Multiple Phase 1 and Phase 2 clinical trials, sponsored primarily by Novartis Pharmaceuticals in collaboration with the Innovative Medicines Initiative, have evaluated the efficacy, safety, and pharmacokinetics of icenticaftor. These studies targeted respiratory and metabolic conditions, specifically chronic obstructive pulmonary disease, bronchiectasis, cystic fibrosis, and hepatic impairment. Although several trials evaluating systemic pharmacokinetics and therapeutic efficacy were successfully completed, other studies in bronchiectasis and cystic fibrosis were terminated.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT04396366 | TERMINATED | Bronchiectasis |
Novartis Pharmaceuticals |
2021-02-02 | PHASE2 |
| NCT04587622 | COMPLETED | Hepatic Failure |
Novartis Pharmaceuticals |
2020-10-30 | PHASE1 |
| NCT04268823 | TERMINATED | Chronic Obstructive Pulmonary Disease |
Novartis Pharmaceuticals |
2020-09-10 | PHASE2 |
| NCT04072887 | COMPLETED | Pulmonary Disease, Chronic Obstructive |
Novartis Pharmaceuticals |
2019-09-12 | PHASE2 |
| NCT04396366 | Terminated | Bronchiectasis |
Novartis Pharmaceuticals|Innovative Medicines Initiative|Novartis |
2021-02-02 | Phase 2 |
| NCT04587622 | Completed | Hepatic Failure |
Novartis Pharmaceuticals|Novartis |
2020-10-30 | Phase 1 |
| NCT04268823 | Terminated | Chronic Obstructive Pulmonary Disease |
Novartis Pharmaceuticals|Novartis |
2020-09-10 | Phase 2 |
| NCT02449018 | COMPLETED | Chronic Obstructive Pulmonary Disease, COPD |
Novartis Pharmaceuticals |
2015-04-30 | PHASE2 |
| NCT02190604 | TERMINATED | Cystic Fibrosis |
Novartis Pharmaceuticals |
2012-07-31 | PHASE1; PHASE2 |
| NCT02449018 | Completed | Chronic Obstructive Pulmonary Disease COPD |
Novartis Pharmaceuticals|Novartis |
2015-04-30 | Phase 2 |
| NCT02190604 | Terminated | Cystic Fibrosis |
Novartis Pharmaceuticals|Novartis |
2012-07-31 | Phase 1|Phase 2 |
(data from https://clinicaltrials.gov, updated on 2025-09-26)
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>).