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these records, recruitment statuses demonstrate a mix of completed pharmacokinetic studies as well as terminated or withdrawn trials.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| NCT06274853 | WITHDRAWN | COVID-19 |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)
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>).