Clinical Trials

Several clinical trials evaluate Withaferin A across conditions such as recurrent ovarian cancer, graft-versus-host disease in hematological malignancies, portal hypertension in liver cirrhosis, and uterine corpus carcinoma. Spanning Phase I, Phase II, Phase IV, and non-interventional designs, these studies are sponsored by entities including the National Cancer Institute, GOG Foundation, Tata Memorial Centre, and Shanghai Changzheng Hospital. Active recruitment is ongoing for clinical trials testing combination therapy in ovarian cancer and treatment for steroid-refractory acute graft-versus-host disease, while other trials are withdrawn or in planning.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT01199250 Not yet recruiting
Lynch Syndrome|Recurrent Uterine Corpus Carcinoma|Stage I Uterine Corpus Cancer|Stage II Uterine Corpus Cancer|Stage III Uterine Corpus Cancer|Stage IV Uterine Corpus Cancer
Gynecologic Oncology Group|National Cancer Institute (NCI)|GOG Foundation
2100-01 --
NCT04432610 Withdrawn
Nebivolol Adverse Reaction
Clinical Hospital Center Zemun
2030-01 Phase 4
NCT07724873 RECRUITING
Hematopoietic Stem Cell Transplant (HSCT); GVHD - Graft-Versus-Host Disease; Hematological Malignancy
Tata Memorial Centre
2025-01-28 PHASE1; PHASE2
NCT07708987 RECRUITING
Hematological Malignancy; GVHD - Graft-Versus-Host Disease; Steriod Refractory
Tata Memorial Centre
2023-09-23 PHASE2
NCT05610735 RECRUITING
Recurrent Ovarian Cancer
Sham Sunder Kakar
2024-09-25 PHASE1; PHASE2
NCT06376812 Not yet recruiting
Elevated Blood Pressure|Perimenopause
The University of Texas Medical Branch Galveston
2026-05 Not Applicable

(data from https://clinicaltrials.gov, updated on 2024-05-22)

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Withaferin A directly targets the intermediate filament protein vimentin and inhibits tumor necrosis factor-induced activation of IκB kinase β through a redox-sensitive mechanism, suppressing NF-κB survival signaling and inducing apoptotic pathways. This cellular disruption inhibits tumor cell proliferation and moderates immune response mechanisms, providing a clear biological rationale for its clinical evaluation in conditions such as recurrent ovarian cancer and graft-versus-host disease.

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.