Enfuvirtide Acetate has been evaluated across early- to late-phase clinical studies focusing on HIV, AIDS, HIV-associated lipodystrophy, and specialized populations with liver failure or progressive multifocal leukoencephalopathy. Multiple clinical trials have been sponsored by industry leaders such as Hoffmann-La Roche alongside public and academic entities, including the NIAID and ANRS. While the majority of these investigations—assessing delivery methods like needle-free devices to reduce injection-site reactions—have been completed, several clinical trials were terminated or withdrawn.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT01836068 | COMPLETED | HIV |
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins |
2013-06 | EARLY_PHASE1 |
| NCT01022476 | COMPLETED | HIV Infection; Liver Failure; Evidence of Liver Transplantation |
ANRS, Emerging Infectious Diseases |
2010-05 | PHASE1; PHASE2 |
| NCT00537394 | COMPLETED | HIV Infections |
National Institute of Allergy and Infectious Diseases (NIAID) |
2008-01 | PHASE3 |
| NCT00615134 | COMPLETED | HIV Infections |
Hoffmann-La Roche |
2008-01 | PHASE2 |
| NCT00302822 | COMPLETED | HIV Infections; AIDS |
French National Agency for Research on AIDS and Viral Hepatitis |
2006-04 | PHASE3 |
| NCT02582983 | COMPLETED | HIV Infections |
Hoffmann-La Roche |
2004-02 | PHASE4 |
| NCT00312546 | TERMINATED | HIV Infections |
University of North Carolina, Chapel Hill |
2006-06 | PHASE1 |
| NCT00523237 | COMPLETED | HIV Infections |
Stanford University |
2007-10 | |
| NCT00488059 | TERMINATED | HIV Infections |
Hoffmann-La Roche |
2007-06 | PHASE4 |
| NCT00460746 | COMPLETED | HIV |
Tibotec, Inc |
2007-05 | PHASE3 |
| NCT00454337 | COMPLETED | HIV Infections |
French National Agency for Research on AIDS and Viral Hepatitis |
2007-05 | PHASE3 |
| NCT00128830 | COMPLETED | Human Immunodeficiency Virus Type 1 |
Tibotec Pharmaceuticals, Ireland |
2005-06 | PHASE2 |
| NCT00529243 | COMPLETED | HIV Infections |
Kaiser Permanente |
2007-09 | PHASE3 |
| NCT02733419 | COMPLETED | HIV Infections |
Hoffmann-La Roche |
2004-12 | PHASE3 |
| NCT00461266 | WITHDRAWN | HIV Infections |
Hoffmann-La Roche |
2007-04 | PHASE4 |
| NCT00051831 | COMPLETED | HIV Infections |
National Institute of Allergy and Infectious Diseases (NIAID) |
2003-10 | |
| NCT00120367 | COMPLETED | Leukoencephalopathy, Progressive Multifocal; HIV Infections |
French National Agency for Research on AIDS and Viral Hepatitis |
2005-04 | PHASE2 |
| NCT00487188 | COMPLETED | HIV Infections |
Hoffmann-La Roche |
2005-11 | PHASE4 |
| NCT02569502 | COMPLETED | HIV Infections |
Hoffmann-La Roche |
2005-04 | PHASE4 |
| NCT00333736 | COMPLETED | Human Immunodeficiency Virus |
Canadian Immunodeficiency Research Collaborative |
2005-05 | PHASE2 |
| NCT00334022 | COMPLETED | HIV-1 |
Canadian Immunodeficiency Research Collaborative |
2006-02 | |
| NCT00326963 | COMPLETED | HIV Infections |
Hoffmann-La Roche |
2006-03 | PHASE4 |
| NCT00344760 | COMPLETED | HIV Infections |
University of Maryland, Baltimore |
2005-01 | PHASE4 |
| NCT00337701 | COMPLETED | HIV Infections |
Hoffmann-La Roche |
2006-06 | PHASE4 |
| NCT00192660 | COMPLETED | HIV-Associated Lipodystrophy Syndrome; Cardiovascular Disease |
Kirby Institute |
2003-02 | PHASE4 |
| NCT00233883 | COMPLETED | HIV Infections |
Hoffmann-La Roche |
2005-08 | PHASE4 |
| NCT00089492 | COMPLETED | HIV Infections |
Hoffmann-La Roche |
2004-07 | PHASE2 |
| NCT00657761 | COMPLETED | HIV Infections |
Hospital Clinic of Barcelona |
2005-09 | PHASE4 |
| NCT00102934 | UNKNOWN | HIV Infections |
National Institute of Allergy and Infectious Diseases (NIAID) |
2003-03 | |
| NCT00187551 | COMPLETED | HIV Infections |
University of California, San Francisco |
2000-05 | PHASE4 |
| NCT00232908 | COMPLETED | HIV Infections |
Hoffmann-La Roche |
2004-06 | PHASE4 |
| NCT00100984 | TERMINATED | HIV Infection |
Hoffmann-La Roche |
2004-07-21 | PHASE4 |
| NCT00022763 | COMPLETED | HIV Infections |
Hoffmann-La Roche |
2001-08 | PHASE2 |
| NCT00021554 | COMPLETED | HIV Infections |
Hoffmann-La Roche |
PHASE3 | |
| NCT00008528 | COMPLETED | HIV Infections |
Hoffmann-La Roche |
PHASE3 | |
| NCT00086710 | COMPLETED | HIV Infections; AIDS |
Trimeris |
PHASE1 | |
| NCT00050856 | COMPLETED | HIV Infections |
National Institute of Allergy and Infectious Diseases (NIAID) |
2002-11 | PHASE3 |
| NCT00031044 | COMPLETED | HIV Infections |
National Institute of Allergy and Infectious Diseases (NIAID) |
PHASE1; PHASE2 | |
| NCT00002239 | COMPLETED | HIV Infections |
Hoffmann-La Roche |
1999-05 | PHASE2 |
| NCT00001118 | COMPLETED | HIV Infections |
National Institute of Allergy and Infectious Diseases (NIAID) |
PHASE1 | |
| NCT00002228 | COMPLETED | HIV Infections |
Trimeris |
PHASE2 |
(data from https://clinicaltrials.gov, updated on 2021-11-23)
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>).