Clinical Trials
Multiple clinical trials evaluate DL-methionine across varied populations and settings, with recruitment statuses including recruiting, not yet recruiting, and withdrawn. Industry-sponsored Phase 1 and Phase 1/2 interventional protocols, such as those by Servier, study antineoplastic activity in MTAP-deleted solid tumors and esophageal squamous cell carcinoma. Furthermore, non-applicable phase studies led by academic and hospital centers—including The Hospital for Sick Children and Assistance Publique - Hôpitaux de Paris—assess methionine metabolic availability in healthy individuals and cellular stress responses in rare multisystem genetic disorders.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT05312372 | Withdrawn | Esophageal Squamous Cell Carcinoma |
Institut de Recherches Internationales Servier|ADIR a Servier Group company|Servier |
2025-05 | Phase 1|Phase 2 |
| NCT03674723 | Recruiting | Healthy |
The Hospital for Sick Children |
2024-04-01 | Not Applicable |
| NCT06188702 | Recruiting | MTAP-deleted Solid Tumors |
Servier Bio-Innovation LLC|Institut de Recherches Internationales Servier|Servier |
2024-04-29 | Phase 1 |
| NCT05514470 | Not yet recruiting | Interstitial Lung and Liver Disease|Infantile Liver Failure Syndrome 1|Neurologic Endocrine and Pancreatic Disease Multisystem Infantile-Onset 2|Rajab Interstitial Lung Disease With Brain Calcifications 2 |
Assistance Publique - Hôpitaux de Paris |
2024-04 | Not Applicable |
(data from https://clinicaltrials.gov, updated on 2024-05-22)
Compliance for Clinical Use
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>).