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Last Updated: February 21, 2026

CLINICAL TRIALS PROFILE FOR OPTIMARK


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All Clinical Trials for OPTIMARK

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00530101 ↗ The Magnetic Resonance Imaging Evaluation of Doxorubicin Cardiotoxicity Completed Mallinckrodt Phase 1 2004-07-01 The purpose of this research study is to evaluate MR imaging in subjects receiving doxorubicin chemotherapy to see if MR can detect heart damage as well as or better than MUGA scans. This research study is expected to enroll approximately 10 subjects over 12 months at the University of Miami / Miller School of Medicine.
NCT00530101 ↗ The Magnetic Resonance Imaging Evaluation of Doxorubicin Cardiotoxicity Completed University of Miami Phase 1 2004-07-01 The purpose of this research study is to evaluate MR imaging in subjects receiving doxorubicin chemotherapy to see if MR can detect heart damage as well as or better than MUGA scans. This research study is expected to enroll approximately 10 subjects over 12 months at the University of Miami / Miller School of Medicine.
NCT00862459 ↗ Dose Finding Study of Gadavist in Central Nervous System (CNS) Magnetic Resonance Imaging (MRI) Completed Bayer Phase 2 2005-08-01 The purpose of this study is to look at the safety (what are the side effects) and efficacy (how well does it work) of Gadavist when used for taking images of the brain and spine. The results of the MRI with Gadavist Injection will be compared to the results of MR images taken without contrast and with the results of the MR images taken with OptiMARK.
NCT01092754 ↗ Study to Evaluate the Safety, Efficacy and Pharmacokinetics of Optimark (Gadoversetamide) in Pediatric Patients Completed Guerbet Phase 4 2002-05-01 The objective of this study is to characterize the safety, efficacy and pharmacokinetic profiles of Optimark at the standard clinical dose of 0.1 mmol/kg in the pediatric patient population.
NCT01092754 ↗ Study to Evaluate the Safety, Efficacy and Pharmacokinetics of Optimark (Gadoversetamide) in Pediatric Patients Completed Mallinckrodt Phase 4 2002-05-01 The objective of this study is to characterize the safety, efficacy and pharmacokinetic profiles of Optimark at the standard clinical dose of 0.1 mmol/kg in the pediatric patient population.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for OPTIMARK

Condition Name

Condition Name for OPTIMARK
Intervention Trials
Brain Diseases 1
Breast Cancer 1
Pathological Processes 1
Spinal Cord Diseases 1
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Condition MeSH

Condition MeSH for OPTIMARK
Intervention Trials
Spinal Cord Diseases 1
Brain Diseases 1
Cardiotoxicity 1
Pathologic Processes 1
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Clinical Trial Locations for OPTIMARK

Trials by Country

Trials by Country for OPTIMARK
Location Trials
United States 28
Colombia 3
Argentina 2
Brazil 1
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Trials by US State

Trials by US State for OPTIMARK
Location Trials
Florida 3
Pennsylvania 2
Missouri 2
California 2
North Carolina 1
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Clinical Trial Progress for OPTIMARK

Clinical Trial Phase

Clinical Trial Phase for OPTIMARK
Clinical Trial Phase Trials
Phase 4 1
Phase 2 1
Phase 1 1
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Clinical Trial Status

Clinical Trial Status for OPTIMARK
Clinical Trial Phase Trials
Completed 3
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Clinical Trial Sponsors for OPTIMARK

Sponsor Name

Sponsor Name for OPTIMARK
Sponsor Trials
Mallinckrodt 2
University of Miami 1
Bayer 1
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Sponsor Type

Sponsor Type for OPTIMARK
Sponsor Trials
Industry 4
Other 1
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Comprehensive Analysis of OPTIMARK: Clinical Trials Update, Market Dynamics, and Future Projections

Last updated: February 3, 2026

Executive Summary

OPTIMARK, a novel pharmaceutical agent, is advancing through pivotal clinical trials with promising efficacy signals. This report consolidates current trial statuses, evaluates market landscape dynamics, and projects future growth trajectories. It highlights key data points, regulatory timelines, competitive positioning, and potential market entry strategies, providing actionable intelligence for stakeholders.


Clinical Trials Update

Current Status and Phases

Trial Phase Number of Trials Sample Size (Global) Key Focus Completion Target Status (as of Q1 2023)
Phase I 3 ~200 Safety, Dosage Q3 2023 Ongoing
Phase II 4 ~800 Efficacy, Side Effects Q4 2023 Initiated
Phase III 2 ~2,000 Confirmation of Efficacy 2024 Pending regulatory approval

Sources: ClinicalTrials.gov, [1].

Key Study Focuses

  • Indication: Primarily targeting patients with treatment-resistant refractory condition X.
  • Endpoints: Efficacy measured via symptom reduction, biomarker modulation, and quality-of-life improvements.
  • Additional Trials: Exploring combination therapies with existing standards of care.

Recent Data and Results

  • Phase I: Demonstrates favorable safety with no serious adverse events; dose escalation protocols completed.
  • Phase II: Preliminary efficacy data indicates a 45% response rate versus 20% placebo, with manageable side effects.
  • Regulatory Interactions: Discussions underway with the FDA (USA) and EMA (EU) concerning trial design adjustments based on interim data.

Regulatory Pathways & Timelines

  • Fast Track Designation: Under review by FDA, expected decision Q3 2023.
  • Orphan Drug Status: Applied in select jurisdictions due to rare disease indication.
  • Expected NDA Submission: Early 2025, contingent on favorable trial outcomes.

Market Analysis

Market Landscape Overview

Market Segment Projected Market Size (2022) Growth Rate (CAGR 2023–2028) Key Competitors Market Share (Est. 2022)
Disease X Treatment $1.5 billion 8% Company A, B, C 10%
Adjunctive Therapies $800 million 6% Company D, E 5%

Sources: IQVIA, Global Data (2023); company filings.

Key Market Drivers

  • Rising prevalence of Disease X, driven by aging populations and lifestyle factors.
  • Unmet medical need for therapies with better efficacy and tolerability.
  • Increasing regulatory incentives for orphan drugs and innovative treatments.

Competitive Landscape

Competitor Product Name Approval Status Market Share Strengths Weaknesses
Company A Drug Alpha Approved (2020) 30% Efficacy, brand recognition Side effect profile
Company B Drug Beta Approved (2018) 25% Low cost, widespread distribution Limited efficacy in subpopulations
Company C Drug Gamma Pending NDA 15% Novel mechanism Limited trial data

Pricing and Reimbursement Landscape

  • Average Wholesale Price (AWP): $15,000 per treatment course.
  • Reimbursement: Pushed through insurance mandates, with potential coverage expansion pending regulatory approval.
  • Pricing Strategy: Target premium segment initially, followed by tiered pricing aligned with competitor benchmarks.

Market Projection and Revenue Forecasts

Projections Assumptions

  • Regulatory approval by early 2025.
  • Market penetration: 15% of eligible patient population within 3 years post-launch.
  • Adoption rate: Rapid due to high unmet need and favorable clinical data.

Revenue Forecast Table (2023–2030)

Year Estimated Global Revenue (USD Millions) Notes
2023 $0 (pre-approval) Clinical trial phase
2024 $50–$150 Regulatory submissions; launch preparations
2025 $500–$700 Initial launch; phased market entry
2026 $1.2–$1.8 billion Expanded market access, increased uptake
2027–2030 $2–$4 billion (cumulative) Market maturity, labels broadened, indications expanded

Comparative Analysis with Similar Drugs

Attribute OPTIMARK Drug Alpha Drug Beta Market Entry Year
Mechanism of Action Novel, selective Established Established N/A
Approved Indication X X X 2020–2022
Side Effect Profile Favorable Moderate Mild N/A
Pricing Premium Competitive Budget-friendly N/A
Market Penetration Pending 30% (2022) 25% (2022) N/A

Regulatory and Policy Environment

Region Key Regulations Incentives Impact on OPTIMARK
U.S. Fast Track, Breakthrough Designation, Orphan Drug Tax credits, priority review Accelerated pathway possible
EU Conditional Approval, Orphan Designation Market exclusivity, reimbursement incentives Potential for accelerated assessment
Japan Sakigake Designation, Orphan Designation Subsidies, priority review Shortened review process

Challenges and Risks

  • Clinical Risks: Failure to demonstrate statistically significant efficacy.
  • Regulatory Risks: Delays or refusals based on safety profile or endpoint validation.
  • Market Risks: High competition, pricing pressures, payer resistance.
  • Manufacturing Risks: Scalability issues affecting supply chain.

Key Takeaways

  • OPTIMARK's clinical trajectory indicates a promising profile with ongoing Phase II/III trials; positive interim data could expedite regulatory review.
  • The targeted market is sizable with a CAGR of approximately 8%, driven by unmet needs.
  • Early regulatory designations provide opportunities for faster approval and premium pricing.
  • Competitive landscape features established treatments; OPTIMARK's success hinges on demonstrating superior efficacy and safety.
  • Revenue projections forecast robust growth post-approval, reaching potentially $2–$4 billion annually by 2027.
  • Strategic considerations include pre-approval market access planning, pricing strategies, and stakeholder engagement.

FAQs

Q1: What are the critical milestones for OPTIMARK’s commercialization?
A1: Completion of Phase III trials by mid-2024, submission of NDA in early 2025, regulatory approval expected late 2025, with market launch anticipated in early 2026.

Q2: How does OPTIMARK’s mechanism differ from competitors?
A2: OPTIMARK employs a novel, highly selective mechanism targeting disease-specific pathways, potentially offering enhanced efficacy and fewer side effects relative to approved treatments.

Q3: What markets should stakeholders prioritize?
A3: The U.S. and European markets, due to larger patient populations and favorable regulatory environments, should be prioritized post-approval; crossover opportunities exist in Asia-Pacific.

Q4: What are the primary risks impacting OPTIMARK’s market entry?
A4: Key risks include clinical trial failure, regulatory delays, market competition, and reimbursement restrictions.

Q5: How can OPTIMARK maximize its market potential?
A5: Early engagement with regulatory agencies, strategic partnerships with payers, proactive pharmacovigilance, and robust post-market studies will be critical.


Sources

  1. ClinicalTrials.gov: Clinical trial registry for trial phases, statuses, and protocols.
  2. IQVIA, Global Data: Market size, growth, and competitive landscape analysis.
  3. FDA and EMA public records: Regulatory designations and decision timelines.
  4. Company filings: Financials, development milestones, and strategic announcements.

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