Clinical Trials
Multiple clinical trials have evaluated the therapeutic potential of nefazodone hydrochloride across psychiatric and substance use disorders, primarily focusing on cocaine-related conditions, general substance abuse, marijuana dependence, and social anxiety disorder. Ranging from Phase 2 to Phase 4, these completed studies were sponsored by organizations such as Boston Medical Center, Emory University, and the National Institute on Drug Abuse. Overall, these investigations explored the compound's pharmacological impact on substance dependence, relapse intervention, and neuroendocrine responses.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT00249509 | COMPLETED | Marijuana Abuse |
National Institute on Drug Abuse (NIDA) |
2000-09 | PHASE2 |
| NCT00015210 | COMPLETED | Cocaine-Related Disorders; Substance-Related Disorders |
Boston Medical Center |
1997-02 | PHASE2 |
| NCT00231348 | COMPLETED | Social Anxiety Disorder (SAD) |
Emory University |
PHASE4 | |
| NCT00000286 | COMPLETED | Cocaine-Related Disorders |
National Institute on Drug Abuse (NIDA) |
1996-12 | PHASE2 |
| NCT00000293 | COMPLETED | Cocaine-Related Disorders |
National Institute on Drug Abuse (NIDA) |
1999-01 | PHASE3 |
(data from https://clinicaltrials.gov, updated on 2017-01-16)
Compliance for Clinical Use
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>).
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