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Icosapent Ethyl

Phase 4FDA approved

COVID19 | Small molecule | Infectious Disease |Amarin Corporation plc|Trials Updated: Apr 18, 2025

Icosapent Ethyl development status

FDA approval on record Jul 26, 2012 as Vascepa
Approval holderAmarin Pharms
ApplicationNDA202057
Highest phase Phase 4 (NCT04505098)
Phase scored for AMRNPhase 3
Registered trials 5 across 5 sponsors since Nov 2019

Label indication VASCEPA ® (icosapent ethyl) is indicated: as an adjunct to maximally tolerated statin therapy to reduce the risk of myocardial infarction, stroke, coronary revascularization, and unstable angina requiring hospitalization in adult patients with elevated triglyceride (TG) levels (≥ 150 mg/dL) and established cardiovascular disease or diabetes mellitus and 2 or more additional risk factors for cardiovascular disease. FDA label

Icosapent Ethyl target and mechanism

ModalitySmall molecule

Also known as Icosapent ethyl (IPE), Vascepa

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials4
Total Enrollment4,631

FDA Designations

No designations recorded

Icosapent Ethyl clinical trials

Icosapent Ethyl · 4 trials · 8 indications

Phase 3 2Phase 2 1Phase 1 1
NCT03428477EPA for Metastasis Trial 2Liver Metastasis
ACTIVE NOT_RECRUITING418 Analytics
NCT04460651PREPARE-IT. Prevention and Treatment of COVID19 With EPA in Subjects at Risk - Intervention TrialCOVID19
COMPLETED4,093 Analytics
PHASE3ACTIVE NOT_RECRUITING
EPA for Metastasis Trial 2
Liver MetastasisUnlock trial analytics
PHASE3COMPLETED
PREPARE-IT. Prevention and Treatment of COVID19 With EPA in Subjects at Risk - Intervention Trial
COVID19Unlock trial analytics

Study Endpoints

Primary Endpoints

Progression Free Survival (PFS)
Minimum of 2 years follow-up

PFS is defined as the time from randomisation to death (from any cause), first documented evidence of disease progression, new recurrence or clinical deterioration unequivocally due to disease progression

(A) Prevention Arm: SARS-CoV-2 positivity assesed up to day 60.
60 days

SARS-CoV-2 positive subjects are defined as subjects with positive tests for SARS-CoV-2 RT-PCR or for SARS-CoV-2 lgG antibodies after developing COVID-19 disease at any stage within the follow-up period (including those subjects with or without symptomatic COVID-19 evaluated before the final visit) or those individuals who test positive for SARS-CoV-2 RT-PCR or for SARS-CoV-2 lgG antibodies at the final visit (day 60).

(B) Treatment Arm: COVID 19 related hospitalization (indication for hospitalization per the blinded investigator or actual hospitalization) or death assessed up to 28 days
28 days
Change in hs-CRP levels from the randomization visit (Day 1) to the Day 14 visit
14 days
Change in VLDL-apoB100 Production Rate
≥ 13 weeks of observation on randomized treatment assignment

The production rate of very low-density lipoprotein apolipoprotein B100 as determined by stable-isotope lipid kinetics techniques based on a primed constant infusion of deuterated leucine.

Secondary Endpoints

Overall Survival (OS)
Minimum of 2 years follow-up
Safety and Tolerability of Icosapent Ethyl
Minimum of 2 years follow-up
Patient reported quality of life 1
Minimum of 2 years follow-up
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
Icosapent Ethyl (EPA-EE)EXPERIMENTALSoft gelatin capsules containing 1g pure EPA-EE equivalent to 914mg EPA-FFA. Administered as 4g per day to be taken as 2 capsules in the morning and 2 capsules in the evening.
PlaceboPLACEBO_COMPARATORSoft gelatin capsules containing light mineral oil. 4 capsules to be taken per day (2 in the morning and 2 in the evening).
Active treatmentACTIVE_COMPARATORParticipants in this arm will receive study medication icosapent ethyl (IPE) with a specific dose scheme.
Usual CareNO_INTERVENTIONParticipants in this arm will continue with usual care
Icosapent EthylEXPERIMENTALParticipants in this arm will take icosapent ethyl (4 g BID for 3 days, then 2 g BID for the subsequent 11 days)

Interventions

NameTypeDescription
Icosapent EthylDRUGComposition: soft amber to light yellow, oblong gelatin capsules. One capsule contains 1g pure EPA-EE Dose: 4 capsules per day
PlaceboOTHERComposition: soft, amber to light yellow, oblong gelatin capsules containing light mineral oil: Dose: 4 capsules per day
Icosapent ethyl (IPE)DRUGParticipants in this arm will receive study medication IPE with the following dosage schedule: 8 g of IPE (4 capsules every 12 hours - morning and evening, with food) for the first three days followed by 4 g of IPE (2 capsules every 12 hours - morning and evening, with food) thereafter (days 4-28 for treatment arm and 4-60 for prevention arm)
Icosapent Ethyl 1000 MG [Vascepa]DRUGIcosapent ethyl is an ethyl ester of the omega-3 fatty acid eicosapentaenoic acid (EPA). The empirical formula of icosapent ethyl is C22H34O2 and the molecular weight is 330.51. The chemical name for icosapent ethyl is ethyl all-cis-5,8,11,14,17-icosapentaenoate.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites13

Inclusion Criteria: * Aged ≥ 18 years * Able to provide written informed consent * Histological diagnosis of colorectal cancer with evidence of liver metastases * Planned liver resection surgery for colorectal cancer liver metastases with curative intent, including repeat 're-do' colorectal cancer ...

Countries:United KingdomArgentinaCanadaUnited States
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Frequently asked questions about Icosapent Ethyl

What is icosapent ethyl?

Icosapent ethyl is a small molecule drug developed by Amarin Corporation plc (ticker AMRN). It has been studied across several indications, including COVID-19, lipid disorders, and liver metastasis. It is also known by the brand name Vascepa and is referred to as icosapent ethyl (IPE).

What is icosapent ethyl used for?

Icosapent ethyl has been investigated for COVID-19, lipid disorders, and liver metastasis. Clinical trials have studied it in patients with COVID-19, individuals with high triglycerides and dyslipidemias, and patients with liver metastasis from colon cancer. It is not approved for these indications and remains investigational in these settings.

Who makes icosapent ethyl?

Icosapent ethyl is developed by Amarin Corporation plc, which trades under the ticker AMRN. The company is responsible for the clinical development of the drug across its studied indications.

What phase is icosapent ethyl in?

Icosapent ethyl is in Phase 2 development according to the overall development stage. Individual trials have been conducted across Phase 1, Phase 2, and Phase 3. It is an investigational drug and has not been approved for the indications studied in these trials.

What clinical trials is icosapent ethyl in?

Icosapent ethyl has been studied in several clinical trials, including NCT04460651 (PREPARE-IT), a Phase 3 trial in COVID-19 with 4,093 participants; NCT04412018, a Phase 2 trial in COVID-19 and inflammatory response; NCT03885661, a Phase 1 trial in lipid disorders; and NCT03428477 (EPA for Metastasis Trial 2), a Phase 3 trial in liver metastasis and colon cancer.

Is icosapent ethyl the same as Vascepa?

Yes, icosapent ethyl is also known by the brand name Vascepa. It is also referred to as icosapent ethyl (IPE) and icosapent ethyl 1000 MG [Vascepa]. These names refer to the same active ingredient developed by Amarin Corporation plc.