Resminostat has been evaluated in multiple completed Phase 1, Phase 1/2, and Phase 2 clinical trials sponsored primarily by 4SC AG and Yakult Honsha Co., LTD. These studies investigated the compound's safety, pharmacokinetics, and maintenance efficacy in hematologic malignancies, specifically Hodgkin's lymphoma and cutaneous T-cell lymphoma, including mycosis fungoides and Sézary syndrome. Additionally, several clinical trials evaluated combination regimens in patients with advanced solid tumors, including hepatocellular carcinoma and colorectal carcinoma.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT02953301 | COMPLETED | Mycosis Fungoides; Sezary Syndrome; Lymphoma, T-Cell, Cutaneous |
4SC AG |
2016-11 | PHASE2 |
| NCT04955340 | COMPLETED | Cutaneous T Cell Lymphoma; Mycosis Fungoides; Sezary Syndrome |
4SC AG |
2021-10-12 | PHASE1 |
| NCT04955340 | Completed | Cutaneous T Cell Lymphoma|Mycosis Fungoides|Sezary Syndrome |
4SC AG |
2021-10-12 | Phase 1 |
| NCT02400788 | COMPLETED | Hepatocellular Carcinoma |
Yakult Honsha Co., LTD |
2013-04 | PHASE1; PHASE2 |
| NCT01277406 | COMPLETED | Advanced Colorectal Carcinoma |
4SC AG |
2011-01 | PHASE1; PHASE2 |
| NCT01037478 | COMPLETED | Hodgkin's Lymphoma |
4SC AG |
2009-12 | PHASE2 |
| NCT01277406 | Completed | Advanced Colorectal Carcinoma |
4SC AG |
2011-01 | Phase 1|Phase 2 |
| NCT01037478 | Completed | Hodgkin''s Lymphoma |
4SC AG |
2009-12 | Phase 2 |
(data from https://clinicaltrials.gov, updated on 2024-08-30)
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>).