Clinical Trials

Multiple Phase I clinical trials have evaluated TAK-243 in advanced solid tumors and various hematologic malignancies, including relapsed or refractory acute myeloid leukemia, myelodysplastic syndromes, and indolent non-Hodgkin lymphoma. While early dose-escalation studies sponsored by Millennium Pharmaceuticals/Takeda were terminated, several Phase I trials sponsored by the National Cancer Institute continue to assess the agent's safety and tolerability. These ongoing evaluations encompass diverse recruitment statuses, ranging from active recruitment and suspended to not yet recruiting.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06223542 RECRUITING
Advanced Lymphoma; Advanced Malignant Solid Neoplasm; Indolent Non-Hodgkin Lymphoma; Metastatic Malignant Solid Neoplasm; Recurrent Malignant Solid Neoplasm; Refractory Malignant Solid Neoplasm
National Cancer Institute (NCI)
2025-03-24 PHASE1
NCT03816319 SUSPENDED
Myelodysplastic Syndrome With Excess Blasts; Recurrent Acute Myeloid Leukemia; Recurrent Myelodysplastic Syndrome; Recurrent Myelodysplastic Syndrome/Acute Myeloid Leukemia; Refractory Acute Myeloid Leukemia; Refractory Myelodysplastic Syndrome; Refractory Myelodysplastic Syndrome/Acute Myeloid Leukemia
National Cancer Institute (NCI)
2025-03-12 PHASE1
NCT03816319 Not yet recruiting
Myelodysplastic Syndrome|Recurrent Acute Myeloid Leukemia|Refractory Acute Myeloid Leukemia|Refractory Chronic Myelomonocytic Leukemia|Refractory High Risk Myelodysplastic Syndrome
National Cancer Institute (NCI)
2024-08-30 Phase 1
NCT02045095 TERMINATED
Advanced Malignant Solid Tumors
Millennium Pharmaceuticals, Inc.
2014-01-31 PHASE1
NCT02045095 Terminated
Advanced Malignant Solid Tumors
Millennium Pharmaceuticals Inc.|Takeda
2014-01-31 Phase 1

(data from https://clinicaltrials.gov, updated on 2026-05-13)

Check the TAK-243 (MLN7243) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

TAK-243 selectively binds to and inhibits ubiquitin-activating enzyme, thereby disrupting downstream ubiquitin-conjugating E2 thioester bond formation and impairing global protein polyubiquitination. This inhibition triggers severe endoplasmic reticulum stress, abrogates nuclear factor kappa B pathway activation, and induces apoptosis, providing a mechanistic basis for tumor growth inhibition in clinical evaluations for advanced solid tumors, lymphomas, and acute myeloid leukemia.

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.