Clinical Trials

Several clinical trials evaluate metabolic, neuromuscular, and ocular conditions, specifically late-onset Pompe disease, gyrate atrophy of the choroid and retina associated with ornithine-δ-aminotransferase deficiency, and Friedreich ataxia. Ranging from Phase 1/Phase 2 interventional studies to non-interventional biomarker and observational protocols, these investigations are supported by pharmaceutical entities like GeneCradle Inc and Astellas Pharma Inc, alongside academic and public institutions including INSERM, the University of Giessen, and the Jaeb Center for Health Research. Most of these trials are actively recruiting or preparing to recruit participants to evaluate patient safety, biomarkers, and therapeutic outcomes.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06391736 Recruiting
Pompe Disease (Late-onset)
GeneCradle Inc
2024-04-19 Phase 1|Phase 2
NCT06150820 Recruiting
Pompe Disease (Late-onset)
Astellas Gene Therapies|Astellas Pharma Inc
2024-02-01 Not Applicable
NCT05312736 Recruiting
Gyrate Atrophy|Gyrata of Choroid and Retina; Atrophy|Ornithine-δ-aminotransferase|OAT|Chorioretinal Degeneration
Jaeb Center for Health Research|Conquering Gyrate Atrophy Foundation|Food and Drug Administration (FDA)|Department of Health and Human Services
2023-11-21 --
NCT05874388 Not yet recruiting
Friedreich Ataxia
Institut National de la Santé Et de la Recherche Médicale France
2023-09-01 Not Applicable
NCT05448131 Recruiting
Pompe-Disease
Centre for Analytical Biochemistry and Biomedical Mass Spectrometry|University of Giessen
2023-02-01 --

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

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Guanidinoacetic acid serves as the immediate endogenous precursor to creatine, undergoing methylation via guanidinoacetate N-methyltransferase to replenish cellular phosphocreatine pools and facilitate adenosine triphosphate resynthesis. By enhancing cellular bioenergetics and mitochondrial metabolic efficiency, this compound supports functional tissue integrity, offering clinical relevance in metabolic and neuromuscular pathology such as Pompe disease and Friedreich ataxia.

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.