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Acute NasopharyngitisPhase 1NCT05314933

Safety and Pharmacokinetic Study of Intranasal 2-DG in Healthy Volunteers

A Phase 1 study testing 2-Deoxyglucose in people with Acute Nasopharyngitis, run by G.ST Antivirals GmbH at 1 site in Austria.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

2-DG-01 is a randomized, double-blind, placebo-controlled, single and multiple ascending dose phase 1 study assessing safety, tolerability and pharmacokinetics of 2-DG in normal healthy volunteers (NHV). The safety and pharmacokinetics of 2-DG are assessed after single or multiple intranasal administrations. Read more about this study

Who is it for?
Ages 18 to 99 yearsHealthy volunteers can take part
Conditions the study is for
Acute Nasopharyngitis
What is being tested?
2-Deoxyglucose
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
45 participants
Where
1 siteAustria
Study dates
3 Mar 2022to 27 Sep 2023
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 99 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy male or female volunteers, age ≥ 18 years old at screening
  • Females must be post-menopausal (> 1 year since last menstruation)
  • Able to comprehend and to give informed consent
  • Able to cooperate with the investigator, to comply with the requirements of the study, and to complete the full sequence of protocol-related procedures
  • Undergone full immunisation against SARS-CoV2 or status post infection with SARS-CoV2 (both as defined by the Austrian Ministry of Health)

Who cannot join

  • Frequent epistaxis (equal to or greater than 1/month)
  • Hypo- or anosmia
  • Symptoms of rhinitis, allergy or common cold disease at screening and at study initiation
  • Medical history of diabetes mellitus of any type
  • Clinically relevant abnormal findings at screening
  • Preceding nasal surgery or sinus surgery
Show all 14Show fewer
  • Medical history of allergic rhinitis or chronic condition of the upper or lower respiratory tract with active symptoms within 30 days prior to screening
  • SARS-CoV-2 infection positive by PCR test at screening
  • Vulnerable subjects as defined by GCP
  • Subjects in a dependency relationship towards the investigators, e.g. as employees
  • Substance abuse, mental illness, or any reason that makes it unlikely in the judgment of the investigator for the subject to be able to comply fully with study procedures
  • Use of medication (including prophylactic treatments) during 2 weeks before the start of the study, which in the judgment of the investigator may adversely affect the subject's welfare or the integrity of the study's results
  • Concurrent treatment with other experimental product or participation in another clinical trial with any investigational product within 30 days or 5 elimination half-lives (whichever is longer) prior to treatment start
  • Scheduled vaccination appointments during the study period

Trial locations and contacts

1 site in 1 country.

Austria1 site
  • Medical University of Vienna

    Vienna, 1090

Other trials in Austria

About this study

Official title: A Single/Multiple Ascending Dose Phase 1 Study Of The Safety, Tolerability, And Pharmacokinetics Of Intranasal 2-Deoxy-D-Glucose In Normal Healthy Volunteers

2-DG-01 is a randomized, double-blind, placebo-controlled, single and multiple ascending dose phase 1 study assessing safety, tolerability and pharmacokinetics of 2-DG in normal healthy volunteers (NHV). The safety and pharmacokinetics of 2-DG are assessed after single or multiple intranasal administrations.

Read the detailed description

2-DG-01 is a randomized, placebo-controlled, double- blind single and multiple ascending dose phase 1 study in normal healthy male and female volunteers aged 18 years or older.

The primary objective of this study is to assess the clinical safety and tolerability of intranasal 2-DG in NHVs.

The secondary objective of this study is to assess the human pharmacokinetics of 2-DG.

The study is divided in two sub-parts: Part A, a single ascending dose (SAD) study of 2-DG and Part B, a multiple ascending dose (MAD) study.

Part A consists of 3 cohorts: Cohorts 1 and 2 with a randomization ratio for 2-DG to placebo of 4:1 and Cohort 3 with a randomization ratio for 2-DG to placebo of 8:2.

Part B consists of 3 cohorts: Cohort 4 with a a randomization ratio for 2-DG to placebo of 4:1 and Cohorts 5 and 6 with a randomization ratio for 2-DG to placebo of 8:2.

Cohorts 1, 2 and 4 will also be controlled by randomized intranasal application of placebo into the opposite nostril to obtain an intra-individual estimate for local tolerability. Other cohorts will receive either 2-DG or placebo into both nostrils.

Interim safety reviews are performed by a Data Monitoring Committee.

Being tested
2-Deoxyglucose, Placebo
Keywords
Virus disease, Respiratory infection, Common cold virus, Rhinovirus
Medical subject headings
Common Cold, Virus Diseases, Respiratory Tract Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 2-DeoxyglucoseDrug

    Also called 2-DG, 2-Deoxy-D-glucose

    Intranasal administration

  • PlaceboOther

    Intranasal administration

Study groups in NCT05314933
Study groupRoleWhat they receive
Study drugActive comparatorEach subject receives either a single dose (SAD) or a multiple dose (MAD) of a 3.5% 2-Deoxyglucose as nasal spray solution. The starting dose for the first cohort is 3.5 mg/day up to a maximum of 84 mg/day at cohort 6.
Receives: Drug: 2-Deoxyglucose
PlaceboPlacebo comparatorEach subject receives either a single (SAD) or multiple (MAD) dose of placebo. The dose for each cohort is corresponding the amount of solution needed in the verum group.
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Adverse drug reactions (ADRs)

    Number of ADRs after a single dose of 2-DG assessed by type, frequency and severity of ADRs graded as per Common Terminology Criteria for Adverse Events (CTCAE).

    Measured: until 24 hours after single drug dosing

  2. Adverse drug reactions (ADRs)

    Number of ADRs after multiple doses of 2-DG assessed by type, frequency and severity of ADRs graded as per Common Terminology Criteria for Adverse Events (CTCAE).

    Measured: until 168 hours after start of multiple drug dosing

Secondary outcomes (10)
  1. Biodistribution of a single dose of 2-DG

    Analysis of 2-DG concentrations in plasma and nasal wash samples measured by LC-MS (µg/ml).

    Measured: baseline,0.5 hours, 2 hours, 4 hours, 6 hours after single drug dosing

  2. Biodistribution of multiple doses of 2-DG

    Analysis of 2-DG concentrations in plasma and nasal wash samples measured by LC-MS (µg/ml).

    Measured: baseline, 12 hours, 15 hours, 24 hours, 72 hours, 168 hours after start of multiple drug dosing

  3. Local tolerability of a single dose of 2-DG

    Abnormal physical examination findings in the nasal cavity (type, frequency, severity of medical abnormalities, scoring of self-reported symptoms).

    Measured: baseline, 6 hours, 24 hours after single drug dosing

  4. Local tolerability of multiple doses of 2-DG

    Abnormal physical examination findings in the nasal cavity (type, frequency, severity of medical abnormalities, scoring of self-reported symptoms).

    Measured: baseline, 3 hours, 12 hours, 24 hours after start of multiple drug dosing

  5. Olfactory function after a single dose of 2-DG

    Change in olfactory capacity using sniffing sticks measured by Threshold-Discrimination-Identification score (TDI score). Minimum value = 0 , maximum value= 48. A higher score means a better outcome.

    Measured: baseline, 24 hours after single drug dosing

  6. Olfactory function after multiple doses of 2-DG

    Change in olfactory capacity using sniffing sticks measured by Threshold-Discrimination-Identification score (TDI score). Minimum value = 0 , maximum value= 48. A higher score means a better outcome.

    Measured: baseline, 24 hours, 72 hours, 168 hours after start of multiple drug dosing

  7. Premature terminations due to ADRs after a single dose of 2-DG

    Number of premature terminations due to ADRs that are assessed by type, frequency and severity graded as per Common Terminology Criteria for Adverse Events (CTCAE).

    Measured: until 24 hours after single drug dosing

  8. Premature terminations due to ADRs after multiple doses of 2-DG

    Number of premature terminations due to ADRs that are assessed by type, frequency and severity graded as per Common Terminology Criteria for Adverse Events (CTCAE).

    Measured: until 168 hours after start of multiple drug dosing

  9. Adverse events after single dose 2-DG

    Number of AEs assessed by type, frequency and severity graded as per Common Terminology Criteria for Adverse Events (CTCAE).

    Measured: until 24 hours after single drug dosing

  10. Adverse events after multiple doses 2-DG

    Number of AEs assessed by type, frequency and severity graded as per Common Terminology Criteria for Adverse Events (CTCAE).

    Measured: until 168 hours after start of multiple drug dosing

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Apr 2022
  2. Study start3 Mar 2022
  3. Primary completion1 Aug 2023
  4. Study completion27 Sep 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
45 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05314933
Sponsor's protocol ID
2-DG-01
Status last verified
Oct 2023
First submitted
3 Feb 2022
Last updated
12 Oct 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bischof T, Gsoellpointner M, Miljevic KDK, Moser MM, Dizdarevic AM, Gualdoni GA, Gorki AD, Nicolodi C, Chou S, Radivojev S, Haiden N, Mueller CA, Firbas C, Jilma B, Schoergenhofer C. Safety, tolerability, and pharmacokinetics of intranasal 2-deoxy-D-glucose in normal healthy volunteers: A randomized, double-blind, placebo-controlled, single and multiple ascending dose phase 1 study. Eur J Pharm Sci. 2025 Jun 1;209:107069. doi: 10.1016/j.ejps.2025.107069. Epub 2025 Mar 16.

    PubMed 40101848

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing 2-Deoxyglucose in people with Acute Nasopharyngitis, run by G.ST Antivirals GmbH at 1 site in Austria.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 12 Oct 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Austria. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Adverse drug reactions (ADRs) (time frame: until 24 hours after single drug dosing). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05314933, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Oct 2023.

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