Clinical Trials

Several clinical trials evaluate GS-441524 and its derivative prodrug formulations for treating COVID-19 across multiple development stages, including Phase 1 through Phase 3 safety, pharmacokinetic, and efficacy investigations. The trial portfolio comprises research funded by commercial sponsors, such as Gilead Sciences and Copycat Sciences LLC, alongside government institutes including the National Institute of Allergy and Infectious Diseases and the National Center for Advancing Translational Sciences. Across these records, recruitment statuses demonstrate a mix of completed pharmacokinetic studies as well as terminated or withdrawn trials.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06274853 WITHDRAWN
COVID-19
National Center for Advancing Translational Sciences (NCATS)
2024-06-15 PHASE1
NCT05996744 Terminated
COVID-19
Gilead Sciences
2023-12-26 Phase 2|Phase 3
NCT05715528 Completed
COVID-19
Gilead Sciences
2023-02-08 Phase 3
NCT05603143 Terminated
COVID-19
Gilead Sciences
2022-11-05 Phase 3
NCT04859244 COMPLETED
COVID-19
Copycat Sciences LLC
2021-01-01 PHASE1
NCT04582266 Completed
COVID-19
National Institute of Allergy and Infectious Diseases (NIAID)|Gilead Sciences
2021-03-31 --
NCT04859244 Completed
COVID-19
Copycat Sciences LLC
2021-01-01 Phase 1
NCT04539262 Completed
COVID-19
Gilead Sciences
2020-09-14 Phase 1|Phase 2

(data from https://clinicaltrials.gov, updated on 2025-02-14)

Check the GS-441524 product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

As a small-molecule nucleoside precursor, GS-441524 undergoes intracellular phosphorylation into an active nucleoside triphosphate metabolite that inhibits viral RNA-dependent RNA polymerase and prematurely terminates viral RNA chain elongation. By suppressing viral genomic replication within infected host cells, this enzymatic inhibition provides the biological mechanism supporting its clinical evaluation for the treatment of COVID-19.

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.