Clinical Trials

Nifurtimox has been evaluated across multiple clinical trials assessing its efficacy, safety, and pharmacokinetics in parasitic infections—primarily Chagas disease and human African trypanosomiasis—as well as pediatric solid tumors like neuroblastoma and medulloblastoma. Spanning Phase 1 through Phase 4, these studies include completed, terminated, and not yet recruiting protocols. Investigations are funded by diverse sponsors, including pharmaceutical companies such as Bayer, non-profit organizations like Drugs for Neglected Diseases, and academic institutions including the University of Vermont and Epicentre.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT03981523 COMPLETED
Trypanosoma Cruzi Infection; Chagas Disease
University of Texas, El Paso
2019-12-18 PHASE2
NCT00601003 COMPLETED
Neuroblastoma; Medulloblastoma
Giselle Sholler
2008-01-14 PHASE2
NCT03334838 COMPLETED
Chagas' Disease
Bayer
2019-06-10 PHASE1
NCT03334838 Completed
Chagas'' Disease
Bayer
2019-06-10 Phase 1
NCT03708133 COMPLETED
Bioequivalence
Bayer
2018-12-05 PHASE1
NCT03350295 COMPLETED
Chagas Disease
Bayer
2018-06-14 PHASE1
NCT02369978 UNKNOWN
Chagas Disease
Universidad Autónoma de Bucaramanga
2015-08 PHASE2; PHASE3
NCT02625974 COMPLETED
Chagas Disease
Bayer
2016-01-27 PHASE3
NCT03350295 Completed
Chagas Disease
Bayer
2018-06-14 Phase 1
NCT01685827 COMPLETED
Human African Trypanosomiasis (HAT); Sleeping Sickness
Drugs for Neglected Diseases
2012-10 PHASE2; PHASE3
NCT02606864 COMPLETED
Chagas Disease
Bayer
2015-12 PHASE1
NCT02625974 Completed
Chagas Disease
Bayer
2016-01-27 Phase 3
NCT02606864 Completed
Chagas Disease
Bayer
2015-12 Phase 1
NCT01927224 COMPLETED
Chagas Disease
Bayer
2013-11 PHASE1
NCT00906880 COMPLETED
Human African Trypanosomiasis
Drugs for Neglected Diseases
2009-04 PHASE4
NCT00146627 COMPLETED
Trypanosomiasis, African
Drugs for Neglected Diseases
PHASE3
NCT00486564 COMPLETED
Neuroblastoma
University of Vermont
2006-11 PHASE1
NCT00330148 TERMINATED
Trypanosomiasis, African
Epicentre
2001-03 PHASE3
NCT00489658 TERMINATED
Trypanosomiasis, African
Epicentre
2002-10 PHASE2; PHASE3

(data from https://clinicaltrials.gov, updated on 2024-07-17)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Nifurtimox undergoes bioreduction catalyzed by intracellular nitroreductase enzymes, generating unstable nitroradical intermediates and reactive oxygen species that cause extensive oxidative breakdown of vital biomolecules. This overwhelming oxidative stress leads to protozoal lysis and malignant cell death, providing the mechanistic rationale for its clinical application in Chagas disease, human African trypanosomiasis, and neuroblastoma.

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.