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Last Updated: March 20, 2025

CLINICAL TRIALS PROFILE FOR OMEGA-3-CARBOXYLIC ACIDS


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All Clinical Trials for Omega-3-carboxylic Acids

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00140179 ↗ Valnoctamide in Mania Completed Stanley Medical Research Institute Phase 3 2004-09-01 Valproic acid is a leading mood stabilizer for the treatment of bipolar disorder. Its well-known teratogenicity limits its use in young women of childbearing age. According to toxicologic studies the teratogenicity of valproate stems from its free carboxylic group. Valnoctamide is an isomer and an analog of valpromide. Unlike valpromide, valnoctamide does not undergo a biotransformation to the corresponding free acid. It is also likely or at least possible that valnoctamide is anti-bipolar. In mice valnoctamide has been shown to be distinctly less teratogenic than valproate. An injection at day 8 of gestation produced only 1% exencephaly (as compared to 0-1% in control mice and 53% in valproate treated mice). The investigators are performing a double-blind controlled trial of valnoctamide as an anti-bipolar drug. If shown to be anti-bipolar, valnoctamide could be an important valproate substitute for young women with bipolar disorder who are at risk of pregnancy. Patients newly admitted to the Beersheva Mental Health Center may participate if they meet Diagnostic and Statistical Manual of Mental Disorders - 4th edition (DSM-IV) criteria for mania or schizoaffective disorder, manic type. Patients admitted to the study are treated with risperidone at doses of the physicians' discretion beginning with 2 mg daily on days 1 and 2. Valnoctamide or placebo is begun at doses of 600 mg per day (200 mg three times daily) and increased to 1200 mg (400 mg three times daily) after four days. Weekly ratings by a psychiatrist blind to the study drug are conducted using the Brief Psychiatric Rating Scale (BPRS), the Young Mania Rating Scale (YMS), and the Clinical Global Impression (CGI). Weekly blood is drawn for drug levels of valnoctamide to be measured by gas chromatography. Each patient receives valnoctamide or placebo for 5 weeks. Low teratogenic mood stabilizers are a high priority for current research.
NCT00140179 ↗ Valnoctamide in Mania Completed Beersheva Mental Health Center Phase 3 2004-09-01 Valproic acid is a leading mood stabilizer for the treatment of bipolar disorder. Its well-known teratogenicity limits its use in young women of childbearing age. According to toxicologic studies the teratogenicity of valproate stems from its free carboxylic group. Valnoctamide is an isomer and an analog of valpromide. Unlike valpromide, valnoctamide does not undergo a biotransformation to the corresponding free acid. It is also likely or at least possible that valnoctamide is anti-bipolar. In mice valnoctamide has been shown to be distinctly less teratogenic than valproate. An injection at day 8 of gestation produced only 1% exencephaly (as compared to 0-1% in control mice and 53% in valproate treated mice). The investigators are performing a double-blind controlled trial of valnoctamide as an anti-bipolar drug. If shown to be anti-bipolar, valnoctamide could be an important valproate substitute for young women with bipolar disorder who are at risk of pregnancy. Patients newly admitted to the Beersheva Mental Health Center may participate if they meet Diagnostic and Statistical Manual of Mental Disorders - 4th edition (DSM-IV) criteria for mania or schizoaffective disorder, manic type. Patients admitted to the study are treated with risperidone at doses of the physicians' discretion beginning with 2 mg daily on days 1 and 2. Valnoctamide or placebo is begun at doses of 600 mg per day (200 mg three times daily) and increased to 1200 mg (400 mg three times daily) after four days. Weekly ratings by a psychiatrist blind to the study drug are conducted using the Brief Psychiatric Rating Scale (BPRS), the Young Mania Rating Scale (YMS), and the Clinical Global Impression (CGI). Weekly blood is drawn for drug levels of valnoctamide to be measured by gas chromatography. Each patient receives valnoctamide or placebo for 5 weeks. Low teratogenic mood stabilizers are a high priority for current research.
NCT00583895 ↗ Safety and Efficacy Study of ImCOOH Cream in Patients Suffering From Moderate Atopic Dermatitis Terminated Valletta Health B.V. Phase 2 2007-12-01 Atopic dermatitis is one of the most common skin diseases, with a lifetime prevalence of up to 20%, and an increasing number of cases. Although there are a variety of treatments the number of specific medications for treating this chronic disease is limited and often not helpful, especially in more severe cases. In addition,most treatments may be used only for a limited period or are less effective in the long term (tachyphylaxis). The development of new compounds is mandatory for treatment of this often chronically recurring disease. The current trial will determine the efficacy, safety and tolerability of the endogenous compound imidazole-4-carboxylic acid (ImCOOH) administered as a topical cream twice daily for 14 days in patients with atopic dermatitis.
NCT00597246 ↗ Imaging Brain Tumors With FACBC and Methionine Completed Memorial Sloan Kettering Cancer Center N/A 2003-05-13 This research protocol makes pictures of brain tumors. The pictures are made with a positron emission tomography (PET) scanner. PET scans use radioactivity to "see" cancer cells. We are using a new kind of PET scan. The new PET scan is called [18F]-FACBC PET. We will compare this to the standard PET scan. The standard PET scan is called [11C]-methionine PET. We expect these pictures will give us information about your tumor. We also hope to collect information about the amount of radioactivity exposure. We will measure radioactivity exposure to your tumor, brain and other organs. The research study results will be used to support the submission of an investigational new drug (IND) application to the Food and Drug Administration (FDA).
NCT00620802 ↗ Pharmacodynamics of CGT 2168 Compared With Plavix® Completed Cogentus Pharmaceuticals Phase 1 2007-11-01 CG106 is a Phase I open-label, randomized, multiple-dose, two-way crossover study to characterize the pharmacodynamics and pharmacokinetics of the investigational fixed-dose combination product CGT 2168 (clopidogrel, 75 mg and omeprazole, 20 mg) relative to Plavix® (clopidogrel, 75 mg). Healthy volunteer subjects will undergo two dosing periods. In each 7-day dosing period, subjects will receive oral doses of study drug consisting of open-label CGT 2168 or Plavix® in the order determined by the randomization schedule. Each period of dose administration will be separated by a two-week washout period. Study exit will occur 1 week after Dosing Period 2. The expected total duration of participation is 8 weeks (56 days), including a screening visit on or within 21 days prior to enrollment. On the day before Day 1 and Day 7 in each dosing period, subjects will be admitted to the Phase I unit. Blood samples to determine ADP-induced platelet aggregation will be collected pre-dose on Day 1 and 2 h after dosing on Day 7. Plasma concentrations of clopidogrel parent and clopidogrel carboxylic acid metabolite will also be measured pre-dose on Day 1 and pre-dose and serially after dosing on Day 7.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Omega-3-carboxylic Acids

Condition Name

Condition Name for Omega-3-carboxylic Acids
Intervention Trials
Healthy 3
Healthy Subjects 2
Prostate Cancer 2
Hyperlipoproteinemia 2
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Condition MeSH

Condition MeSH for Omega-3-carboxylic Acids
Intervention Trials
Prostatic Neoplasms 5
Hyperlipoproteinemias 2
Hyperlipidemias 2
Liver Diseases 2
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Clinical Trial Locations for Omega-3-carboxylic Acids

Trials by Country

Trials by Country for Omega-3-carboxylic Acids
Location Trials
United States 12
Egypt 4
Sweden 3
Saudi Arabia 2
Mexico 2
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Trials by US State

Trials by US State for Omega-3-carboxylic Acids
Location Trials
Georgia 6
Texas 2
California 1
Maryland 1
Kansas 1
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Clinical Trial Progress for Omega-3-carboxylic Acids

Clinical Trial Phase

Clinical Trial Phase for Omega-3-carboxylic Acids
Clinical Trial Phase Trials
Phase 4 2
Phase 3 2
Phase 2/Phase 3 1
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Clinical Trial Status

Clinical Trial Status for Omega-3-carboxylic Acids
Clinical Trial Phase Trials
Completed 27
Terminated 2
Not yet recruiting 2
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Clinical Trial Sponsors for Omega-3-carboxylic Acids

Sponsor Name

Sponsor Name for Omega-3-carboxylic Acids
Sponsor Trials
AstraZeneca 5
Emory University 5
National Cancer Institute (NCI) 3
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Sponsor Type

Sponsor Type for Omega-3-carboxylic Acids
Sponsor Trials
Other 27
Industry 17
NIH 4
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Omega-3 Carboxylic Acids: Clinical Trials, Market Analysis, and Projections

Introduction to Omega-3 Carboxylic Acids

Omega-3 carboxylic acids, primarily composed of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), have been extensively studied for their potential health benefits, particularly in cardiovascular health. Here, we delve into the recent clinical trials, market analysis, and future projections for these compounds.

Clinical Trials: The STRENGTH Trial

One of the most significant clinical trials involving omega-3 carboxylic acids is the STRENGTH trial. This large-scale, international study was designed to evaluate the safety and efficacy of omega-3 carboxylic acids in patients with mixed dyslipidaemia who are at increased risk of cardiovascular disease.

Key Findings of the STRENGTH Trial

  • The trial involved over 13,000 patients who were randomly assigned to receive either 4 grams of omega-3 carboxylic acids or a corn oil placebo daily[3][4].
  • After a median follow-up of approximately three years, the trial found no significant difference in the rate of cardiovascular events, including cardiovascular death, heart attack, stroke, coronary revascularization, and hospitalization for unstable angina, between the omega-3 group and the corn oil group[3][4].
  • Additionally, the trial noted a higher incidence of atrial fibrillation among patients taking the omega-3 carboxylic acids compared to those receiving the placebo[3].

Implications of the STRENGTH Trial

The null results of the STRENGTH trial have raised questions about the cardiovascular benefits of omega-3 carboxylic acids. Despite the high dose of 4 grams per day, the trial did not demonstrate a significant reduction in cardiovascular events. This outcome is consistent with other recent large-scale trials, such as the VITAL trial, which also failed to show a significant benefit of omega-3 preparations on cardiovascular events[4].

Market Analysis of Omega-3 Products

Current Market Size and Growth

The global omega-3 market was valued at $7.9 billion in 2023 and is projected to reach $30.8 billion by 2033, growing at a Compound Annual Growth Rate (CAGR) of 14.7% from 2024 to 2033[2].

Key Drivers of Market Growth

  • Consumer Awareness: Increasing awareness among consumers about the health benefits of omega-3 fatty acids, particularly for heart health, cognitive function, and anti-inflammatory properties, is driving demand[2].
  • Dietary Supplements: The leading application of omega-3 products is in dietary supplements, with a significant portion of consumers using fish oil supplements to support their health[2].
  • Regional Markets: North America is the largest regional market for omega-3 products, followed by Asia, which is expected to be the fastest-expanding market due to rising disposable incomes and urbanization[2].

Industry Trends

  • Product Innovations: The market benefits from diverse product innovations, including the incorporation of fish and algae oils into food and beverages[2].
  • Regulatory Support: Stringent FDA regulations ensure product credibility, and government initiatives in countries like China support the growth of the health supplement market, including omega-3 products[2].

Market Projections and Future Outlook

Market Size Projections

The omega-3 market is expected to continue its robust growth, driven by increasing health awareness and economic factors. By 2033, the market is projected to reach $30.8 billion, more than quadrupling its current size[2].

Key Market Players

The market is dominated by several key players, including Royal DSM, Croda International Plc., Pharma Marine AS, Omega Protein Corporation, and others. These companies are investing in research and development to expand their product portfolios and meet the growing demand for omega-3 products[2].

Emerging Trends

  • Plant-Based Diets: There is a growing trend towards plant-based diets and functional foods, which is expected to influence the demand for plant-based sources of omega-3 fatty acids[5].
  • Government Policies: Supportive government policies and initiatives, especially in regions like Asia, are likely to further boost the market growth[2].

Consumer Adoption and Health Benefits

Consumer Adoption

Despite the mixed results from clinical trials, consumer adoption of omega-3 supplements remains high. In the U.S., for example, over 18.8 million adults and 664,000 children used fish oil supplements in 2012, indicating widespread consumer acceptance[2].

Health Benefits

Omega-3 fatty acids are associated with several health benefits, including:

  • Cardiovascular Health: Reducing triglyceride levels and supporting heart health[2].
  • Anti-Inflammatory Properties: Reducing inflammation, which is beneficial for conditions like arthritis[2].
  • Cognitive Function: Supporting brain health and cognitive function[2].
"Omega-3 fatty acids, particularly EPA and DHA, play a crucial role in reducing triglyceride levels and are recommended for heart health," - National Institutes of Health (NIH)[2].

Key Takeaways

  • The STRENGTH trial did not demonstrate a significant cardiovascular benefit of omega-3 carboxylic acids.
  • The global omega-3 market is projected to grow significantly, driven by consumer awareness and economic factors.
  • Key market players are investing in product innovations and expansion.
  • Emerging trends include a shift towards plant-based diets and functional foods.
  • Despite mixed clinical trial results, consumer adoption of omega-3 supplements remains high due to perceived health benefits.

FAQs

What were the findings of the STRENGTH trial?

The STRENGTH trial found no significant difference in cardiovascular events between patients taking omega-3 carboxylic acids and those receiving a corn oil placebo.

How is the global omega-3 market expected to grow?

The global omega-3 market is projected to grow from $7.9 billion in 2023 to $30.8 billion by 2033, at a CAGR of 14.7%.

What are the primary drivers of the omega-3 market growth?

The primary drivers include increasing consumer awareness of health benefits, the growing dietary supplement market, and supportive government policies.

Which region is the largest market for omega-3 products?

North America is currently the largest regional market for omega-3 products.

What are some of the key health benefits associated with omega-3 fatty acids?

Omega-3 fatty acids are associated with reducing triglyceride levels, supporting heart health, reducing inflammation, and supporting cognitive function.

Sources

  1. AstraZeneca Press Release: Update on Phase III STRENGTH trial for Epanova in mixed dyslipidaemia.
  2. Allied Market Research: Omega-3 Market Size, Share & Trend Analysis, 2033.
  3. American Heart Association Newsroom: STRENGTH trial finds new fish oil medication did not reduce the risk of cardiac events.
  4. JAMA Network: Do Omega-3 Fatty Acids Benefit Health?
  5. Fortune Business Insights: Fatty Acid Market Size, Share & Trends | Global Report [2032].

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