Clinical Trials

Multiple clinical trials evaluate harringtonine and homoharringtonine across early to late phases, focusing primarily on hematologic malignancies such as acute myeloid leukemia, chronic myeloid leukemia, acute T-cell lymphoblastic leukemia/lymphoma, and non-Hodgkin lymphoma. Sponsored by academic medical centers and pharmaceutical companies, these studies assess the compounds as monotherapies or in combination with agents like venetoclax or azacitidine. Recruitment statuses across these trials range from actively recruiting and completed to terminated or withdrawn.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06855810 RECRUITING
Acute Lymphoblastic Leukemia; Childhood Leukemia, Acute Lymphoblastic; T Cell Acute Lymphoblastic Leukemia/Lymphoblastic Lymphoma
Institute of Hematology & Blood Diseases Hospital, China
2025-03-11 PHASE2; PHASE3
NCT06221683 RECRUITING
AML, Childhood; Acute Myeloid Leukemia
Children's Hospital of Soochow University
2024-01-01 PHASE2
NCT07131059 RECRUITING
AML, Adult
Institute of Hematology & Blood Diseases Hospital, China
2024-05-11
NCT07507825 NOT_YET_RECRUITING
Acute Myeloid Leukemia (AML)
First People's Hospital of Hangzhou
2026-03-31 PHASE2
NCT07469046 NOT_YET_RECRUITING
Acute Myeloid Leukemia (AML); Elderly Patients (60-75 Years)
Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
2026-04-10 PHASE3
NCT07505160 NOT_YET_RECRUITING
Acute Myeloid Leukemia (AML)
Second Affiliated Hospital, Zhejiang University, School of Medicine
2026-03 PHASE2
NCT06265545 RECRUITING
AML; Refractory; Relapsed
Institute of Hematology & Blood Diseases Hospital, China
2024-02-22
NCT06744556 ACTIVE_NOT_RECRUITING
AML
Institute of Hematology & Blood Diseases Hospital, China
2025-01-21 PHASE2
NCT07163910 RECRUITING
Prostate Cancer
baotai Liang
2025-04-20 PHASE2
NCT07159906 NOT_YET_RECRUITING
Diffuse Large B-Cell Lymphoma; Relapsed Non-Hodgkin Lymphoma; Refractory Non-Hodgkin Lymphoma
First Affiliated Hospital of Zhejiang University
2025-09-08 PHASE1; PHASE2
NCT06483906 RECRUITING
Acute Myeloid Leukemia
Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
2024-07-02 PHASE2
NCT06742463 RECRUITING
Acute T Lymphpblastic Leukemia/Lymphoma
First Affiliated Hospital of Zhejiang University
2024-12 PHASE2
NCT06361329 RECRUITING
ETP-ALL
First Affiliated Hospital of Zhejiang University
2024-04-03 PHASE3
NCT05906914 COMPLETED
Acute Myeloid Leukemia, Adult
First Affiliated Hospital of Zhejiang University
2022-10-26 PHASE2
NCT05805098 RECRUITING
Acute Myeloid Leukemia
The First Affiliated Hospital of Soochow University
2023-03-01 PHASE2; PHASE3
NCT05726110 RECRUITING
Relapsed or Refractory Acute Myeloid Leukemia
Shanxi Bethune Hospital
2023-01-29 PHASE3
NCT04126681 COMPLETED
Chronic Myeloid Leukemia, Chronic Phase
Ascentage Pharma Group Inc.
2019-10-21 PHASE2
NCT05805072 UNKNOWN
Relapsed/Refractory AML
The First Affiliated Hospital of Soochow University
2023-05-01
NCT05513131 UNKNOWN
Secondary Acute Myeloid Leukemia
The First Affiliated Hospital with Nanjing Medical University
2021-09-30 PHASE2
NCT04505995 UNKNOWN
JMML
Air Force Military Medical University, China
2020-01-01
NCT05457361 UNKNOWN
Venetoclax Combined With Azacitidine Plus Homoharringtonine; Venetoclax Combined With Azacitidine
Nanfang Hospital, Southern Medical University
2022-03-01 PHASE3
NCT04248595 UNKNOWN
Acute Myeloid Leukemia
Ge Zheng
2019-12-01 PHASE2
NCT04083911 UNKNOWN
Acute Myeloid Leukemia; Induction Chemotherapy
The First Affiliated Hospital of Soochow University
2019-04-01 PHASE3
NCT00375219 COMPLETED
Chronic Myeloid Leukemia
Teva Branded Pharmaceutical Products R&D, Inc.
2006-09-20 PHASE2
NCT00462943 COMPLETED
Chronic Myeloid Leukemia
Teva Branded Pharmaceutical Products R&D, Inc.
2007-03-07 PHASE2
NCT00675350 COMPLETED
Hematologic Tumors
ChemGenex Pharmaceuticals
2008-04 PHASE1
NCT00114959 TERMINATED
Myeloid Leukemia, Chronic; Myeloid Leukemia, Chronic, Accelerated-Phase; Blast Phase; Myeloid Leukemia, Chronic, Chronic-Phase
ChemGenex Pharmaceuticals
2005-10 PHASE2
NCT00006364 COMPLETED
Childhood Chronic Myelogenous Leukemia; Chronic Myelogenous Leukemia, BCR-ABL1 Positive; Chronic Phase Chronic Myelogenous Leukemia; Relapsing Chronic Myelogenous Leukemia
National Cancer Institute (NCI)
1999-11 PHASE2
NCT00003694 COMPLETED
Chronic Myelogenous Leukemia, BCR-ABL1 Positive; Chronic Phase Chronic Myelogenous Leukemia
National Cancer Institute (NCI)
1999-03 PHASE2
NCT00003239 COMPLETED
Leukemia
M.D. Anderson Cancer Center
1998-03 PHASE2
NCT00002574 COMPLETED
Leukemia
National Cancer Institute (NCI)
1994-09 PHASE2
NCT00004933 TERMINATED
Leukemia
Alliance for Clinical Trials in Oncology
2000-01 PHASE3
NCT00030355 WITHDRAWN
Leukemia
National Cancer Institute (NCI)
PHASE1; PHASE2

(data from https://clinicaltrials.gov, updated on 2025-08-26)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Harringtonine directly binds to the acceptor site of the ribosomal 60S subunit, thereby preventing peptide bond formation and blocking elongation during eukaryotic protein translation. This inhibition depletes short-lived oncogenic regulatory proteins, promoting apoptotic cell death and suppressing tumor progression in hematologic malignancies such as acute myeloid leukemia and chronic myeloid leukemia.

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.