Multiple clinical trials are investigating S-nitrosoglutathione for respiratory and pulmonary conditions. These include an actively recruiting Early Phase I trial evaluating S-nitrosoglutathione challenges and GSNO reductase phenotyping in severe asthma patients and healthy volunteers, alongside a Phase I pilot study examining an inhaled formulation for bronchopulmonary dysplasia, which is currently suspended. Sponsored primarily by academic and medical institutions such as Case Western Reserve University and University Hospitals Cleveland Medical Center, these trials also receive federal support from the National Heart, Lung, and Blood Institute.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT04619602 | Suspended | Bronchopulmonary Dysplasia |
University Hospitals Cleveland Medical Center |
2024-08-01 | Phase 1 |
| NCT03926741 | Recruiting | Asthma|Healthy Volunteers |
James Reynolds|University Hospitals Cleveland Medical Center|Case Western Reserve University|National Heart Lung and Blood Institute (NHLBI) |
2019-04-30 | Early Phase 1 |
(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>).