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)
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>).