Clinical Trials

Multiple clinical trials are currently associated with this compound, investigating conditions including heart failure, outpatient prescription management issues, and COVID-19. Sponsored by academic and health system institutions such as the University of Vermont and Methodist Health System, along with pharmaceutical sponsors like Boehringer Ingelheim, these studies operate under unspecified phases or are classified as not applicable for phase designation. Several clinical trials currently maintain an active, not recruiting status while evaluating functional capacity, pharmacy prescriptive authority, and long-term patient outcomes.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05350202 Active not recruiting
Heart Failure
Boehringer Ingelheim
2022-12-15 --
NCT06222424 Active not recruiting
Outpatient Prescription Issues
Methodist Health System
2021-11-01 Not Applicable
NCT04892797 Active not recruiting
Covid19
University of Vermont
2021-02-03 --

(data from https://clinicaltrials.gov, updated on 2024-05-22)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Estramustine phosphate sodium undergoes metabolic cleavage to release estramustine, which binds directly to microtubule-associated proteins and tubulin, thereby disrupting microtubule dynamics and arresting mitosis in target cells. This antimicrotubule and antigonadotrophic action suppresses cellular proliferation and hormonal signaling, providing therapeutic relevance evaluated across clinical trial settings including heart failure, outpatient prescription management, and COVID-19 outcomes.

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.