mannitol
Trade name: Osmitrol
Approved
Jun 8, 1964
Mannitol is a type of sugar alcohol used as a sweetener and medication. It is used as a low calorie sweetener as it is poorly absorbed by the intestines. As a medication, it is used to decrease pressure in the eyes, as in glaucoma, and to lower increased intracranial pressure. Medically, it is given by injection or inhalation. Effects typically begin within 15 minutes and last up to 8 hours. — Wikipedia
Clinical trial activity
142 trials · 184 clinical orgs · 16 marketing orgs
Earliest trial started May 1, 1996 (NCT00175227)
Timeline
1960s
1970s
- Aug 20, 1971
Hospira — Marketing Organization
- Aug 11, 1972
Fresenius — Marketing Organization
- Aug 29, 1975
International Medication — Marketing Organization
1980s
- Feb 22, 1980
ICU Medical Inc — NDA Secondary Org
- Jun 10, 1980
Abraxis — Marketing Organization
- Jan 21, 1982
Lutipold — Marketing Organization
- May 6, 1987
Teligent Pharmaceuticals — Marketing Organization
2000s
2010s
- Oct 5, 2010
Syntara — NDA Secondary Org
Indications
Approved for
Studied for
- Acute Kidney Injury · Phase 2
- Airway Management · Early Phase 1
- Alcohol-Induced Disorders · Phase 3
- Anesthesia · Phase 4
- Asthma · Phase 4
- Astrocytoma · Phase 2
- Atrial Fibrillation · Phase 2
- Atrial Flutter · Phase 2
- Blood Pressure · Phase 1
- Body Fluids · Phase 4
- Bone Marrow Diseases · Phase 1
- Brain Concussion · Phase 2/Phase 3
- Brain Contusion · Phase 1/Phase 2
- Brain Diseases · Phase 3
- Brain Edema · Phase 4
- Brain Injuries · Phase 2/Phase 3
- Brain Injuries, Traumatic · Phase 4
- Brain Neoplasms · Phase 2
- Breast Neoplasms · Phase 1/Phase 2
- Bronchiectasis · Phase 3
- Burns · Phase 1
- Ciguatoxins · Phase 3
- Cockayne Syndrome · Phase 1/Phase 2
- Cognition · Phase 1/Phase 2
- Colonoscopy · Phase 4
- Constipation · Phase 4
- Coronary Artery Disease · Phase 3
- COVID-19 · Phase 2/Phase 3
- Craniocerebral Trauma · Phase 1/Phase 2
- Cystic Fibrosis · Phase 4
- Dexmedetomidine · Phase 2/Phase 3
- Diabetes Mellitus · Phase 1/Phase 2
- Diabetic Retinopathy · Phase 4
- Drug-Related Side Effects and Adverse Reactions · Phase 4
- Dyspepsia · Phase 4
- Epidermal Growth Factor · Phase 1/Phase 2
- Fetal Hypoxia · Phase 3
- Gait · Phase 2/Phase 3
- Gastroenteritis · Phase 1/Phase 2
- Glioblastoma · Phase 2
- Glioma · Phase 2
- Headache · Phase 4
- Healthy Volunteers · Phase 1/Phase 2
- Hearing Loss · Phase 2
- Heart Diseases · Phase 3
- Hematoma, Subdural · Phase 1/Phase 2
- Hemodialysis, Home · Phase 2/Phase 3
- Hemodilution · Phase 3
- Hemodynamics · Phase 2/Phase 3
- Hypersensitivity · Early Phase 1
- Hypotension · Phase 2
- Hypoxia-Ischemia, Brain · Phase 3
- Infant, Newborn, Diseases · Phase 3
- Inflammation · Phase 4
- Injections · Phase 2/Phase 3
- Intestinal Neoplasms · Phase 1
- Intracranial Hypertension · Phase 4
- Intracranial Pressure · Phase 4
- Ischemic Stroke · Phase 2
- Kidney Diseases · Phase 2/Phase 3
- Kidney Neoplasms · Phase 3
- Kidney Transplantation · Phase 3
- Leigh Disease · Phase 2
- Liver Transplantation · Early Phase 1
- Lung Diseases, Obstructive · Phase 2
- Lymphoma · Phase 1/Phase 2
- Malaria, Cerebral · Phase 3
- Medulloblastoma · Phase 1/Phase 2
- Metabolic Diseases · Phase 4
- Mortality · Phase 2
- Neoplasms · Phase 1
- Neoplasms, Germ Cell and Embryonal · Phase 1/Phase 2
- Neuralgia, Postherpetic · Phase 1/Phase 2
- Neuroectodermal Tumors · Phase 1/Phase 2
- Neuroectodermal Tumors, Primitive · Phase 1/Phase 2
- Neuroprotection · Phase 3
- Non-alcoholic Fatty Liver Disease · Phase 1
- Norovirus · Phase 1/Phase 2
- Oligodendroglioma · Phase 1/Phase 2
- Opioid-Related Disorders · Phase 2
- Osmotic Pressure · Phase 4
- Osteoarthritis, Knee · Phase 2/Phase 3
- Pain · Phase 1
- Parkinson Disease · Phase 2
- Pneumonia · Phase 2
- Pulmonary Disease, Chronic Obstructive · Phase 1/Phase 2
- Pulpitis · Phase 2/Phase 3
- Radiation Oncology · Phase 2
- Reperfusion Injury · Phase 3
- Respiratory Sounds · Phase 3
- Shock, Septic · Phase 3
- Sleep Apnea, Obstructive · Phase 2/Phase 3
- Sodium Lactate · Phase 3
- Stress, Physiological · Phase 3
- Stress, Psychological · Phase 3
- Stroke · Phase 2
- Traumatology · Phase 1/Phase 2
- Ureteral Diseases · Phase 4
- Urinary Tract Infections · Early Phase 1
- Urological Manifestations · Early Phase 1
Mechanism of action
- Radical scavenging activityUnclear
Radical scavenging activity unclear
Combination products
sorbitol-mannitol
with sorbitol
Approval history
- approvedJun 8, 1964
Chemistry & pharmacology
SMILES
OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO- Mol. weight
- 182.17 g/mol
- Lipinski Ro5
- 1 violation(s)
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral, Topical
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
Yes
Sources
- WikipediaMannitol ↗
- ChEMBLCHEMBL689 ↗
Also known as
- (2r,3r,4r,5r)-hexane-1,2,3,4,5,6-hexaol
- (2r,3r,4r,5r)-hexane-1,2,3,4,5,6-hexaol
- (2r,3r,4r,5r)-hexane-1,2,3,4,5,6-hexol
- (2r,3r,4r,5r)-hexane-1,2,3,4,5,6-hexol
- aridol kit
- bronchitol
- bronchitol
- bronchitol
- diosmol
- diosmol
- d-mannitol
- d-mannitol
- d-mannitol
- d-mannitol
- d-mannitol
- d-mannitol
- d-(-)-mannitol
- d-(-)-mannitol
- e421
- e421
- e421
- e 421
- e 421
- fraxinine
- fraxinine
- manitol
- manitol
- manna sugar
- manna sugar
- manna sugar
- mannit
- mannit
- mannite
- mannite
- mannite
- mannitol
- mannitol
- mannitol
- mannitol
- mannitol
- mannitol
- mannitol
- mannitol
- mannitol
- mannitol
- mannitol,d-
- mannitolum
- mannitolum
- osmitrol
- osmitrol
- resectisol
- resectisol
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06990984 | Phase 2 | Oct 31, 2025 | Thiogenesis Therapeutics, Inc., University of Pennsylvania |
| NCT07110519 | Early Phase 1 (Phase 1) | Sep 17, 2025 | St. Jude Children's Hospital |
| NCT07080567 | Phase 2 | Jul 14, 2025 | University of Geneva |
| NCT06914310 | Phase 2/Phase 3 (Phase 3) | Mar 25, 2025 | Mansoura University |
| NCT06884657 | Phase 4 | Mar 20, 2025 | Cukurova University |
| NCT06768268 | Phase 1/Phase 2 (Phase 2) | Jan 1, 2025 | National Taiwan University, National Yang Ming Chiao Tung University Hospital |
| NCT06473779 | Phase 3 | Sep 30, 2024 | AstraZeneca, Fortrea |
| NCT06540352 | Phase 2 | Jun 3, 2024 | Government of Russia |
| NCT06841406 | Phase 4 | May 1, 2024 | Katholieke Universiteit Leuven |
| NCT07064720 | Phase 2/Phase 3 (Phase 3) | Apr 12, 2024 | Cairo University |
| NCT06304181 | N/A | Mar 15, 2024 | Zhejiang University |
| NCT06400355 | N/A | Mar 1, 2024 | Cairo University, National Cancer Institute, Egypt |
| NCT06105671 | N/A | Dec 15, 2023 | University of Copenhagen |
| NCT05979727 | Phase 1 | Nov 20, 2023 | Reconnect Labs, University of Zurich |
| NCT06846307 | Phase 3 | Nov 1, 2023 | Diponegoro University |
| NCT05761405 | Early Phase 1 (Phase 1) | Oct 16, 2023 | Ecole Polytechnique Fédérale de Lausanne, University of Bern, University of Lausanne |
| NCT06004687 | Phase 1/Phase 2 (Phase 2) | Jul 26, 2023 | Nantong University |
| NCT05912114 | N/A | Jun 10, 2023 | Ningbo No. 1 Hospital |
| NCT05740618 | Phase 4 | Mar 28, 2023 | Chiesi, University of North Carolina at Chapel Hill |
| NCT05305508 | Phase 2 | May 31, 2022 | OM Pharma, University of Geneva, University of Genoa |
Organizations
Research & Development (184)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Syntara | For profit | 19 | 16 | 4 | 2004 |
| Harvard University | Academic/Hospital | 6 | 4 | 3 | 2000 |
| Oregon Health and Science University | Academic/Hospital | 5 | 4 | 3 | 2004 |
| National Cancer Institute (NCI) | Government | 4 | 0 | 2 | 2004 |
| University of British Columbia | Academic/Hospital | 4 | 4 | 3 | 2013 |
| University of Lausanne | Academic/Hospital | 4 | 4 | 2 | 2013 |
| Ain Shams University | Academic/Hospital | 3 | 3 | 3 | 2013 |
| Cairo University | Academic/Hospital | 3 | 2 | 2 | 2012 |
| Capital Medical University | Academic/Hospital | 3 | 2 | 2 | 2010 |
| Institute of Liver and Biliary Sciences, India | Academic/Hospital | 3 | 3 | 1 | 2014 |
| Istanbul University | Academic/Hospital | 3 | 3 | 1 | 2013 |
| Katholieke Universiteit Leuven | Academic/Hospital | 3 | 1 | 3 | 2013 |
| University of London | Academic/Hospital | 3 | 1 | 2 | 2005 |
| University of Pennsylvania | Academic/Hospital | 3 | 0 | 3 | 2000 |
| University of Saskatchewan | Academic/Hospital | 3 | 3 | 3 | 2011 |
| University of Tuebingen | Academic/Hospital | 3 | 2 | 2 | 2009 |
| University of Zurich | Academic/Hospital | 3 | 0 | 3 | 2013 |
| Utrecht University | Academic/Hospital | 3 | 2 | 1 | 2009 |
| ACE Pharmaceuticals BV | For profit | 2 | 0 | 1 | 2017 |
| AstraZeneca | For profit | 2 | 2 | 2 | 2012 |
Marketing (19)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Abraxis | For profit | MKTG | Jun 10, 1980 |
| B. Braun | For profit | NDA2 | Jul 30, 1964 |
| Baxalta | For profit | NDA2 | Jun 8, 1964 |
| Baxter | For profit | NDA2 | Jun 8, 1964 |
| Chiesi | For profit | MKTG | Oct 30, 2020 |
| Chiesi | For profit | SYN | Oct 30, 2020 |
| Chiesi | For profit | NDA2 | Oct 30, 2020 |
| Fresenius | For profit | MKTG | Aug 11, 1972 |
| Hospira | For profit | NDA2 | Dec 22, 1967 |
| Hospira | For profit | MKTG | Aug 20, 1971 |
| ICU Medical Inc | For profit | NDA2 | Feb 22, 1980 |
| International Medication | For profit | MKTG | Aug 29, 1975 |
| Lutipold | For profit | MKTG | Jan 21, 1982 |
| Merck | For profit | NDA2 | — |
| Merck KGaA | For profit | NDA | — |
| Miles | For profit | NDA2 | — |
| Syntara | For profit | NDA2 | Oct 5, 2010 |
| Teligent Pharmaceuticals | For profit | MKTG | May 6, 1987 |
| Watson Pharmaceuticals | For profit | MKTG | — |