Several clinical trials evaluate ledipasvir-based therapeutic regimens for chronic hepatitis C virus infection, primarily focusing on pediatric cohorts, including patients with concurrent hematologic malignancies. Spanning Phase 1, Phase 2, and non-assigned phases, these studies are sponsored by academic institutions such as Ain Shams University, Cairo University, and Mansoura University Children Hospital, as well as federal sponsors like the National Cancer Institute and National Institutes of Health Clinical Center. Portfolio status includes both completed and withdrawn trials, with completed studies assessing the safety, efficacy, and pharmacokinetics of ledipasvir combined with sofosbuvir.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT03903185 | Completed | Hepatitis C Chronic|Hematologic Malignancy |
Ain Shams University|Cairo University |
2019-03-01 | Phase 1|Phase 2 |
| NCT03639207 | Withdrawn | Hepatitis C Virus |
National Cancer Institute (NCI)|National Institutes of Health Clinical Center (CC) |
2018-06-15 | -- |
| NCT05091008 | Completed | Hepatitis C Chronic |
Mansoura University Children Hospital |
2018-03-01 | Phase 2 |
(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>).