Multiple clinical trials sponsored by Janssen Research & Development LLC have evaluated the therapeutic and pharmacokinetic profiles of rilematovir across Phase I, Phase II, and Phase III investigations. These studies encompassed healthy adults, subjects with hepatic impairment, and pediatric or adult patients with respiratory syncytial virus and respiratory tract infections. Although a Phase I pharmacokinetic interaction trial in healthy adults was completed, additional Phase I, Phase II, and Phase III evaluations assessing efficacy and safety in hepatic impairment, pediatric respiratory illness, and adult viral infections were terminated.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT05155007 | Completed | Healthy |
Janssen Research & Development LLC |
2021-12-10 | Phase 1 |
| NCT04978337 | Terminated | Respiratory Syncytial Virus |
Janssen Research & Development LLC |
2021-11-17 | Phase 2 |
| NCT04583280 | Terminated | Respiratory Tract Infections |
Janssen Research & Development LLC |
2021-09-06 | Phase 3 |
| NCT04332523 | Terminated | Hepatic Impairment |
Janssen Research & Development LLC |
2020-08-17 | Phase 1 |
(data from https://clinicaltrials.gov, updated on 2024-05-22)
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>).