Clinical Trials

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4 development to assess safety and efficacy, these studies encompass completed, active, recruiting, terminated, and withdrawn protocols.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NCT01908452 WITHDRAWN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)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Pyridoxal phosphate serves as an essential enzymatic coenzyme by covalently binding active-site lysine residues via Schiff base formation, thereby facilitating critical transamination, decarboxylation, and deamination reactions in amino acid metabolism and neurotransmitter biosynthesis. By restoring normal intracellular enzymatic function and mitigating metabolic pathway deficits, this cofactor addresses therapeutic mechanisms relevant to clinical trial conditions such as pyridoxine-dependent epilepsy, tardive dyskinesia, and myocardial ischemia.

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.