glucose monohydrate
Approved
Jan 17, 1946
Glucose is a sugar with the molecular formula C6H12O6. The D-isomer (D-glucose), also known as dextrose, occurs widely in nature, but the L-isomer (L-glucose) does not. Glucose is made during photosynthesis from water and carbon dioxide, using energy from sunlight. The reverse of the photosynthesis reaction, which releases this energy, is a very important source of power for cellular respiration. Glucose is stored as a polymer, in plants as starch and in animals as glycogen, for times when the organism will need it. Glucose circulates in the blood of animals as blood sugar. Glucose can be obtained by hydrolysis of carbohydrates such as milk, cane sugar, maltose, cellulose, glycogen etc. It is however, manufactured by hydrolysis of cornstarch by steaming and diluting acid. Glucose is the human body's key source of energy, through aerobic respiration, providing about 3.75 kilocalories (16 kilojoules) of food energy per gram. Breakdown of carbohydrates (e.g. starch) yields mono- and disaccharides, most of which is glucose. Use of glucose as an energy source in cells is by either aerobic respiration, anaerobic respiration, or fermentation. All of these processes follow from an earlier metabolic pathway known as glycolysis. The insulin reaction, and other mechanisms, regulate the concentration of glucose in the blood. Glucose supplies almost all the energy for the brain, so its availability influences psychological processes. When glucose is low, psychological processes requiring mental effort (e.g., self-control, effortful decision-making) are impaired. Ingested glucose is absorbed directly into the blood from the intestine and results in a rapid increase in the blood glucose level. Glucose is used to manage hypoglycemia and for intravenous feeding. Nausea may occur after ingesting glucose, but this also may be an effect of the hypoglycemia which is present just prior to ingestion. Other adverse effects include increased blood glucose, injection site leakage of fluid (extravasation), injection site inflammation, and bleeding in the brain. — NCATS
Clinical trial activity
73 trials · 101 clinical orgs · 45 marketing orgs
Earliest trial started Mar 1, 2002 (NCT00213759)
Timeline
1940s
1950s
- Dec 7, 1953
Strides Pharma Science — Marketing Organization
- Dec 7, 1953
DAVA Pharmaceuticals — Marketing Organization
1970s
- Dec 8, 1970
Baxalta — NDA Secondary Org
- Dec 8, 1970
Baxter — NDA Secondary Org
- Feb 12, 1971
ICU Medical Inc — NDA Secondary Org
- Feb 26, 1974
Hospira — NDA Secondary Org
- Sep 5, 1979
Bristol-Myers — Marketing Organization
1980s
- Sep 3, 1980
Fresenius — Marketing Organization
- Oct 28, 1981
Alcon — Marketing Organization
- Oct 28, 1981
Nestle — NDA Secondary Org
- Feb 14, 1985
Bristol-Myers Squibb — Marketing Organization
- May 9, 1986
Norbrook — Marketing Organization
- Jun 13, 1986
Abraxis — Marketing Organization
- Sep 16, 1986
West-Ward Pharmaceutical — Marketing Organization
- Dec 16, 1986
Abbott — Marketing Organization
- Dec 16, 1986
Abbott — NDA Secondary Org
- Nov 1, 1988
Hospira — Marketing Organization
1990s
- Oct 15, 1990
Barr Laboratories — Marketing Organization
- Aug 23, 1991
Pharmacia & Upjohn — Marketing Organization
- Nov 27, 1991
Akorn, Inc. — Marketing Organization
- Nov 27, 1991
Akorn, Inc. — NDA Secondary Org
- Nov 27, 1991
Epic Pharma Llc — NDA Secondary Org
- May 15, 1992
Mylan — Marketing Organization
- Aug 1, 1994
Hikma — Marketing Organization
- Sep 28, 1995
DHL Laboratories, Inc — Marketing Organization
- Sep 28, 1995
DHL Laboratories, Inc — NDA Secondary Org
- Sep 27, 1996
Lukare Medical — Marketing Organization
- Sep 27, 1996
Lukare Medical — NDA Secondary Org
- Jun 17, 1999
Duramed Research — Marketing Organization
2000s
2010s
- Jan 8, 2010
Pharmachemie Bv — Marketing Organization
- Dec 1, 2010
Bedford Pharmaceuticals — Marketing Organization
- Mar 29, 2012
Rising Pharmaceuticals — Marketing Organization
- Mar 29, 2012
EXTROVIS — Marketing Organization
- Aug 25, 2014
Fresenius — NDA Secondary Org
- May 21, 2015
Sun Pharmaceuticals — Marketing Organization
- Jan 13, 2017
Zydus Discovery DMCC — Marketing Organization
- Apr 25, 2017
Azurity — Marketing Organization
- Apr 25, 2017
Silvergate Pharmaceuticals — Marketing Organization
- Dec 22, 2017
Amneal Pharmaceuticals — Marketing Organization
- Aug 9, 2018
Sagent Pharmaceuticals, Inc. — Marketing Organization
2020s
- Jan 30, 2020
Eugia Pharma — Marketing Organization
- Mar 26, 2021
International Medication — Marketing Organization
- Apr 23, 2021
Lotus Pharmaceutical — Marketing Organization
- Aug 7, 2023
Daito Pharmaceuticals — Marketing Organization
- Apr 8, 2024
Sankyo — Marketing Organization
- May 16, 2024
Elite Laboratories, Inc — Marketing Organization
- Jun 3, 2024
Alembic — Marketing Organization
Indications
Approved for
Studied for
- Achilles Tendon · Phase 2/Phase 3
- Acidosis, Lactic · Phase 2/Phase 3
- Acute Kidney Injury · Phase 3
- Acute Pain · Phase 4
- Agammaglobulinemia · Phase 3
- Alcohol Withdrawal Delirium · Phase 2/Phase 3
- Back Pain · Phase 2
- Behcet Syndrome · Phase 4
- Brain Neoplasms · Phase 2
- Bronchiolitis · Phase 3
- Carcinoma, Hepatocellular · Phase 3
- Carnitine · Phase 2/Phase 3
- Common Variable Immunodeficiency · Phase 3
- Deficiency Diseases · Phase 2/Phase 3
- Dehydration · Phase 2
- Depression · Phase 3
- Diabetes Mellitus · Phase 2
- Diabetes Mellitus, Type 1 · Phase 1
- Diabetes Mellitus, Type 2 · Phase 1
- Diabetic Ketoacidosis · Phase 3
- Enterocolitis, Necrotizing · Phase 2
- Gastroenteritis · Phase 3
- Gastroparesis · Phase 2
- Healthy Volunteers · Phase 1
- Heart Diseases · Phase 3
- Heart Failure · Phase 2
- Hypertension · Phase 4
- Hypertension, Pulmonary · Phase 4
- Hypertrophy, Left Ventricular · Phase 3
- Hyponatremia · Phase 3
- Hypospadias · Phase 2/Phase 3
- Hypotension · Phase 3
- Immunologic Deficiency Syndromes · Phase 3
- Infant, Premature · Phase 3
- Infant, Premature, Diseases · Phase 3
- Insulin Resistance · Phase 2/Phase 3
- Intestinal Neoplasms · Phase 3
- Kidney Failure, Chronic · Phase 4
- Liver Cirrhosis · Phase 2
- Liver Neoplasms · Phase 2
- Lung Diseases · Phase 4
- Magnesium Deficiency · Phase 2/Phase 3
- Major Depressive Disorder · Phase 3
- Metabolic Diseases · Phase 2/Phase 3
- Mycoses · Phase 1
- Neoplasm Metastasis · Phase 2
- Neoplasms · Phase 2
- Neurodevelopmental Disorders · Phase 2/Phase 3
- Osteoarthritis, Knee · Phase 2/Phase 3
- Ovarian Neoplasms · Phase 2
- Pelvic Pain · Phase 3
- Postoperative Complications · Phase 4
- Renal Dialysis · Phase 4
- Renal Insufficiency · Phase 1
- Sepsis · Phase 3
- Severe Combined Immunodeficiency · Phase 3
- Shock, Septic · Phase 3
- Tennis Elbow · Phase 4
- Tobacco Use Disorder · Phase 3
- Urinary Tract Infections · Phase 3
- Wernicke Encephalopathy · Phase 2/Phase 3
- Wiskott-Aldrich Syndrome · Phase 3
Mechanism of action
- Glucose-6-phosphataseAGONIST
G6PC1 agonist
Combination products
aminosyn ii in dextrose
with amino acids
Also known as clinimix 2.75/10 sulfite free in dextrose, clinimix 2.75/25 sulfite free in dextrose, clinimix 2.75/5 sulfite free in dextrose, clinimix 4.25/10 sulfite free in dextrose, clinimix 4.25/20 sulfite free in dextrose, clinimix 4.25/25 sulfite free in dextrose, clinimix 4.25/5 sulfite free in dextrose, clinimix 5/10 sulfite free in dextrose, clinimix 5/15 sulfite free in dextrose, clinimix 5/20 sulfite free in dextrose, clinimix 5/25 sulfite free in dextrose, clinimix 5/35 sulfite free in dextrose, travasol in dextrose
aminosyn ii m in dextrose
with potassium chloride, amino acids, sodium phosphate, sodium chloride, magnesium
aminosyn ii w/ elect and adjusted phosphate in dextrose
with potassium chloride, amino acids, potassium acetate, sodium chloride, potassium phosphate, magnesium
aminosyn ii w/ electrolytes in dextrose
with potassium chloride, amino acids, sodium chloride, potassium phosphate, magnesium
aminosyn ii w/ electrolytes in dextrose w/ calcium
with potassium chloride, amino acids, sodium chloride, calcium chloride, potassium phosphate, magnesium
bss plus
with potassium chloride, sodium bicarbonate, sodium phosphate, sodium chloride, calcium chloride, glutathione, magnesium
Also known as methotrexate sodium
clinimix e 4.25/25 sulfite free w/ elect in dextrose w/ calcium
with sodium acetate, amino acids, sodium chloride, calcium chloride, potassium phosphate, magnesium
Also known as clinimix e 2.75/10 sulfite free w/ elect in dextrose w/ calcium, clinimix e 2.75/25 sulfite free w/ elect in dextrose w/ calcium, clinimix e 2.75/5 sulfite free w/ elect in dextrose w/ calcium, clinimix e 4.25/10 sulfite free w/ elect in dextrose w/ calcium, clinimix e 4.25/20 sulfite free w/ elect in dextrose w/ calcium, clinimix e 4.25/5 sulfite free w/ elect in dextrose w/ calcium, clinimix e 5/10 sulfite free w/ elect in dextrose w/ calcium, clinimix e 5/15 sulfite free w/ elect in dextrose w/ calcium, clinimix e 5/20 sulfite free w/ elect in dextrose w/ calcium, clinimix e 5/25 sulfite free w/ elect in dextrose w/ calcium, clinimix e 5/35 sulfite free w/ elect in dextrose w/ calcium
dextrose and electrolyte
with potassium chloride, lactic acid, sodium chloride, potassium phosphate, magnesium
dextrose in acetated ringer's
with potassium chloride, sodium acetate, sodium chloride, calcium chloride
dextrose in ringer's
with potassium chloride, sodium chloride, calcium chloride
Also known as dextrose and ringer's
dialyte w/ dextrose
with sodium acetate, sodium chloride, calcium chloride, magnesium
Also known as dialyte concentrate w/ dextrose
dianeal low calcium w/dextrose
with lactic acid, sodium chloride, calcium chloride, magnesium
Also known as delflex-lm w/ dextrose, delflex w/ dextrose, delflex w/ dextrose low magnesium, delflex w/ dextrose low magnesium low calcium, dianeal 137 w/ dextrose, dianeal low calcium w/ dextrose, dianeal pd-1 w/ dextrose, dianeal pd-2 w/ dextrose, inpersol-lc/lm w/ dextrose
elliotts b solution
with potassium chloride, magnesium sulfate, sodium bicarbonate, sodium phosphate, sodium chloride, calcium chloride
inpersol-zm w/ dextrose
ionosol b and dextrose
with potassium chloride, lactic acid, sodium phosphate, sodium chloride, potassium phosphate, magnesium
ionosol mb and dextrose
with potassium chloride, lactic acid, sodium phosphate, potassium phosphate, magnesium
ionosol t and dextrose
with potassium chloride, sodium phosphate, potassium lactate, sodium chloride
isolyte e w/ dextrose
with sodium citrate, potassium chloride, sodium acetate, sodium chloride, calcium chloride, magnesium
Also known as isolyte e in dextrose
isolyte h w/ dextrose
with potassium chloride, sodium acetate, sodium chloride, magnesium
Also known as isolyte h in dextrose
isolyte m w/ dextrose
with potassium chloride, sodium acetate, sodium chloride, potassium phosphate
Also known as isolyte m in dextrose
isolyte p w/ dextrose
with potassium chloride, sodium acetate, potassium phosphate, magnesium
Also known as isolyte p in dextrose
isolyte r w/ dextrose
with potassium chloride, sodium acetate, sodium chloride, calcium chloride, magnesium
Also known as isolyte r in dextrose
kabiven
with soybean oil, potassium chloride, magnesium sulfate, sodium acetate, amino acids, sodium glycerophosphate pentahydrate, calcium chloride
Also known as perikabiven
lactated ringer's and dextrose
with potassium chloride, lactic acid, sodium chloride, calcium chloride
Also known as dextrose and lactated ringer's, dextrose in half-strength lactated ringer's, dextrose in lactated ringer's, dextrose in modified lactated ringer's, potassium chloride in dextrose and lactated ringer's
navstel
with potassium chloride, sodium bicarbonate, sodium phosphate, sodium chloride, oxiglutatione, calcium chloride, magnesium
normosol-m and dextrose
with potassium acetate, sodium chloride, magnesium
Also known as plasma-lyte 56 and dextrose
normosol-r and dextrose
with potassium chloride, sodium acetate, sodium chloride, sodium gluconate, magnesium
Also known as isolyte s in dextrose, isolyte s w/ dextrose, plasma-lyte 148 and dextrose
plasma-lyte m and dextrose
with potassium chloride, sodium acetate, lactic acid, sodium chloride, calcium chloride, magnesium
prismasol bk
with potassium chloride, lactic acid, sodium bicarbonate, sodium chloride, calcium chloride, magnesium
Also known as prismasol b22gk, prismasol bgk
travasol sulfite free w/ electrolytes in dextrose
with sodium acetate, amino acids, sodium chloride, potassium phosphate, magnesium
Approval history
- approvedJan 17, 1946
- approvedJan 17, 1946
Chemistry & pharmacology
SMILES
OC[C@@H](O)[C@@H](O)[C@H](O)[C@@H](O)C=O- Mol. weight
- 180.1559 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
No
Sources
- NCATS5SL0G7R0OK ↗
- ChEMBLCHEMBL1614854 ↗
- ChEMBLCHEMBL1222250 ↗
Also known as
- aldehydo-d-glucose
- aldehydo-d-glucose
- anhydrous dextrose
- anhydrous dextrose
- anhydrous dextrose
- capd
- capd
- clintec
- dextro energy
- dextrogel
- dextrose
- dextrose
- dextrose
- dextrose
- dextrose
- dextrose
- dextrose
- dextrose
- dextrose anhydrous
- dextrose anhydrous
- dextrose, anhydrous
- dextrose, anhydrous
- dextrose monohydrate
- d-glucose
- d-glucose
- d-glucose
- d(+)-glucose
- d(+)-glucose
- d-glucose, anhydrous
- d-glucose, anhydrous
- d-glucose in linear form
- d-glucose in linear form
- d-glucose monohydrate
- gambrosol
- (+)-glucose
- glucose monohydrate
- glucosemonohydricum
- grape sugar
- grape sugar
- gsf-syrup
- rapilose
- yourgluco
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT05752279 | Phase 3 | Apr 30, 2023 | University of New South Wales |
| NCT03665376 | N/A | Jun 1, 2017 | Kabale University, Mbarara University of Science and Technology |
| NCT02986906 | N/A | Mar 1, 2017 | Government of Taiwan |
| NCT03471585 | Early Phase 1 (Phase 1) | Feb 15, 2017 | University of Chicago |
| NCT02982551 | Early Phase 1 (Phase 1) | Jan 1, 2017 | University of Pittsburgh |
| NCT03466528 | Phase 2/Phase 3 (Phase 3) | Dec 16, 2016 | University of Glasgow |
| NCT02989675 | N/A | Dec 1, 2016 | Karolinska Institute, University of Malawi |
| NCT02990962 | N/A | Dec 1, 2016 | Government of Taiwan |
| NCT02971202 | Phase 1 | Dec 1, 2016 | Vanderbilt University |
| NCT02796729 | Phase 2 | Oct 1, 2016 | British Columbia Cancer Agency |
| NCT03024814 | Phase 3 | Oct 1, 2016 | King Saud Medical City, King Saud University |
| NCT02523222 | N/A | Jul 1, 2016 | Baylor University |
| NCT02653092 | N/A | Jun 1, 2016 | University of Colorado, Denver |
| NCT02809261 | N/A | May 1, 2016 | Government of Taiwan |
| NCT02728037 | Phase 3 | Apr 1, 2016 | Queen's University, Belfast, University of Paris |
| NCT02888795 | N/A | Feb 1, 2016 | National Yang-Ming University |
| NCT03173495 | N/A | Jan 10, 2016 | Federal University of Rio Grande do Sul |
| NCT02596477 | Phase 2 | Oct 1, 2015 | Mast Therapeutics |
| NCT02590081 | Phase 4 | Oct 1, 2015 | Government of Malaysia, Penang Medical College |
| NCT02471690 | Phase 1 | Jul 1, 2015 | The Medicines Company |
Organizations
Research & Development (101)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Tranzyme, Inc. | For profit | 5 | 5 | 3 | 2006 |
| Government of Taiwan | Government | 3 | 3 | 1 | 2016 |
| McGill University | Academic/Hospital | 3 | 3 | 2 | 2007 |
| New York University | Academic/Hospital | 3 | 0 | 1 | 2008 |
| Bioenergy Life Science, Inc. | For profit | 2 | 2 | 1 | 2006 |
| Celsion | For profit | 2 | 2 | 2 | 2008 |
| ICON | For profit | 2 | 0 | 2 | 2009 |
| Isfahan University | Academic/Hospital | 2 | 2 | 2 | 2010 |
| Merck | For profit | 2 | 2 | 1 | 2010 |
| NewLink Genetics Inc | For profit | 2 | 2 | 1 | 2008 |
| Norgine | For profit | 2 | 0 | 1 | 2011 |
| Queen's University, Belfast | Academic/Hospital | 2 | 1 | 1 | 2015 |
| Stanford University | Academic/Hospital | 2 | 0 | 1 | 2008 |
| University of Colorado, Denver | Academic/Hospital | 2 | 1 | 2 | 2002 |
| Academic Pediatric Association | Academic/Hospital | 1 | 0 | 1 | 2010 |
| American Academy of Pediatrics | Academic/Hospital | 1 | 0 | 1 | 2010 |
| Aristotle University of Thessaloniki | Academic/Hospital | 1 | 0 | 1 | 2007 |
| Baxalta | For profit | 1 | 0 | 1 | 2008 |
| Baylor University | Academic/Hospital | 1 | 1 | 1 | 2016 |
| Bnai Zion Medical Center | Academic/Hospital | 1 | 1 | 1 | 2005 |
Marketing (62)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Abbott | For profit | MKTG | Dec 16, 1986 |
| Abbott | For profit | NDA2 | Dec 16, 1986 |
| Abraxis | For profit | MKTG | Jun 13, 1986 |
| Accord Research | For profit | MKTG | Apr 30, 2007 |
| Akorn, Inc. | For profit | MKTG | Nov 27, 1991 |
| Akorn, Inc. | For profit | NDA2 | Nov 27, 1991 |
| Alcon | For profit | MKTG | Oct 28, 1981 |
| Alcon | For profit | SYN | Jul 24, 2008 |
| Alembic | For profit | MKTG | Jun 3, 2024 |
| Amneal Pharmaceuticals | For profit | MKTG | Dec 22, 2017 |
| Azurity | For profit | MKTG | Apr 25, 2017 |
| B. Braun | For profit | NDA2 | Jan 17, 1946 |
| B. Braun | For profit | NDA | Jan 17, 1946 |
| Barr Laboratories | For profit | MKTG | Oct 15, 1990 |
| Baxalta | For profit | MKTG | Oct 25, 2006 |
| Baxalta | For profit | NDA2 | Dec 8, 1970 |
| Baxter | For profit | NDA2 | Dec 8, 1970 |
| Baxter | For profit | MKTG | — |
| Bedford Pharmaceuticals | For profit | MKTG | Dec 1, 2010 |
| Bristol-Myers | For profit | MKTG | Sep 5, 1979 |
| Bristol-Myers Squibb | For profit | MKTG | Feb 14, 1985 |
| Bristol-Myers Squibb | For profit | SYN | Apr 14, 1989 |
| DAVA Pharmaceuticals | For profit | MKTG | Dec 7, 1953 |
| DHL Laboratories, Inc | For profit | MKTG | Sep 28, 1995 |
| DHL Laboratories, Inc | For profit | NDA2 | Sep 28, 1995 |
| Daito Pharmaceuticals | For profit | MKTG | Aug 7, 2023 |
| Duramed Research | For profit | MKTG | Jun 17, 1999 |
| EXTROVIS | For profit | MKTG | Mar 29, 2012 |
| Elite Laboratories, Inc | For profit | MKTG | May 16, 2024 |
| Epic Pharma Llc | For profit | NDA2 | Nov 27, 1991 |
| Eugia Pharma | For profit | MKTG | Jan 30, 2020 |
| Eugia Pharma | For profit | SYN | Mar 29, 2012 |
| Fresenius | For profit | SYN | Jun 13, 1994 |
| Fresenius | For profit | MKTG | Sep 3, 1980 |
| Fresenius | For profit | NDA2 | Aug 25, 2014 |
| Hikma | For profit | MKTG | Aug 1, 1994 |
| Hikma | For profit | SYN | Sep 16, 1986 |
| Hospira | For profit | MKTG | Nov 1, 1988 |
| Hospira | For profit | NDA2 | Feb 26, 1974 |
| ICU Medical Inc | For profit | NDA2 | Feb 12, 1971 |
| International Medication | For profit | MKTG | Mar 26, 2021 |
| Lotus Pharmaceutical | For profit | MKTG | Apr 23, 2021 |
| Lukare Medical | For profit | MKTG | Sep 27, 1996 |
| Lukare Medical | For profit | NDA2 | Sep 27, 1996 |
| Miles | For profit | NDA2 | — |
| Mylan | For profit | MKTG | May 15, 1992 |
| Mylan | For profit | SYN | Mar 29, 2012 |
| Nestle | For profit | NDA2 | Oct 28, 1981 |
| Norbrook | For profit | MKTG | May 9, 1986 |
| Pharmachemie Bv | For profit | MKTG | Jan 8, 2010 |
| Pharmachemie Bv | For profit | SYN | Jul 8, 1988 |
| Pharmacia & Upjohn | For profit | MKTG | Aug 23, 1991 |
| Rising Pharmaceuticals | For profit | MKTG | Mar 29, 2012 |
| Sagent Pharmaceuticals, Inc. | For profit | MKTG | Aug 9, 2018 |
| Sandoz | For profit | MKTG | Mar 31, 2009 |
| Sandoz | For profit | SYN | Mar 31, 2009 |
| Sankyo | For profit | MKTG | Apr 8, 2024 |
| Silvergate Pharmaceuticals | For profit | MKTG | Apr 25, 2017 |
| Strides Pharma Science | For profit | MKTG | Dec 7, 1953 |
| Sun Pharmaceuticals | For profit | MKTG | May 21, 2015 |
| West-Ward Pharmaceutical | For profit | MKTG | Sep 16, 1986 |
| Zydus Discovery DMCC | For profit | MKTG | Jan 13, 2017 |