Clinical Trials

Several clinical trials evaluate interventions for viral infectious diseases, specifically dengue fever and severe manifestations such as dengue hemorrhagic fever and dengue shock syndrome. Spanning Phase II research and observational protocols with completed or active-not-recruiting recruitment statuses, these efforts are sponsored by pharmaceutical leaders like Novartis alongside academic institutions including Tan Tock Seng Hospital, National University Hospital Singapore, and St. Jude Children's Research Hospital. These studies focus on evaluating therapeutic efficacy, prognostic biomarkers, and pediatric disease characterization.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06006559 Active not recruiting
Dengue
Novartis Pharmaceuticals|Novartis
2024-02-20 Phase 2
NCT04048837 Completed
Dengue Hemorrhagic Fever|Dengue Shock Syndrome|Severe Dengue
National University Hospital Singapore|Tan Tock Seng Hospital|Ng Teng Fong General Hospital
2018-07-30 --
NCT01030211 Completed
Dengue Fever
Tan Tock Seng Hospital|Singapore General Hospital|Changi General Hospital|National University Hospital Singapore|University of Malaya
2010-01 Not Applicable
NCT00946218 Completed
Dengue Fever
St. Jude Children''s Research Hospital
2009-07 --

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

Check the Dihydroxyfumaric acid hydrate product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Dihydroxyfumaric acid hydrate acts as an endogenous metabolite and reactive electrophile that interacts with cellular metabolic enzymes, thereby disrupting downstream oxidative pathways and altering mitochondrial redox dynamics. This disruption of key biochemical cascades alters cellular metabolism to limit viral proliferation, offering potential therapeutic relevance in conditions such as dengue and severe dengue fever.

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.