Drugs / Acthar
last change Sep 2026 re-read 9 days ago

Acthar

Peptide

Developed for
multiple sclerosis · systemic lupus erythematosus · proteinuria · rheumatoid arthritis · anterior uveitis · focal segmental glomerulosclerosis · IgA glomerulonephritis · panuveitis
+28 more · psoriatic arthritis · relapsing-remitting multiple sclerosis · sarcoidosis · amyotrophic lateral sclerosis · Behcet disease · chronic transplant rejection · disease related to solid organ transplantation · dry eye syndrome · gout · infantile spasms · intermediate uveitis · juvenile dermatomyositis · keratitis · kidney disorder · membranous glomerulonephritis · migraine disorder · neurosarcoidosis · optic neuritis · posterior uveitis · primary focal segmental glomerulosclerosis · pulmonary sarcoidosis · steroid-resistant nephrotic syndrome · autoimmune disease · end stage renal failure · idiopathic membranous glomerulonephritis · immunotactoid or fibrillary glomerulopathy · lupus nephritis · neurotrophic keratopathy
Investigated by
Mallinckrodt · The Cleveland Clinic · Fiechtner, Justus J., M.D., P.C. · Mallinckrodt · National Center for Research Resources (NCRR) · University of Colorado, Denver
+36 more · University of Maryland, Baltimore · ANI Pharmaceuticals · Aaron Miller · Attune Health Research, Inc. · Auburn University · Baylor College of Medicine · Children's Hospital Medical Center, Cincinnati · Dartmouth-Hitchcock Medical Center · Dent Neuroscience Research Center · Elliot Frohman · IRIS Research and Development, LLC · Icahn School of Medicine at Mount Sinai · Massachusetts General Hospital · Mayo Clinic · Medalytics · NYU Langone Health · National Institute of Neurological Disorders and Stroke (NINDS) · Neuro-Ophthalmologic Associates, PC · OhioHealth · Peking University People's Hospital · Rhode Island Hospital · Ronald J. Rapoport, MD · Tanner Foundation for Multiple Sclerosis · The University of Texas Health Science Center, Houston · Toyos Clinic · University of Alabama at Birmingham · University of California, Los Angeles · University of California, San Francisco · University of Chicago · University of Illinois at Chicago · University of Minnesota · University of North Carolina, Chapel Hill · University of Pennsylvania · Wake Forest University Health Sciences · Washington University School of Medicine · iReportoire Inc

Regulatory milestones approvals, filings & regulatory actions · 2 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansion US (FDA) CORTICOTROPIN — 1980-12-01 fda.gov ↗
Approved US (FDA) ACTHAR — 1950-07-03 fda.gov ↗

Trials 44

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT01987167 Nov 2013 → Dec 2016 optic neuritis Neuro-Ophthalmologic Associates, PC Completed No outcome recorded
Phase 24 trials
Phase 2 NCT07833163 Sep 2026 → Sep 2027 expected Behcet disease Peking University People's Hospital Not yet recruiting No outcome recorded
Phase 2 NCT01984268 Jun 2014 → Sep 2016 rheumatoid arthritis Dartmouth-Hitchcock Medical Center Terminated No outcome recorded
Phase 2 NCT01813591 Apr 2013 → Dec 2014 migraine disorder Dent Neuroscience Research Center Completed No outcome recorded
Phase 2 NCT00004758 Nov 1993 → ? infantile spasms National Center for Research Resources (NCRR) Completed No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT03068754 Jun 2017 → Nov 2019 amyotrophic lateral sclerosis Mallinckrodt Terminated No outcome recorded
Phase 33 trials
Phase 3 NCT02683889 Feb 2019 → Jun 2024 focal segmental glomerulosclerosis University of Colorado, Denver Completed No outcome recorded
Phase 3 NCT03511625 Oct 2018 → Feb 2020 rheumatoid arthritis Attune Health Research, Inc. Unknown No outcome recorded
Phase 3 NCT02282930 Mar 2015 → Jun 2018 IgA glomerulonephritis, proteinuria Mayo Clinic Completed No outcome recorded
Phase 428 trials · 1 met primary · 4 missed
Phase 4 NCT07346079 Dec 2025 → Aug 2027 expected gout Massachusetts General Hospital Recruiting No outcome recorded
Phase 4 NCT02523092 Nov 2022 → Jan 2025 sarcoidosis University of California, San Francisco Terminated No outcome recorded
Phase 4 NCT02399462 Mar → Jul 2021 focal segmental glomerulosclerosis University of North Carolina, Chapel Hill Withdrawn No outcome recorded Stop: Business
Phase 4 NCT04169061 Nov 2019 → Nov 2020 keratitis Mallinckrodt Completed No outcome recorded
Phase 4 NCT02920710 Feb 2019 → Nov 2020 sarcoidosis The Cleveland Clinic Withdrawn No outcome recorded Stop: Enrollment
Phase 4 NCT03656692 Oct 2018 → Jul 2020 intermediate uveitis, panuveitis, posterior uveitis Mallinckrodt Terminated No outcome recorded
Phase 4 NCT03419650 Jul 2018 → Aug 2021 psoriatic arthritis IRIS Research and Development, LLC Completed No outcome recorded
Phase 4 NCT03287635 Jul 2018 → Feb 2020 dry eye syndrome Toyos Clinic Completed No outcome recorded
Phase 4 NCT03408405 Jun 2018 → Jan 2021 steroid-resistant nephrotic syndrome Rhode Island Hospital Withdrawn No outcome recorded Stop: Business
Phase 4 NCT03025828 Mar 2018 → Dec 2020 membranous glomerulonephritis Icahn School of Medicine at Mount Sinai Completed No outcome recorded
Phase not applicable7 trials
— NCT02725177 Jul 2016 → Dec 2021 anterior uveitis, panuveitis The Cleveland Clinic Completed No outcome recorded
— NCT02258217 Jun 2014 → Jun 2016 relapsing-remitting multiple sclerosis OhioHealth Completed Mixed
— NCT02434757 Feb 2014 → Oct 2015 rheumatoid arthritis Ronald J. Rapoport, MD Unknown No outcome recorded
— NCT02006849 Jan 2014 → Jan 2019 kidney disorder Wake Forest University Health Sciences Withdrawn No outcome recorded Stop: Enrollment
— NCT01906684 Aug 2013 → Jan 2014 multiple sclerosis Tanner Foundation for Multiple Sclerosis Unknown No outcome recorded
— NCT01900093 Jul 2013 → Mar 2018 multiple sclerosis Aaron Miller Unknown No outcome recorded
— NCT00005890 Mar 1996 → ? infectious disease with sepsis National Center for Research Resources (NCRR) Completed No outcome recorded
Comparator or background therapy11 trials
Phase 1 NCT02486744 Comparator Mar 2015 → Jul 2016 end stage renal failure Youngstown State University Terminated No outcome recorded Stop: Enrollment
Phase 1 NCT00805753 Comparator Jan 2009 → Sep 2013 idiopathic membranous glomerulonephritis Mayo Clinic Completed No outcome recorded
Phase 2 NCT00986960 Comparator Dec 2009 → Sep 2010 multiple sclerosis University at Buffalo Withdrawn No outcome recorded Stop: Enrollment
Phase 4 NCT06964269 Comparator Feb 2025 → Feb 2028 expected autoimmune disease, dry eye syndrome, neurotrophic keratopathy Toyos Clinic Recruiting No outcome recorded
Phase 4 NCT05546047 Comparator Mar 2019 → Oct 2023 immunotactoid or fibrillary glomerulopathy NephroNet, Inc. Unknown No outcome recorded

Evidence & citations 16 cited values

Every value below carries the sentence it was read from. 58 sources stand behind the page.

FieldValueCited text
Known as ACTHAR “We propose to study the use of purified porcine Acthar Gel (ACTHAR, Mallinckrodt Pharmaceuticals) for treatment of steroid resistance nephrotic syndrome (SRNS) in a prospective...” NCT03408405 ↗
25

“ACTHAR is a 39-amino acid peptide natural form of adrenocorticotropin hormone (ACTH) that was initially approved in 1952 by the FDA.” NCT02725177 ↗

“Acthar (ACTH) gel injection at a dose of 80 units subcutaneously twice weekly for 6 months” NCT02282930 ↗

“H.P. Acthar Gel (repository corticotropin injection)” NCT01888354 ↗

NCT02546492 ↗

NCT02006849 ↗

NCT00854750 ↗

NCT03068754 ↗

NCT02769702 ↗

NCT03021317 ↗

NCT02399462 ↗

Show 15 more sources

Known as ACTH ClinicalTrials.gov intervention name — accepted as the source's own label NCT02282930 ↗
1

NCT00805753 ↗

Known as ACTHAR Gel “We propose that neuro-ophthalmologic hallmarks of MS, INO (an ocular motor syndrome) and optic neuritis (a visual sensory syndrome), can be studied with objective methods...” NCT00854750 ↗
20

“INTRODUCTION: There is a substantial unmet need for effective therapies to treat patients with refractory dry eye disease (DED). The goal of this open-label pilot study was to...” PMID 35460497 ↗ Apr 2022

“The goal of this study was to evaluate the efficacy and safety of repository corticotropin injection (RCI, Acthar® Gel) in patients with pulmonary sarcoidosis and to validate...” PMID 37072607 ↗ Apr 2023

“Repository corticotrophin injection (RCI, Acthar Gel) and intravenous methylprednisolone (IVMP) improve the rate but not the extent of visual recovery following acute optic neuritis.” PMID 37261907 ↗ Jun 2023

“course of ACTHar Gel alone at 80 units per week or in combination with oral Tacrolimus at 1 mg BID” NCT04080076 ↗

“In this cohort Acthar gel will be administered to the enrolled patient with chrnic AMR.” NCT02546492 ↗

“Acthar Gel” NCT04169061 ↗

NCT05546047 ↗

NCT01926054 ↗

NCT02523092 ↗

NCT01906684 ↗

Show 10 more sources

Known as Acthar Injectable Product “Drug: Acthar Injectable Product” NCT03511625 ↗
Known as adrenocorticotrophin “ACTH or adrenocorticotrophin is a hormone produced by the pituitary gland (a gland at the base of your brain) that is involved in stimulating your adrenal glands to secrete a...” NCT00805753 ↗
Known as corticotrophin ClinicalTrials.gov intervention name — accepted as the source's own label NCT01948388 ↗
Known as Corticotropin “15 days of intramuscular (IM) or sub-cutaneous corticotropin (SQ) Acthar (ACTH).” NCT01838174 ↗
4

NCT07833163 ↗

NCT00004758 ↗

NCT03287635 ↗

NCT00005890 ↗

Known as H.P. Acthar Gel “H.P. Acthar Gel (repository corticotropin injection).” NCT01906684 ↗
9

“H.P. Acthar Gel (repository corticotropin injection)” NCT01888354 ↗

“Drug: H.P. Acthar Gel” NCT01813591 ↗

“H.P. Acthar Gel” NCT01753401 ↗

NCT01769937 ↗

NCT02298491 ↗

NCT03082573 ↗

NCT02434757 ↗

NCT02245841 ↗

NCT01939132 ↗

Known as Purified Cortrophin Gel “The treatment period is double-blind, and the patients will be randomized to treatment with 40 U Purified Cortrophin® Gel or 80 U Purified Cortrophin® Gel in a 1:1 ratio.” NCT07346079 ↗
Known as RCI “INTRODUCTION: There is a substantial unmet need for effective therapies to treat patients with refractory dry eye disease (DED). The goal of this open-label pilot study was to...” PMID 35460497 ↗ Apr 2022
2

“The goal of this study was to evaluate the efficacy and safety of repository corticotropin injection (RCI, Acthar® Gel) in patients with pulmonary sarcoidosis and to validate...” PMID 37072607 ↗ Apr 2023

“Repository corticotrophin injection (RCI, Acthar Gel) and intravenous methylprednisolone (IVMP) improve the rate but not the extent of visual recovery following acute optic neuritis.” PMID 37261907 ↗ Jun 2023

Known as repository corticotropin “H.P. Acthar Gel (repository corticotropin) Injection, 80 U daily for 10 days, then 80 U twice weekly for up to a total of 24 weeks on therapy.” NCT02725177 ↗
2

NCT00986960 ↗

NCT02920710 ↗

Known as Repository Corticotropin Injection “INTRODUCTION: There is a substantial unmet need for effective therapies to treat patients with refractory dry eye disease (DED). The goal of this open-label pilot study was to...” PMID 35460497 ↗ Apr 2022
3

“H.P. Acthar Gel (Repository Corticotropin Injection)” NCT01939132 ↗

“Repository Corticotropin Injection” NCT01753401 ↗

NCT01888354 ↗

Known as Trade name: Acthar Gel “Trade name: Acthar® Gel” NCT03068754 ↗
Action Activate “RCI has adrenal-stimulating and melanocortin receptor-stimulating properties” PMID 37261907 ↗ Jun 2023
Modality Peptide “ACTHAR is a 39-amino acid peptide natural form of adrenocorticotropin hormone (ACTH)” NCT02725177 ↗
Route Intravenous “corticotropin 1-24 IV” NCT00005890 ↗