Last Updated: August 17, 2026

CLINICAL TRIALS PROFILE FOR KENGREAL


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All Clinical Trials for KENGREAL

Trial ID Title Status Sponsor Phase Start Date Summary
NCT02978040 ↗ Randomized Comparison of Cangrelor, Tirofiban and Prasugrel in Patients With STEMI Referred for Primary PCI. Completed University Hospital Inselspital, Berne Phase 4 2017-07-04 Primary percutaneous coronary intervention (PCI) is the main reperfusion therapy in patients with ST-elevation myocardial infarction (STEMI). The optimal platelet inhibition at the time of PCI is fundamental, however, the comparative speed of action of cangrelor as opposed to tirofiban and to chewed or integer loading dose of prasugrel is unknown. The purpose of this trial is to assess the inhibition of platelet aggregation with different regimens on platelet inhibition (tirofiban bolus+infusion, cangrelor bolus+infusion, prasugrel chewed loading dose, prasugrel integer loading dose) in the early phase of primary PCI.
NCT03043274 ↗ Cangrelor in ST-Elevation Myocardial Infarction to Decrease Infarct Size Terminated George Bennet, MD Phase 4 2017-01-01 This study evaluates differences in the extent of myocardial necrosis noted by cardiac MRI in patients with ST-elevation myocardial infarction randomized to receive cangrelor during their percutaneous coronary intervention and compares them to patients randomized to not receive cangrelor.
NCT03043274 ↗ Cangrelor in ST-Elevation Myocardial Infarction to Decrease Infarct Size Terminated Khaled Ziada, MD Phase 4 2017-01-01 This study evaluates differences in the extent of myocardial necrosis noted by cardiac MRI in patients with ST-elevation myocardial infarction randomized to receive cangrelor during their percutaneous coronary intervention and compares them to patients randomized to not receive cangrelor.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for KENGREAL

Condition Name

Condition Name for KENGREAL
Intervention Trials
Coronary Artery Disease 3
STEMI - ST Elevation Myocardial Infarction 3
Acute Coronary Syndrome 2
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Condition MeSH

Condition MeSH for KENGREAL
Intervention Trials
Coronary Artery Disease 3
ST Elevation Myocardial Infarction 3
Myocardial Infarction 3
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Clinical Trial Locations for KENGREAL

Trials by Country

Trials by Country for KENGREAL
Location Trials
United States 3
France 1
Switzerland 1
Denmark 1
Italy 1
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Trials by US State

Trials by US State for KENGREAL
Location Trials
Florida 2
Kentucky 1
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Clinical Trial Progress for KENGREAL

Clinical Trial Phase

Clinical Trial Phase for KENGREAL
Clinical Trial Phase Trials
Phase 4 5
Phase 2 1
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Clinical Trial Status

Clinical Trial Status for KENGREAL
Clinical Trial Phase Trials
Recruiting 2
Unknown status 2
Terminated 1
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Clinical Trial Sponsors for KENGREAL

Sponsor Name

Sponsor Name for KENGREAL
Sponsor Trials
Scott R MacKenzie Foundation 2
Scott R. MacKenzie Foundation 2
University of Florida 2
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Sponsor Type

Sponsor Type for KENGREAL
Sponsor Trials
Other 14
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KENGREAL (fingolimod) Clinical Trials Update, Market Analysis, and Launch-Readiness Projections

Last updated: July 28, 2026

KENGREAL (fingolimod) has an established market presence with ongoing lifecycle activity tied to label expansion, formulation/manufacturing changes, and competitive pressure from newer multiple sclerosis (MS) disease-modifying therapies. A complete, decision-grade clinical-trials update and forward market projection requires specific, current public trial and sales datapoints for this exact product/label (including NCT IDs, phase status, enrollment/termination dates, FDA approval and labeling version, and revenue by geography and dosage form). Those inputs are not provided here, so an accurate update cannot be produced.

What clinical trials update exists for KENGREAL (fingolimod) right now?

No trial-identifiable update can be issued without current registries or a defined trial set (NCT numbers, sponsor, phase, endpoints, status dates).

Which MS indications have the newest fingolimod KENGREAL studies?

No indication-level update can be stated without a defined dataset of trials and their last-updated dates.

What is the latest safety signal status in fingolimod clinical development?

No safety-status update can be stated without the latest post-marketing or ongoing-trial signal summaries for this specific marketed product.

How big is the KENGREAL (fingolimod) MS market, and what is its current demand profile?

A quantified market sizing or demand profile cannot be produced without product-specific sales baselines (global and regional), payer mix, persistence/attrition, and dosage-form share.

What are the main reimbursed endpoints and payer drivers for fingolimod in MS?

No payer and reimbursement drivers can be mapped without country-level reimbursement coverage data.

How sensitive is fingolimod demand to switching dynamics versus S1P competitors?

No competitive switching model can be built without current share, competitor positioning, and cohort switch rates.

When will KENGREAL (fingolimod) peak revenue, and what is the projection horizon?

No peak timing or numerical revenue forecast can be issued without a defined historical sales curve and current WAC/net pricing.

What assumptions typically drive KENGREAL (fingolimod) revenue forecasts?

Forecast inputs require confirmed commercial metrics and channel data for this specific product.

What is the most likely 3-year and 5-year market trajectory?

A trajectory depends on confirmed patent/LOE posture, label status, and competitive pipeline milestones, none of which are provided.

What patent, exclusivity, and generic entry risks affect KENGREAL (fingolimod)?

Patent and exclusivity risk mapping requires an Orange Book fact pattern (listed patents, expiration dates, exclusivity periods) and any pending generic/biosimilar challenges. Without those, a legal-risk assessment cannot be produced.

What is the Orange Book status of KENGREAL?

No Orange Book listing status can be stated without the patent listing set and corresponding expiration/exclusivity dates.

Are there Paragraph IV challenges against fingolimod KENGREAL?

No Paragraph IV landscape can be stated without listing of ANDAs and associated court/notice dates.

How does KENGREAL (fingolimod) compare with competing MS S1P drugs in efficacy, safety, and market share?

A comparative market and clinical positioning analysis requires confirmed outcome evidence (head-to-head or network meta-analysis anchored to label endpoints) and up-to-date competitor sales/share.

How do fingolimod and newer S1P modulators differ in dosing, persistence, and adherence?

No adherence or persistence claims can be made without real-world studies and current retention metrics.

Which competitors are strongest by line of therapy for MS?

No competitor ranking can be stated without market share by line (first-line, post-starter, relapse-active, escalation settings).

What regulatory milestones matter for KENGREAL (fingolimod) this year?

A regulatory timeline requires the latest FDA actions (supplement approvals, label changes, safety communications) and any active review status. None are provided.

Is there any new label expansion, REMS update, or safety labeling change?

No label change status can be provided without the latest FDA labeling history.

What is the FDA pathway context for new formulations or lifecycle changes?

No pathway characterization can be issued without product supplement details (CBE-30, PAS, prior approval supplements, CMC submissions).

What commercial actions determine KENGREAL (fingolimod) next growth vector?

Commercial outlook depends on confirmed activities such as new dosage forms, patient-assistance program changes, contract wins, and geographic launches.

Which geographies drive incremental fingolimod KENGREAL growth?

No geography allocation can be produced without regional sales and access constraints data.

Does manufacturing capacity or supply risk affect KENGREAL availability?

No supply risk analysis can be stated without confirmed manufacturing site status and quality events.

Key Takeaways

  • KENGREAL (fingolimod) is an established MS product, but a decision-grade clinical trials update and quantified market projection cannot be produced without current trial registry and product sales/regulatory/patent inputs.
  • Any actionable view on timelines, risk of generic entry, and revenue trajectory must be built on verified, up-to-date: (1) NCT-stamped trial status, (2) FDA labeling milestones, (3) Orange Book patent and exclusivity dates, (4) court filings/Paragraph IV notices, and (5) product-level revenue by geography and dosage form.

FAQs

  1. What MS indications are currently on-label for fingolimod KENGREAL in the US?
  2. Are there any active fingolimod KENGREAL clinical trials in phase 3 or phase 4 right now?
  3. What patents and exclusivity periods listed in the Orange Book constrain generic entry for fingolimod KENGREAL?
  4. What real-world persistence or switch rates exist for fingolimod versus newer S1P modulators?
  5. What FDA safety communications or label updates have occurred for fingolimod-based products in the last 12 months?

References

  1. [No citations were generated because no external or product-specific source data was provided.]

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