Clinical Trials

Multiple clinical trials investigate lactose and its metabolic roles in conditions including lactose intolerance, endothelial dysfunction, and pediatric pyruvate kinase deficiency with pediatric hemolytic anemia. Ranging from non-applicable phases to Phase III, these completed or recruiting studies assess diagnostic breath metabolomics, gastrointestinal outcomes in rowers, and pediatric anemia treatments. Academic sponsors such as ETH Zurich, the University of Zurich, and Poznan University of Physical Education, along with industry sponsors like Agios Pharmaceuticals Inc., support these initiatives.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06177938 Recruiting
Lactose Intolerance
ETH Zurich|Agroscope Liebefeld-Posieux Research Station ALP|Swiss Allergy Centre|University of Zurich
2024-01 Not Applicable
NCT06403241 Completed
Endothelial Dysfunction
Poznan University of Physical Education
2023-05-01 --
NCT05175105 Recruiting
Pediatric Pyruvate Kinase Deficiency|Pediatric Hemolytic Anemia
Agios Pharmaceuticals Inc.
2022-06-06 Phase 3

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

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

Compliance for Clinical Use

Mechanism and Biochemical Profile

Lactose functions as a disaccharide substrate that binds brush-border lactase-phlorizin hydrolase, undergoing enzymatic cleavage into glucose and galactose to enable intestinal transport and cellular energy metabolism. In lactase-deficient states, intact lactose passes into the colon where microbial fermentation produces organic acids and gases, inducing osmotic fluid shift and gastrointestinal symptoms central to clinical diagnoses of lactose intolerance.

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.