Multiple clinical trials investigate trypsin-related biomarkers and therapeutic strategies across diverse conditions, including eosinophilic esophagitis, acute ST-segment elevation myocardial infarction, pre-eclampsia, protein-losing enteropathy, pancreatic neuroendocrine tumors, and malnutrition. Encompassing Phase 2 studies and observational protocols, these trials range in recruitment status from not yet recruiting to completed. Research efforts are supported by diverse sponsors, including academic medical centers, university hospitals, global research institutes, CSL Behring, and the National Institutes of Health.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT05485155 | Recruiting | Eosinophilic Esophagitis |
Children''s Hospital Medical Center Cincinnati|CSL Behring|National Institutes of Health (NIH) |
2024-03-01 | Phase 2 |
| NCT05802667 | Not yet recruiting | Inflammation|Acute ST Segment Elevation Myocardial Infarction|Prognosis |
Peking University Third Hospital |
2023-04-01 | -- |
| NCT05622838 | Not yet recruiting | alpha1 Anti-trypsin|Pre-Eclampsia|Intrauterine Growth Restriction |
Assiut University |
2022-12 | -- |
| NCT05474664 | Not yet recruiting | Fontan Operation|Protein-Losing Enteropathy|Camostat Mesylate |
Seoul National University Hospital |
2022-08-01 | Phase 2 |
| NCT05037461 | Recruiting | Neuroendocrine Tumor of Pancreas|Multiple Endocrine Neoplasia Type 1 |
J.M. de Laat|Radboud University Medical Center|Erasmus Medical Center|Maastricht University Medical Center|Leiden University Medical Center|University Medical Center Groningen|UMC Utrecht |
2022-05-01 | Not Applicable |
| NCT05083637 | Completed | Malnutrition |
International Centre for Diarrhoeal Disease Research Bangladesh |
2021-10-19 | 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>).