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Fenofibrate

Phase 3

Diabetic Retinopathy | Small molecule | Ophthalmology |Roche Holding AG|Last Updated: Jun 29, 2026

Target and mechanism

Molecular targetPPARA
Target classAgonist
ModalitySmall molecule
ChEMBLCHEMBL672

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment563

FDA Designations

No designations recorded

Clinical trial landscape

Fenofibrate · 1 trial · 1 indication

Phase 3 1
NCT04661358Fenofibrate for Prevention of DR WorseningDiabetic Retinopathy
ACTIVE NOT_RECRUITING563 Analytics
PHASE3ACTIVE NOT_RECRUITING
Fenofibrate for Prevention of DR Worsening
Diabetic RetinopathyUnlock trial analytics

Study Endpoints

Primary Endpoints

Worsening of diabetic retinopathy
6- years

Defined as * 2 or more step worsening on Early Treatment Diabetic Retinopathy Study (ETDRS) diabetic retinopathy severity on fundus photographs. * Development of neovascularization within the 7-modified ETDRS fields on fluorescein angiography. * Intraocular procedure undertaken to treat diabetic retinopathy including panretinal photocoagulation, intraocular anti-vascular endothelial growth factor, corticosteroid, or vitrectomy.

Secondary Endpoints

Intraocular procedure undertaken to treat diabetic retinopathy or diabetic macular edema including PRP, intraocular anti-VEGF, corticosteroid, focal/grid laser or vitrectomy
6 years
Development of CI-DME
6 years
Development of center-involved diabetic macular edema with vision loss
6 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Fenofibrate 160-mgEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -

Interventions

NameTypeDescription
FenofibrateDRUGParticipants begin with a dose of either 160mg or 54mg fenofibrate, based on eGFR value at screening, taken once daily with food. The dose may be adjusted during follow-up based on protocol guidelines.
PlaceboOTHERParticipants begin with a dose of either 160mg or 54mg placebo, based on eGFR value at screening, taken once daily with food. The dose may be adjusted during follow-up based on protocol guidelines.
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites66

Key Inclusion Criteria * Age ≥18 years and \< 80 years. * Type 1 or type 2 diabetes. * At least one eye with the following: * Mild to moderately severe NPDR (defined by ETDRS DR severity level 35 to 47), confirmed by central Reading Center grading of fundus photographs. * Best-corrected E-ETDR...

Countries:United States
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Frequently asked questions about Fenofibrate

What is Fenofibrate used for in Diabetic Retinopathy?

Fenofibrate is being investigated for the prevention of diabetic retinopathy worsening. It is a small molecule in Phase 3 clinical development for this ophthalmologic condition. The drug is being studied in a randomized, double-blind, placebo-controlled trial to assess its effect on preventing the progression of diabetic retinopathy.

What does Fenofibrate target?

Fenofibrate is a small molecule that works by activating peroxisome proliferator-activated receptor alpha (PPAR-alpha). This mechanism is being studied for its potential to prevent the worsening of diabetic retinopathy. The drug is currently in Phase 3 clinical trials for this indication.

Who makes Fenofibrate?

Fenofibrate is being developed by Roche Holding AG, which trades under the ticker RHHBY. The company is conducting a Phase 3 clinical trial for the drug in diabetic retinopathy. This trial is active but not recruiting participants.

What phase is Fenofibrate in?

Fenofibrate is in Phase 3 clinical development for diabetic retinopathy. It is an investigational drug and has not been approved for this indication. The ongoing Phase 3 trial is a randomized, double-blind, placebo-controlled study with an enrollment of 563 participants.

What clinical trials is Fenofibrate in?

Fenofibrate is being studied in a Phase 3 clinical trial with the identifier NCT04661358, titled 'Fenofibrate for Prevention of DR Worsening'. This trial is active but not recruiting, with 563 participants enrolled in the United States. The study is randomized, double-blind, and placebo-controlled.

Is Fenofibrate the same as other fenofibrate products?

Fenofibrate is a well-known small molecule drug, and this specific development program by Roche is focused on diabetic retinopathy. The drug is being evaluated in a Phase 3 trial to prevent the worsening of diabetic retinopathy, and it is being studied in a placebo-controlled setting.