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)
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>).