Multiple registered clinical trials evaluate the therapeutic utility of sodium hyaluronate for indications including Parkinson disease-associated chronic constipation, oral mucositis and pain in pediatric oncology patients, and shoulder osteoarthritis accompanied by joint pain and motion limitation. These Phase 2, Phase 3, and non-applicable phase studies report completed or unknown recruitment statuses. Research sponsors include IRCCS San Raffaele Roma, Sanofi, and the Children's Cancer and Leukaemia Group in collaboration with the National Cancer Institute.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT04569656 | Completed | Parkinson Disease |
IRCCS San Raffaele Roma |
2016-02-02 | Phase 2 |
| NCT00349024 | Unknown status | Brain and Central Nervous System Tumors|Chordoma|Kidney Cancer|Leukemia|Lymphoma|Mucositis|Neuroblastoma|Pain|Sarcoma|Unspecified Childhood Solid Tumor Protocol Specific |
Children''s Cancer and Leukaemia Group|National Cancer Institute (NCI) |
2005-07 | Not Applicable |
| NCT00377624 | Completed | Osteoarthritis of Shoulder |
Sanofi |
2002-01 | Phase 3 |
(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>).