MedPath

Omaveloxolone

Generic Name
Omaveloxolone
Brand Names
Skyclarys
Drug Type
Small Molecule
Chemical Formula
C33H44F2N2O3
CAS Number
1474034-05-3
Unique Ingredient Identifier
G69Z98951Q
Background

Omaveloxolone (RTA-408) is a semisynthetic oleanane triterpenoid with antioxidant and anti-inflammatory properties. Omaveloxolone acts as an activator of nuclear factor (erythroid-derived 2)-like 2 (Nrf2), a transcription factor that mitigates oxidative stress. In patients with Friedreich's ataxia, a genetic disease involving mitochondrial dysfunction, the Nrf2 pathway is impaired, and Nrf2 activity is lower. Therefore, the use of Nrf2 activators such as omaveloxolone represents a therapeutic advantage in this group of patients. In February 2023, omaveloxolone was approved by the FDA for the treatment of Friedreich's ataxia in adults and adolescents aged 16 years and older. The use of omaveloxolone for the treatment of conditions involving mitochondrial dysfunction and oxidative stress has also been evaluated.

Indication

Omaveloxolone is indicated for the treatment of Friedreich's ataxia in adults and adolescents aged 16 years and older.

Associated Conditions
Friedreich's Ataxia

A Study to Learn More About the Effects and Long-Term Safety of BIIB141 (Omaveloxolone) in Participants With Friedreich's Ataxia Aged 2 to 15 Years Old

Phase 3
Not yet recruiting
Conditions
Friedreich Ataxia
Interventions
Drug: Placebo
First Posted Date
2025-05-01
Last Posted Date
2025-05-01
Lead Sponsor
Biogen
Target Recruit Count
255
Registration Number
NCT06953583
Locations
🇺🇸

UCLA Neurology Outpatient Clinic at Westwood, Los Angeles, California, United States

🇺🇸

Norman Fixel Institute for Neurological Diseases UF Health, Gainesville, Florida, United States

🇺🇸

USF Health Morsani College of Medicine Department of Neurology, Tampa, Florida, United States

and more 24 locations

A Study to Learn How BIIB141 (Omaveloxolone) Affects the Health of Participants With Friedrich's Ataxia Who Took it During Pregnancy and/or During Breastfeeding and About the Health of Their Babies

Not yet recruiting
Conditions
Friedreich Ataxia
Interventions
First Posted Date
2024-10-08
Last Posted Date
2025-02-18
Lead Sponsor
Biogen
Target Recruit Count
20
Registration Number
NCT06628687
Locations
🇺🇸

Evidera, Morrisville, North Carolina, United States

A Study to Learn More About the Long-Term Safety of BIIB141 (Omaveloxolone) in Participants With Friedreich's Ataxia Who Are Prescribed it by Their Own Doctors

Recruiting
Conditions
Friedreich Ataxia
Interventions
First Posted Date
2024-10-02
Last Posted Date
2025-04-10
Lead Sponsor
Biogen
Target Recruit Count
300
Registration Number
NCT06623890
Locations
🇺🇸

UCLA Neurology, Los Angeles, California, United States

🇺🇸

University of Colorado, Aurora, Colorado, United States

🇺🇸

University of Florida, Gainesville, Florida, United States

and more 11 locations

A Study to Find Out How BIIB141 (Omaveloxolone) Moves From the Blood Into the Breastmilk of Healthy Women Who Are Breastfeeding or Pumping Milk

Phase 1
Completed
Conditions
Healthy Volunteer
Interventions
First Posted Date
2024-09-25
Last Posted Date
2025-04-22
Lead Sponsor
Biogen
Target Recruit Count
12
Registration Number
NCT06612879
Locations
🇺🇸

Fortrea Madison WI, CRU, Madison, Wisconsin, United States

A Study to Find Out How BIIB141 (Omaveloxolone) is Processed in the Body and to Learn More About Its Safety in Participants With Friedreich's Ataxia Aged 2 to 15 Years Old

Phase 1
Recruiting
Conditions
Friedreich Ataxia
Interventions
First Posted Date
2023-09-26
Last Posted Date
2025-05-21
Lead Sponsor
Biogen
Target Recruit Count
35
Registration Number
NCT06054893
Locations
🇺🇸

Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States

A TQTc Study for Omaveloxolone

Phase 1
Completed
Conditions
Health Adult Subjects
Interventions
First Posted Date
2023-07-03
Last Posted Date
2024-02-02
Lead Sponsor
Reata, a wholly owned subsidiary of Biogen
Target Recruit Count
30
Registration Number
NCT05927649
Locations
🇺🇸

Celerion, Inc., Tempe, Arizona, United States

An Open-label DDI Study of Omaveloxolone in Healthy Subjects

Phase 1
Completed
Conditions
Healthy Adult Subjects
Interventions
First Posted Date
2023-06-18
Last Posted Date
2024-02-02
Lead Sponsor
Reata, a wholly owned subsidiary of Biogen
Target Recruit Count
20
Registration Number
NCT05909644
Locations
🇺🇸

Celerion, Inc., Tempe, Arizona, United States

A Clinical Drug-Drug Interaction (DDI) Study With Omaveloxolone

First Posted Date
2019-07-05
Last Posted Date
2024-02-02
Lead Sponsor
Reata, a wholly owned subsidiary of Biogen
Target Recruit Count
61
Registration Number
NCT04008186
Locations
🇺🇸

Covance Clinical Research Unit (CRU) Inc., Dallas, Texas, United States

A Pharmacokinetic Study of Omaveloxolone in Subjects With Hepatic Impairment and Normal Hepatic Function

Phase 1
Completed
Conditions
Hepatic Impairment
Interventions
First Posted Date
2019-04-03
Last Posted Date
2024-02-02
Lead Sponsor
Reata, a wholly owned subsidiary of Biogen
Target Recruit Count
48
Registration Number
NCT03902002
Locations
🇺🇸

Orange County Research Center, Tustin, California, United States

🇺🇸

Clinical Pharmacology of Miami, LLC, Miami, Florida, United States

🇺🇸

Orlando Clinical Research Center, Orlando, Florida, United States

A Pharmacokinetic Study of Omaveloxolone in Healthy Volunteers

Phase 1
Completed
Conditions
Healthy
Interventions
First Posted Date
2018-09-10
Last Posted Date
2024-02-02
Lead Sponsor
Reata, a wholly owned subsidiary of Biogen
Target Recruit Count
32
Registration Number
NCT03664453
Locations
🇺🇸

Medpace Clinical Pharmacology Unit, Cincinnati, Ohio, United States

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