Succinic acid has been evaluated in multiple completed clinical trials spanning Phase 1 through Phase 3, as well as non-applicable phase designations. Sponsored by pharmaceutical entities alongside academic and government institutions, these studies investigate diverse conditions including acute ischemic stroke, closed head trauma, peripheral vascular disease, diabetic neuropathies, lead poisoning, autism, gallstone disease, obstructive jaundice, and metabolic or sleep disturbances. Overall, these evaluations assess succinic acid-containing therapeutic regimens for clinical efficacy and neurological recovery.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT05935787 | COMPLETED | Stroke |
POLYSAN Scientific & Technological Pharmaceutical Company |
2023-06-30 | PHASE3 |
| NCT04631484 | COMPLETED | Head Trauma,Closed |
POLYSAN Scientific & Technological Pharmaceutical Company |
2020-11-22 | PHASE3 |
| NCT05319262 | Completed | Noise Exposure|Sleep Disturbance|Sleep Hygiene|Metabolic Disturbance|Cognitive Change |
Göteborg University|University of Pennsylvania|University of Manitoba |
2022-04-24 | Not Applicable |
| NCT04649203 | COMPLETED | Diabetic Neuropathies |
POLYSAN Scientific & Technological Pharmaceutical Company |
2020-11-25 | PHASE3 |
| NCT03028285 | Completed | Peripheral Vascular Disease |
POLYSAN Scientific & Technological Pharmaceutical Company |
2016-07-15 | Phase 1 |
| NCT00811083 | COMPLETED | Autism |
Southwest College of Naturopathic Medicine |
2005-05 | PHASE1; PHASE2 |
| NCT00004838 | COMPLETED | Lead Poisoning |
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) |
1997-09 |
(data from https://clinicaltrials.gov, updated on 2026-04-14)
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>).