Clinical Trials

Multiple clinical trials across Phase I, II, and IV evaluate the therapeutic utility of Imeglimin for type 2 diabetes mellitus, while assessing pharmacokinetics, bioequivalence, and QT interval variations in healthy subjects and patients with hepatic impairment. Sponsored by institutions including Poxel SA, Mansoura University, Humanis Saglık Anonim Sirketi, and the National Center for Global Health and Medicine, these studies investigate ascending doses, drug interactions, and mitochondrial redox modulation relative to metformin. Across these trials, recruitment statuses span from completed investigations to active and planned non-recruiting studies.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05366868 ACTIVE_NOT_RECRUITING
Diabetes Mellitus, Type 2
National Center for Global Health and Medicine, Japan
2022-05-26 PHASE4
NCT07436182 NOT_YET_RECRUITING
Mitochondria; Metformin
Mansoura University
2026-03-01 PHASE4
NCT07691177 COMPLETED
Type 2 Diabetes
Humanis Saglık Anonim Sirketi
2026-02-06 PHASE1
NCT07127094 COMPLETED
Bioequivalence Study in Healthy Subjects
Aya Mohammed Abdel Magid Abdel Hamid
2025-03-09 PHASE1
NCT03802786 COMPLETED
Hepatic Impairment
Poxel SA
2018-11-06 PHASE1
NCT03802786 Completed
Hepatic Impairment
Poxel SA
2018-11-06 Phase 1
NCT03646331 COMPLETED
Bioequivalence
Poxel SA
2018-09-03 PHASE1
NCT03646331 Completed
Bioequivalence
Poxel SA
2018-09-03 Phase 1
NCT03618316 COMPLETED
Healthy
Poxel SA
2018-06-19 PHASE1
NCT03618316 Completed
Healthy
Poxel SA
2018-06-19 Phase 1
NCT02924337 COMPLETED
Qt Interval, Variation in
Poxel SA
2016-09 PHASE1
NCT02373150 COMPLETED
Type 2 Diabetes Mellitus
Poxel SA
2015-02 PHASE1
NCT02373150 Completed
Type 2 Diabetes Mellitus
Poxel SA
2015-02 Phase 1
NCT01951235 COMPLETED
Type 2 Diabetes Mellitus
Poxel SA
2013-01 PHASE2

(data from https://clinicaltrials.gov, updated on 2026-04-09)

Check the Imeglimin (EMD 387008) Hydrochloride product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Imeglimin acts by preserving mitochondrial respiratory function from oxidative stress, thereby enhancing lipid oxidation and restoring cellular energy homeostasis in liver tissue. This suppression of mitochondrial dysfunction improves hepatic and peripheral insulin sensitivity, providing direct clinical relevance for restoring glucose homeostasis in patients with type 2 diabetes mellitus.

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.