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Vatiquinone

Phase 3

Friedreich Ataxia | Small molecule | Rare Disease |PTC Therapeutics, Inc.|Last Updated: Aug 14, 2026

Target and mechanism

Molecular targetNQO1
Target classModulator
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment281

FDA Designations

PRIORITY_REVIEW

Clinical trial landscape

Vatiquinone · 5 trials · 3 indications

Phase 3 3Phase 2 2
NCT07681713Long-Term Efficacy Study of Vatiquinone for the Treatment of Friedreich's Ataxia (FA)Friedreich's Ataxia
NOT YET_RECRUITING120 Analytics
NCT05515536A Study to Assess the Safety and Efficacy of Vatiquinone in Participants With Friedreich AtaxiaFriedreich Ataxia
ACTIVE NOT_RECRUITING130 Analytics
NCT05218655A Safety Study for Previously Treated Vatiquinone (PTC743) Participants With Inherited Mitochondrial DiseaseInherited Mitochondrial Disease
COMPLETED101 Analytics
PHASE3NOT YET_RECRUITING
Long-Term Efficacy Study of Vatiquinone for the Treatment of Friedreich's Ataxia (FA)
Friedreich's AtaxiaUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Assess the Safety and Efficacy of Vatiquinone in Participants With Friedreich Ataxia
Friedreich AtaxiaUnlock trial analytics
PHASE3COMPLETED
A Safety Study for Previously Treated Vatiquinone (PTC743) Participants With Inherited Mitochondrial Disease
Inherited Mitochondrial DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Total Modified Friedreich's Ataxia Rating Scale (mFARS) Score at Month 24
Baseline, Month 24
Number of Participants With Adverse Events (AEs)
Baseline up to 3 years
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Baseline (Day 1) up to 30 days after last dose of study drug (956 days)

An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. AEs included both serious adverse events (SAEs) and non-serious AEs. A TEAE was defined as an AE that had an onset date or date of worsening on or after the first dose of study drug and within 30 days of the date of the last dose of treatment. A summary of other non-serious AEs and all SAEs, regardless of causality is located in the 'Reported AE section'.

Plasma Concentration of Vatiquinone
Pre-morning dose (0 hour) at Week 4; 1 to 3 hours and 3 to 6 hours post-morning dose at Weeks 4, 12, and 24
Area Under the Curve (AUC) of Vatiquinone
Pre-morning dose (0 hour) at Week 4; 1 to 3 hours and 3 to 6 hours post-morning dose at Weeks 4, 12, and 24
Number of Participants With Adverse Events
Baseline up to Week 76
Change From Baseline in the mFARS Score at Week 72 - Modified Intent-to-treat (mITT) Analysis Set
Baseline, Week 72

mFARS is a 93-item scale; comprised of neurologic component of FARS. For each item, responses categorize the corresponding neurological finding, with a score ranging from 0 to 3, 4, or 5 with 0 being normal and higher numbers indicative of greater impairment. Total mFARS scores for each subscale: bulbar (0 to 5), upper limb coordination (0 to 36), lower limb coordination (0 to 16), and upright stability (0 to 36). mFARS total score was a composite score of all 4 subscales, ranging from 0 (normal) to 93 (greater impairment). A lower score = better neurological function. Missing data was imputed using pattern mix model multiple imputation. Least square (LS) mean and standard error (SE) was calculated using mixed-model repeated measures (MMRM).

Change From Baseline in the mFARS Score at Week 72 - Intent-to-treat (ITT) Analysis Set
Baseline, Week 72

mFARS is a 93-item scale; comprised of neurologic component of FARS. For each item, responses categorize the corresponding neurological finding, with a score ranging from 0 to 3, 4, or 5 with 0 being normal and higher numbers indicative of greater impairment. Total mFARS scores for each subscale: bulbar (0 to 5), upper limb coordination (0 to 36), lower limb coordination (0 to 16), and upright stability (0 to 36). mFARS total score was a composite score of all 4 subscales, ranging from 0 (normal) to 93 (greater impairment). A lower score = better neurological function. Missing data was imputed using pattern mix model multiple imputation. LS mean and SE was calculated using MMRM.

Secondary Endpoints

Change From Baseline in mFARS Subscale Scores (Upright Stability Subscale [USS], Upper Limb [UL], Lower Limb [LL], Bulbar [BUL]) at Month 24
Baseline, Month 24
Change From Baseline in Friedreich's Ataxia Rating Scale - Activities of Daily Living (FARS-ADL) Score at Month 24
Baseline, Month 24
Change From Baseline in 25-Foot Walk Test (T25FW) at Month 24
Baseline, Month 24
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
VatiquinoneEXPERIMENTALParticipants will receive vatiquinone capsule at a dose of either 200 milligrams (mg) orally 3 times a day (TID) if weighing ˂25 kilograms (kg) or 400 mg orally TID if weighing ≥25 kg for 24 months.
PlaceboPLACEBO_COMPARATORParticipants will receive placebo matching to vatiquinone (per age and weight) orally TID for 72 weeks during the placebo-controlled phase and vatiquinone at a dose of either 200 mg orally TID if ˂12 years of age and weighing ˂25 kg or 400 mg orally TID if ≥12 years of age and/or weighing ≥25 kg for 24 weeks during the open-label extension phase.

Interventions

NameTypeDescription
VatiquinoneDRUGVatiquinone will be administered per dose and schedule specified in the arm.
PlaceboDRUGPlacebo will be administered per schedule specified in the arm.
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Eligibility Criteria

Age Range7 Years to 21 Years
SexALL
Healthy VolunteersNo
Study Sites9

Key Inclusion Criteria: * mFARS ≥20 to ≤70 at Screening (4 weeks prior to Day 1) and Baseline (Day 1). * Must be ambulatory as defined by a E7 score of 4 or less on the USS at Screening and Baseline. * Documentation that participants reached maximum score on items E4, E5, and E3b on the USS of mFAR...

Countries:United StatesBelgiumBrazilCanadaFranceSpainAustraliaGermanyItalyNew ZealandJapanPolandUnited Kingdom
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Recent Changes (Last 90 Days)

LOWAug 14, 2026NCT07681713lastUpdatePostDate: changed
LOWAug 14, 2026NCT07681713lastUpdatePostDate: changed
LOWJul 2, 2026NCT07681713NEW_TRIAL: changed
LOWJul 2, 2026NCT07681713NEW_TRIAL: changed
LOWJul 2, 2026NCT07681713NEW_TRIAL: changed

Frequently asked questions about Vatiquinone

What is Vatiquinone used for?

Vatiquinone is an investigational small molecule being developed for Friedreich Ataxia and Inherited Mitochondrial Disease. It is currently in Phase 3 clinical development for these rare diseases.

How does Vatiquinone work?

Vatiquinone is a small molecule being studied for Friedreich Ataxia and Inherited Mitochondrial Disease. The specific molecular target has not been disclosed in available information.

Who makes Vatiquinone?

Vatiquinone is being developed by PTC Therapeutics, Inc., a biopharmaceutical company. PTC Therapeutics is publicly traded under the ticker symbol PTCT.

What phase is Vatiquinone in?

Vatiquinone is in Phase 3 clinical development. It is an investigational drug and has not been approved by the FDA. It has received Priority Review designation from the FDA.

What clinical trials is Vatiquinone in?

Vatiquinone has been studied in several clinical trials. NCT04577352 was a Phase 2 study in Friedreich Ataxia. NCT05218655 was a Phase 3 safety study in Inherited Mitochondrial Disease. NCT05515536 is an active Phase 3 study in Friedreich Ataxia. NCT07681713 is a planned Phase 3 long-term efficacy study.

Is Vatiquinone the same as PTC743?

Vatiquinone is also known as PTC743. A clinical trial for Vatiquinone (PTC743) in Inherited Mitochondrial Disease has been completed.