Several clinical trials evaluate Doxapram HCl across pediatric and respiratory indications, including weaning failure following mechanical ventilation, premature birth, and neonatal apnea. Sponsored by academic and clinical entities such as Beni-Suef University, Maternité Régionale Universitaire, and a Dutch research consortium involving Erasmus Medical Center and Radboud University Medical Center, these studies span Phase 4 as well as unassigned or non-applicable phases, with recruitment statuses reported as completed or unknown. Overall, these trials focus on evaluating dosing strategies, pharmacokinetic-pharmacodynamic modeling, and respiratory outcomes in these patient cohorts.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT03894189 | Unknown status | Weaning Failure |
Beni-Suef University |
2019-05 | Not Applicable |
| NCT02421068 | Completed | Premature Birth |
Sinno H.P. Simons|ZonMw: The Netherlands Organisation for Health Research and Development|Leiden Amsterdam Centre for Drug Research (LACDR)|Dutch Knowledge Centre for Pediatric Pharmacotherapy (NKFK)|Centre for Human Drug Research Netherlands|Radboud University Medical Center|Erasmus Medical Center |
2014-08 | -- |
| NCT00389909 | Completed | Premature Infants|Apnea |
Jean Michel Hascoet|Maternite Regionale Universitaire |
2006-11 | Phase 4 |
(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>).