Several clinical trials evaluate the therapeutic potential of Equol across metabolic, endocrine, and neurological conditions, focusing on non-alcoholic fatty liver disease, menopausal management, and Alzheimer's disease. These studies encompass Phase 1/2, Phase 2, and specialized protocols, with recruitment statuses ranging from actively recruiting to completed. Research efforts are conducted by both commercial sponsors like Ausio Pharmaceuticals LLC and academic medical centers, including the Children's Hospital Medical Center Cincinnati, the University of Valencia, and the University of Kansas Medical Center.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT06133101 | Recruiting | Non-Alcoholic Fatty Liver Disease |
Marialena Mouzaki|Children''s Hospital Medical Center Cincinnati |
2024-01-15 | Phase 2 |
| NCT06398236 | Recruiting | Menopause |
Nutrition & Sante Iberia|Adknoma Health Research |
2023-03-17 | Not Applicable |
| NCT01982578 | Completed | Alzheimer''s Disease |
Fundación para la Investigación del Hospital Clínico de Valencia|University of Valencia |
2017-09-01 | Not Applicable |
| NCT03101085 | Completed | Alzheimer Disease |
Russell Swerdlow|Ausio Pharmaceuticals LLC|University of Kansas Medical Center |
2017-05-05 | Phase 1|Phase 2 |
(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>).