Clinical Trials

Multiple clinical trials spanning Phases 1 through 4 evaluate fenoldopam primarily for acute kidney injury, renal failure, cardiac complications during cardiopulmonary bypass, salt-sensitive hypertension, and pediatric acute renal failure. Sponsored predominantly by academic hospitals and research foundations, these investigations encompass recruitment statuses ranging from completed Phase 2 and Phase 3 studies to terminated or withdrawn protocols. Collectively, this research assesses the drug's efficacy in perioperative organ perfusion and postoperative renal preservation.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT02620761 TERMINATED
Patent Ductus Arteriosus (PDA); Acute Kidney Injury (AKI)
Medical College of Wisconsin
2019-02-06 PHASE2; PHASE3
NCT00557219 TERMINATED
Acute Renal Failure
Medical University of Gdansk
2008-04 PHASE3
NCT01690832 UNKNOWN
Coronary Artery Disease
University of Roma La Sapienza
2012-09 PHASE4
NCT00621790 COMPLETED
Acute Renal Failure
Università Vita-Salute San Raffaele
2008-02 PHASE3
NCT01073189 WITHDRAWN
Kidney Failures, Acute
Southeast Renal Research Institute
2010-04 PHASE4
NCT00982527 COMPLETED
Kidney Failure, Acute
Bambino Gesù Hospital and Research Institute
2009-09 PHASE3
NCT00743106 TERMINATED
Partial Nephrectomy
The Cleveland Clinic
2002-09
NCT00747331 COMPLETED
Cardiac Complications; Cardiopulmonary Bypass
IRCCS Policlinico S. Donato
2008-09 PHASE4
NCT00286403 WITHDRAWN
Acute Renal Failure
Southeast Renal Research Institute
2008-08 PHASE2; PHASE3
NCT00592150 UNKNOWN
Hypertension
University of Virginia
2007-06 PHASE1
NCT00467181 COMPLETED
Cardiac Surgery With Cardiopulmonary Bypass
Summa Health System
2005-01 PHASE2
NCT00122018 COMPLETED
Kidney Failure, Acute; Kidney Failure, Chronic; Cardiac Surgical Procedures
Linda F. Barr, M.D.
2002-05 PHASE2
NCT01324245 COMPLETED
Salt-sensitive Hypertension
Georgetown University
2002-11

(data from https://clinicaltrials.gov, updated on 2022-09-16)

Check the Fenoldopam mesylate product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Fenoldopam acts as a selective dopamine-1 receptor agonist, activating adenylate cyclase to elevate intracellular cyclic AMP levels, which induces vascular smooth muscle relaxation and renal arteriolar vasodilation. This signaling cascade increases renal blood flow and promotes natriuresis, offering protective therapeutic effects against acute kidney injury and postoperative renal dysfunction in patients undergoing cardiac surgery with cardiopulmonary bypass.

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.