Clinical Trials

Several Phase I and Phase II clinical trials have evaluated nordihydroguaiaretic acid (NDGA) and its derivative, tetra-O-methyl nordihydroguaiaretic acid, for advanced cancer, brain and central nervous system tumors, cervical intraepithelial neoplasia, and prostate cancer. Sponsored by industry partners such as Erimos Pharmaceuticals alongside academic institutions including the Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins and the University of California, San Francisco, these studies evaluated dosage, safety, and pharmacokinetics. Across these trials, recruitment statuses are documented as either completed or terminated.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT00678015 TERMINATED
Prostate Cancer
University of California, San Francisco
2008-05 PHASE2
NCT00404248 COMPLETED
Brain and Central Nervous System Tumors
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
2007-01 PHASE1; PHASE2
NCT00313534 TERMINATED
Prostate Cancer
University of California, San Francisco
2005-06 PHASE1
NCT00154089 COMPLETED
Cervical Intraepithelial Neoplasia
Erimos Pharmaceuticals
2004-11 PHASE1; PHASE2
NCT00259818 COMPLETED
Cancer
Erimos Pharmaceuticals
2005-12 PHASE1

(data from https://clinicaltrials.gov, updated on 2014-04-09)

Check the Nordihydroguaiaretic acid (NDGA) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Nordihydroguaiaretic acid functions as a lipoxygenase inhibitor and dual IGF-1R/HER2 receptor antagonist, thereby blocking lipid mediator synthesis and downregulating downstream oncogenic phosphorylation cascades. This signaling suppression impairs cellular antioxidant defenses and triggers targeted apoptotic cell death, providing the mechanistic rationale for its clinical evaluation against prostate cancer, central nervous system tumors, and cervical intraepithelial neoplasia.

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.