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Actovegin

Phase 3

Peripheral Arterial Diseases | Small molecule | Cardiovascular |Takeda Pharmaceutical Company Limited|Last Updated: Oct 28, 2020

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment366

FDA Designations

No designations recorded

Clinical trial landscape

Actovegin · 2 trials · 2 indications

Phase 3 2
NCT03469349Actovegin 12-Week Treatment Given First Intravenously and Subsequently Orally in Participants With Peripheral Arterial Occlusive Disease Fontaine Stage IIBPeripheral Arterial Diseases
COMPLETED366 Analytics
NCT01582854Efficacy and Safety of Actovegin in Post-stroke Cognitive Impairment (PSCI)Post-Stroke Cognitive Impairment (PSCI)
COMPLETED503 Analytics
PHASE3COMPLETED
Actovegin 12-Week Treatment Given First Intravenously and Subsequently Orally in Participants With Peripheral Arterial Occlusive Disease Fontaine Stage IIB
Peripheral Arterial DiseasesUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Actovegin in Post-stroke Cognitive Impairment (PSCI)
Post-Stroke Cognitive Impairment (PSCI)Unlock trial analytics

Study Endpoints

Primary Endpoints

Percent Change From Baseline in Initial Claudication Distance (ICD) at Week 12
Baseline up to Week 12

ICD was the distance walked at the onset of claudication pain or pain-free walking distance. ICD was assessed using treadmill testing. A fixed load treadmill test was carried out at 3.0 kilometer per hour (km/h) with a 10 percent (%) grade.

Change From Baseline in Alzheimer's Disease Assessment Scale + Cognitive Subscale Extended Version (ADAS-cog+) at Month 6
Baseline and Month 6

The ADAS-cog measures cognitive performance by combining the ratings of 11 items. The cognitive domains mainly addressed by ADAS-cog are: memory (short term), language, ability to orientate (reflects memory), construction/planning of simple designs and performance. The extended version of the ADAS-cog (ADAS-cog+) includes 3 additional items: a 2-number cancellation task to test for attention, a delayed recall task to test for memory consolidation and a maze test for executive performance. Each item is scored and then the item scores are totaled. Total scores range from 0 (best) to 90 (worst). Higher scores indicate greater cognitive impairment. A negative change from Baseline indicates improvement. Analysis of Covariance (ANCOVA) model was used for analyses that included treatment, pooled centre, and their interaction as factors and Baseline ADAS-cog+ score as a covariate.

Secondary Endpoints

Percent Change From Baseline in ICD at Weeks 2 and 24
Baseline up to Weeks 2 and 24
Absolute Change From Baseline in Absolute Claudication Distance (ACD) at Weeks 2, 12 and 24
Baseline, Weeks 2, 12 and 24
Percentage of Participants With Rest Pain at Weeks 12 and 24
Weeks 12 and 24
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Actovegin 1200 mgEXPERIMENTALActovegin 1200 milligram (mg), intravenously, once daily for up to 2 weeks followed by actovegin 200 mg, tablets, orally, thrice daily (TID) (1200 mg/day) for up to 10 weeks.
PlaceboPLACEBO_COMPARATORActovegin placebo-matching, intravenously, once daily for up to 2 weeks and actovegin placebo-matching tablets, orally, TID for up to 10 weeks.
ActoveginACTIVE_COMPARATORActovegin 2000 mg solution, intravenous (IV) infusion for up to 20 days followed by 2 actovegin 200 mg, tablets, orally, 3 times a day for up to 6 months.

Interventions

NameTypeDescription
ActoveginDRUGActovegin intravenous infusion and tablets.
PlaceboDRUGActovegin placebo-matching intravenous infusion and tablets.
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Eligibility Criteria

Age Range40 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites20

Inclusion Criteria: 1. Has a history of stable intermittent claudication lasting more than 6 months before Screening. 2. Has a diagnosis of peripheral arterial disease (PAD) (Code I70.2 according to the international classification of diseases-10th revision) Fontaine Stage IIB confirmed by ultrasou...

Countries:GeorgiaKazakhstanRussiaBelarus
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Frequently asked questions about Actovegin

What is Actovegin used for?

Actovegin is an investigational small molecule being studied for Post-Stroke Cognitive Impairment (PSCI) and Peripheral Arterial Diseases. It is in Phase 3 clinical development for these conditions. Actovegin is not approved and remains under investigation in clinical trials.

Who makes Actovegin?

Actovegin is being developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. The company is conducting clinical trials to evaluate the drug's efficacy and safety in patients with Post-Stroke Cognitive Impairment and Peripheral Arterial Diseases.

What phase is Actovegin in?

Actovegin is in Phase 3 clinical development. Two Phase 3 trials have been completed, one in Post-Stroke Cognitive Impairment and one in Peripheral Arterial Occlusive Disease. The drug is investigational and has not been approved for any use.

What clinical trials is Actovegin in?

Actovegin has completed two Phase 3 trials. NCT01582854 studied Actovegin in 503 patients with Post-Stroke Cognitive Impairment in Belarus, Kazakhstan, and Russia. NCT03469349 studied Actovegin in 366 patients with Peripheral Arterial Occlusive Disease in Georgia, Kazakhstan, and Russia.

Is Actovegin the same as other drugs?

Actovegin is a distinct drug candidate developed by Takeda. It is not known to be the same as any other marketed drug. Its active component is derived from calf blood, but no alternative names have been established in clinical literature.