Valrubicin has been evaluated in several clinical trials primarily targeting urological malignancies, including bladder cancer, carcinoma in situ, non-muscle invasive bladder cancer, transitional cell carcinoma, and urothelial carcinoma. Spanning Phase 1 through Phase 3 investigations with completed, terminated, or unknown recruitment statuses, these studies have focused on intravesical administration in patients refractory to or relapsed after prior therapy. Trial sponsors encompass pharmaceutical entities alongside academic institutions and cooperative oncology networks.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT01606345 | COMPLETED | Urothelial Carcinoma |
H. Lee Moffitt Cancer Center and Research Institute |
2012-07 | PHASE1 |
| NCT01310803 | TERMINATED | Carcinoma in Situ; Transitional Cell Carcinoma; Non-muscle Invasive Bladder Cancer |
Endo USA Inc., a Keenova Therapeutics Company |
2011-05 | PHASE3 |
| NCT00003129 | COMPLETED | Bladder Cancer |
Eastern Cooperative Oncology Group |
1998-09-01 | PHASE2 |
| NCT01316874 | COMPLETED | Carcinoma in Situ; Bladder Cancer |
Endo USA Inc., a Keenova Therapeutics Company |
1993-11 | PHASE2; PHASE3 |
| NCT01316874 | Completed | Carcinoma in Situ|Bladder Cancer |
Endo Pharmaceuticals |
1993-11 | Phase 2|Phase 3 |
| NCT00003725 | UNKNOWN | Bladder Cancer |
Anthra Pharmaceuticals |
1996-12 | PHASE3 |
| NCT00003759 | COMPLETED | Bladder Cancer |
Anthra Pharmaceuticals |
1998-11 | PHASE2 |
(data from https://clinicaltrials.gov, updated on 2016-04-22)
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>).