Clinical Trials

Multiple clinical trials evaluate the therapeutic utility, pharmacokinetics, and drug interactions of metamizole across Phase 2, Phase 3, Phase 4, and unassigned study designs. Sponsored primarily by academic institutions and university medical centers, these investigations focus on conditions including pediatric post-surgical pain, ischemic stroke, internal medicine management in elderly patients, post-tonsillectomy recovery, knee arthroscopy, and myofascial pain syndromes. Recruitment statuses across these studies are predominantly completed, with select trials marked as unknown.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT02660177 Completed
Children|Pain|Surgery
University Children''s Hospital Basel
2016-04 Phase 2
NCT02148939 Completed
Ischemic Stroke
Heinrich-Heine University Duesseldorf
2014-05 --
NCT02712268 Completed
Elderly Internal Medicine Patients
University Hospital Basel Switzerland
2013-09 Not Applicable
NCT00410332 Unknown status
Post-Tonsillectomy
Shaare Zedek Medical Center
2011-03 Phase 3
NCT00799149 Completed
Knee Arthroscopy
Meir Medical Center
2006-06 Phase 4
NCT00635037 Completed
Myofascial Pain Syndromes
Federal University of São Paulo
2004-06 Not Applicable

(data from https://clinicaltrials.gov, updated on 2024-05-22)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Metamizole sodium hydrate acts as a potent inhibitor of cyclooxygenase enzymes, thereby suppressing the biosynthesis of pro-inflammatory prostaglandins from arachidonic acid to attenuate nociceptive signal transduction and central pyrexia. This inhibition of prostaglandin-driven inflammatory and nociceptive cascades provides the mechanistic basis for its analgesic, antipyretic, and spasmolytic effects in managing clinical conditions such as post-surgical pain, ischemic stroke, and myofascial pain syndromes.

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.