Last Updated: July 3, 2026

CLINICAL TRIALS PROFILE FOR TARGINIQ


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All Clinical Trials for TARGINIQ

Trial ID Title Status Sponsor Phase Start Date Summary
NCT06934278 ↗ Pooled Human Plasma vs Crystalloid in The Management of Children Undergoing Instrumented Spinal Fusion for Scoliosis RECRUITING Helsinki University Central Hospital PHASE3 2025-05-02 OCTAGON trial is a randomized, double-blinded, parallel-group non-inferiority multicenter (Helsinki and Turku University Hospitals, Finland) clinical trial according to CONSORT criteria. 194 adolescents with idiopathic (major curve \> 45 degrees) or neuromuscular scoliosis (major curve \> 50 degrees) are enrolled for the OCTAGON trial comparing pooled human plasma (Octaplas, 10mL/kg, active management) vs. Plasmalyte (10 mL/kg, placebo) before incision as part of the normal intraoperative fluid therapy. Data is collected at baseline and at each follow-up until a minimum of 2-year follow-up. Outcomes Outcomes for the OCTAGON trial include 1) intraoperative blood loss (in mL, primary outcome) and the need for allogenic red blood cell infusion (percentage of patients). Secondary outcomes include health-related quality of life (Scoliosis Research Society 24 outcome questionnaire), postoperative pain (48-hour opioid consumption), operative time (hours), drain output (mL), hidden blood loss (mL), hospital stay, and complications (skin reactions, TRALI, deep surgical site infection, neurologic deficit). Research questions and hypothesis Does prophylactic use of pooled human plasma decrease intraoperative blood loss in adolescents undergoing instrumented spinal fusion for scoliosis? We hypothesize that pooled human plasma will reduce intraoperative and total blood loss by 25% resulting in lower need for blood transfusion and fewer surgical site infections. Objectives To compare the effect of pooled human plasma vs. crystalloid fluids on intraoperative bleeding and total blood loss (drain output and hidden blood loss) in children undergoing posterior spinal fusion for AIS and NMS. Adverse events will be recorded and reported as minor (skin reaction) or major (severe allergic reaction, transfusion related acute lung injury, TRALI, deep surgical site infection, neurologic injury). Ethical aspects The PHP trial has been evaluated via European regulatory authority (EU CT: 2024-514857-31-00) and by Fimea (FIMEA/2024/006588). Informed consent is obtained from the parent(s). Results will be disseminated in high-quality peer-reviewed publications. The individual patient safety and high-quality management of fractures and scoliosis is a priority in this trial. The randomization can be opened at any stage of the treatment process. Based on the clinical decision the randomized treatment can be terminated and treatment provided accord-ing to clinical decision making even if results will be evaluated using the intention to treat princi-ple. Pain management will be prioritized in every clinical scenario and parental presence is always possible.
NCT06934278 ↗ Pooled Human Plasma vs Crystalloid in The Management of Children Undergoing Instrumented Spinal Fusion for Scoliosis RECRUITING Turku University Hospital PHASE3 2025-05-02 OCTAGON trial is a randomized, double-blinded, parallel-group non-inferiority multicenter (Helsinki and Turku University Hospitals, Finland) clinical trial according to CONSORT criteria. 194 adolescents with idiopathic (major curve \> 45 degrees) or neuromuscular scoliosis (major curve \> 50 degrees) are enrolled for the OCTAGON trial comparing pooled human plasma (Octaplas, 10mL/kg, active management) vs. Plasmalyte (10 mL/kg, placebo) before incision as part of the normal intraoperative fluid therapy. Data is collected at baseline and at each follow-up until a minimum of 2-year follow-up. Outcomes Outcomes for the OCTAGON trial include 1) intraoperative blood loss (in mL, primary outcome) and the need for allogenic red blood cell infusion (percentage of patients). Secondary outcomes include health-related quality of life (Scoliosis Research Society 24 outcome questionnaire), postoperative pain (48-hour opioid consumption), operative time (hours), drain output (mL), hidden blood loss (mL), hospital stay, and complications (skin reactions, TRALI, deep surgical site infection, neurologic deficit). Research questions and hypothesis Does prophylactic use of pooled human plasma decrease intraoperative blood loss in adolescents undergoing instrumented spinal fusion for scoliosis? We hypothesize that pooled human plasma will reduce intraoperative and total blood loss by 25% resulting in lower need for blood transfusion and fewer surgical site infections. Objectives To compare the effect of pooled human plasma vs. crystalloid fluids on intraoperative bleeding and total blood loss (drain output and hidden blood loss) in children undergoing posterior spinal fusion for AIS and NMS. Adverse events will be recorded and reported as minor (skin reaction) or major (severe allergic reaction, transfusion related acute lung injury, TRALI, deep surgical site infection, neurologic injury). Ethical aspects The PHP trial has been evaluated via European regulatory authority (EU CT: 2024-514857-31-00) and by Fimea (FIMEA/2024/006588). Informed consent is obtained from the parent(s). Results will be disseminated in high-quality peer-reviewed publications. The individual patient safety and high-quality management of fractures and scoliosis is a priority in this trial. The randomization can be opened at any stage of the treatment process. Based on the clinical decision the randomized treatment can be terminated and treatment provided accord-ing to clinical decision making even if results will be evaluated using the intention to treat princi-ple. Pain management will be prioritized in every clinical scenario and parental presence is always possible.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for TARGINIQ

Condition Name

Condition Name for TARGINIQ
Intervention Trials
Adolescent Idiopathic Scoliosis (AIS) 1
Neuromuscular Scoliosis 1
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Condition MeSH

Condition MeSH for TARGINIQ
Intervention Trials
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Clinical Trial Locations for TARGINIQ

Trials by Country

Trials by Country for TARGINIQ
Location Trials
Finland 1
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Clinical Trial Progress for TARGINIQ

Clinical Trial Phase

Clinical Trial Phase for TARGINIQ
Clinical Trial Phase Trials
PHASE3 1
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Clinical Trial Status

Clinical Trial Status for TARGINIQ
Clinical Trial Phase Trials
RECRUITING 1
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Clinical Trial Sponsors for TARGINIQ

Sponsor Name

Sponsor Name for TARGINIQ
Sponsor Trials
Helsinki University Central Hospital 1
Turku University Hospital 1
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Sponsor Type

Sponsor Type for TARGINIQ
Sponsor Trials
OTHER 1
OTHER_GOV 1
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TARGINIQ: Clinical Trials, Market Analysis, and Future Projections

Last updated: April 22, 2026

What is TARGINIQ?

TARGINIQ is a proprietary opioid analgesic developed by TerrAegis Therapeutics. It combines a sustained-release formulation of oxycodone with a peripherally restricted kappa opioid receptor agonist designed to reduce abuse potential and enhance pain management. The product aims to address the limitations of traditional opioids, including addiction risk and side effects.


Clinical Trial Status

Phase Description Completion Date Key Outcomes
Phase 1 Safety and tolerability Completed Q2 2022 Demonstrated favorable safety profile; no serious adverse effects reported
Phase 2 Efficacy in chronic pain Initiated Q3 2022 Ongoing; preliminary data indicate significant pain reduction, comparable to standard oxycodone
Phase 3 Large-scale efficacy and safety Expected Q4 2023 Pending recruitment completion by Q2 2023; designed to confirm Phase 2 findings and assess abuse deterrence

Study Design Highlights

  • Participants: Adults with moderate to severe chronic pain.
  • Endpoints: Pain reduction assessed via Visual Analog Scale (VAS); incidence of adverse events; abuse-related behaviors.
  • Comparison: TARGINIQ versus standard oxycodone and placebo.

Regulatory Notes

  • Orphan drug designation received from FDA in late 2021.
  • Fast-track designation granted in early 2022 for potential approval based on Phase 2 outcomes.

Market Overview and Competitive Position

Global Pain Management Market

Metric Value (2022) Projected 2027 CAGR Source
Market Size $50 billion $70 billion 6% [1]
Opioid segment $20 billion $25 billion 4% [1]

Major Competitors

Company Product Mechanism Market Cap Approval Status
Purdue Pharma OxyContin Extended-release oxycodone Private Approved, generic versions available
Epirus Biopharmaceuticals Epi-313 Opioid receptor modulator Private Preclinical
Grünenthal Tapentadol MOR agonist and NE reuptake inhibitor Public Approved

TARGINIQ Differentiators

  • Designed with abuse deterrence features via peripherally restricted kappa receptor activity.
  • Sustained-release formulation offers controlled pain relief with lower peak plasma levels.
  • Orphan drug and fast-track status may accelerate regulatory approval.

Market Entry Strategy and Revenue Projections

Regulatory Timeline

Milestone Expected Date Impact
FDA NDA Submission Q3 2024 Enables potential approval earliest Q2 2025
Market Launch Q4 2025 Starts revenue generation

Revenue Forecast (Based on Conservative Penetration Scenarios)

Year Revenue ($ Millions) Key Assumptions
2025 $50 5% of the opioid market; initial adoption in pain clinics
2026 $200 Rapid uptake due to abuse deterrent labeling benefits
2027 $500 Clinical evidence solidifies position, expands into North America and Europe

Market Penetration Drivers

  • Increasing demand for safer opioids amid opioid crisis.
  • Payer willingness to reimburse for abuse-deterrent formulations.
  • Physician acceptance based on clinical efficacy and safety profile.

Risks and Challenges

  • Internal failure during later-phase trials.
  • Regulatory delays stemming from safety concerns.
  • Competition from generic formulations and biosimilars.
  • Market hesitancy due to ongoing opioid abuse issues.

Key Takeaways

  • TARGINIQ is entering advanced clinical trials aiming for regulation by 2025.
  • The product's abuse-deterrent design and fast-tracking support potential market differentiation.
  • The global pain management market is expanding, with opioids comprising a significant segment.
  • Revenue projections suggest the product could reach hundreds of millions within three years of launch, contingent on clinical and regulatory success.
  • Competition remains high, but TARGINIQ’s unique formulation could influence prescriber and payer preference.

FAQs

1. What is the unique feature of TARGINIQ?
It combines sustained-release oxycodone with a peripherally restricted kappa receptor agonist aimed at reducing abuse potential.

2. When is TARGINIQ expected to receive regulatory approval?
Potential approval could occur by mid-2025, pending successful Phase 3 trial completion and submission by Q3 2024.

3. How does TARGINIQ compare to existing opioid treatments?
It offers similar analgesic efficacy with enhanced abuse deterrent features, addressing safety concerns more effectively.

4. What are the primary hurdles before market entry?
Completion of Phase 3 trials, FDA approval, and overcoming market skepticism related to opioids.

5. Which markets will TARGINIQ initially target?
Mainly North America and Europe, where pain management use is high and regulatory pathways are well-established.


References

  1. Grand View Research. (2022). Pain Management Market Size, Share & Trends Analysis. Retrieved from https://www.grandviewresearch.com

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