Givinostat has been evaluated across numerous Phase 1, Phase 2, and Phase 3 clinical trials sponsored primarily by Italfarmaco and ITF Therapeutics LLC. Investigating therapeutic efficacy, safety, and pharmacokinetics in healthy volunteers and patient cohorts, these studies target conditions including Duchenne and Becker muscular dystrophies, polycythemia vera, chronic myeloproliferative neoplasms, and juvenile idiopathic arthritis. While several pivotal evaluations have reached completion, other trials remain actively recruiting or active, alongside a minor subset of terminated studies.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT06769633 | RECRUITING | Duchenne Muscular Dystrophy |
Italfarmaco |
2025-01-02 | PHASE2 |
| NCT03373968 | RECRUITING | Duchenne Muscular Dystrophy |
Italfarmaco |
2017-10-24 | PHASE2; PHASE3 |
| NCT05933057 | RECRUITING | Duchenne Muscular Dystrophy |
Italfarmaco |
2024-02-19 | PHASE3 |
| NCT01761968 | ACTIVE_NOT_RECRUITING | Chronic Myeloproliferative Neoplasms |
Italfarmaco |
2013-03 | PHASE2 |
| NCT06093672 | RECRUITING | Polycythemia Vera |
Italfarmaco |
2024-03-26 | PHASE3 |
| NCT05492318 | COMPLETED | Drug-Drug Interaction; Heathy Volunteer |
Italfarmaco |
2022-03-21 | PHASE1 |
| NCT05845567 | COMPLETED | Drug Drug Interaction |
Italfarmaco |
2022-03-21 | PHASE1 |
| NCT05860114 | COMPLETED | Drug Drug Interaction |
Italfarmaco |
2022-03-21 | PHASE1 |
| NCT02851797 | COMPLETED | Duchenne Muscular Dystrophy |
Italfarmaco |
2017-06-06 | PHASE3 |
| NCT04821063 | COMPLETED | Duchenne and Becker Muscular Dystrophy; Polycytemia Vera |
Italfarmaco |
2021-04-13 | PHASE1 |
| NCT03238235 | COMPLETED | Becker Muscular Dystrophy |
Italfarmaco |
2018-01-09 | PHASE2 |
| NCT01901432 | COMPLETED | Polycythemia Vera |
Italfarmaco |
2013-10 | PHASE1; PHASE2 |
| NCT01761292 | COMPLETED | Duchenne Muscular Dystrophy (DMD) |
Italfarmaco |
2013-04 | PHASE1; PHASE2 |
| NCT01557452 | TERMINATED | Juvenile Idiopathic Arthritis |
Italfarmaco |
2011-12-28 | |
| NCT01261624 | TERMINATED | Polyarticular Course Juvenile Idiopathic Arthritis |
Italfarmaco |
2010-10 | PHASE2 |
| NCT00928707 | COMPLETED | Polycythemia Vera |
Italfarmaco |
2009-06 | PHASE2 |
(data from https://clinicaltrials.gov, updated on 2025-07-10)
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>).