Multiple clinical trials evaluate the therapeutic potential of pyridoxal phosphate across metabolic, genetic, neurological, and cardiovascular conditions, including pseudoxanthoma elasticum, tardive dyskinesia, and myocardial ischemia. Spanning early phase 1 through phase 4 development to assess safety and efficacy, these studies encompass completed, active, recruiting, terminated, and withdrawn protocols. They are supported by a mixture of academic institutions and pharmaceutical sponsors, including Case Western Reserve University, Daiichi Sankyo, and Medicure.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT04706013 | RECRUITING | Pyridox(am)Ine 5'-Phosphate Oxidase Deficiency |
Medicure |
2024-02-16 | PHASE3 |
| NCT07469462 | RECRUITING | Neural Inhibition; Anxiety; Depression |
University of Reading |
2026-05-01 | |
| NCT06234501 | RECRUITING | Autism |
University of Reading |
2024-11-08 | |
| NCT04762316 | COMPLETED | Uterine Fibroids Affecting Pregnancy |
Trieu, Nguyen Thi, M.D. |
2019-01-01 | PHASE4 |
| NCT05569252 | Active not recruiting | Pseudoxanthoma Elasticum |
Daiichi Sankyo|PXE International |
2022-10-20 | Phase 2 |
| NCT05025722 | Completed | Pseudoxanthoma Elasticum |
Daiichi Sankyo|PXE International|Thomas Jefferson University |
2021-08-30 | -- |
| NCT03738943 | COMPLETED | Receptor Blockade |
Colorado State University |
2019-02-07 | EARLY_PHASE1 |
| NCT04672226 | Completed | Pyridoxine Dependant Epilepsy |
Vitaflo International Ltd|Radboud University Medical Center|Great Ormond Street Hospital for Children NHS Foundation Trust |
2021-06-01 | Not Applicable |
| NCT01281878 | COMPLETED | Primary Hyperoxaluria Type I |
University of Cologne |
2010-12 | PHASE2 |
| NCT00917293 | TERMINATED | Tardive Dyskinesia |
Medicure |
2009-05 | PHASE2 |
| NCT01908452 | WITHDRAWN | Tardive Dyskinesia |
Beersheva Mental Health Center |
2011-07 | PHASE3 |
| NCT00933998 | COMPLETED | Diabetic Peripheral Neuropathy |
Carolina Musculoskeletal Institute |
2006-06 | |
| NCT00000588 | COMPLETED | Anemia (Iron-Loading); Beta-Thalassemia; Hematologic Diseases; Hemoglobinopathies; Thalassemia; Iron Overload |
Case Western Reserve University |
1989-06-05 | PHASE2 |
| NCT00157716 | COMPLETED | Coronary Artery Bypass Graft Surgery; Myocardial Ischemia; Reperfusion Injury; Myocardial Revascularization |
Medicure |
2004-04 | PHASE2 |
| NCT00402506 | COMPLETED | Coronary Artery Bypass Graft Surgery; Myocardial Ischemia; Reperfusion Injury |
Medicure |
2006-11 | PHASE3 |
| NCT00157729 | COMPLETED | Diabetes Mellitus Type 2; Hypertension; Metabolic Syndrome |
Medicure |
2004-08 | PHASE2 |
(data from https://clinicaltrials.gov, updated on 2025-10-16)
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>).
- Pyridoxal phosphate Solubility in DMSO
- Pyridoxal phosphate Stock Solution
- Pyridoxal phosphate Storage
- Pyridoxal phosphate Stability
- Pyridoxal phosphate Molecular Weight
- Pyridoxal phosphate SMILES
- Pyridoxal phosphate CAS Number
- Pyridoxal phosphate Chemical Structure (2D and 3D)
- Pyridoxal phosphate SDS|MSDS