Multiple clinical trials investigate kynurenic acid and the tryptophan metabolic pathway across diverse indications, including alcohol use disorder, chronic kidney disease, dementia, pediatric migraine, drug-drug interactions, post-surgical neuroinflammation, and hypertrophic scarring. Spanning Early Phase 1, Phase 1, and unclassified designs, these studies encompass completed, active, pending, and unknown recruitment statuses. Research is sponsored by academic medical centers, research foundations, and pharmaceutical companies such as the University of Maryland Baltimore and VistaGen Therapeutics.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT06029296 | Not yet recruiting | Alcohol Use Disorder |
University of Maryland Baltimore |
2024-04 | Early Phase 1 |
| NCT06314503 | Recruiting | Renal Insufficiency Chronic|Kidney Failure Chronic|Chronic Kidney Diseases |
UMC Utrecht|European Commission Horizon 2020|Dutch Kidney Foundation|Health Holland|Nanodialysis Ltd|Università degli studi di Modena e Reggio Emilia (UNIMORE)|Servicio Madrileno De Salud (SERMAS)|PPI Healthcare Consulting Ltd |
2024-01-22 | Not Applicable |
| NCT05488951 | Recruiting | Dementia |
Augusta University |
2022-07-01 | Not Applicable |
| NCT05969990 | Recruiting | Migraine in Children |
Qilu Hospital of Shandong University |
2022-01-01 | -- |
| NCT05280054 | Unknown status | Drug Drug Interaction |
VistaGen Therapeutics Inc.|Parexel |
2021-12-23 | Phase 1 |
| NCT07644065 | COMPLETED | Impacted Third Molar; Postoperative Pain; Neuroinflammation; Anxiety |
Plovdiv Medical University |
2019-09-30 | |
| NCT02340325 | COMPLETED | Cicatrix; Cicatrix, Hypertrophic; Keloid |
British Columbia Professional Firefighters' Burn and Wound Healing Laboratory |
2015-05 | PHASE1 |
(data from https://clinicaltrials.gov, updated on 2024-05-22)
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>).