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Icosapent ethyl

Phase 3

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

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment4,093

FDA Designations

No designations recorded

Clinical trial landscape

Icosapent ethyl · 4 trials · 8 indications

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

Study Endpoints

Primary Endpoints

(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
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

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

(A) Prevention Arm: High-sensitivity C-reactive Protein (mg/dL) change from baseline to day 60 (key secondary outcome)
baseline, 60 days
(A) Prevention Arm: Triglycerides (mg/dL) change from baseline to day 60
baseline, 60 days
(A) Prevention Arm: FLU-PRO SCORE change from baseline to day 60 in a subset of subjects
baseline, 60 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Active treatmentACTIVE_COMPARATORParticipants in this arm will receive study medication icosapent ethyl (IPE) with a specific dose scheme.
PlaceboPLACEBO_COMPARATORParticipants in this arm will receive Placebo with the same dose scheme as the active comparator:
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.
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 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)
PlaceboDRUGParticipants in this arm will receive placebo with the following dosage schedule: 8 g of placebo (4 capsules every 12 hours - morning and evening, with food) for the first three days followed by 4 g of placebo (2 capsules every 12 hours - morning and evening, with food) thereafter (days 4-28 for treatment arm and 4-60 for prevention arm)
Icosapent EthylDRUGComposition: soft amber to light yellow, oblong gelatin capsules. One capsule contains 1g pure EPA-EE Dose: 4 capsules per day
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 VolunteersYes
Study Sites1

(A) Prevention arm: Inclusion Criteria: 1. 18 years of age or older and 2. any subject that is circulating and exposed to the public Exclusion Criteria: 1. Previously diagnosed with COVID-19 2. Positive pregnancy test at the time of study entry in potentially fertile women 3. Pregnant or breastf...

Countries:ArgentinaUnited KingdomCanadaUnited States
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Frequently asked questions about Icosapent ethyl

What is Icosapent Ethyl used for?

Icosapent Ethyl is a small molecule being studied for lipid disorders, liver metastasis, and COVID-19. It is being investigated in clinical trials for conditions including high triglycerides, dyslipidemias, colon cancer with liver metastasis, and inflammatory response in COVID-19 patients.

Who makes Icosapent Ethyl?

Icosapent Ethyl is developed by Amarin Corporation plc, a biopharmaceutical company listed on the stock exchange under the ticker symbol AMRN. The company is conducting clinical trials to evaluate the drug's effects across multiple indications.

What phase is Icosapent Ethyl in?

Icosapent Ethyl is in clinical development across multiple phases. It has completed Phase 1 and Phase 2 trials, and Phase 3 trials are either completed or active but not recruiting. The drug remains investigational and is not yet approved for the indications being studied.

What clinical trials is Icosapent Ethyl in?

Icosapent Ethyl has been studied in several trials including NCT03428477 for liver metastasis in colon cancer, NCT03885661 for lipid disorders, NCT04412018 for COVID-19 inflammatory response, and NCT04460651 for COVID-19 prevention and treatment. These trials range from Phase 1 to Phase 3.

Is Icosapent Ethyl the same as Vascepa?

Yes, Icosapent Ethyl is also known as Vascepa. Clinical trials reference Vascepa by name, such as NCT03885661 titled 'Vascepa to Accelerate Lipoprotein Uptake and Elimination' and NCT04412018 investigating 'Icosapent Ethyl (VascepaTM)' for COVID-19.

How does Icosapent Ethyl work?

Icosapent Ethyl is a small molecule being studied for its effects on lipid metabolism and inflammatory biomarkers. Clinical trials are evaluating its impact on lipoprotein uptake and elimination, as well as inflammatory responses in COVID-19 patients.