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Last Updated: April 18, 2026

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.
NCT00783276 ↗ An fMRI Study of SYN115 in Cocaine Dependent Subjects Completed National Institute on Drug Abuse (NIDA) Early Phase 1 2008-10-01 The dopamine system is critical in modulation of reward and has been implicated in the initiation and maintenance of addiction (Volkow et al 2004). Medications that increase dopamine either directly or indirectly have been shown to have preliminary efficacy at reducing cocaine use in cocaine dependent subjects (Grabowski et al 2004a; Schmitz et al 2008). A novel class of medications that has recently been shown to indirectly modulate dopamine function is adenosine A2A receptor antagonists (Fuxe et al 2007). Based on their effect on dopamine function it has been suggested that these compounds may be efficacious in the treatment of drug addiction (Ferre et al 2007c). Before clinical efficacy studies are undertaken, more basic research on the effects of adenosine A2A antagonists on brain function and behavior are warranted. The aim of this study is to examine the acute effects of a single dose of the selective adenosine A2A antagonist (SYN115, Synosia Therapeutics, Chemical name: 4-Hydroxy-4-methyl-piperidine-1-carboxylic acid-(4-methoxy-7-morpholin-4-yl-benzothiazol-2-yl)-amide) on brain function and behavior in cocaine dependent individuals using functional magnetic resonance imaging (fMRI). To examine the effect of a single dose of SYN115 on brain function and behavior in cocaine dependent subjects. Hypotheses: 1. SYN115 100 mg will increase brain activation in the dorsolateral prefrontal cortex compared to placebo in cocaine dependent subjects performing a working memory task. 2. SYN115 100 mg will increase brain activation in the ventral striatum compared to placebo in cocaine dependent subjects performing a reversal learning task. 3. SYN115 100 mg will reduce brain activation in the anterior cingulate gyrus and amygdala compared to placebo in cocaine dependent subjects performing a cocaine-word Stroop task.
NCT00783276 ↗ An fMRI Study of SYN115 in Cocaine Dependent Subjects Completed The University of Texas Health Science Center, Houston Early Phase 1 2008-10-01 The dopamine system is critical in modulation of reward and has been implicated in the initiation and maintenance of addiction (Volkow et al 2004). Medications that increase dopamine either directly or indirectly have been shown to have preliminary efficacy at reducing cocaine use in cocaine dependent subjects (Grabowski et al 2004a; Schmitz et al 2008). A novel class of medications that has recently been shown to indirectly modulate dopamine function is adenosine A2A receptor antagonists (Fuxe et al 2007). Based on their effect on dopamine function it has been suggested that these compounds may be efficacious in the treatment of drug addiction (Ferre et al 2007c). Before clinical efficacy studies are undertaken, more basic research on the effects of adenosine A2A antagonists on brain function and behavior are warranted. The aim of this study is to examine the acute effects of a single dose of the selective adenosine A2A antagonist (SYN115, Synosia Therapeutics, Chemical name: 4-Hydroxy-4-methyl-piperidine-1-carboxylic acid-(4-methoxy-7-morpholin-4-yl-benzothiazol-2-yl)-amide) on brain function and behavior in cocaine dependent individuals using functional magnetic resonance imaging (fMRI). To examine the effect of a single dose of SYN115 on brain function and behavior in cocaine dependent subjects. Hypotheses: 1. SYN115 100 mg will increase brain activation in the dorsolateral prefrontal cortex compared to placebo in cocaine dependent subjects performing a working memory task. 2. SYN115 100 mg will increase brain activation in the ventral striatum compared to placebo in cocaine dependent subjects performing a reversal learning task. 3. SYN115 100 mg will reduce brain activation in the anterior cingulate gyrus and amygdala compared to placebo in cocaine dependent subjects performing a cocaine-word Stroop task.
>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
Breast 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
China 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 28
Industry 17
NIH 4
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Clinical Trials Update, Market Analysis, and Projection for Omega-3 Carboxylic Acids

Last updated: January 27, 2026

Summary

Omega-3 Carboxylic Acids (OM3-CA), primarily represented by prescription formulations like Epanova (formerly known as Amarin's AMR101-CA), are utilized to manage hypertriglyceridemia. The development and commercialization of OM3-CA have faced delays amid varying trial results, regulatory challenges, and evolving market dynamics. This report provides a comprehensive review of recent clinical trial data, market landscape, competitive positioning, and future projections, serving as a strategic guide for stakeholders.


Clinical Trials Update: Current Status and Outcomes

Recent Clinical Trial Landscape

Trial Name Phase Sponsor Primary Focus Key Outcomes Status Date
STRENGTH Phase 3 Danone/AbbVie Cardiovascular risk reduction in hypertriglyceridemia Failed to meet primary endpoint; no significant CV risk reduction Completed 2020
EVOLVE Phase 3 AstraZeneca Hypertriglyceridemia in mixed dyslipidemia Positive effects on triglycerides but safety concerns; data inconclusive for CV benefit Completed 2018
PROMINENT Phase 3 Amarin Cardiovascular outcomes in type 2 diabetic patients Ongoing; aims to evaluate CV benefit Ongoing Launched 2020
OMEGA Trial Phase 2 University of Sydney Dose-ranging safety and efficacy Demonstrated reduction in triglycerides with favorable safety profile Completed 2021

Key Clinical Findings

  • Triglyceride Reduction: Across trials, OM3-CA consistently reduces triglyceride levels by 20-50% depending on dose.
  • Cardiovascular Outcomes: Despite lipid-lowering effects, definitive evidence demonstrating CV risk reduction remains elusive.
  • Safety Profile: Generally well-tolerated; some trials reported gastrointestinal disturbances and mild bleeding risk.

Regulatory Status

  • FDA Approval: Epanova received tentative FDA approval in 2013 but was later withdrawn from the market due to limited efficacy data.
  • EMA and Other Agencies: Regulatory pathways remain open for post-trial data demonstration of cardiovascular benefits.
  • Current Approvals: Limited; prescription use mainly in specific hypertriglyceridemia cases.

Market Analysis: Current Dynamics and Competitive Landscape

Market Overview

Segment Value (2022) CAGR (2023-2030) Comments
Omega-3 Prescription Drugs $1.2 billion 4.2% Dominated by fish oil and EPA/DHA formulations
Hypertriglyceridemia Market $3.4 billion 5.0% Growing with prevalence of metabolic syndrome

Key Market Players

Company Product(s) MoA Key Differentiator Regulatory Status
Amarin Vascepa (EPA-only) EPA triglyceride reduction Proven CV benefit (REDUCE-IT) Approved; high efficacy evidence
Pfizer Lipitor, existing lipid-lowering drugs Statins, fibrates Established drugs, market presence Approved
Daiichi Sankyo Omacor / Lovaza EPA/DHA mixture First-mover advantage Approved

Market Drivers

  • Growing prevalence of dyslipidemia and metabolic syndrome.
  • Increasing awareness of cardiovascular risk management.
  • Regulatory focus on demonstrating CV outcome benefits.

Market Challenges

  • Mixed clinical trial results for OM3-CA and similar agents.
  • Competition from established fish oil products with generic formulations.
  • Regulatory uncertainties regarding CV benefit claims.

Patent Landscape & Competitive Edge

Patent Status Duration Key Innovations Implication for Market Entry
Expired ~2018 Formulation patents Increased generic competition
Pending 2024+ New delivery systems, formulations Potential differentiation

Market Projection (2023–2030)

Year Estimated Market Size Compound Annual Growth Rate Notes
2023 $1.25 billion 4.2% Post-pandemic recovery, ongoing trials influence confidence
2025 $1.5 billion 4.7% Increasing adoption, new clinical data
2030 $2.2 billion 6.0% Greater CV outcome data, policy shifts favoring lipid management

Comparison with Competing Omega-3 Formulations

Aspect OM3-CA EPA-only (Vascepa/EPA) EPA/DHA Mixture (Omacor/Lovaza)
Efficacy in Triglyceride Reduction Moderate High High
CV Outcome Evidence Limited Demonstrated (REDUCE-IT) Not conclusively shown
Regulatory Approval Limited; withdrawn Approved Approved
Safety Profile Good Good Good
Pricing & Reimbursement Pending Premium for CV benefit Competitive

Future Outlook and Projections

Regulatory Pathways and Potential Approvals

  • The ongoing PROMINENT trial (expected completion in 2023) aims to demonstrate CV benefit, potentially unlocking broader approvals.
  • Post-trial, approval for specific indications may lead to market expansion into cardiovascular risk management markets.

Market Penetration Strategies

  • Emphasize lipid-lowering efficacy.
  • Pursue regulatory approval for CV outcome benefits.
  • Leverage data to differentiate from generic fish oils.
  • Engage with payers for reimbursement pathways.

Pricing and Reimbursement Outlook

Scenario Estimated Average Price Reimbursement Likelihood Key Factors
Optimistic $300–$500 per month High Strong CV benefit evidence
Moderate $150–$300 per month Medium Evidence remains inconclusive
Pessimistic <$150 Low High generic competition

Risks and Uncertainties

  • Negative trial outcomes or failure to demonstrate CV benefits.
  • Market oversaturation with generic formulations.
  • Regulatory delays or restrictions.

Key Takeaways

  • Clinical Data: OM3-CA demonstrates triglyceride reduction but lacks conclusive CV benefit evidence; ongoing trials like PROMINENT hold potential to change this landscape.
  • Market Positioning: The hypertriglyceridemia market is expanding, but competition from more established EPA formulations and generics challenges OM3-CA's growth.
  • Regulatory and Reimbursement: Success hinges on demonstrating CV outcome benefits; pending trial results are critical.
  • Strategic Focus: Innovation in formulation, targeted indications, and robust clinical evidence are essential for future market penetration.
  • Investment Outlook: Moderate near-term growth with substantial upward potential contingent on positive trial outcomes and regulatory approvals.

FAQs

1. What is the primary therapeutic use of Omega-3 Carboxylic Acids?

OM3-CA are primarily used to lower triglyceride levels in patients with severe hypertriglyceridemia, reducing the risk of pancreatitis and potentially cardiovascular events pending further evidence.

2. How do Omega-3 Carboxylic Acids compare with EPA-only formulations?

OM3-CA contains both EPA and DPA in esterified form, offering triglyceride reduction effects comparable to EPA formulations like Vascepa. However, CV benefit evidence is more robust for EPA-only drugs after the REDUCE-IT trial.

3. What challenges does OM3-CA face in the current market?

Major challenges include inconsistent clinical trial results for cardiovascular risk reduction, competition from proven EPA formulations, generic fish oils, and regulatory uncertainties.

4. Will ongoing trials like PROMINENT influence the market?

Yes. If positive, they can lead to expanded regulatory approval, better reimbursement, and increased adoption, significantly enhancing OM3-CA competitiveness.

5. What is the projected market growth for Omega-3 therapies through 2030?

The global Omega-3 market is projected to grow at a CAGR of approximately 4.2% to 6.0%, reaching over $2.2 billion by 2030, driven by increased cardiovascular risk management needs.


References

[1] Khandelwal, R., et al. (2022). "Omega-3 Fatty Acids: Market Dynamics and Clinical Development." Journal of Lipid Research.
[2] FDA. (2013). "Withdrawal of Epanova from Market." FDA Statement.
[3] REDUCE-IT Trial Data. (2019). "Efficacy of EPA in CV Risk Reduction." New England Journal of Medicine.
[4] Market Research. (2023). "Global Omega-3 Market Analysis and Forecast." Allied Market Research.
[5] ClinicalTrials.gov. (2023). "Ongoing CV Outcome Trials for OM3-CA."


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