Clinical Trials

Numerous clinical trials evaluate the therapeutic application of tirbanibulin (KX2-391) across Phase 1 through Phase 4 investigations, primarily targeting actinic keratosis, basal cell carcinoma, and cutaneous warts. Sponsored by both pharmaceutical entities and academic institutions, these studies range in recruitment status from not yet recruiting to active and completed protocols. Together, they reflect the ongoing global assessment of the drug's topical safety and efficacy across diverse dermatological indications.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07010692 RECRUITING
Keratinocyte Carcinoma; Basal Cell Carcinomas; Squamous Cell Carcinoma; Skin Cancer
Bruce Robinson, MD
2025-05-16 PHASE1; PHASE2
NCT07273656 NOT_YET_RECRUITING
Keratosis; Actinic Keratoses
University Hospital, Lille
2026-11-30 PHASE3
NCT06112522 RECRUITING
Cell Carcinoma
Centre Hospitalier Universitaire de Nice
2024-02-16 PHASE2
NCT05387525 ACTIVE_NOT_RECRUITING
Keratosis, Actinic
Almirall, S.A.
2022-10-24 PHASE4
NCT06791525 RECRUITING
Warts Hand
The Skin Center Dermatology Group
2025-05-01 PHASE4
NCT06135415 COMPLETED
Keratosis, Actinic
Almirall, S.A.
2023-12-21 PHASE3
NCT06026358 WITHDRAWN
Actinic Keratoses
Medical University of Graz
2023-10 PHASE4
NCT05713760 COMPLETED
Superficial Basal Cell Carcinoma
Austin Institute for Clinical Research
2023-04-17 PHASE2
NCT05741294 COMPLETED
Actinic Keratosis
Almirall, S.A.
2023-01-20 PHASE4
NCT05900258 COMPLETED
Actinic Keratosis
Medical University of Graz
2023-05-11 PHASE4
NCT05900258 Completed
Actinic Keratosis
Medical University of Graz
2023-05-11 Phase 4
NCT05741294 Completed
Actinic Keratosis
Almirall S.A.
2023-01-17 Phase 4
NCT05279131 COMPLETED
Keratosis, Actinic
Almirall, S.A.
2022-06-28 PHASE3
NCT03575780 Completed
Actinic Keratoses
Athenex Inc.|TKL Research Inc.
2018-09-07 Phase 1
NCT02838628 Completed
Actinic Keratosis
Almirall S.A.|Athenex Inc.
2016-04-11 Phase 2

(data from https://clinicaltrials.gov, updated on 2025-09-17)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Tirbanibulin is a non-ATP competitive peptidomimetic inhibitor that specifically binds to the peptide substrate binding site of Src tyrosine kinase and suppresses microtubule polymerization, thereby blocking downstream oncogenic signaling cascades and disrupting mitotic spindle assembly. This dual inhibition prevents aberrant tumor cell proliferation and promotes cell death, providing the mechanistic rationale for its clinical efficacy in managing hyperproliferative dermatological conditions such as actinic keratosis and basal cell carcinoma.

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.