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)
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>).