Clinical Trials

Numerous clinical trials evaluate D-mannose across healthy cohorts and diverse medical conditions, most prominently urinary tract infections, coronary artery disease, hyperlipidemias, and periodontal diseases. Spanning Phase 1 through Phase 4 alongside non-interventional protocols, these studies are supported by academic medical centers and biopharmaceutical entities, including Washington University, Peking University Third Hospital, and KEB Nutraceuticals. Across active, completed, terminated, and withdrawn statuses, these evaluations assess specific endpoints such as urinary tract infection symptoms and pharmacokinetic interactions.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06940622 RECRUITING
Recurrent UTIs; Recurrent Urinary Tract Infections; Recurrent Urinary Tract Infections in Women; Recurrent Urinary Tract Infection; Cystitis Recurrent; Cystitis Chronic; UTI; UTI - Urinary Tract Infection; UTI - Lower Urinary Tract Infection
University of Texas Southwestern Medical Center
2025-08-01
NCT07637903 COMPLETED
Recurrent Urinary Tract Infection; Catheter-Related Infections
Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation
2022-05-04
NCT06360055 UNKNOWN
Health
Peking University Third Hospital
2024-04-01
NCT06719115 COMPLETED
Urinary Tract Infection(UTI)
KEB Nutraceuticals USA, Inc.
2023-05-03 PHASE2
NCT06360055 Recruiting
Health
Peking University Third Hospital
2024-04-01 Not Applicable
NCT04880343 SUSPENDED
Lower Urinary Tract Infection
Carmen Gonzalez Enguita
2021-01-26
NCT06268483 COMPLETED
Urinary Tract Infections, Recurrent
Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico
2022-03-01
NCT03996057 WITHDRAWN
UTI; Female Urogenital Diseases; UTI - Lower Urinary Tract Infection
Washington University School of Medicine
2018-06-20 PHASE4
NCT05186285 Unknown status
Healthy
Keymed Biosciences Co.Ltd
2021-12-11 Phase 1
NCT04505982 Unknown status
Rheumatoid Polyarthritis
BADOT Valerie|Brugmann University Hospital
2020-07-14 --
NCT03497598 TERMINATED
Urinary Tract Infections
Kantonsspital Aarau
2018-05-09 PHASE4
NCT03395288 TERMINATED
Urinary Tract Infections
Washington University School of Medicine
2018-03-22 PHASE2; PHASE3
NCT02702765 COMPLETED
Wilsons Disease
University of Aarhus
2016-02
NCT03404869 UNKNOWN
CDG Ib
Orpha Labs
2015-03-31 PHASE1; PHASE2
NCT03753451 COMPLETED
Periodontal Diseases
InCor Heart Institute
2016-10-01
NCT03395288 Terminated
Urinary Tract Infections
Washington University School of Medicine
2018-03-22 Phase 2|Phase 3
NCT04888260 Completed
Coronary Artery Disease|Hyperlipidemias
Kafkas University
2018-01-10 --
NCT02397291 TERMINATED
IUGR; Pregnancy
University of Colorado, Denver
2001-01
NCT02490046 UNKNOWN
Multiple Sclerosis; Recurrent Urinary Tract Infections
University College, London
2015-02 PHASE1
NCT01808755 COMPLETED
Recurrent Urinary Tract Infection
Fondazione IRCCS Policlinico San Matteo di Pavia
2012-01 PHASE3

(data from https://clinicaltrials.gov, updated on 2025-09-22)

Check the D-Mannose product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

D-mannose competitively binds to bacterial FimH adhesin proteins on uropathogenic pili, thereby blocking bacterial adhesion to uroplakin receptors on the mucosal epithelium and preventing tissue colonization. By promoting the wash-out of unattached pathogens during urination, this anti-adhesive mechanism directly provides the rationale for its clinical evaluation in the prophylaxis and symptom management of urinary tract infections.

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.