Several clinical trials are currently recruiting participants to evaluate NOTA-conjugated radiopharmaceuticals for diagnostic positron-emission tomography (PET) and non-invasive cancer staging. Sponsored by hospital institutions such as Huashan Hospital and RenJi Hospital, these studies focus on solid tumors, including colorectal, non-small cell lung, bladder, and pancreatic neoplasms. Reflecting standard diagnostic imaging protocols, all of these ongoing evaluations are classified under a Not Applicable phase designation.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT06203587 | Recruiting | Positron-Emission Tomography|Colorectal Neoplasms |
Huashan Hospital |
2023-12-01 | Not Applicable |
| NCT06203574 | Recruiting | Positron-Emission Tomography|Neoplasms |
Huashan Hospital |
2023-12-01 | Not Applicable |
| NCT06203613 | Recruiting | Positron Emission Tomography|Pancreatic Neoplasms|Igestive System Neoplasms |
YiHui Guan|Huashan Hospital |
2023-12-01 | Not Applicable |
| NCT06005116 | Recruiting | Bladder Cancer |
RenJi Hospital |
2023-09-15 | Not Applicable |
| NCT06165874 | Recruiting | Non-small Cell Lung Cancer |
Huashan Hospital |
2023-03-12 | Not Applicable |
(data from https://clinicaltrials.gov, updated on 2024-05-22)
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>).