Clinical Trials

Multiple clinical trials spanning Phase 1 through Phase 4 evaluate lusutrombopag, funded by commercial pharmaceutical sponsors such as Shionogi alongside academic medical centers. These studies target conditions including chronic liver disease with thrombocytopenia, immune thrombocytopenia, aplastic anemia, hematologic disorders following allogeneic stem cell transplantation, and healthy volunteers. Recruitment statuses across these investigations encompass completed, active recruiting, terminated, and unknown states.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07483385 RECRUITING
Patients With Hematologic Disorders After Allogeneic Hematopoietic Stem Cell Transplantation; Hematologic Disorders
The General Hospital of Western Theater Command
2026-01-13
NCT06673498 RECRUITING
Thrombocytopenia
Anhui Provincial Hospital
2024-11-10 PHASE2
NCT06426043 UNKNOWN
Aplastic Anemia
Peking Union Medical College Hospital
2024-06 PHASE4
NCT06287567 COMPLETED
Idiopathic Thrombocytopenic Purpura; Immune Thrombocytopenia
Institute of Hematology & Blood Diseases Hospital, China
2024-04-17 PHASE2
NCT02389621 COMPLETED
Chronic Liver Disease; Thrombocytopenia
Shionogi
2015-06-15 PHASE3
NCT02389621 Completed
Chronic Liver Disease|Thrombocytopenia
Shionogi|Shionogi Inc.
2015-06-15 Phase 3
NCT01129024 TERMINATED
Immune Thrombocytopenia
Shionogi
2010-04-29 PHASE2
NCT01054443 TERMINATED
Immune Thrombocytopenia (ITP)
Shionogi
2010-03-18 PHASE2
NCT01054443 Terminated
Immune Thrombocytopenia (ITP)
Shionogi|Shionogi Inc.
2010-03-18 Phase 2
NCT03897413 Completed
Healthy Volunteer
Shionogi|Shionogi Inc.
2009-11-06 Phase 1

(data from https://clinicaltrials.gov, updated on 2026-03-25)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Lusutrombopag selectively binds to the transmembrane domain of the human thrombopoietin receptor on megakaryocytes, activating downstream signal transduction pathways that drive megakaryocyte proliferation and differentiation. This stimulation elevates endogenous platelet production, thereby mitigating bleeding complications in patients presenting with chronic liver disease-associated thrombocytopenia or immune thrombocytopenia.

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.