Several clinical trials evaluate madecassoside across Phase 1, Phase 2, and non-phased studies for conditions including diabetic foot ulcers, skin anti-aging, post-procedural recovery in actinic keratoses, and sclerotic chronic graft-versus-host disease. Sponsored by diverse entities including Oneness Biotech Co. Ltd., Cosmetique Active International, Merete Haedersdal, and WeiShi, these investigations range from completed pharmacokinetic assessments to actively recruiting trials. Overall, these clinical efforts demonstrate a progression from topical tissue repair toward systemic management of complex inflammatory and fibrotic disorders.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT07606703 | RECRUITING | Chronic Graft-Versus-Host Disease; Graft vs Host Disease |
WeiShi |
2025-09-01 | PHASE2 |
| NCT05937529 | COMPLETED | Actinic Keratoses |
Merete Haedersdal |
2023-09-27 | |
| NCT06059274 | COMPLETED | Anti-aging |
Cosmetique Active International |
2018-03-14 | |
| NCT02353273 | Completed | Diabetic Foot |
Oneness Biotech Co. Ltd. |
2015-07-22 | Phase 1 |
(data from https://clinicaltrials.gov, updated on 2026-05-26)
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>).