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therapy in ovarian cancer and treatment for steroid-refractory acute graft-versus-host disease, while other trials are withdrawn or in planning.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| NCT04432610 | Withdrawn | Nebivolol Adverse Reaction |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)
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>).