Several clinical trials evaluate therapeutic devices and management strategies in patients with renal failure, chronic kidney disease, cardiorenal syndrome, hypotension, left ventricular dysfunction, and heart failure. Spanning Phase 2, Phase 3, and protocols designated with a phase status of Not Applicable, these research initiatives are led by academic institutions and industry sponsors, including the University of Michigan and Fresenius Medical Care. Currently, the recruitment statuses for these studies are reported as suspended or not yet recruiting.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT04589065 | Suspended | Heart Failure|Chronic Systolic Heart Failure|Renal Failure|Cardiorenal Syndrome |
Lenar Yessayan|University of Michigan |
2024-09 | Not Applicable |
| NCT06405555 | Not yet recruiting | Heart Failure With Reduced Ejection Fraction|Hypotension|LV Dysfunction |
Ottawa Heart Institute Research Corporation |
2024-08-01 | Phase 2|Phase 3 |
| NCT06390592 | Not yet recruiting | Renal Failure|Chronic Kidney Disease |
Fresenius Medical Care Deutschland GmbH|Alcedis GmbH |
2024-06 | 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>).