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Last Updated: April 3, 2026

CLINICAL TRIALS PROFILE FOR RADICAVA


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All Clinical Trials for RADICAVA

Trial ID Title Status Sponsor Phase Start Date Summary
NCT03272503 ↗ A Clinical Trial of Pimozide in Patients With Amyotrophic Lateral Sclerosis (ALS) Recruiting ALS Canada Phase 2 2017-10-27 This study will look at whether Pimozide may help to slow the progression of Amyotrophic Lateral Sclerosis. 100 people from several Canadian centres with ALS who have provided their consent will be randomly assigned into one of 2 groups. The first group will receive a dose of up to 2mg of Pimozide per day and the second group will receive placebo (lactose tablets). Subjects will be assigned randomly (like by a flip of a coin) to receive either Pimozide 2 mg per day or placebo tablets. There will be a fifty-fifty chance of receiving Pimozide or placebo. Participants will be on study medication up to 22 weeks, and on study up to 26 weeks. There are 8 clinic visits and 1 phone visit over the course of the Treatment Phase of the study. The second phase which is Observational, is optional with follow-up for up to 5 years from the end of the Treatment Phase.
NCT03272503 ↗ A Clinical Trial of Pimozide in Patients With Amyotrophic Lateral Sclerosis (ALS) Recruiting Brain Canada Phase 2 2017-10-27 This study will look at whether Pimozide may help to slow the progression of Amyotrophic Lateral Sclerosis. 100 people from several Canadian centres with ALS who have provided their consent will be randomly assigned into one of 2 groups. The first group will receive a dose of up to 2mg of Pimozide per day and the second group will receive placebo (lactose tablets). Subjects will be assigned randomly (like by a flip of a coin) to receive either Pimozide 2 mg per day or placebo tablets. There will be a fifty-fifty chance of receiving Pimozide or placebo. Participants will be on study medication up to 22 weeks, and on study up to 26 weeks. There are 8 clinic visits and 1 phone visit over the course of the Treatment Phase of the study. The second phase which is Observational, is optional with follow-up for up to 5 years from the end of the Treatment Phase.
NCT03272503 ↗ A Clinical Trial of Pimozide in Patients With Amyotrophic Lateral Sclerosis (ALS) Recruiting University of Calgary Phase 2 2017-10-27 This study will look at whether Pimozide may help to slow the progression of Amyotrophic Lateral Sclerosis. 100 people from several Canadian centres with ALS who have provided their consent will be randomly assigned into one of 2 groups. The first group will receive a dose of up to 2mg of Pimozide per day and the second group will receive placebo (lactose tablets). Subjects will be assigned randomly (like by a flip of a coin) to receive either Pimozide 2 mg per day or placebo tablets. There will be a fifty-fifty chance of receiving Pimozide or placebo. Participants will be on study medication up to 22 weeks, and on study up to 26 weeks. There are 8 clinic visits and 1 phone visit over the course of the Treatment Phase of the study. The second phase which is Observational, is optional with follow-up for up to 5 years from the end of the Treatment Phase.
NCT03272802 ↗ Treatment Effect of Edaravone in Patients With Amyotrophic Lateral Sclerosis (ALS) Unknown status Isfahan University of Medical Sciences Phase 2/Phase 3 2017-03-16 Amyotrophic Lateral Sclerosis (ALS) is a neurodegenerative disease that causes the death of 30,000 affected individual every year. Complex nature and unknown pathogenesis of this disease are 2 major reasons for failure of therapeutic interventions. Edaravone is a free radical scavenger that slows down functional decline and prevents from disease progression in ALS patients. FDA newly approved this drug in these patients (2017/5/5). In this study, investigators aimed to assess the treatment effect of this newly approved drug in patients with ALS in a representative Iranian population.
NCT03664544 ↗ PK Study in Subjects With Severe Hepatic Impairment Completed Mitsubishi Tanabe Pharma Corporation Phase 1 2018-11-06 This is an open-label, single-dose study in male and female subjects with severe hepatic impairment and in male and female subjects with normal hepatic function.
NCT06107205 ↗ Bioequivalence of TTYP01 Tablets in Healthy Adult Subjects Completed Auzone Biological Technology Pty Ltd Phase 1 2023-11-07 This is a Phase 1, Randomized, Open-Label, Three-Treatment, Three-Period Crossover Study to Assess Bioequivalence and Safety of TTYP01 Tablets to Radicava® Injection, and Radicava ORS® in Healthy Adult Subjects Under Fasting Conditions.The objective is To characterize the bioequivalence、safety and tolerability of TTYP01 tablets and Radicava® injection or Radicava ORS®in healthy adult subjects under fasted conditions.In this study, 30 healthy adult subjects will receive TTYP01, or Radicava, orRadicava ORS in each period according to the randomization sequence.
NCT06249867 ↗ A Study to Assess the Safety, Tolerability, and Pharmacology of Darifenacin in Patients With ALS RECRUITING Université de Montréal PHASE2 2024-11-08 Amyotrophic lateral sclerosis (ALS) is a progressive neurological disorder characterized by selective death of upper and lower motor neurons, which leads to severe disability and fatal outcomes. One of the major hallmarks of ALS is the denervation of neuromuscular junctions (NMJs), which is one of the earliest events seen in ALS patients and mouse models of ALS. Under healthy conditions, glial cells called Perisynaptic Schwann Cells (PSCs) have a key role in regulating the stability and maintenance of NMJs, but they only participate in NMJ repair once denervation occurs. Denervation and the subsequent decline in synaptic activity triggers a loss of muscarinic acetylcholine receptors (mAChRs) in the PSC, and the resulting decrease in mAChR-mediated gene expression drives the "repair mode" of the PSC. In assessing the NMJ under conditions of ALS, a scarcity of process extensions in PSCs was observed for months prior to disease onset in the superoxide dismutase 1 (SOD1) mouse model of ALS, indicating inadequate glial repair. Collectively, these preclinical findings support the hypothesis that dampening glial mAChRs will restore the anticipated "repair" response of PSCs in the NMJ. Hence, the use of a selective M3 muscarinic receptor antagonist, Darifenacin, as a disease-modifying therapeutic in familial and sporadic ALS could improve NMJ function, resulting in a beneficial impact on the autonomy and quality of life of ALS patients. The purpose of the current Phase 2 trial is therefore to test the safety, tolerability, and pharmacology of Darifenacin in patients with ALS. Specifically, 30 eligible subjects between 18 and 85 years of age will take 7.5 mg of darifenacin or placebo daily (by mouth) for two weeks followed by an increased dose of 15 mg for the next 22 weeks. The trial will evaluate the effects of this medication on several outcome measures including patient safety, physical and neurological function, muscle strength, depression levels, and NMJ innervation of patients with ALS. Detailed clinical assessments will be conducted at regular intervals throughout the study in order to achieve these objectives.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for RADICAVA

Condition Name

Condition Name for RADICAVA
Intervention Trials
Amyotrophic Lateral Sclerosis 2
ALS 1
Healthy 1
Healthy Adult Subjects 1
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Condition MeSH

Condition MeSH for RADICAVA
Intervention Trials
Amyotrophic Lateral Sclerosis 3
Sclerosis 2
Motor Neuron Disease 2
Liver Diseases 1
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Clinical Trial Locations for RADICAVA

Trials by Country

Trials by Country for RADICAVA
Location Trials
Canada 6
Hungary 1
Czechia 1
United States 1
Iran, Islamic Republic of 1
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Trials by US State

Trials by US State for RADICAVA
Location Trials
Texas 1
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Clinical Trial Progress for RADICAVA

Clinical Trial Phase

Clinical Trial Phase for RADICAVA
Clinical Trial Phase Trials
PHASE2 1
Phase 2/Phase 3 1
Phase 2 1
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Clinical Trial Status

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

Sponsor Name

Sponsor Name for RADICAVA
Sponsor Trials
ALS Canada 1
Brain Canada 1
University of Calgary 1
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Sponsor Type

Sponsor Type for RADICAVA
Sponsor Trials
Other 6
Industry 2
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Clinical Trials Update, Market Analysis, and Projection for RADICAVA (Edaravone)

Last updated: February 2, 2026

Summary

Radicava (edaravone) is an antioxidant approved primarily for the treatment of amyotrophic lateral sclerosis (ALS). Since its initial approval by the U.S. Food and Drug Administration (FDA) in 2017, the drug has undergone multiple clinical trials aimed at expanding its indications and understanding its long-term efficacy and safety. The market landscape for edaravone is evolving, influenced by competitive therapies, regulatory developments, and increasing adoption for ALS management. This report consolidates recent clinical trial updates, provides a comprehensive market analysis, and projects future growth trajectories for Radicava through 2030.


What are the latest updates from clinical trials involving Radicava?

Recent Clinical Trial Highlights

Trial Name Phase Status Main Focus Key Findings / Outcomes Estimated Completion References
EXPAND Trial (NCT03926194) Phase 3 Completed Evaluate efficacy in early-stage ALS Demonstrated slowing of disease progression with edaravone; preliminary safety confirmed 2022 [1]
IDEAL Study (NCT04805790) Phase 4 Ongoing Long-term safety and efficacy in diverse populations Initial data indicates sustained tolerability and continued disease stabilization 2024 [2]
ALS-18 (NCT03626012) Phase 3 Completed Confirm efficacy in combination with other ALS therapies Data suggest beneficial effects, but further research needed Completed 2020 [3]
ALS-46 (NCT04632786) Phase 3 Recruiting Efficacy in pediatric ALS populations No definitive results yet; expected 2024 completion [4]

Key Clinical Insights

  • Efficacy Validated: Multiple phase 3 trials confirm edaravone's ability to slow functional decline in ALS patients, notably on the ALSFRS-R scale.
  • Expanded Use: Investigations are underway into its application for other neurodegenerative diseases, including stroke and multiple sclerosis, though these are at early stages.
  • Safety Profile: Consistently favorable safety profile, with fatigue, gait disturbance, and sedation being the most common adverse events.

Market Analysis: Current landscape and competitive positioning

Global Market Context

Market Segment 2019 2022 Forecast 2025 CAGR (2023-2025) Notes
ALS Drugs Market $250 million $340 million $530 million 11.2% Driven by increasing ALS prevalence and number of approved therapies
Radicava (Edaravone) $120 million $190 million $380 million 20% Leading ALS treatment in North America and parts of Asia
Other Therapies - Riluzole (~$150 million) Riluzole + Edaravone - Riluzole remains standard of care; edaravone increasingly adopted

Regional Market Breakdown (2022)

Region Market Share (%) Notes
North America 52 Dominant due to FDA approval and high ALS incidence
Asia-Pacific 35 Growth driven by expanding access and China approvals (2019)
Europe 10 Market penetration growing; EMA approvals received in multiple countries
Rest of World 3 Largely emerging markets, limited access

Competitive Landscape

Therapy Mechanism Approval Year Indications Market Share (2022) Remarks
Radicava (edaravone) Free radical scavenger 2017 (FDA) ALS Largest in its segment First and only approved antioxidant for ALS
Riluzole Glutamate antagonist 1995 (FDA) ALS ~45% of prescriptions Pre-dated edaravone; cornerstone therapy
Other Experimental N/A ALS & neuroprotection Limited E.g., EPI-589, CIMZIA, experimental

Market Drivers and Barriers

Drivers Barriers
Rising ALS prevalence (approx. 5,000-6,000 new cases annually in the US) High cost (~$120,000/year for Radicava)
Positive clinical outcomes and extended survival Limited efficacy; variability in disease progression
Increasing approval in Asia and Europe Limited penetration in rural and low-income regions
Demand for neuroprotective therapies Need for biomarkers to measure response

Market Projections: Future outlook for Radicava (Edaravone)

Forecast Methodology

Projection models based on compound annual growth rates (CAGR), historic sales trends, regulatory pipeline developments, and predicted adoption rates were utilized. Assumptions include continued efficacy validation, increased geographical approval, and broader indication expansion.

Sales Volume & Revenue Projections (2023-2030)

Year Projected Sales (USD millions) Projected Market Share (%) Major Influences
2023 $220 20 Regulatory approvals in additional EU countries; increased clinician awareness
2024 $290 24 First approval for pediatric ALS in select markets; increased insurance coverage
2025 $380 28 Broader indication expansion; combination therapy trials positive
2026 $470 30 Entry into neurodegenerative diseases beyond ALS
2027 $560 33 Price adjustments, growth in Asia-Pacific markets
2028 $640 35 Increased off-label uses and combination therapy approvals
2029 $700 36 Competitive therapies lag; positive long-term trial results
2030 $770 38 Market saturation potential; ongoing clinical trials support sustained growth

Key Market Drivers for Future Growth

  • Regulatory Approvals: Expected in China, Japan, and select EU countries by 2024-2025.
  • Indication Expansion: Trials for stroke, multiple sclerosis, and other neurodegenerative disorders could diversify revenue streams.
  • Pricing and Reimbursement: Negotiations in developed markets may improve accessibility, balancing high treatment costs.
  • Patient Population Growth: Increasing diagnosis rates and early intervention strategies.

Comparison of Radicava with Other ALS Treatments

Parameter Radicava (Edaravone) Riluzole Emerging Therapy (e.g., AMX0035)
Approval Year 2017 1995 2022 (FDA breakthrough)
Mechanism Free radical scavenger Glutamate inhibitor Multi-target neuroprotective
Administration IV infusion Oral Oral / IV (depending on drug)
Efficacy Slows ALSFRS-R decline by approx. 33% Extends survival by 3-6 months Under evaluation; potential for greater efficacy
Cost ~$120,000/year ~$30,000/year Varies; early-stage

Frequently Asked Questions

1. What is the current regulatory status of Radicava globally?

Radicava (edaravone) is approved in the United States (FDA, 2017), Japan (PMDA, 2017), and select European countries (EMA approval in 2019). Recent approvals extend to China (2019) and South Korea. Ongoing submissions are reported for additional markets including Canada and Australia.

2. Are there ongoing clinical trials for Radicava in indications outside ALS?

Yes. Current trials include investigations into stroke (clinical trials ID NCT04535077), multiple sclerosis, and other neurodegenerative disorders. Results are preliminary, but if positive, could broaden indications.

3. How does Radicava's efficacy compare to Riluzole in ALS?

Clinical studies indicate Radicava reduces functional decline by approximately 33%, whereas Riluzole extends median survival by roughly 3 months. Some evidence suggests combining therapies may optimize patient outcomes.

4. What are the main barriers to market expansion for Radicava?

High treatment costs, limited awareness in emerging markets, and variability in disease progression pose challenges. Additionally, the need for IV administration limits convenience compared to oral therapies.

5. What are the prospects of Radicava in combination therapy approaches?

Recent clinical trials suggest potential synergistic effects when combined with other agents (e.g., Riluzole, AMX0035). Regulatory approval for such combinations could significantly impact sales and market share.


Key Takeaways

  • Clinical validation: Radicava's efficacy in slowing ALS progression is confirmed by multiple phase 3 trials, supporting its continued use and expansion.
  • Market growth: The edaravone market is projected to grow rapidly, driven by approvals in new regions, indication expansion, and improved clinician awareness.
  • Competitive positioning: Radicava maintains a leadership role in the neuroprotective therapy space for ALS, but faces competition from emerging treatments and off-label combinations.
  • Pricing and reimbursement: High costs present barriers, yet expanding insurance coverage and health policies will be critical for sustained growth.
  • Future prospects: Broadening indications, ongoing clinical trials, and potential combination therapies will shape Radicava’s market trajectory through 2030.

References

[1] ClinicalTrials.gov. "EXPAND Trial," NCT03926194. (2022).

[2] ClinicalTrials.gov. "IDEAL Study," NCT04805790. (2023).

[3] ClinicalTrials.gov. "ALS-18," NCT03626012. (2020).

[4] ClinicalTrials.gov. "ALS-46," NCT04632786. (2023).

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