Clinical Trials

Multiple clinical trials spanning Phase 1 through Phase 3 have investigated the therapeutic potential of perhexiline maleate across cardiovascular conditions, including hypertrophic cardiomyopathy, chronic and diastolic heart failure, diabetic cardiomyopathy, and myocardial reperfusion injury. Sponsored by academic research institutions and industry partners, these studies evaluate metabolic support, cardiac energetics, and left ventricular remodeling. Registry records indicate recruitment statuses ranging from completed trials to unknown or withdrawn studies.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT04426578 UNKNOWN
Hypertrophic Cardiomyopathy
Flinders University
2020-12-01 PHASE2
NCT02431221 WITHDRAWN
Hypertrophic Cardiomyopathy
Heart Metabolics Limited
PHASE3
NCT02862600 TERMINATED
Cardiomyopathy, Hypertrophic; Cardiomyopathy, Hypertrophic, Familial
Heart Metabolics Limited
2016-08-01 PHASE2
NCT00839228 COMPLETED
Diastolic Heart Failure
University of Aberdeen
2009-03 PHASE2
NCT00989508 UNKNOWN
Myocardial Reperfusion Injury; Cardiac Output, Low; Hypertrophy, Left Ventricular
University Hospital Birmingham
2009-10 PHASE2; PHASE3
NCT00841139 COMPLETED
Chronic Heart Failure
University Hospital Birmingham NHS Foundation Trust
2009-02 PHASE2
NCT00500552 COMPLETED
Hypertrophic Cardiomyopathy
University Hospital Birmingham
2006-12 PHASE2
NCT00845364 COMPLETED
Myocardial Reperfusion Injury; Cardiac Output, Low
University Hospital Birmingham
2007-02 PHASE2; PHASE3
NCT00628056 UNKNOWN
Diabetic Cardiomyopathy
University Hospital Birmingham
2006-10 PHASE1; PHASE2

(data from https://clinicaltrials.gov, updated on 2021-03-11)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Perhexiline maleate functions as a potent inhibitor of carnitine palmitoyltransferase 1 (CPT1) and CPT2, effectively blocking long-chain fatty acid transport into the mitochondria and shifting cellular substrate utilization toward glucose oxidation. By promoting more oxygen-efficient energy production, this metabolic shift improves myocardial energetics and cellular viability, offering therapeutic relevance in clinical conditions such as hypertrophic cardiomyopathy, diastolic heart failure, and myocardial reperfusion injury.

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.