Clinical Trials

Multiple clinical trials have evaluated Vadimezan (DMXAA, ASA404) in Phase 1 and Phase 2 studies targeting solid tumors, non-small cell lung cancer, refractory malignancies, and metastatic prostate cancer. Sponsored by industry and academic entities—including Novartis, Antisoma, Cancer Research UK, and the Swiss Cancer Institute—these completed and terminated protocols investigated early-phase safety, dosing, and Phase 2 chemotherapy combinations. Collectively, these investigations assessed the compound as both a monotherapy and a combination partner for advanced malignancies.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT01057342 COMPLETED
Lung Cancer
Swiss Cancer Institute
2010-01 PHASE2
NCT01278758 TERMINATED
Metastatic Cancer
Novartis Pharmaceuticals
2010-03 PHASE1
NCT01290380 TERMINATED
Solid Tumor Malignancies
Novartis Pharmaceuticals
2010-02 PHASE1
NCT01299415 TERMINATED
Solid Tumors
Novartis Pharmaceuticals
2009-08 PHASE1
NCT01285453 COMPLETED
Advanced or Recurrent Solid Tumors
Novartis Pharmaceuticals
2009-03 PHASE1
NCT00832494 COMPLETED
Non-Small Cell Lung Cancer
Antisoma Research
2004-09 PHASE1; PHASE2
NCT00111618 COMPLETED
Prostate Cancer
Antisoma Research
2005-05 PHASE2
NCT00856336 COMPLETED
Refractory Tumors
Antisoma Research
2003-05 PHASE1
NCT00856336 Completed
Refractory Tumors
Antisoma Research
2003-05 Phase 1
NCT00863733 COMPLETED
Solid Tumors
Cancer Research UK
1996-05 PHASE1
NCT00863733 Completed
Solid Tumors
Cancer Research UK|Cancer Society Auckland
1996-05 Phase 1
NCT00003697 COMPLETED
Unspecified Adult Solid Tumor, Protocol Specific
University of Glasgow
1995-10 PHASE1

(data from https://clinicaltrials.gov, updated on 2013-04-10)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Vadimezan (DMXAA) acts as a STING agonist and tumor-vascular disrupting agent, triggering the release of type I interferons and vasoactive cytokines that disrupt tumor vascular endothelial cell function. This acute breakdown of established tumor blood vessels starves the neoplastic tissue of oxygen and nutrients, leading to tumor necrosis and regression in solid tumors, such as lung cancer and prostate 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.