Numerous clinical trials spanning Early Phase 1 through Phase 4 evaluate the therapeutic application of L-asparaginase as both monotherapy and combination chemotherapy. Key conditions under investigation encompass hematological malignancies and solid tumors, such as acute lymphoblastic leukemia, extranodal NK/T-cell lymphoma, acute myelocytic leukemia, triple-negative breast cancer, and ovarian neoplasms. Sponsored by both academic institutions and industry partners, these studies feature completed, active, and terminated recruitment statuses.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT06099366 | RECRUITING | Lymphoblastic Leukemia in Children |
Hee Young Ju |
2024-03-05 | PHASE2 |
| NCT06336395 | RECRUITING | B Lymphoblastic Leukemia |
National University Hospital, Singapore |
2020-03-04 | PHASE2 |
| NCT03286634 | ACTIVE_NOT_RECRUITING | Down Syndrome; Acute Lymphoblastic Leukemia; Childhood Cancer |
National Hospital Organization Nagoya Medical Center |
2017-04-18 | PHASE2 |
| NCT03150693 | RECRUITING | B Acute Lymphoblastic Leukemia |
Alliance for Clinical Trials in Oncology |
2017-09-20 | PHASE3 |
| NCT04440267 | RECRUITING | Acute Leukemia of Ambiguous Lineage |
Institute of Hematology & Blood Diseases Hospital, China |
2020-07-08 | PHASE2 |
| NCT03156790 | TERMINATED | Acute B-Cell Lymphoblastic Leukaemia |
medac GmbH |
2019-04-26 | PHASE2 |
| NCT03246750 | COMPLETED | Extranodal NK/T-cell Lymphoma |
The Thai Lymphoma Study Group |
2019-01-30 | PHASE1; PHASE2 |
| NCT03599960 | UNKNOWN | Blastic Plasmacytoid Dendritic Cell Neoplasm (BPDCN) |
Centre Hospitalier Universitaire de Besancon |
2019-05-02 | PHASE2 |
| NCT03860844 | TERMINATED | Acute Lymphoblastic Leukemia; Acute Myeloid Leukemia |
Sanofi |
2019-08-06 | PHASE2 |
| NCT03674242 | TERMINATED | Triple Negative Breast Cancer |
ERYtech Pharma |
2019-06-13 | PHASE2; PHASE3 |
| NCT01117441 | COMPLETED | Leukemia |
University Hospital Schleswig-Holstein |
2010-06 | PHASE3 |
| NCT02544425 | UNKNOWN | Extranodal NK-T-Cell Lymphoma |
Samsung Medical Center |
2016-02-21 | PHASE2 |
| NCT03071822 | UNKNOWN | Peripheral T Cell Lymphoma |
The University of Hong Kong |
2017-02-24 | PHASE4 |
| NCT03618238 | COMPLETED | Natural Killer/T-Cell Lymphoma, Nasal and Nasal-Type |
Xinhua Hospital, Shanghai Jiao Tong University School of Medicine |
2018-07-25 | PHASE2 |
| NCT03154918 | UNKNOWN | Lymphoma, Extranodal NK-T-Cell |
Sichuan University |
2017-06-01 | PHASE2 |
| NCT03613428 | UNKNOWN | Acute T Cell Leukemia |
Sichuan University |
2018-12-01 | PHASE1; PHASE2 |
| NCT00549848 | COMPLETED | Acute Lymphoblastic Leukemia |
St. Jude Children's Research Hospital |
2007-10-29 | PHASE3 |
| NCT04230330 | WITHDRAWN | NK/T Cell Lymphoma |
National Cancer Centre, Singapore |
2019-12-12 | PHASE1 |
| NCT03623087 | UNKNOWN | Non-Hodgkin's Lymphoma, Relapsed; Non-Hodgkin T-cell Lymphoma; Natural Killer/T-Cell Lymphoma, Nasal and Nasal-Type |
The University of Hong Kong |
2017-07-01 | PHASE3 |
| NCT02036489 | COMPLETED | Acute Lymphobkastic Leukemia |
PETHEMA Foundation |
2008-01 | PHASE4 |
| NCT02894645 | UNKNOWN | Acute Lymphoblastic Leukemia (ALL) |
National University Hospital, Singapore |
2008-10 | PHASE4 |
| NCT01910428 | TERMINATED | Acute Lymphoblastic Leukemia; Lymphoblastic Lymphoma |
ERYtech Pharma |
2013-10 | PHASE1 |
| NCT01810705 | COMPLETED | Acute Myeloid Leukemia |
ERYtech Pharma |
2013-02 | PHASE2 |
| NCT02195180 | COMPLETED | Pancreatic Adenocarcinoma Metastatic |
ERYtech Pharma |
2014-07 | PHASE2 |
| NCT01878708 | TERMINATED | T-Cell Lymphoma; Relapsed T-Cell Lymphoma; Refractory T-Cell Lymphoma |
Dana-Farber Cancer Institute |
2013-07 | EARLY_PHASE1 |
| NCT02419755 | TERMINATED | Mixed Lineage Acute Leukemia; Acute Myeloid Leukemia; Acute Lymphoid Leukemia |
St. Jude Children's Research Hospital |
2015-04-14 | PHASE2 |
| NCT01193933 | UNKNOWN | Ph-negative Adult Acute Lymphoblastic Leukemia |
National Research Center for Hematology, Russia |
2008-11 | |
| NCT00186875 | COMPLETED | Acute Lymphoblastic Leukemia; Lymphoma, Lymphoblastic |
St. Jude Children's Research Hospital |
2003-11 | PHASE2 |
| NCT00526175 | COMPLETED | Acute Lymphoblastic Leukemia |
PETHEMA Foundation |
2001-06 | PHASE4 |
| NCT00905034 | COMPLETED | Leukemia, Lymphocytic, Acute |
M.D. Anderson Cancer Center |
2009-03 | PHASE2 |
| NCT01953770 | UNKNOWN | Childhood Acute Lymphoblastic Leukemia |
Federal Research Institute of Pediatric Hematology, Oncology and Immunology |
2008-02 | |
| NCT01238159 | COMPLETED | Extranodal NK-T-Cell Lymphoma, Nasal and Nasal-Type |
Samsung Medical Center |
2010-08 | PHASE2 |
| NCT01990807 | UNKNOWN | Childhood Acute Lymphoblastic Leukemia; Philadelphia Chromosome, Ph^1^, Absent; B-cell Childhood Acute Lymphoblastic Leukemia |
Chinese Academy of Medical Sciences |
2012-10 | PHASE4 |
| NCT00526409 | COMPLETED | Acute Lymphoblastic Leukemia |
PETHEMA Foundation |
2005-06 | PHASE4 |
| NCT01518517 | COMPLETED | Acute Lymphoblastic Leukemia, in Relapse |
ERYtech Pharma |
2009-12 | PHASE2; PHASE3 |
| NCT00873093 | COMPLETED | B-cell Adult Acute Lymphoblastic Leukemia; B-cell Childhood Acute Lymphoblastic Leukemia; Recurrent Adult Acute Lymphoblastic Leukemia; Recurrent Adult Lymphoblastic Lymphoma; Recurrent Childhood Acute Lymphoblastic Leukemia; Recurrent Childhood Lymphoblastic Lymphoma; T-cell Adult Acute Lymphoblastic Leukemia; T-cell Childhood Acute Lymphoblastic Leukemia |
National Cancer Institute (NCI) |
2009-03 | PHASE2 |
| NCT00195871 | UNKNOWN | Lymphoblastic Lymphoma |
Centre Henri Becquerel |
2004-02 | PHASE2 |
| NCT01358253 | COMPLETED | Acute Lymphoblastic Leukemia |
Ruijin Hospital |
2010-12 | PHASE4 |
| NCT00262925 | TERMINATED | Recurrent Adult Acute Lymphoblastic Leukemia |
National Cancer Institute (NCI) |
2006-06 | PHASE2 |
| NCT00933673 | UNKNOWN | Lymphoma |
Fudan University |
2009-06 | PHASE2 |
| NCT00283985 | COMPLETED | Lymphoma, Non-Hodgkin |
University Hospital, Limoges |
2006-02 | PHASE2 |
| NCT00506597 | COMPLETED | Leukemia |
M.D. Anderson Cancer Center |
2007-05 | |
| NCT00854425 | COMPLETED | Lymphoma |
Fudan University |
2008-06 | PHASE2 |
| NCT01313078 | COMPLETED | Ovarian Neoplasms; Fallopian Tube Neoplasms; Primary Peritoneal Neoplasms |
National Cancer Institute (NCI) |
2010-01 | PHASE2 |
| NCT00131053 | UNKNOWN | Lymphoblastic Leukemia, Acute |
Japan Adult Leukemia Study Group |
2002-09 | PHASE2 |
| NCT00098839 | COMPLETED | Recurrent Childhood Acute Lymphoblastic Leukemia |
Children's Oncology Group |
2005-02 | PHASE1; PHASE2 |
| NCT00131027 | UNKNOWN | Lymphoblastic Leukemia, Acute |
Japan Adult Leukemia Study Group |
2002-09 | PHASE3 |
| NCT01523808 | COMPLETED | Pancreatic Cancer |
ERYtech Pharma |
2009-11 | PHASE1 |
| NCT00671034 | COMPLETED | Acute Lymphoblastic Leukemia; Adult B Acute Lymphoblastic Leukemia; Childhood B Acute Lymphoblastic Leukemia |
Children's Oncology Group |
2008-07-21 | PHASE3 |
| NCT01523782 | COMPLETED | Acute Lymphoblastic Leukemia |
ERYtech Pharma |
2009-04 | PHASE2 |
| NCT00137111 | COMPLETED | Lymphoblastic Leukemia, Acute |
St. Jude Children's Research Hospital |
2000-07-08 | PHASE3 |
| NCT00610883 | COMPLETED | Non-Hodgkin's Lymphoma |
Memorial Sloan Kettering Cancer Center |
1990-05 | PHASE2 |
| NCT00136435 | COMPLETED | Acute Lymphoblastic Leukemia |
Dana-Farber Cancer Institute |
2002-06 | PHASE2 |
| NCT00176462 | COMPLETED | Acute Lymphocytic Leukemia |
Rutgers, The State University of New Jersey |
2001-02 | PHASE2 |
| NCT00723346 | COMPLETED | Acute Lymphoblastic Leukemia |
ERYtech Pharma |
2006-01 | PHASE1; PHASE2 |
| NCT00136084 | COMPLETED | Leukemia, Myelocytic, Acute |
St. Jude Children's Research Hospital |
2002-08 | PHASE3 |
| NCT00003728 | UNKNOWN | Leukemia; Lymphoma |
European Organisation for Research and Treatment of Cancer - EORTC |
1998-12 | PHASE3 |
| NCT00161239 | TERMINATED | T-Cell Lymphoma |
University of Medicine and Dentistry of New Jersey |
2005-02 | |
| NCT00187057 | COMPLETED | Ataxia-Telangiectasia |
St. Jude Children's Research Hospital |
2002-09 | |
| NCT01225874 | COMPLETED | Leukemia |
Children's Oncology Group |
1999-12 | |
| NCT00526305 | COMPLETED | Acute Lymphoblastic Leukemia |
PETHEMA Foundation |
2000-01 | PHASE4 |
| NCT00187122 | COMPLETED | Lymphoblastic Lymphoma |
St. Jude Children's Research Hospital |
1993-03 | |
| NCT00187083 | COMPLETED | Acute Lymphoblastic Leukemia |
St. Jude Children's Research Hospital |
1997-02 | PHASE3 |
| NCT00187005 | TERMINATED | Acute Lymphoblastic Leukemia |
St. Jude Children's Research Hospital |
1998-07 | PHASE3 |
| NCT00002665 | COMPLETED | Leukemia; Neutropenia; Thrombocytopenia |
SWOG Cancer Research Network |
1995-07 | PHASE2 |
(data from https://clinicaltrials.gov, updated on 2026-07-29)
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>).