COMPLETED
Recurrent Childhood Acute Lymphoblastic Leukemia
Children's Oncology Group
2005-02 PHASE1; PHASE2
NCT00673179 TERMINATED
Osteosarcoma
M.D. Anderson Cancer Center
2008-05
NCT00928200 TERMINATED
Relapsed Acute Lymphoblastic Leukemia; Allergy to PEG e.Coli Asparaginase; Allergy to Native e.Coli Asparaginase
Therapeutic Advances in Childhood Leukemia Consortium
2009-04-13 PHASE1
NCT00084838 COMPLETED
Central Nervous System Tumor, Pediatric
Dana-Farber Cancer Institute
2003-02 PHASE2
NCT00550901 COMPLETED
Unspecified Adult Solid Tumor, Protocol Specific
City of Hope Medical Center
2001-02 PHASE1
NCT00019864 TERMINATED
Cardiac Toxicity; Sarcoma
National Cancer Institute (NCI)
2000-03 PHASE2
NCT00165087 TERMINATED
Acute Lymphoblastic Leukemia
Dana-Farber Cancer Institute
1996-01 PHASE3
NCT00334867 WITHDRAWN
Sarcoma
Children's Oncology Group
2005-12 PHASE3
NCT00039481 COMPLETED
Cardiac Toxicity; Unspecified Childhood Solid Tumor, Protocol Specific
National Cancer Institute (NCI)
2002-11 PHASE1
NCT00548704 COMPLETED
Extravasation
Valerio Therapeutics
2002-04 PHASE2; PHASE3
NCT00016276 TERMINATED
Cardiac Toxicity; Inflammatory Breast Cancer; Stage IIIA Breast Cancer; Stage IIIB Breast Cancer; Stage IV Breast Cancer
National Cancer Institute (NCI)
2001-05 PHASE3
NCT00002827 COMPLETED
Cardiac Toxicity; Lymphoma
Children's Oncology Group
1996-10 PHASE3
NCT00005578 COMPLETED
Cardiac Toxicity; Lymphoma
Children's Oncology Group
1997-03 PHASE3
NCT00003937 COMPLETED
Cardiac Toxicity; Sarcoma
Children's Oncology Group
1999-09 PHASE3
NCT00548561 COMPLETED
Anthracycline Extravasation
Valerio Therapeutics
2001-06 PHASE2; PHASE3
NCT01230983 COMPLETED
Cardiac Toxicity; Leukemia; Lymphoma
Children's Oncology Group
1996-06 PHASE3
NCT00003667 COMPLETED
Sarcoma
Memorial Sloan Kettering Cancer Center
1998-09 PHASE2

(data from https://clinicaltrials.gov, updated on 2026-07-27)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Dexrazoxane functions as a catalytic topoisomerase II inhibitor and potent iron chelator that reduces intracellular iron-anthracycline complexes, thereby preventing the generation of reactive oxygen species and suppressing oxidative DNA damage during cell division. This inhibition of mitotic progression and reduction of free radical formation protects cardiomyocytes from anthracycline-induced cardiac toxicity and prevents tissue necrosis during accidental chemotherapy extravasation.

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.