Several clinical trials have evaluated the therapeutic efficacy and safety of Vernakalant (RSD1235) for cardiac arrhythmias, focusing primarily on patients with atrial fibrillation and atrial flutter. These late-stage, industry-sponsored investigations—including Phase 3 and combined Phase 2/Phase 3 protocols led by Astellas Pharma Inc., Astellas Pharma US Inc., and Advanz Pharma—have all reached completed status. Collectively, these studies provided pivotal clinical data regarding intravenous administration, efficacy, and tolerance in target patient populations.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT00125320 | Completed | Atrial Fibrillation|Atrial Flutter |
Astellas Pharma Inc|Astellas Pharma US Inc.|Advanz Pharma |
2004-06 | Phase 3 |
| NCT00115791 | Completed | Atrial Flutter|Atrial Fibrillation |
Astellas Pharma Inc|Advanz Pharma |
2004-06 | Phase 3 |
| NCT00476112 | Completed | Atrial Flutter |
Advanz Pharma|Astellas Pharma US Inc. |
2003-08 | Phase 2|Phase 3 |
| NCT00468767 | Completed | Atrial Fibrillation |
Advanz Pharma|Astellas Pharma US Inc. |
2003-08 | Phase 3 |
(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>).
- Vernakalant (RSD1235) Hydrochloride Solubility in DMSO
- Vernakalant (RSD1235) Hydrochloride Stock Solution
- Vernakalant (RSD1235) Hydrochloride Storage
- Vernakalant (RSD1235) Hydrochloride Stability
- Vernakalant (RSD1235) Hydrochloride Molecular Weight
- Vernakalant (RSD1235) Hydrochloride SMILES
- Vernakalant (RSD1235) Hydrochloride CAS Number
- Vernakalant (RSD1235) Hydrochloride Chemical Structure (2D and 3D)
- Vernakalant (RSD1235) Hydrochloride SDS|MSDS