Clinical Trials

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)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Givinostat acts as an orally active inhibitor of Class I and Class II histone deacetylases (HDACs), binding to HDAC1 and HDAC3 with IC50 values of 198 nM and 157 nM, respectively, to block lysine deacetylation and alter gene transcription. This enzymatic inhibition reduces pro-inflammatory signaling and suppresses pathological cell proliferation, offering therapeutic potential in clinical conditions such as Duchenne muscular dystrophy, polycythemia vera, and juvenile idiopathic arthritis.

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.