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Thioctic Acid

Phase 3

Diabetic Polyneuropathy | Small molecule | Neurology |Viatris Inc.|Last Updated: Feb 7, 2022

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment630
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00328601Assessment of Efficacy and Safety of Thioctic Acid in the Oral Treatment of Symptomatic Diabetic Neuropathy (SYDNEY 2)PHASE3 COMPLETED 170Feb 1, 2005Jun 1, 2005Feb 7, 20225 Israel, Russia
NCT00977483Assessment of Efficacy and Safety of Thioctic Acid in the Oral Treatment of Diabetic Polyneuropathy (Stage 1 or 2)PHASE3 COMPLETED 460May 1, 1998Jan 1, 2005Feb 7, 202238 United States, Croatia +7
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Study Endpoints
Primary Endpoints
Primary efficacy variable: Absolute change in the neuropathy impairment score lower limbs enlarged by 7 objective items (NISLL+7) between baseline (mean of Visit 0.3 and 0.4 or last available value before randomisation, respectively) and endpoint
4 years
Secondary Endpoints
NIS, NSC, TSS, LLF, QST, VDT, CDT and HP, QAE by means of the HRDB, amplitude CMAP, DL and MNCV on peroneal and tibial nerves, amplitude SNAP and latency on sural nerve, foot inspection, efficacy.
4 years
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Drug: Thioctic AcidEXPERIMENTAL600mg tablet Thioctic Acid (alpha-lipoic acid) once daily throughout the trial
Drug: PlaceboPLACEBO_COMPARATOR1 tablet once daily throughout the trial
Interventions
NameTypeDescription
Thioctic AcidDRUG -
PlaceboDRUG1 tablet once daily 4 years double-blind treatment period
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Eligibility Criteria
Age Range18 Years — 74 Years
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: 1. Diabetes mellitus (Type I or II), as defined by the American Diabetes Association, 1997, lasting 1 year. 2. Patient must have a symmetric sensory-motor peripheral polyneuropathy of at least stage 2 attributable to diabetes mellitus following a thorough evaluation for other ca...

Countries:IsraelRussiaUnited StatesCroatiaDenmarkFranceItalyNetherlandsSpainSwedenUnited Kingdom
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