Clinical Trials

Sodium bicarbonate is currently under evaluation in several clinical trials investigating diverse metabolic and organ-system disorders, such as stage 5 chronic kidney disease, hepatic ischemia, biliary atresia, hyperkalemia, and metabolic acidosis. Spanning Phase 3 and non-applicable phase designs, these studies are sponsored by academic medical centers and industry entities, including Osaka University, The First Affiliated Hospital with Nanjing Medical University, AstraZeneca, and Tongji Hospital. Current recruitment statuses across these records include active not recruiting, recruiting, terminated, and unknown status.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05350098 Active not recruiting
Chronic Kidney Disease Stage 5
Osaka University
2023-01-01 Not Applicable
NCT05830136 Recruiting
Hepatic Ischemia
The First Affiliated Hospital with Nanjing Medical University
2022-02-01 Not Applicable
NCT04727528 Terminated
Hyperkalaemia|Metabolic Acidosis|Chronic Kidney Disease
AstraZeneca
2021-03-22 Phase 3
NCT04506021 Unknown status
Biliary Atresia
Tongji Hospital
2020-08 --

(data from https://clinicaltrials.gov, updated on 2024-05-22)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Sodium bicarbonate functions as a systemic buffering agent by dissociating into sodium and bicarbonate ions, allowing bicarbonate to combine with excess free hydrogen ions to yield carbonic acid, which subsequently decomposes into carbon dioxide and water. This rapid proton neutralization restores optimal extracellular pH and dampens acidotic biochemical cascades, providing therapeutic benefit in managing metabolic acidosis, hyperkalemia, and ischemia-related tissue injury in chronic kidney disease and surgical contexts.

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.