Clinical Trials

Numerous clinical trials spanning early phase 1 through phase 4 evaluate diagnostic and therapeutic applications of DFO for conditions including HER2-positive breast and gastric cancers, prostate cancer, multiple myeloma, amyotrophic lateral sclerosis, beta-thalassemia, and diabetic foot osteomyelitis. Sponsored by academic centers and pharmaceutical collaborators such as AstraZeneca, Eli Lilly, and Genzyme, these investigations assess targeted radiotracers and iron-chelating strategies for PET imaging efficacy and biodistribution. Across this landscape, protocol statuses range from actively recruiting to active but not recruiting and completed.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06447103 RECRUITING
Clear Cell Renal Cell Carcinoma; Sarcomatoid Renal Cell Carcinoma; Stage II Renal Cell Cancer; Stage III Renal Cell Cancer; Stage IV Renal Cell Cancer
Jonsson Comprehensive Cancer Center
2024-08-06 PHASE2
NCT07664397 NOT_YET_RECRUITING
Bladder Cancer; Nerve Sheath Tumor; Nerve Sheath Tumors; Solid Tumor Malignancies; Solid Tumor Cancer; Solid Tumor Neoplasms; Advanced Solid Tumor; Bladder Neoplasm; Nerve Sheath Neoplasms; Nerve Sheath Tumor, Nos; Solid Tumor, Adult; Solid Carcinoma
Robert Flavell, MD, PhD
2026-08-01 PHASE1
NCT03546335 SUSPENDED
Rheumatoid Arthritis
Robert Flavell, MD, PhD
2018-10-01 PHASE1
NCT07179770 RECRUITING
Metastatic Clear Cell Renal Cell Carcinoma
NYU Langone Health
2025-09-15 PHASE1
NCT06439914 RECRUITING
Non Small Cell Lung Cancer
Nerissa T. Viola
2026-03-09 PHASE1
NCT06894745 RECRUITING
Solid Tumor; Solid Carcinoma; Soft Tissue Lesion
Robert Flavell, MD, PhD
2025-06-02 PHASE1
NCT05184816 RECRUITING
Leptomeningeal Metastases
Memorial Sloan Kettering Cancer Center
2021-12-22 PHASE1
NCT04167969 RECRUITING
Prostate Cancer
Memorial Sloan Kettering Cancer Center
2021-02-17 PHASE1
NCT07790939 NOT_YET_RECRUITING
Epithelial Ovarian Cancer; Ovarian Cancer
Peking University Cancer Hospital & Institute
2026-09-01 EARLY_PHASE1
NCT05245006 ACTIVE_NOT_RECRUITING
Prostate Cancer; Metastatic Castration-resistant Prostate Cancer
Robert Flavell, MD, PhD
2022-03-18 PHASE1
NCT04199741 RECRUITING
Small Cell Lung Cancer; Small Cell Lung Carcinoma
Memorial Sloan Kettering Cancer Center
2019-12-11 PHASE1; PHASE2
NCT06602037 RECRUITING
Neoplasms Pancreatic
RenJi Hospital
2024-11-20
NCT06952556 RECRUITING
Analgesia
NYU Langone Health
2025-04-28 PHASE4
NCT03465618 ACTIVE_NOT_RECRUITING
Brain Cancer; Pituitary Adenoma
Memorial Sloan Kettering Cancer Center
2018-03-07 PHASE1
NCT05259709 RECRUITING
Advanced Solid Tumor; Metastatic Solid Tumor
Regeneron Pharmaceuticals
2023-02-07 PHASE1
NCT06337084 ACTIVE_NOT_RECRUITING
Solid Tumor, Adult; Bladder Cancer; Urothelial Carcinoma; Triple-negative Breast Cancer; Lung Cancer; Colorectal Cancer; Gastric Cancer; Ovarian Cancer; Pancreatic Cancer
Monopar Therapeutics
2024-05-30 PHASE1
NCT03729752 RECRUITING
HIV-1-infection
University of California, San Francisco
2018-11-01 PHASE1
NCT04235114 RECRUITING
Lung Cancer; Colorectal Cancer
University of Saskatchewan
2020-02-01 PHASE1; PHASE2
NCT04006522 ACTIVE_NOT_RECRUITING
Renal Cell Carcinoma
James Brugarolas
2019-10-02 PHASE2
NCT05892393 RECRUITING
Multiple Myeloma; Plasma Cell Myeloma
Robert Flavell, MD, PhD
2023-06-16 PHASE1
NCT06645808 RECRUITING
Solid Tumor; Colon Carcinoma; Rectal Carcinoma; Osteosarcoma; Chondrosarcoma; Lung Carcinoma; Head and Neck Squamous Cell Carcinoma; Esophageal Carcinoma; Gastric Carcinoma; Pancreas Carcinoma; Bladder Carcinoma; Glioblastoma; Soft Tissue Sarcoma (STS); Breast Cancer
Var2 Pharmaceuticals
2024-12-10 EARLY_PHASE1
NCT06244979 COMPLETED
Pulmonary Aspergillosis; Chronic Pulmonary Aspergillosis; Allergic Bronchopulmonary Aspergillosis
Radboud University Medical Center
2025-05-01 PHASE2
NCT06454721 COMPLETED
Healthy Volunteer
Biogen
2025-01-30 PHASE1
NCT01543659 COMPLETED
Prostate Cancer
Memorial Sloan Kettering Cancer Center
2012-02-21 PHASE1; PHASE2
NCT04706715 ACTIVE_NOT_RECRUITING
Metastatic Solid Tumor
University Medical Center Groningen
2022-01-18 PHASE1; PHASE2
NCT06204237 RECRUITING
Peripheral Arterial Occlusive Disease; Critical Limb Ischemia
Aplagon Oy
2024-02-01 EARLY_PHASE1
NCT04566978 COMPLETED
Large B-cell Lymphoma; DLBCL
Memorial Sloan Kettering Cancer Center
2020-09-11 EARLY_PHASE1
NCT05955833 COMPLETED
Breast Cancer; Metastatic Breast Cancer; HER2-positive Breast Cancer; Gastric Cancer; Metastatic Gastric Cancer; HER2-positive Gastric Cancer
Amsterdam UMC, location VUmc
2023-06-26
NCT04883775 COMPLETED
Pancreatic Cancer; Tumors That Express CA19-9
Memorial Sloan Kettering Cancer Center
2021-05-10 PHASE1
NCT05974579 COMPLETED
Amyotrophic Lateral Sclerosis
Université de Sherbrooke
2023-11-23 PHASE1
NCT06066801 Recruiting
Subjects With Diabetes and DFU With a Suspicion of DFO
Assistance Publique - Hôpitaux de Paris
2024-03-14 Not Applicable
NCT06204237 Recruiting
Peripheral Arterial Occlusive Disease|Critical Limb Ischemia
Aplagon Oy|TRACER Europe BV
2024-02-01 Early Phase 1
NCT05974579 Recruiting
Amyotrophic Lateral Sclerosis
Université de Sherbrooke|Eli Lilly and Company|Chorus Wellness Inc.|AL-S Pharma AG
2023-11-23 Phase 1
NCT06468423 COMPLETED
Pateints of β-thalassemia Major With Iron Overload
RESnTEC, Institute of Research
2023-01-01
NCT02023996 COMPLETED
Esophagogastric Cancer
Memorial Sloan Kettering Cancer Center
2013-12
NCT05955833 Recruiting
Breast Cancer|Metastatic Breast Cancer|HER2-positive Breast Cancer|Gastric Cancer|Metastatic Gastric Cancer|HER2-positive Gastric Cancer
Amsterdam UMC location VUmc|AstraZeneca
2023-06-26 Phase 1
NCT01774071 COMPLETED
Prostate Cancer
Memorial Sloan Kettering Cancer Center
2013-01 PHASE1; PHASE2
NCT03746704 TERMINATED
Advanced PD-L1 Positive Malignancies
Regeneron Pharmaceuticals
2019-09-04 PHASE1
NCT04467281 WITHDRAWN
Multiple Myeloma
Memorial Sloan Kettering Cancer Center
2020-06-30 PHASE2
NCT03665155 COMPLETED
Multiple Myeloma
Memorial Sloan Kettering Cancer Center
2018-09-05 PHASE1; PHASE2
NCT07782931 COMPLETED
Iron Overload Due to Repeated Red Blood Cell Transfusions; Thalassemia Majors (Beta-Thalassemia Major)
Hamdard University
2019-02-11 PHASE3
NCT03109977 COMPLETED
HER2-positive Carcinoma; HER2-positive Primary Malignancy
Memorial Sloan Kettering Cancer Center
2017-03-31 PHASE1
NCT02687230 TERMINATED
Pancreatic Carcinoma; Tumors That Express CA19-9
BioNTech Research & Development, Inc.
2016-07-11 PHASE1
NCT02216513 TERMINATED
Subarachnoid Hemorrhage
Brigham and Women's Hospital
2014-09 EARLY_PHASE1
NCT01459718 TERMINATED
Transfusion-dependent β-thalassemia Patients; Cardiac Iron Overload
Novartis Pharmaceuticals
2011-01 PHASE2
NCT01844479 COMPLETED
Diabetic Foot Ulcer; Diabetic Foot
University of Michigan
2012-12
NCT01511848 UNKNOWN
Beta-thalassemia Major; Sickle Cell Disease; Iron Hemosiderosis
Ain Shams University
2012-02 PHASE2; PHASE3
NCT00901199 COMPLETED
Thalassemia; Iron Overload
Elliott Vichinsky
2007-09 PHASE2
NCT01090323 COMPLETED
Sickle Cell Disease
Novartis Pharmaceuticals
2004-07 PHASE2
NCT00115349 TERMINATED
Cardiovascular Diseases; Heart Diseases; Beta-Thalassemia
Carelon Research
2005-06 PHASE2
NCT00110617 COMPLETED
Sickle Cell Disease; Iron Overload; Hemolytic Anemia
Novartis Pharmaceuticals
2005-05 PHASE2
NCT00733811 COMPLETED
Beta-Thalassemia; Thalassemia Major
Azienda Ospedaliera V. Cervello
2000-09 PHASE4
NCT00069862 COMPLETED
Beta-Thalassemia
Genzyme, a Sanofi Company
2003-09 PHASE1; PHASE2

(data from https://clinicaltrials.gov, updated on 2026-06-15)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

DFO functions by selectively reacting with primary amino acid groups or chelating metallic ions, thereby forming stable, detectable fluorescent or radiolabeled molecular complexes. This specialized binding and labeling process enables precise cellular visualization and positron emission tomography imaging, providing critical diagnostic value for detecting malignancies in clinical trial conditions such as HER2-positive breast cancer and prostate cancer.

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.