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)
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>).