Clinical Trials

Multiple completed clinical trials, sponsored by industry and academic institutions including Cargill, INQUIS Clinical Research, and Universitaire Ziekenhuizen KU Leuven, have evaluated the physiological effects of steviol derivatives across Phase 1 and unclassified trial phases. This research investigated acute glycemic responses during glucose tolerance testing in type 2 diabetes mellitus patients as well as intestinal microbiota changes following steviol glycoside ingestion in healthy adults.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05264636 Completed
Healthy|Human Gut Microflora
Cargill|INQUIS Clinical Research
2022-02-15 Not Applicable
NCT03510624 Completed
Type 2 Diabetes Mellitus
Universitaire Ziekenhuizen KU Leuven
2018-11-09 Phase 1

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

Check the Steviol (Hydroxydehydrostevic acid) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Steviol directly inhibits cystic fibrosis transmembrane conductance regulator (CFTR) activity while simultaneously suppressing aquaporin-2 (AQP2) expression and promoting its degradation, thereby altering cellular fluid balance and ion transport across epithelial membranes. This pharmacological modulation of membrane transport proteins provides a mechanistic framework for evaluating gastrointestinal microflora dynamics and metabolic responses in type 2 diabetes mellitus.

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.