Several clinical trials evaluate succimer (DMSA) and its radiopharmaceutical formulations across diverse pediatric and adult conditions, including vesico-ureteral reflux, brain glioma, acute pyelonephritis, renal sclerosis, and split renal function. Conducted by academic medical centers such as Boston Children's Hospital, Assiut University, and the University of Wisconsin-Madison, these studies range from Phase 1 to unassigned or non-applicable trial phases. Current recruitment statuses across the portfolio include recruiting, not yet recruiting, and unknown status.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT03653702 | Not yet recruiting | Vesico-Ureteral Reflux |
Boston Children''s Hospital |
2023-10-01 | Phase 1 |
| NCT05595863 | Not yet recruiting | Brain Glioma |
Assiut University |
2022-11 | -- |
| NCT05593809 | Not yet recruiting | Brain Glioma |
Assiut University |
2022-10 | -- |
| NCT04091685 | Unknown status | Dimercaptosuccinic Acid SPECT and Planar |
Assiut University |
2019-09 | -- |
| NCT03959163 | Recruiting | Pyelonephritis|Pyelonephritis Acute|Renal Sclerosis |
University of Wisconsin Madison |
2019-05-07 | Not Applicable |
| NCT03879005 | Unknown status | The Difference in Estimation of Split Renal Function Using the Two Radiopharmaceuticals:Tc-99m DTPA & Tc-99m DMSA in Kidney Patients |
Assiut University |
2019-04 | Not Applicable |
(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>).