Clinical Trials
Multiple Phase 2 and Phase 3 clinical trials, primarily sponsored by Repros Therapeutics Inc. alongside Baylor College of Medicine, have evaluated enclomiphene citrate for male endocrine and metabolic conditions including secondary and acquired hypogonadotropic hypogonadism, low testosterone, obesity, male infertility, and bone mineral density. While a Phase 2 study investigating idiopathic male infertility was withdrawn, several studies evaluating morning testosterone normalization, body composition, and bone density have been completed.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT02651688 | COMPLETED | Acquired Hypogonadotropic Hypogonadism; Obesity |
Repros Therapeutics Inc. |
2016-01-11 | PHASE2 |
| NCT02160704 | WITHDRAWN | Infertility |
Baylor College of Medicine |
2014-09-22 | PHASE2; PHASE3 |
| NCT01619683 | COMPLETED | Effect of Treatment on Bone Mineral Density |
Repros Therapeutics Inc. |
2012-09 | PHASE3 |
| NCT01739582 | COMPLETED | Secondary Hypogonadism |
Repros Therapeutics Inc. |
2012-11 | PHASE3 |
| NCT01534208 | COMPLETED | Secondary Hypogonadism |
Repros Therapeutics Inc. |
2012-05 | PHASE3 |
| NCT01739595 | COMPLETED | Secondary Hypogonadism |
Repros Therapeutics Inc. |
2012-11 | PHASE3 |
| NCT01386567 | COMPLETED | Hypogonadism; Low Testosterone |
Repros Therapeutics Inc. |
2011-07 | PHASE2 |
| NCT01386606 | COMPLETED | Secondary Hypogonadism |
Repros Therapeutics Inc. |
2011-06 | PHASE2 |
(data from https://clinicaltrials.gov, updated on 2019-06-27)
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>).
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