Clinical Trials
Multiple clinical trials spanning Phase 1 through Phase 4 have evaluated tranylcypromine across psychiatric, cardiovascular, and oncologic indications, including major depressive disorder, bipolar depression, autonomic failure with orthostatic hypotension, and acute myeloid leukemia. Sponsored by academic, governmental, and pharmaceutical organizations, these studies have explored combination regimens and biomarker predictors of treatment response. The trial landscape encompasses completed, terminated, and unknown recruitment statuses.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT02717884 | UNKNOWN | Acute Myeloid Leukemia; Myelodysplastic Syndrome |
Michael Luebbert |
2015-05 | PHASE1; PHASE2 |
| NCT02273102 | COMPLETED | Acute Myelogenous Leukemia; Myelodysplastic Syndromes; Leukemia |
University of Miami |
2015-03-02 | PHASE1 |
| NCT02261779 | UNKNOWN | AML |
Martin-Luther-Universität Halle-Wittenberg |
2014-09 | PHASE1; PHASE2 |
| NCT02374567 | TERMINATED | Dementia; Depression; Schizophrenia; Psychosomatic Disorders; Anxiety Disorders |
Hannover Medical School |
2015-01 | PHASE3 |
| NCT00223691 | COMPLETED | Autonomic Failure; Orthostatic Hypotension |
Vanderbilt University |
2002-03 | PHASE1 |
| NCT01896349 | UNKNOWN | Treatment Resistant Depression |
Hospital de Clinicas de Porto Alegre |
2013-04 | |
| NCT01430455 | COMPLETED | Bipolar Disorder I or II |
New York State Psychiatric Institute |
2011-11 | PHASE4 |
| NCT01031810 | TERMINATED | Major Depressive Disorder |
New York State Psychiatric Institute |
2009-11 | PHASE4 |
| NCT00612807 | COMPLETED | Major Depressive Disorder; Partner Relational Disorder (V61.10) |
Duke University |
2006-07 | PHASE1; PHASE2 |
| NCT00296686 | TERMINATED | Major Depression |
New York State Psychiatric Institute |
2001-09 | PHASE4 |
| NCT00653393 | COMPLETED | To Determine the Bioavailability of Tranylcypromine |
Par Pharmaceutical, Inc. |
2004-10 | PHASE1 |
| NCT00012558 | COMPLETED | Bipolar Disorder |
National Institute of Mental Health (NIMH) |
1998-09 | |
| NCT00021528 | COMPLETED | Depression |
National Institute of Mental Health (NIMH) |
2001-07 | PHASE4 |
| NCT00177567 | COMPLETED | Bipolar Disorder |
University of Pittsburgh |
2001-07 | PHASE4 |
(data from https://clinicaltrials.gov, updated on 2018-10-18)
Compliance for Clinical Use
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>).
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