Clinical Trials

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)

Check the Icenticaftor (QBW251) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Icenticaftor acts as a selective oral potentiator of the cystic fibrosis transmembrane conductance regulator (CFTR) protein, binding to the channel to enhance gating kinetics and restore transepithelial chloride ion secretion across mucosal membranes. By increasing anion conductance and improving mucosal hydration, this compound promotes mucociliary clearance, mitigating airway dysfunction in clinical conditions such as chronic obstructive pulmonary disease, bronchiectasis, and cystic fibrosis.

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.