2-deoxy-D-glucose in a human rhinovirus challenge model: A randomized, double-blind placebo-controlled phase 2a clinical trial - Takeaways - MDSpire
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Phase 2a Randomized, Double-Blind, Placebo-Controlled Trial of 2-Deoxy-D-Glucose in a Human Rhinovirus Challenge Model

  • By

  • Victor M. Cnossen

  • Salma Assil

  • Marieke L. de Kam

  • Meta Roestenberg

  • Anna-Dorothea Gorki

  • Ronald B. Turner

  • Guido A. Gualdoni

  • Ingrid M.C. Kamerling

  • October 27, 2026

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  • 1

    This randomized, double-blind, placebo-controlled phase 2a trial evaluated intranasal 2-deoxy-D-glucose (2-DG) in 64 healthy adults challenged with rhinovirus 39 (RV39).

  • 2

    Participants received 2-DG at 14 mg per dose or placebo four times daily, from 1 day before inoculation through 5 days afterward, with two doses on the first and final days.

  • 3

    In the primary per-protocol analysis, rhinovirus-associated illness occurred in 16/27 participants (59.3%) receiving 2-DG and 17/29 (58.6%) receiving placebo.

  • 4

    Laboratory-confirmed infection rates, viral loads, and symptom scores did not differ significantly. The trial stopped after its planned interim analysis because the recalculated sample size was considered infeasible.

  • 5

    Treatment-emergent adverse events affected 40.6% of participants receiving 2-DG and 50.0% receiving placebo. No severe or serious adverse events occurred, and none prompted treatment discontinuation or modification.

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