Multiple clinical trials evaluate isosorbide across diverse therapeutic applications, including heart failure, recurrent pregnancy loss, tourniquet-associated hypertension, Fontan physiology, isolated oligohydramnios, and prolonged pregnancy. Spanning Early Phase 1 through Phase 3 evaluations alongside unassigned classifications, these investigations are sponsored by academic institutions, university hospitals, and research consortia such as Al-Azhar University, Assistance Publique - Hôpitaux de Paris, Benha University, Children's Hospital Medical Center Cincinnati, and the National Heart, Lung, and Blood Institute. The trial portfolio includes completed studies, trials that are not yet recruiting, and entries with unknown recruitment status.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT05954689 | Not yet recruiting | Tourniquets|Anesthesia Conduction|Anesthetics Local|Hypertension |
Hospital da Luz Portugal |
2023-07-10 | Not Applicable |
| NCT05341856 | Unknown status | Recurrent Pregnancy Loss |
Al-Azhar University |
2022-05-01 | Early Phase 1 |
| NCT04297241 | Completed | Fontan |
Children''s Hospital Medical Center Cincinnati |
2019-12-12 | Phase 2 |
| NCT02053493 | Completed | Heart Failure |
Adrian Hernandez|National Heart Lung and Blood Institute (NHLBI)|Mayo Clinic|University of Vermont|Duke University |
2014-04 | Phase 2 |
| NCT02712125 | Completed | Isolated (Idiopathic) Oligohydramnios |
Benha University |
2013-08 | Phase 2|Phase 3 |
| NCT00930618 | Completed | Prolonged Pregnancy|Nulliparity |
Assistance Publique - Hôpitaux de Paris |
2009-06 | Phase 3 |
(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>).