Clinical Trials

Numerous clinical trials evaluate tetrathiomolybdate across Phase 1 through Phase 4 studies for indications including Wilson disease, diabetic nephropathy, and triple-negative breast, non-small cell lung, hepatocellular, and esophageal carcinomas. Encompassing recruitment statuses from not yet recruiting and active recruitment to completion, termination, or withdrawal, these trials are sponsored by academic medical centers, government research entities, and pharmaceutical companies.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06134375 RECRUITING
Triple Negative Breast Cancer; Residual Disease
Dartmouth-Hitchcock Medical Center
2024-11-26 PHASE1; PHASE2
NCT06147232 Not yet recruiting
Nephropathy|Diabetic Nephropathies|Diabetes Mellitus Type 1|Albuminuria|Diabetic Complications Renal|Diabetic Complications Cardiovascular|Hypoxia
Steno Diabetes Center Copenhagen|Juvenile Diabetes Research Foundation|King''s College London|Glostrup University Hospital Copenhagen
2024-08 Phase 4
NCT06384157 Not yet recruiting
Opioid Use Disorder
Indivior Inc.
2024-05 Phase 2
NCT00195091 TERMINATED
Breast Cancer
Memorial Sloan Kettering Cancer Center
2003-12 PHASE2
NCT04422431 COMPLETED
Wilson Disease
Alexion Pharmaceuticals, Inc.
2020-12-02 PHASE2
NCT01837329 COMPLETED
Non-Small Cell Lung Cancer
University of Rochester
2013-11 PHASE1
NCT00805805 COMPLETED
Primary Biliary Cirrhosis
George Brewer
2006-04 PHASE3
NCT00560495 WITHDRAWN
Lung Cancer
Roswell Park Cancer Institute
2007-05 PHASE1
NCT00189176 COMPLETED
Idiopathic Pulmonary Fibrosis
University of Michigan
2003-03 PHASE1; PHASE2
NCT00176800 COMPLETED
Esophageal Carcinoma
University of Michigan Rogel Cancer Center
2001-11 PHASE2
NCT00176774 COMPLETED
Colorectal Carcinoma
University of Michigan Rogel Cancer Center
2001-02 PHASE2
NCT00150995 COMPLETED
Prostate Cancer
University of Michigan Rogel Cancer Center
2001-05 PHASE2
NCT00004339 COMPLETED
Wilson Disease
National Center for Research Resources (NCRR)
1994-01 PHASE3
NCT00006332 COMPLETED
Carcinoma, Hepatocellular
National Center for Research Resources (NCRR)
PHASE2
NCT00113542 COMPLETED
Psoriasis
University of Michigan
2004-06 PHASE2

(data from https://clinicaltrials.gov, updated on 2026-04-20)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Tetrathiomolybdate acts as a copper-chelating agent that induces dimerization of the metal-binding domain of the cellular copper efflux protein ATP7B through a unique sulfur-bridged Mo2S6O2 cluster. By sequestering systemic copper, it disrupts downstream copper-dependent biochemical pathways essential for cell proliferation and angiogenesis, offering therapeutic utility in Wilson disease and copper-dependent malignancies such as triple-negative breast cancer.

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.