Clinical Trials

Numerous clinical trials evaluate the therapeutic efficacy, safety, and pharmacokinetics of Istradefylline across Phase 1 through Phase 4 studies. Primarily focusing on Parkinson's disease, idiopathic Parkinson's disease, and motor tremor, research also investigates indications such as cognitive impairment, drug abuse, hepatic impairment, and spinal cord injuries. Sponsored by pharmaceutical developers like Kyowa Kirin and academic institutions including Georgetown University and the University of Chicago, these protocols span various recruitment statuses from completed and active to terminated and not yet recruiting.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07704385 NOT_YET_RECRUITING
Adults
University of Florida
2026-10-01 PHASE1; PHASE2
NCT05217498 NOT_YET_RECRUITING
Spinal Cord Injuries; Myelopathy
Randy Trumbower, PT, PhD
2027-09-01 PHASE1; PHASE2
NCT05377424 ACTIVE_NOT_RECRUITING
ALS
University of Florida
2022-06-21 PHASE1; PHASE2
NCT05333549 COMPLETED
Parkinson Disease; Cognitive Impairment
Virginia Commonwealth University
2022-07-18 PHASE2
NCT05885360 COMPLETED
Parkinson Disease; Tremor
Georgetown University
2023-01-20 PHASE4
NCT05885360 Active not recruiting
Parkinson Disease|Tremor
Georgetown University|Kyowa Kirin Inc.
2023-01-20 Phase 4
NCT02610231 COMPLETED
Idiopathic Parkinson's Disease
Kyowa Kirin Co., Ltd.
2015-12 PHASE3
NCT01968031 COMPLETED
Idiopathic Parkinson's Disease
Kyowa Kirin Co., Ltd.
2013-10 PHASE3
NCT02609477 COMPLETED
Drug Abuse
Kyowa Kirin Co., Ltd.
2016-01 PHASE1
NCT02610231 Completed
Idiopathic Parkinson''s Disease
Kyowa Kirin Co. Ltd.|Kyowa Hakko Kirin Pharma Inc.
2015-12 Phase 3
NCT02256033 COMPLETED
Hepatic Impairment
Kyowa Kirin Co., Ltd.
2014-08 PHASE1
NCT02256033 Completed
Hepatic Impairment
Kyowa Kirin Co. Ltd.|Kyowa Hakko Kirin Pharma Inc.
2014-08 Phase 1
NCT02174250 COMPLETED
Parkinson's Disease
Kyowa Kirin Co., Ltd.
2014-06 PHASE1
NCT00957203 COMPLETED
Parkinson's Disease
Kyowa Kirin Co., Ltd.
2009-10 PHASE3
NCT00955526 COMPLETED
Parkinson's Disease
Kyowa Kirin Co., Ltd.
2009-07 PHASE3
NCT00199381 TERMINATED
Parkinson's Disease
Kyowa Kirin, Inc.
2005-10 PHASE3
NCT00455507 COMPLETED
Parkinson's Disease
Kyowa Kirin Co., Ltd.
2007-03 PHASE2
NCT00455507 Completed
Parkinson''s Disease
Kyowa Kirin Co. Ltd.
2007-03 Phase 2
NCT00199368 COMPLETED
Parkinson's Disease
Kyowa Kirin, Inc.
2004-10 PHASE3
NCT00203957 COMPLETED
Parkinson's Disease
University of Chicago
2005-03 PHASE3
NCT00250393 COMPLETED
Parkinson's Disease
Kyowa Kirin Co., Ltd.
2005-11 PHASE2
NCT00199446 COMPLETED
Sleep Disorder; Restless Legs Syndrome
Kyowa Kirin, Inc.
2005-07 PHASE2
NCT00199433 COMPLETED
Parkinson's Disease; Movement Disorder Syndrome
Kyowa Kirin, Inc.
2005-05 PHASE2
NCT00199355 COMPLETED
Parkinson's Disease
Kyowa Kirin Co., Ltd.
2005-04 PHASE2
NCT00199407 COMPLETED
Parkinson's Disease
Kyowa Kirin, Inc.
2004-06 PHASE3
NCT00199420 COMPLETED
Parkinson's Disease
Kyowa Kirin, Inc.
2004-07 PHASE3
NCT00199394 COMPLETED
Parkinson's Disease
Kyowa Kirin Co., Ltd.
2004-11 PHASE3
NCT00456794 COMPLETED
Parkinson's Disease
Kyowa Kirin, Inc.
2002-03 PHASE2
NCT00955045 COMPLETED
Parkinson's Disease
Kyowa Kirin, Inc.
2002-08 PHASE2; PHASE3
NCT00456586 COMPLETED
Parkinson's Disease
Kyowa Kirin, Inc.
2002-04 PHASE2

(data from https://clinicaltrials.gov, updated on 2026-07-15)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Istradefylline acts as a selective adenosine A2A receptor (A2AR) antagonist with a Ki of 2.2 nM, inhibiting downstream A2AR-mediated signaling and modulating indirect pathway striatal neuronal activity. By reestablishing striatal neurotransmission, this blockade restores motor function and alleviates tremor in patients with Parkinson's disease.

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.