Clinical Trials

Several clinical trials have evaluated radiolabeled diagnostic imaging and therapeutic fialuridine across infectious and oncological indications, including prosthetic joint and diabetic foot infections, viral thymidine kinase activity in lymphoma and gastric cancer, and drug tolerance in hepatitis B, herpes simplex, and HIV. Spanning Phase 1, Phase 2, and non-applicable phase classifications, these completed and terminated studies were sponsored by BioMed Valley Discoveries Inc, the National Institute of Allergy and Infectious Diseases, and the Sidney Kimmel Comprehensive Cancer Center with the National Cancer Institute.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT01764919 Terminated
Diabetic Foot Infection
BioMed Valley Discoveries Inc
2013-04 Phase 2
NCT01705496 Terminated
Prosthetic Joint Infections
BioMed Valley Discoveries Inc
2012-08 Phase 2
NCT01337466 Completed
Prosthesis Related Infections
BioMed Valley Discoveries Inc
2010-12 Phase 1
NCT00982449 Completed
Hodgkin Lymphoma|Non Hodgkin Lymphoma|Kaposi''s Sarcoma|Gastric Cancer|Nasopharyngeal Cancer
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins|National Cancer Institute (NCI)
2010-12 Not Applicable
NCT00000654 COMPLETED
Herpes Simplex; HIV Infections; Hepatitis B
National Institute of Allergy and Infectious Diseases (NIAID)
PHASE2

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

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Fialuridine acts as a synthetic nucleoside analog that target-binds and undergoes phosphorylation by viral and cellular thymidine kinases, subsequently inhibiting viral DNA polymerase and disrupting nucleic acid chain elongation. This blockage of viral DNA synthesis impairs microbial replication and cellular proliferation, rendering the compound clinically relevant as an antiviral agent against hepatitis B and herpes simplex as well as a diagnostic tracer in imaging studies for prosthetic joint infections and virus-associated malignancies.

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.