Multiple clinical trials have evaluated pinometostat (EPZ5676) in adult and pediatric patients with hematologic malignancies, including acute myeloid leukemia, acute lymphoblastic leukemia, myelodysplastic syndrome, and MLL-rearranged acute leukemias. These early-stage Phase 1 and Phase 1/2 studies investigated pinometostat as both monotherapy and combination therapy with agents such as azacitidine or induction chemotherapy. Sponsored by organizations including Epizyme, Celgene, Ipsen, and the National Cancer Institute, these trials have recruitment statuses listed as completed or terminated.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT03724084 | TERMINATED | Acute Myeloid Leukemia |
National Cancer Institute (NCI) |
2019-04-10 | PHASE1; PHASE2 |
| NCT03701295 | COMPLETED | Acute Myeloid Leukemia With t(9;11)(p21.3;q23.3); MLLT3-MLL; Leukemia Cutis; Recurrent Acute Myeloid Leukemia; Refractory Acute Myeloid Leukemia |
National Cancer Institute (NCI) |
2020-03-06 | PHASE1; PHASE2 |
| NCT02141828 | COMPLETED | Leukemia; Acute Myeloid Leukemia; Acute Lymphocytic Leukemia; Acute Leukemias |
Epizyme, Inc. |
2014-05 | PHASE1 |
| NCT01684150 | COMPLETED | Acute Myeloid Leukemia; Acute Lymphoblastic Leukemia; Myelodysplastic Syndrome; Myeloproliferative Disorders |
Epizyme, Inc. |
2012-09 | PHASE1 |
| NCT02141828 | Completed | Leukemia|Acute Myeloid Leukemia|Acute Lymphocytic Leukemia|Acute Leukemias |
Epizyme Inc.|Celgene Corporation|Ipsen |
2014-05 | Phase 1 |
| NCT01684150 | Completed | Acute Myeloid Leukemia|Acute Lymphoblastic Leukemia|Myelodysplastic Syndrome|Myeloproliferative Disorders |
Epizyme Inc.|Celgene|Ipsen |
2012-09 | Phase 1 |
(data from https://clinicaltrials.gov, updated on 2025-06-18)
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>).
- Pinometostat (EPZ5676) Mechanism of Action: DOT1L Inhibition in Leukemic Blasts Research
- Pinometostat (EPZ5676) Working Concentration | Cell Culture | Treatment
- Pinometostat (EPZ5676) Solubility in DMSO
- Pinometostat (EPZ5676) Stock Solution
- Pinometostat (EPZ5676) Storage
- Pinometostat (EPZ5676) Stability
- Pinometostat (EPZ5676) Combination Database
- Pinometostat (EPZ5676) Molecular Weight
- Pinometostat (EPZ5676) SMILES
- Pinometostat (EPZ5676) CAS Number
- Pinometostat (EPZ5676) Chemical Structure (2D and 3D)
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- Pinometostat (EPZ5676) SDS|MSDS