Several clinical trials encompassing Phase 1, Phase 3, Phase 4, and unclassified protocols evaluate venlafaxine for major depressive disorder, bipolar affective disorder, obsessive-compulsive disorder, morbid obesity, healthy subjects, and post-bariatric surgery pharmacokinetics. Sponsored by academic institutions and industry leaders—including Mayo Clinic, Biohaven Pharmaceuticals, and Pfizer—investigations explore topics such as neuroplasticity in depression and drug absorption following Roux-en-Y gastric bypass or sleeve gastrectomy. These protocols exhibit recruitment statuses ranging from completed to active recruiting and enrolling by invitation.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT06131268 | Recruiting | Major Depressive Disorder|Bipolar Affective Disorder Currently Depressed Moderate |
Fondazione IRCCS Ca'' Granda Ospedale Maggiore Policlinico |
2022-03-01 | Phase 4 |
| NCT04708834 | Enrolling by invitation | Obsessive Compulsive Disorder |
Biohaven Pharmaceuticals Inc. |
2021-03-30 | Phase 3 |
| NCT03532477 | Recruiting | Obesity Morbid |
Norwegian University of Science and Technology|St. Olavs Hospital|Volvat Medisinsk Senter Stokkan|Namsos Hospital|Alesund Hospital |
2016-11-02 | -- |
| NCT02637193 | Completed | Healthy Subjects |
Pfizer''s Upjohn has merged with Mylan to form Viatris Inc.|Pfizer |
2015-12 | Phase 1 |
| NCT02005107 | Completed | Roux en Y Gastric Bypass|Sleeve Gastrectomy |
North Dakota State University|Neuropsychiatric Research Institute Fargo North Dakota |
2013-12 | Phase 4 |
| NCT01867255 | Completed | Bariatric Surgery|Gastric Bypass|Roux-en-Y Gastric Bypass |
Mayo Clinic |
2013-10 | Phase 1 |
(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>).