Clinical Trials

Several clinical trials evaluate esomeprazole magnesium across Phase 1 through Phase 4 studies and observational protocols. These investigations encompass gastrointestinal conditions—including reflux esophagitis and gastroesophageal reflux disease with sleep disturbances—as well as gastric acid suppression, advanced malignancies, and healthy volunteers. Sponsored by pharmaceutical companies and academic medical institutions, recruitment statuses across these studies range from completed and unknown to early termination.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT02477475 Completed
Reflux Esophagitis
AstraZeneca
2015-07-07 --
NCT02277886 Unknown status
Gastroesophageal Reflux Disease|Heartburn|Sleep Disturbance
Chang Gung Memorial Hospital|TTY Biopharm
2014-11 Phase 4
NCT01130935 Completed
Gastric Acid Suppression|Proton Pump Inhibitors
AstraZeneca
2010-05 --
NCT01135472 Completed
Healthy
City of Hope Medical Center
2010-03 Phase 1
NCT00332748 Terminated
Cancer
Bristol-Myers Squibb
2006-12 Phase 1

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

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Esomeprazole magnesium acts as a proton pump inhibitor that selectively binds to and inhibits the H+/K+-ATPase enzyme in gastric parietal cells, thereby blocking the terminal step of gastric acid production. By suppressing hydrogen ion secretion into the gastric lumen, this cellular inhibition reduces overall gastric acidity to provide therapeutic relief in conditions such as reflux esophagitis and gastroesophageal reflux disease.

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.