Clinical Trials

Numerous clinical trials spanning Early Phase 1 through Phase 4 evaluate Methylene Blue across diverse therapeutic areas, including infectious and inflammatory diseases (such as malaria, periodontitis, healthcare-associated infections, and COVID-19), dermatological conditions like lichen amyloidosis, and functional brain activity mapping. Sponsored by academic institutions, healthcare systems, and corporate entities, these investigations encompass various operational statuses, ranging from actively recruiting and completed protocols to terminated studies and trials enrolling by invitation.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07179003 NOT_YET_RECRUITING
Breast Abscess
University of Rochester
2027-07 PHASE2
NCT06052956 NOT_YET_RECRUITING
Abscess
University of Rochester
2026-07-15 PHASE2
NCT07169487 RECRUITING
Cytokine Release Syndrome; ICANS
Institute of Hematology & Blood Diseases Hospital, China
2025-06-28 PHASE1
NCT07494773 NOT_YET_RECRUITING
Burns; Wound Infection
University of Oklahoma
2026-06 EARLY_PHASE1
NCT07749794 NOT_YET_RECRUITING
Prostatic Hyperplasia; Lower Urinary Tract Symptoms
Benha University
2026-08-15
NCT07736339 NOT_YET_RECRUITING
Chromogenic Extrinsic Tooth Stains
Cairo University
2026-09-01
NCT06887036 RECRUITING
Chronic HBV Infection
Fondazione Epatocentro Ticino
2025-09-01 PHASE2
NCT07532096 NOT_YET_RECRUITING
Breast Cancer
Xijing Hospital
2026-04-25
NCT05830630 RECRUITING
Perineural; Methylene Blue; Lower Limb Amputation
Tanta University
2023-05-01
NCT07324954 RECRUITING
Total Knee Arthroplasty; Prosthetic-joint Infection; Irrigation
University of Miami
2026-02-04 PHASE1
NCT07463859 RECRUITING
Type 2 Diabetes; Halitosis; Periodontitis
University of Sao Paulo
2026-04-02
NCT07435415 ACTIVE_NOT_RECRUITING
Head and Neck Cancer; Local Recurrent Tumor
China Medical University Hospital
2025-08-01 EARLY_PHASE1
NCT07264543 RECRUITING
Septic Shock; Hypoperfusion
Centro de Estudos e Pesquisa em Emergencias Medicas e Terapia Intensiva
2026-01-09 PHASE2; PHASE3
NCT07164807 NOT_YET_RECRUITING
Mixed Hemorrhoids; Milligan-Morgan Hemorrhoidectomy; Methylene Blue
The Affiliated Hospital of Putian University
2025-08-30 PHASE4
NCT07012343 ACTIVE_NOT_RECRUITING
Onychomycosis of Toenails; Onychomycosis of Fingernail
Chulalongkorn University
2025-01-13
NCT06481410 UNKNOWN
Septic Shock; Methylene Blue; Sepsis
First Affiliated Hospital of Zhejiang University
2024-06-22
NCT07040657 RECRUITING
Endometrial Neoplasms; Endometrial Cancer Stage I; Sentinel Lymph Node; Metastasis
Dokuz Eylul University
2025-05-01
NCT06306001 NOT_YET_RECRUITING
Neonatal Sepsis; Shock, Septic
Post Graduate Institute of Medical Education and Research, Chandigarh
2024-03-15 PHASE2; PHASE3
NCT06900140 COMPLETED
Septic Shock
Dr. Shannon M. Fernando
2025-06-02 PHASE3
NCT06426550 COMPLETED
Periodontitis; Periodontitis, Adult
Universidade Federal Fluminense
2024-05-06
NCT07311057 ENROLLING_BY_INVITATION
SCC - Squamous Cell Carcinoma; SCC - Squamous Cell Carcinoma of Skin; Inoperable Disease
Daryoush Hamidi Alamdari, PhD
2025-12-20 PHASE3
NCT07311070 ENROLLING_BY_INVITATION
Advanced Basal Cell Carcinoma (BCC); Inoperable Disease; Morpheaform Basal Cell Carcinoma; Noduloulcerative Basal Cell Carcinoma; Infiltrative Basal Cell Carcinoma
Daryoush Hamidi Alamdari, PhD
2025-10-21 PHASE3
NCT07395388 COMPLETED
Benign Multinodular Goiter; Thyroidectomy; Recurrent Laryngeal Nerve Injury; Hypoparathyroidism
Services Hospital, Lahore
2022-01-10
NCT05092165 COMPLETED
Acute Kidney Injury; Shock; Intradialytic Hypotension; Intradialytic Hypertension in Hemodialysis Patients
Federal University of São Paulo
2021-10-21 PHASE2
NCT06532240 COMPLETED
Septic Shock
Northern Jiangsu People's Hospital
2024-08-05 PHASE3
NCT06660680 ENROLLING_BY_INVITATION
Mixed Hemorrhoids
The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine
2024-10-25 PHASE3
NCT06834087 ENROLLING_BY_INVITATION
Physiological Gingival Pigmentation
Roaa Hadi Hussein Jasem
2025-03-15
NCT01847612 COMPLETED
Liver Disease
Centre Hospitalier Universitaire, Amiens
2013-07-08 PHASE3
NCT06801938 RECRUITING
Incontinence Stress
Gaziosmanpasa Research and Education Hospital
2025-01-01
NCT06413836 UNKNOWN
Periodontitis; Fistula
University of Nove de Julho
2024-05-01
NCT07067814 COMPLETED
Time Taken for Identification of Single Recurrent Laryngeal Nerve; Intra-operative Blood Loss
Ain Shams University
2023-06-01 PHASE2; PHASE3
NCT05878405 COMPLETED
Hematopoietic and Lymphoid System Neoplasm; Malignant Solid Neoplasm; Stomatitis
Mayo Clinic
2023-06-06 PHASE3
NCT06133699 UNKNOWN
Testicular Germ Cell Tumor
N.N. Petrov National Medical Research Center of Oncology
2023-11-08
NCT06469294 COMPLETED
Diabetes Mellitus, Type 2; Periodontitis, Adult; Periodontitis
Universidade Federal Fluminense
2024-05-30
NCT04089072 UNKNOWN
Septic Shock
Carilion Clinic
2019-12-01 PHASE2
NCT06520306 UNKNOWN
Femoral Neck Disease
Wang wanxia
2024-03-15
NCT04354012 COMPLETED
Hidradenitis Suppurativa (HS)
Wake Forest University Health Sciences
2021-02-04 PHASE2
NCT07129135 COMPLETED
Placenta Accreta Spectrum; Abnormal Placentation; Cesarean Hysterectomy; Urinary Tract Injury; Bladder Injury
Usama Ahmed Elsaeed Salem, MD
2023-01-22
NCT05990569 UNKNOWN
Hemorrhoids; Anal Fissure and Fistula; Perianal Abscess; Perianal Fistula; Pilonidal Sinus; Perianal Skin Tags
Nepal Mediciti Hospital
2023-08-12
NCT06005558 COMPLETED
Septic Shock
National Cancer Institute, Egypt
2023-08-01 PHASE2; PHASE3
NCT03576105 COMPLETED
Pericoronitis
University of Nove de Julho
2019-12-01
NCT06284941 COMPLETED
Femoral Neck Disease
Wang wanxia
2023-06-20
NCT05401370 UNKNOWN
Parotid Tumor
Assiut University
2022-06
NCT02240498 COMPLETED
Abscess
University of Rochester
2014-09 PHASE1
NCT07212842 COMPLETED
Cardiopulmonary Bypass Surgery; Aortic Valve Surgery; Mitral Valve Surgery; Myocardial Revascularization Surgery With Extracorporeal Circulation
University of Sao Paulo
2021-04-12 PHASE2
NCT05850611 UNKNOWN
Diabetic Foot Ulcers; Diabetic Wound
Mashhad University of Medical Sciences
2023-04-30 EARLY_PHASE1
NCT05111808 UNKNOWN
Fluorescence Guided Surgery
University College, London
2020-06-22
NCT04970602 UNKNOWN
Septic Shock
Xiangya Hospital of Central South University
2021-06-20
NCT05367869 UNKNOWN
Impact of Intraoperative Spraying Methylene Blue In Thyroidectomy
Qena Oncology Center
2022-06-01
NCT03068208 COMPLETED
Lichen Amyloidosis
Chulalongkorn University
2022-05-01
NCT04529265 COMPLETED
Postoperative Delirium
Fudan University
2021-05-01
NCT04054999 COMPLETED
Vasoplegic Syndrome; Liver Transplant; Complications
Mayo Clinic
2019-11-30 PHASE4
NCT05797818 COMPLETED
Healthcare Associated Infection; Nosocomial Infection; Surgical Site Infection
Ondine Biomedical Inc.
2023-01-10 PHASE1; PHASE2
NCT04187053 COMPLETED
DENT IMPLANTS; LASER
The University of Texas Health Science Center, Houston
2020-02-14 PHASE4
NCT05812521 COMPLETED
Post Operative Pain; Thoracic Cancer
University of Campania Luigi Vanvitelli
2020-01-15
NCT05162417 COMPLETED
Periodontal Diseases; Periodontal Pocket
University of Sulaimani
2021-11-15
NCT05547685 UNKNOWN
Neurologic Findings
National Taiwan University Hospital
2020-04-10
NCT05090657 COMPLETED
Surgical Site Infections; Nosocomial Infection; Healthcare Associated Infections
Ondine Biomedical Inc.
2022-02-04 PHASE2
NCT03049345 UNKNOWN
Gastric Cancer; Sentinel Lymph Node; Early Gastric Cancer
McGill University Health Centre/Research Institute of the McGill University Health Centre
2016-07-01
NCT04620785 UNKNOWN
Verruca Vulgaris
Alexandria University
2020-01-01
NCT05232357 UNKNOWN
Gastrointestinal Neoplasms; Abnormality of Enteric Nervous System Morphology
Affiliated Hospital to Academy of Military Medical Sciences
2022-03-01 EARLY_PHASE1
NCT02380573 COMPLETED
Mild Cognitive Impairment; MCI; Aging; Alzheimer's Disease; AD
The University of Texas Health Science Center at San Antonio
2015-07 PHASE2
NCT03469284 COMPLETED
Malignant Neoplasm; Oral Pain; Stomatitis
M.D. Anderson Cancer Center
2019-02-28 PHASE2
NCT05004805 COMPLETED
Covid19
Irkutsk Scientific Center of the Siberian Branch of the Russian Academy of Sciences
2021-08-06 PHASE2
NCT06553144 COMPLETED
Apical Periodontitis
University of Gaziantep
2021-02-01
NCT05003492 UNKNOWN
COVID-19
Amr kamel khalil Ahmed
2021-09 PHASE1; PHASE2
NCT04635605 COMPLETED
SARS-CoV2
Fondazione Epatocentro Ticino
2020-11-05 PHASE2
NCT04842968 COMPLETED
Lymph Node Metastases; Colorectal Cancer
St. Borbala Hospital
2021-04-15
NCT04615936 COMPLETED
COVID-19; Corona Virus Infection; SARS-CoV 2
Sunnybrook Health Sciences Centre
2020-10-13
NCT05113628 COMPLETED
Methylene Blue; Recurrent Laryngeal Nerve Injuries; Parathyroid Gland
Zagazig University
2020-01-15
NCT04621123 COMPLETED
SARS-CoV-2 Infection; Safety and Efficacy
Fundación FLS de Lucha Contra el Sida, las Enfermedades Infecciosas y la Promoción de la Salud y la Ciencia
2020-11-10 PHASE2
NCT04547127 COMPLETED
COVID-19
Instituto Grifols, S.A.
2020-04-29 PHASE2
NCT04109859 UNKNOWN
Jaundice
Jiaolin Ning,MD
2019-04-01 PHASE1
NCT04446871 COMPLETED
Septic Shock
Hospital Civil de Guadalajara
2017-03-17 PHASE2; PHASE3
NCT04619290 UNKNOWN
Sars Cov 2
Hospital Reg. Lic. Adolfo Lopez Mateos
2020-10-12 PHASE1
NCT04370288 UNKNOWN
Covid-19
Mashhad University of Medical Sciences
2020-04-19 PHASE1
NCT04295993 UNKNOWN
Septic Shock
Cairo University
2020-03-10 PHASE3
NCT03395223 COMPLETED
Acquired Methaemoglobinaemia
Provepharm SAS
2018-07-06 PHASE4
NCT04376788 UNKNOWN
COVID-19
Ain Shams University
2020-05-20 PHASE2
NCT04933864 COMPLETED
SARS-CoV-2
I.M. Sechenov First Moscow State Medical University
2020-04-24 PHASE1
NCT03446599 WITHDRAWN
Vasoplegia; Hypotension; Coronary Artery Disease; Cardiac Valve Disease
Dartmouth-Hitchcock Medical Center
2019-11 PHASE2
NCT04341844 COMPLETED
Postoperative Delirium; Postoperative Cognitive Dysfunction
Fudan University
2019-01-14
NCT03222544 UNKNOWN
Diabetic Extremity Lower Ulcers
Chongqing Medical University
2019-04-29
NCT04110418 UNKNOWN
Neonatal Sepsis; Refractory Shock
Ain Shams University
2019-02-19 PHASE2
NCT05122117 COMPLETED
Rheumatoid Arthritis; Chronic Periodontitis
Zohaib Akram
2019-03-04
NCT03316677 UNKNOWN
ColoRectal Cancer; Colonic Diverticulitis; Anastomotic Leak; Anastomotic Complication; Anastomosis
Meir Medical Center
2017-11-01
NCT03579979 COMPLETED
Sentinel Lymph Node; Breast Cancer
Chinese Academy of Sciences
2017-08-24
NCT03098342 COMPLETED
Onychomycosis of Toenail
Chulalongkorn University
2017-06-01
NCT03038503 UNKNOWN
Septic Shock; Refractory Shock
Ramathibodi Hospital
2016-12 PHASE3
NCT03406676 UNKNOWN
Obstructive Jaundice
Southwest Hospital, China
2017-08-01
NCT03200808 COMPLETED
Nonneoplastic Epithelial Disorders of Vulva
Maternal and Child Health Hospital of Hubei Province
2013-10-01 PHASE1
NCT03252210 UNKNOWN
Thoracic Surgery, Video-Assisted
Guangdong Provincial People's Hospital
2017-08-16
NCT04056923 COMPLETED
Pulmonary Nodule, Solitary; Lung Cancer
Wen-zhao ZHONG
2018-01-01
NCT03386201 UNKNOWN
Bile Duct Injury
University of Oxford
2018-01-01
NCT03120637 COMPLETED
Septic Shock; Vasoplegia; Cirrhosis, Liver; Refractory Shock
Institute of Liver and Biliary Sciences, India
2017-01-01 PHASE4
NCT03178747 UNKNOWN
Herpes Simplex; Herpes Zoster; Varicella Zoster
Chulalongkorn University
2017-03-07 PHASE3
NCT02696928 WITHDRAWN
Vivax Malaria
Heidelberg University
2016-04 PHASE2
NCT03262077 COMPLETED
Chronic Periodontitis
University of Nove de Julho
2016-10-11
NCT03177070 COMPLETED
Ureteric Injury; Surgery; Surgery--Complications
University of Oxford
2016-05-09 PHASE2
NCT02910765 UNKNOWN
Sepsis
Assiut University
2016-10 PHASE4
NCT02831023 COMPLETED
Malaria
University of California, San Francisco
2016-07 PHASE2
NCT02982148 UNKNOWN
Breast Cancer Female; Early-Stage Breast Cancer; Sentinel Lymph Node
Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
2015-05 PHASE4
NCT02851108 COMPLETED
Malaria, Falciparum
Heidelberg University
2016-10 PHASE2
NCT02938988 COMPLETED
Periodontal Diseases
University of Sao Paulo
2013-10
NCT01694966 COMPLETED
Colorectal Cancer
Cosmo Technologies Ltd
2013-09 PHASE3
NCT05085509 COMPLETED
Foreign Bodies; Ultrasound
Yuxi Su
2016-05-01
NCT01836094 COMPLETED
Brain Activity
The University of Texas Health Science Center at San Antonio
2013-08 EARLY_PHASE1
NCT02057393 COMPLETED
Melanoma; Sentinel Node
Milton S. Hershey Medical Center
2014-06
NCT01797978 UNKNOWN
Severe Sepsis; Septic Shock
Seoul National University Hospital
2013-02 PHASE3
NCT02555488 UNKNOWN
Periradicular Disease
Shahid Beheshti University
2015-01 PHASE2
NCT02084784 COMPLETED
Sentinel Lymph Node; Breast Cancer
Chinese Academy of Sciences
2014-01
NCT02368067 UNKNOWN
Endometrial Carcinoma
Southeastern Regional Medical Center
2014-06
NCT02969005 COMPLETED
Bone Diseases
Children's Hospital of Chongqing Medical University
2010-01
NCT02295774 COMPLETED
Colorectal Cancer
Cosmo Technologies Ltd
2013-02 PHASE2
NCT01668433 COMPLETED
G6PD Normal; G6PD Deficient; Healthy
University of Oxford
2013-07 PHASE1
NCT00159510 TERMINATED
Sepsis
Northern State Medical University
2004-04 PHASE1
NCT01725477 COMPLETED
Methylene Blue; Laparoscopy; Tubal Patency
Pourmatroud, Elham, M.D.
2012-09
NCT01823172 COMPLETED
Breast Cancer; Melanoma
Mayo Clinic
2013-04
NCT01981460 COMPLETED
Light; Therapy, Complications
Massachusetts General Hospital
2013-05
NCT01539135 COMPLETED
Respiratory Aspiration
Medtronic - MITG
2012-04
NCT01188694 COMPLETED
Chronic Posttraumatic Stress Disorder
University of Washington
2009-09 PHASE2
NCT00070317 TERMINATED
Cervical Adenocarcinoma; Cervical Adenosquamous Carcinoma; Cervical Squamous Cell Carcinoma; Stage I Cervical Cancer
Gynecologic Oncology Group
2004-06
NCT01386879 TERMINATED
Secretion Removal Above ETT Cuff
Thomas Jefferson University
2011-07 PHASE4
NCT02478281 COMPLETED
Methemoglobinemia; Congenital Methemoglobinemia
American Regent, Inc.
2012-10 PHASE1
NCT01520324 COMPLETED
Ulcerative Colitis
Cosmo Technologies Ltd
2012-01 PHASE2
NCT02303886 COMPLETED
Neuropathic Pain
Uppsala University
2009-03
NCT01513382 COMPLETED
Pilonidal Sinus
Bezmialem Vakif University
2012-01
NCT03287219 COMPLETED
Colon Staining in Preparation for Colonoscopy
Cosmo Technologies Ltd
2011-05-02 PHASE2
NCT01276054 TERMINATED
Lymphedema; Recurrent Breast Cancer; Stage IA Breast Cancer; Stage IB Breast Cancer; Stage II Breast Cancer
University of Southern California
2010-12 PHASE2
NCT01407887 COMPLETED
Uncomplicated Falciparum Malaria
Heidelberg University
2011-08 PHASE2
NCT00784849 COMPLETED
Breast Cancer
Louisiana State University Health Sciences Center in New Orleans
2004-11 PHASE2
NCT00235183 COMPLETED
Bleeding in Liver Transplantation
Etablissement Français du Sang
2005-06 PHASE4
NCT01073124 COMPLETED
Traumatic Knee Arthrotomy
United States Naval Medical Center, San Diego
2008-05
NCT00314405 COMPLETED
Infiltrative Breast Cancer
University Hospital, Strasbourg, France
2006-04
NCT00917202 COMPLETED
Malaria
Heidelberg University
PHASE2
NCT00486174 WITHDRAWN
Sepsis
Queen's University
2007-06
NCT00354380 COMPLETED
Malaria
Heidelberg University
2006-09 PHASE2
NCT00214877 COMPLETED
Bipolar Disorder
Nova Scotia Health Authority
2003-11 PHASE3
NCT00545935 COMPLETED
Malaria
Heidelberg University
2007-07 PHASE2

(data from https://clinicaltrials.gov, updated on 2026-08-19)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Methylene Blue directly inhibits tau filament aggregation with an IC50 of 1.9 μM and blocks soluble guanylyl cyclase activity, thereby preventing pathologic protein accumulation and attenuating cyclic GMP-mediated downstream signaling pathways. This dual inhibition reduces cellular oxidative stress and neurotoxic protein propagation, providing a mechanistic rationale for its clinical evaluation in neurological conditions, functional brain activity studies, and antimicrobial photodynamic therapies.

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.