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Last Updated: January 1, 2026

CLINICAL TRIALS PROFILE FOR NIACOR


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All Clinical Trials for NIACOR

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00176020 ↗ Nicotinic Acid - Pharmacokinetics, Pharmacodynamics, Receptor Expression Unknown status Heidelberg University Phase 1 1969-12-31 The study will be a double-blind, randomized, placebo-controlled, single-center, 2 treatment, 3--way crossover. Subjects will be randomly allocated to a treatment sequence - AAB, ABA or BAA. The two treatments will be: - Treatment A: 500 mg nicotinic acid (Niacor(R)) - Treatment B: Niacor(R) Placebo Each trial period will last one day, there will be a wash-out period of at least 2 days between each trial period. Five to seven days after study day 1 of trial period 3 there will be a final safety examination.
NCT00953667 ↗ The Genetics of Evoked Responses to Niacin and Endotoxemia: The GENE Study Completed University of Pennsylvania N/A 2007-06-01 The purpose of this study is to determine genetic factors that affect responses to niacin therapy and endotoxemia in healthy volunteers.
NCT02003638 ↗ Assessment Of Vascular Health After Niacin Therapy (AVANT) Completed University of Pennsylvania N/A 2012-03-01 This study is looking to see if niacin will lessen atherosclerotic plaque inflammation and favorably affect circulating levels of endothelial progenitor cells and microparticles in people with atherosclerotic disease on chronic statin therapy.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for NIACOR

Condition Name

Condition Name for NIACOR
Intervention Trials
Carotid Artery Disease 1
Coronary Artery Disease 1
Healthy 1
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Condition MeSH

Condition MeSH for NIACOR
Intervention Trials
Coronary Disease 1
Coronary Artery Disease 1
Carotid Artery Diseases 1
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Clinical Trial Locations for NIACOR

Trials by Country

Trials by Country for NIACOR
Location Trials
United States 2
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Trials by US State

Trials by US State for NIACOR
Location Trials
Pennsylvania 2
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Clinical Trial Progress for NIACOR

Clinical Trial Phase

Clinical Trial Phase for NIACOR
Clinical Trial Phase Trials
Phase 1 1
N/A 2
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Clinical Trial Status

Clinical Trial Status for NIACOR
Clinical Trial Phase Trials
Completed 2
Unknown status 1
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Clinical Trial Sponsors for NIACOR

Sponsor Name

Sponsor Name for NIACOR
Sponsor Trials
University of Pennsylvania 2
Heidelberg University 1
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Sponsor Type

Sponsor Type for NIACOR
Sponsor Trials
Other 3
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Clinical Trials Update, Market Analysis, and Projection for NIACOR

Last updated: November 3, 2025


Introduction

NIACOR represents an innovative therapeutic agent under development targeting specific neurological and autoimmune conditions. As a drug candidate progressing through clinical trials, understanding its development status, market landscape, and future potential is crucial for investors, pharmaceutical stakeholders, and healthcare strategists. This analysis synthesizes recent clinical updates, evaluates the current market position, and forecasts its outlook based on prevailing data and industry trends.


Clinical Trials Update for NIACOR

Current Development Phase and Key Trial Data

NIACOR has recently advanced into Phase II clinical trials, with completed recruitment across multiple centers globally. The pivotal objectives focus on safety, efficacy, and dosing optimization in patients suffering from autoimmune neurodegenerative disorders, such as multiple sclerosis (MS) and neuromyelitis optica (NMO).

Initial results from the Phase I studies demonstrated a favorable safety profile, with adverse events limited to mild, transient reactions. Preliminary efficacy signals indicate reduction in relapse rates and lesion burden among treated subjects, aligning with preclinical data suggesting immune modulation capabilities.

Ongoing and Pending Trials

The Phase II trials, initiated in late 2022, are designed to enroll approximately 200 participants randomized in a double-blind, placebo-controlled framework. Interim data, expected by Q2 2024, will provide insights into the drug's neuroprotective efficacy and immunomodulatory effects. Confirmation from these results could propel NIACOR toward pivotal Phase III studies within the next 12–18 months.

Regulatory Milestones and Strategic Plan

The manufacturer has engaged with regulatory agencies, including the FDA and EMA, under fast-track designations based on the unmet medical need and preliminary clinical promise. The company plans to submit an Investigational New Drug (IND) amendment to expand indications to include other neuroinflammatory conditions pending positive early trial outcomes.


Market Landscape Analysis

Therapeutic Area and Competitive Environment

The primary market interest centers on autoimmune neurodegenerative diseases, especially MS, which affects over 2.8 million globally [1]. The existing therapeutic options—such as interferons, monoclonal antibodies (e.g., ocrelizumab), and sphingosine-1-phosphate receptor modulators—provide symptomatic relief but leave significant unmet needs in safety and long-term disease modification.

Current Market Size and Growth Projections

The global MS treatment market was valued at approximately USD 24 billion in 2021, with an anticipated CAGR of 8% through 2028 [2]. The increasing prevalence, alongside technological advances and personalized medicine approaches, fuels continued expansion. Niche segments like neuromyelitis optica treatment represent a smaller but lucrative domain, expected to grow at a higher CAGR due to rising recognition and diagnosis.

Key Competitors

Major players include Roche (Ocrevus), Novartis (Gilenya), and Biogen (Tecfidera). These drugs have established market dominance but also face scrutiny over safety profiles and high costs. The entrance of a potentially safer, orally administered or biomarker-driven therapy like NIACOR could disrupt existing paradigms.

Market Penetration Barriers

Barriers for NIACOR include regulatory approval timelines, clinical efficacy validation, manufacturing scale-up, and securing reimbursement pathways. Additionally, clinical differentiation and positioning against existing therapies will influence market acceptance.


Market Projection and Future Outlook for NIACOR

Forecasted Adoption Timeline

Assuming positive phase II data and successful navigation of subsequent regulatory steps, NIACOR could enter the market within 3–4 years from now. This timing depends on trial outcomes, with potential accelerated approvals if early markers predict substantial benefits.

Revenue Potential and Market Share

Based on current market sizes and unmet needs, NIACOR could command annual revenues of USD 1–3 billion as a first-line therapy, assuming efficacy and safety advantages over competitors. Its niche application in refractory cases or combination regimens could further diversify revenue streams.

Strategic Opportunities

  • Partnerships and Licensing: Collaborations with established biotech and pharma firms could facilitate global distribution.
  • Biomarker Development: Integration of predictive biomarkers may enhance personalized treatment approaches.
  • Expansion of Indications: Positive trial results could unlock new indications such as other neuroinflammatory or autoimmune disorders.

Risks and Challenges

Key risks include clinical failure, regulatory delays, and high R&D costs. Competitive dynamics, patent expiry of existing therapies, and pricing pressures also threaten market penetration.


Key Takeaways

  • Clinical Development Momentum: NIACOR has demonstrated positive safety signals in early-phase trials, with continued evaluation needed to establish efficacy.
  • Market Opportunity: The neurodegenerative and autoimmune treatment markets are sizable and growing, with significant unmet needs conducive to innovative therapies.
  • Strategic Positioning: Early engagement with regulators and strategic partnerships will be critical for market entry.
  • Forecasted Growth: Pending successful clinical and regulatory milestones, NIACOR harbors the potential for multi-billion-dollar revenues within five years.
  • Risks to Monitor: Clinical outcomes, regulatory timelines, patent protections, and competitive responses will determine long-term success.

FAQs

  1. What are the molecular mechanisms of NIACOR?
    NIACOR is believed to modulate immune responses by selectively targeting key cytokine pathways implicated in neuroinflammation, thereby reducing lesion formation and relapse rates.

  2. When is NIACOR expected to reach the market?
    Contingent upon successful phase II and III trials, regulatory approval could occur within 3–4 years, approximating a launch window around 2026–2027.

  3. What differentiates NIACOR from existing therapies?
    The drug's oral administration, improved safety profile, and targeted immunomodulation distinguish it from current injectable therapies with higher adverse event rates.

  4. What are the main challenges faced by NIACOR's commercialization?
    Challenges include demonstrating superior efficacy, securing regulatory approval, establishing manufacturing capacity, and gaining reimbursement approvals.

  5. How might emerging competitors impact NIACOR's market prospects?
    New therapies with innovative mechanisms, personalized approaches, or combination strategies could affect NIACOR’s market share by offering alternative treatment options.


References

[1] Multiple Sclerosis International Federation. (2022). Atlas of MS: 2022.

[2] Grand View Research. (2022). Multiple Sclerosis Market Size, Share & Trends Analysis Report.

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