Several clinical trials evaluate L-proline across Phase 1, Phase 2, Phase 3, and non-interventional designs for metabolic, genetic, and structural conditions, such as pyruvate dehydrogenase complex deficiency, gyrate atrophy, post-hernioplasty mesh infections, chronic obstructive pulmonary disease, noise-induced disturbances, periodontal defects, and type 2 diabetes. Sponsored by academic medical centers, non-profits, and corporate entities including Ultragenyx Pharmaceutical, Verona Pharma, and Astellas Pharma Europe B.V., these protocols span recruiting, completed, and not yet recruiting statuses.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT07581613 | NOT_YET_RECRUITING | Periodontal Disease; Intrabony Periodontal Defects |
Siddharth Shanbhag |
2026-11-01 | PHASE1; PHASE2 |
| NCT06340685 | Recruiting | Pyruvate Dehydrogenase Complex Deficiency |
Jirair Krikor Bedoyan|Ultragenyx Pharmaceutical Inc|University of Pittsburgh |
2024-05 | Phase 1 |
| 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 | -- |
| NCT05775276 | Not yet recruiting | Incidence of Mesh Infection In Hernioplasty |
Assiut University |
2023-03 | Not Applicable |
| NCT05270525 | Recruiting | COPD |
Verona Pharma plc|University of Alabama at Birmingham |
2022-05-27 | Phase 2 |
| NCT05319262 | Completed | Noise Exposure|Sleep Disturbance|Sleep Hygiene|Metabolic Disturbance|Cognitive Change |
Göteborg University|University of Pennsylvania|University of Manitoba |
2022-04-24 | Not Applicable |
| NCT02794792 | COMPLETED | Type 2 Diabetes Mellitus |
Astellas Pharma Europe B.V. |
2016-05-11 | PHASE3 |
(data from https://clinicaltrials.gov, updated on 2026-05-14)
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>).