Clinical Trials

Multiple clinical trials spanning Early Phase 1 to Phase 2 have evaluated fimepinostat (CUDC-907) across oncological and endocrine indications, including relapsed or refractory diffuse large B-cell lymphoma, pediatric central nervous system tumors like diffuse intrinsic pontine glioma, triple-negative breast cancer, thyroid neoplasms, and Cushing disease. Sponsored by industry partners such as Curis Inc. alongside academic institutions including the Dana-Farber Cancer Institute, the National Cancer Institute, and UCLA, these studies report recruitment statuses ranging from recruiting and active to completed and terminated.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05971758 RECRUITING
Cushing Disease
University of California, Los Angeles
2025-01-16 PHASE2
NCT02909777 COMPLETED
Lymphoma; Neuroblastoma; Brain Tumor; Solid Tumor
Dana-Farber Cancer Institute
2016-10 PHASE1
NCT03893487 ACTIVE_NOT_RECRUITING
Diffuse Intrinsic Pontine Glioma; Recurrent Anaplastic Astrocytoma; Recurrent Glioblastoma; Recurrent Malignant Glioma; Recurrent Medulloblastoma
Sabine Mueller, MD, PhD
2019-08-07 EARLY_PHASE1
NCT01742988 COMPLETED
Lymphoma; Relapsed Lymphoma; Refractory Lymphoma; Relapsed and/or Refractory Lymphoma; Relapsed Ddiffuse Large B-Cell Lymphoma (DLBCL); Refractory Diffuse Large B-Cell Lymphoma (DLBCL); Relapsed and/or Refractory Diffuse Large B-Cell Lymphoma (DLBCL); Double-hit Lymphoma (DHL); Triple-hit Lymphoma (THL); Double-expressor Lymphoma (DEL); High-grade B-cell Lymphoma (HGBL)
Curis, Inc.
2012-12 PHASE1
NCT02307240 COMPLETED
Triple-Negative Breast Cancer; High-grade Serous Ovarian Cancer; Solid Tumors; NUT Midline Carcinoma
Curis, Inc.
2014-11 PHASE1
NCT02674750 COMPLETED
Relapsed and/or Refractory Diffuse Large B-cell Lymphoma Including With Myc Alterations
Curis, Inc.
2016-07 PHASE2
NCT03002623 TERMINATED
Thyroid Neoplasms; Poorly Differentiated and Undifferentiated Thyroid Cancer; Differentiated Thyroid Cancer
National Cancer Institute (NCI)
2016-12-22 PHASE2
NCT02909777 Active not recruiting
Lymphoma|Neuroblastoma|Brain Tumor|Solid Tumor
Dana-Farber Cancer Institute|Curis Inc.
2016-10 Phase 1
NCT02307240 Completed
Triple-Negative Breast Cancer|High-grade Serous Ovarian Cancer|Solid Tumors|NUT Midline Carcinoma
Curis Inc.
2014-11 Phase 1
NCT01742988 Completed
Lymphoma|Relapsed Lymphoma|Refractory Lymphoma|Relapsed and/or Refractory Lymphoma|Relapsed Ddiffuse Large B-Cell Lymphoma (DLBCL)|Refractory Diffuse Large B-Cell Lymphoma (DLBCL)|Relapsed and/or Refractory Diffuse Large B-Cell Lymphoma (DLBCL)|Double-hit Lymphoma (DHL)|Triple-hit Lymphoma (THL)|Double-expressor Lymphoma (DEL)|High-grade B-cell Lymphoma (HGBL)
Curis Inc.|The Leukemia and Lymphoma Society
2012-12 Phase 1

(data from https://clinicaltrials.gov, updated on 2026-07-17)

Check the Fimepinostat (CUDC-907) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Fimepinostat acts as a dual inhibitor targeting phosphoinositide 3-kinase (PI3K) isoforms and histone deacetylases (HDACs), which blocks PI3K/Akt signaling and promotes histone hyperacetylation to induce cell cycle arrest and apoptosis. By disrupting these primary survival and epigenetic pathways, fimepinostat suppresses tumor cell proliferation, underlying its therapeutic evaluation in clinical trials for relapsed diffuse large B-cell lymphoma, brain tumors, and advanced solid 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.