Multiple clinical trials evaluate the therapeutic application of hemin across diverse indications, with a primary focus on acute hepatic, acute intermittent, hereditary coproporphyria, and variegate porphyrias across Phase 1 through Phase 3 studies. Additionally, Phase 1 and Phase 2 trials have investigated hemin in healthy volunteers, post-ERCP acute pancreatitis, and diabetic gastroparesis. Sponsored by academic institutions like the Mayo Clinic and pharmaceutical companies such as Alnylam Pharmaceuticals, these studies encompass completed, active non-recruiting, and terminated recruitment statuses.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT02922413 | TERMINATED | Acute Intermittent Porphyria; Hereditary Coproporphyria; Variegate Porphyria |
The University of Texas Medical Branch, Galveston |
2015-10-30 | PHASE2 |
| NCT01855841 | COMPLETED | Post-ERCP Acute Pancreatitis |
Erasme University Hospital |
2012-04 | PHASE2 |
| NCT03338816 | Completed | Acute Hepatic Porphyria|Acute Intermittent Porphyria|Porphyria Acute Intermittent|Acute Porphyria|Hereditary Coproporphyria (HCP)|Variegate Porphyria (VP)|ALA Dehydratase Deficient Porphyria (ADP) |
Alnylam Pharmaceuticals |
2017-11-16 | Phase 3 |
| NCT02949830 | Completed | Acute Intermittent Porphyria |
Alnylam Pharmaceuticals |
2016-10 | Phase 1|Phase 2 |
| NCT01206582 | COMPLETED | Gastroparesis; Diabetes Mellitus |
Mayo Clinic |
2010-05 | PHASE2 |
| NCT01855841 | Completed | Post-ERCP Acute Pancreatitis |
Erasme University Hospital |
2012-04 | Phase 2 |
| NCT00882804 | COMPLETED | Healthy Volunteers |
Mayo Clinic |
2009-02 | PHASE1 |
(data from https://clinicaltrials.gov, updated on 2026-01-30)
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>).