Numerous clinical trials evaluate L-glutamine across metabolic, gastrointestinal, oncological, and hematological conditions, including sickle cell disease, advanced pancreatic adenocarcinoma, chronic lymphocytic leukemia, critical illness, and colonic diverticulosis. Spanning Early Phase 1 to Phase 4, these studies are sponsored by academic medical centers, government agencies such as the NIAID, and pharmaceutical entities including Emmaus Medical and Novartis. Overall recruitment statuses range from completed and active non-recruiting studies to actively recruiting and withdrawn protocols.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT05972291 | RECRUITING | Gulf War Illness; Irritable Bowel Syndrome; Gastrointestinal Symptoms |
VA Office of Research and Development |
2023-10-16 | |
| NCT04305769 | RECRUITING | Clostridioides Difficile Infection; Clostridium Difficile Infection; Clostridium Difficile Diarrhea; Clostridia Difficile Colitis |
University of Virginia |
2021-06-01 | PHASE2 |
| NCT06027242 | RECRUITING | Gastric Cancer; Immunonutrition; Gastrostomy |
National Taiwan University Hospital |
2023-02-21 | |
| NCT04883515 | RECRUITING | Obesity; Insulin Resistance |
University Hospital, Rouen |
2023-03-01 | |
| NCT07020754 | COMPLETED | Radiation Induced Oral Mucositis; Oral Mucositis; Oral Mucositis Due to Radiation |
Ain Shams University |
2025-04-01 | PHASE2 |
| NCT07210450 | COMPLETED | Pulmonary Artery Pressure; Thalassemia; Non-transfusion Dependent Thalassemia |
Mazandaran University of Medical Sciences |
2023-08-15 | PHASE2; PHASE3 |
| NCT05808010 | UNKNOWN | Chronic Atrophic Gastritis |
Shandong Provincial Hospital |
2023-06-07 | |
| NCT04634539 | COMPLETED | Advanced Pancreatic Adenocarcinoma; Pancreatic Cancer; Pancreatic Ductal Adenocarcinoma |
Jun Gong, MD |
2021-05-13 | PHASE1 |
| NCT03967795 | COMPLETED | Enteral Nutrition; Intensive Care Unit; Biomarkers |
Centre Hospitalier Universitaire de Besancon |
2019-11-28 | |
| NCT05371184 | COMPLETED | Sickle Cell Disease |
Ain Shams University |
2022-01-04 | PHASE4 |
| NCT05106101 | COMPLETED | Diverticulosis, Colonic |
Emmaus Medical, Inc. |
2019-07-19 | PHASE1 |
| NCT05586646 | UNKNOWN | Pressure Ulcer |
Air Force Specialized Hospital, Cairo, Egypt |
2022-04-01 | |
| NCT04785989 | Recruiting | Chronic Lymphocytic Leukemia |
University of Wisconsin Madison |
2022-06-13 | -- |
| NCT05140772 | UNKNOWN | Drug Effect |
Menoufia University |
2020-06-01 | PHASE2; PHASE3 |
| NCT00985205 | UNKNOWN | Burns |
Daren K. Heyland |
2010-12 | PHASE3 |
| NCT04560309 | COMPLETED | Coronary Artery Bypass; Cardiopulmonary Bypass; Coronary Artery Disease |
National Cardiovascular Center Harapan Kita Hospital Indonesia |
2021-01-01 | PHASE3 |
| NCT05494541 | Completed | Sickle Cell Disease |
Novartis Pharmaceuticals|Novartis |
2021-08-30 | -- |
| NCT05833022 | Completed | Sickle Cell Disease |
Novartis Pharmaceuticals|Novartis |
2021-07-30 | -- |
| NCT04684381 | COMPLETED | Sickle Cell Disease; Pharmacokinetics |
Emmaus Medical, Inc. |
2021-01-04 | PHASE4 |
| NCT04634539 | Active not recruiting | Advanced Pancreatic Adenocarcinoma|Pancreatic Cancer|Pancreatic Ductal Adenocarcinoma |
Jun Gong MD|Emmaus Medical Inc.|Cedars-Sinai Medical Center |
2021-05-13 | Phase 1 |
| NCT03947879 | UNKNOWN | Diabetes Mellitus, Type 2 |
Hawaii Pacific Health |
2019-05 | PHASE1 |
| NCT06065566 | COMPLETED | Insufficiency;Cardiac |
Instituto Mexicano del Seguro Social |
2020-02-04 | |
| NCT04019769 | WITHDRAWN | Eczema; MTOROC1 Signaling |
National Institute of Allergy and Infectious Diseases (NIAID) |
2020-03-12 | EARLY_PHASE1 |
| NCT04684381 | Completed | Sickle Cell Disease|Pharmacokinetics |
Emmaus Medical Inc. |
2021-01-04 | Phase 4 |
| NCT04701463 | COMPLETED | Amino Acid; Body Weight Changes; Skin Manifestations; Obesity; Postmenopausal Disorder |
Azienda di Servizi alla Persona di Pavia |
2020-01-15 | |
| NCT04274114 | TERMINATED | Generalized Anxiety Disorder |
Hospital Universitario Dr. Jose E. Gonzalez |
2019-01-18 | PHASE2 |
| NCT04019184 | COMPLETED | Cardiac Surgery; Acute Kidney Injury |
University Hospital Muenster |
2019-07-18 | PHASE3 |
| NCT03341169 | UNKNOWN | Aortic Valve Stenois |
Yonsei University |
2018-03-20 | |
| NCT05106101 | Completed | Diverticulosis Colonic |
Emmaus Medical Inc. |
2019-07-19 | Phase 1 |
| NCT02998931 | COMPLETED | Critical Illness; Enteral Nutrition; Multiple Organ Failure; Infection Complication; Inflammation |
Shahid Beheshti University |
2016-11-10 | PHASE3 |
| NCT01552291 | COMPLETED | Malnourishment; Gastrointestinal Tumors |
Insel Gruppe AG, University Hospital Bern |
2012-05 | PHASE4 |
| NCT03113240 | COMPLETED | Critical Illness; Enteral Nutrition; Intestinal Permeability |
Shahid Beheshti University |
2017-04-01 | PHASE3 |
| NCT02838979 | COMPLETED | Cardiovascular Disease; Sarcopenia; Endothelial Dysfunction; Muscle Mitochondrial Function; Kidney Disease |
University of Washington |
2016-02-25 | PHASE2 |
| NCT02053350 | TERMINATED | Clostridium Difficile Infection |
University of Virginia |
2015-04 | PHASE2 |
| NCT01701193 | COMPLETED | Pelvic Adhesions |
Temple Therapeutics BV |
2015-02-15 | PHASE1; PHASE2 |
| NCT03589495 | COMPLETED | Systemic Inflammatory Response Syndrome |
Ain Shams University |
2015-07-30 | PHASE4 |
| NCT03015077 | COMPLETED | Head and Neck Cancer |
Kaohsiung Medical University Chung-Ho Memorial Hospital |
2014-07 | |
| NCT01832636 | COMPLETED | Malnutrition; Environmental Enteropathy; Diarrhea |
Children's Hospital Medical Center, Cincinnati |
2013-10 | PHASE3 |
| NCT01576003 | COMPLETED | Bloodstream Infections; Short Bowel Syndrome; Development; Nutrition; Biological Markers |
Children's Hospital Medical Center, Cincinnati |
2012-04 | |
| NCT02215083 | WITHDRAWN | Peripheral Neuropathy |
Eastern Regional Medical Center |
2014-08 | PHASE1 |
| NCT02491931 | COMPLETED | Ischemic Heart Disease |
Instituto Mexicano del Seguro Social |
2013-01 | |
| NCT01503320 | COMPLETED | Acute Pancreatitis |
Asian Institute of Gastroenterology, India |
2012-01 | |
| NCT03166956 | COMPLETED | Critical Care |
Chung Shan Medical University |
2012-06-01 | |
| NCT01750138 | UNKNOWN | Gut Function |
Scarborough General Hospital |
2011-06 | |
| NCT01048905 | COMPLETED | Pulmonary Hypertension; Sickle Cell Disease; Thalassemia |
UCSF Benioff Children's Hospital Oakland |
2009-03 | PHASE2 |
| NCT01179217 | COMPLETED | Sickle Cell Anemia; Sickle ß0-Thalassemia |
Emmaus Medical, Inc. |
2010-05 | PHASE3 |
| NCT01087658 | COMPLETED | Colorectal Neoplasms |
Sanofi |
2010-02 | PHASE3 |
| NCT00922688 | UNKNOWN | Colon Carcinoma |
Medical Center Alkmaar |
2010-12 | |
| NCT01478126 | COMPLETED | Coronary Artery Disease |
Meshalkin Research Institute of Pathology of Circulation |
2012-01 | PHASE3 |
| NCT01250782 | UNKNOWN | Trauma ICU Patients |
Hospital Universitari Son Dureta |
2010-10 | PHASE2 |
| NCT01353638 | TERMINATED | End Stage Renal Disease |
Christoph Aufricht |
2011-04 | PHASE1; PHASE2 |
| NCT00913692 | TERMINATED | Herpes Labialis; Herpes Simplex Virus |
National Institute of Allergy and Infectious Diseases (NIAID) |
2009-06 | PHASE2 |
| NCT00647036 | COMPLETED | Surgical Infants Requiring Total Parenteral Nutrition |
Institute of Child Health |
2009-07 | PHASE4 |
| NCT01092039 | COMPLETED | Common Cold |
Xigo Health LLC |
2010-03 | |
| NCT00131508 | TERMINATED | Anemia, Sickle Cell |
St. Jude Children's Research Hospital |
2004-05 | PHASE2 |
| NCT00875797 | TERMINATED | Critically Ill |
University Medical Centre Ljubljana |
2004-10 | PHASE4 |
| NCT00586209 | TERMINATED | Sickle Cell Anemia; Thalassemia |
Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center |
2004-02-06 | PHASE2 |
| NCT00125788 | COMPLETED | Sickle Cell Anemia; Thalassemia |
Emmaus Medical, Inc. |
2004-03 | PHASE2 |
| NCT00296621 | COMPLETED | Muscular Dystrophy, Duchenne |
Assistance Publique - Hôpitaux de Paris |
2006-02 | PHASE2 |
| NCT00204971 | COMPLETED | Neurologic Injury; Traumatic Brain Injury |
University of Wisconsin, Madison |
2003-01 | PHASE4 |
| NCT00318331 | TERMINATED | Critical Illness; Sepsis; Respiratory Insufficiency |
Christiana Care Health Services |
2006-05 | PHASE2; PHASE3 |
| NCT00006994 | TERMINATED | Cancer-related Problem/Condition; Head and Neck Cancer; Pain |
SWOG Cancer Research Network |
2001-11 | PHASE3 |
| NCT00003898 | COMPLETED | Oral Complications; Unspecified Childhood Solid Tumor, Protocol Specific |
Roswell Park Cancer Institute |
1999-01 | PHASE2 |
| NCT00005775 | COMPLETED | Infant, Newborn; Infant, Low Birth Weight; Infant, Small for Gestational Age; Infant, Premature; Sepsis |
NICHD Neonatal Research Network |
1999-07 | PHASE3 |
| NCT00178581 | TERMINATED | Trauma; Critical Illness; Shock |
The University of Texas Health Science Center, Houston |
2005-06 | PHASE1 |
| NCT00338221 | WITHDRAWN | Diarrhea, Malnutrition |
University of Virginia |
2004-08 | PHASE3 |
| NCT00133562 | WITHDRAWN | Diarrhea, Malnutrition; Other Nutritional Deficiencies |
University of Virginia |
2004-08 | PHASE3 |
(data from https://clinicaltrials.gov, updated on 2026-08-19)
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>).