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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study drug | Active Comparator | Each 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. |
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| Placebo | Placebo Comparator | Each 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. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 2-Deoxyglucose | Drug | Intranasal administration |
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| Measure | Description | Time Frame |
|---|---|---|
| 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). | until 24 hours after single drug dosing |
| 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). | until 168 hours after start of multiple drug dosing |
| Measure | Description | Time Frame |
|---|---|---|
| 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). | baseline,0.5 hours, 2 hours, 4 hours, 6 hours after single drug dosing |
| Biodistribution of multiple doses of 2-DG |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical University of Vienna | Vienna | 1090 | Austria |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40101848 | Derived | 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. |
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| ID | Term |
|---|---|
| D003139 | Common Cold |
| D014777 | Virus Diseases |
| D012141 | Respiratory Tract Infections |
| ID | Term |
|---|---|
| D007239 | Infections |
| D010850 | Picornaviridae Infections |
| D012327 | RNA Virus Infections |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D003847 | Deoxyglucose |
| ID | Term |
|---|---|
| D003837 | Deoxy Sugars |
| D002241 | Carbohydrates |
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| Placebo | Other | Intranasal administration |
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Analysis of 2-DG concentrations in plasma and nasal wash samples measured by LC-MS (µg/ml).
| baseline, 12 hours, 15 hours, 24 hours, 72 hours, 168 hours after start of multiple drug dosing |
| 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). | baseline, 6 hours, 24 hours after single drug dosing |
| 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). | baseline, 3 hours, 12 hours, 24 hours after start of multiple drug dosing |
| 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. | baseline, 24 hours after single drug dosing |
| 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. | baseline, 24 hours, 72 hours, 168 hours after start of multiple drug dosing |
| 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). | until 24 hours after single drug dosing |
| 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). | until 168 hours after start of multiple drug dosing |
| 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). | until 24 hours after single drug dosing |
| 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). | until 168 hours after start of multiple drug dosing |