Drugs / Acthar
last change Dec 2025 re-read 2 minutes ago

Acthar

Peptide

Developed for
multiple sclerosis · rheumatoid arthritis · systemic lupus erythematosus · proteinuria · anterior uveitis · focal segmental glomerulosclerosis · gout · IgA glomerulonephritis
+29 more · panuveitis · psoriatic arthritis · relapsing-remitting multiple sclerosis · sarcoidosis · amyotrophic lateral sclerosis · chronic transplant rejection · disease related to solid organ transplantation · dry eye syndrome · infantile spasms · intermediate uveitis · juvenile dermatomyositis · keratitis · kidney disorder · membranous glomerulonephritis · migraine disorder · neurosarcoidosis · optic neuritis · posterior uveitis · primary focal segmental glomerulosclerosis · proliferative vitreoretinopathy · pulmonary sarcoidosis · skin 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
+41 more · University of Maryland, Baltimore · ANI Pharmaceuticals · Aaron Miller · Albany Medical College · Attune Health Research, Inc. · Auburn University · Baylor College of Medicine · Children's Hospital Medical Center, Cincinnati · Chongqing Medical University · Dana Ascherman · Dartmouth-Hitchcock Medical Center · Dent Neuroscience Research Center · Elliot Frohman · IRIS Research and Development, LLC · Icahn School of Medicine at Mount Sinai · Johns Hopkins University · Massachusetts General Hospital · Mayo Clinic · Medalytics · NYU Langone Health · National Institute of Neurological Disorders and Stroke (NINDS) · Neuro-Ophthalmologic Associates, PC · OhioHealth · Rhode Island Hospital · Ronald J. Rapoport, MD · Shanghai 10th People's Hospital · State University of New York at Buffalo · 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 49 · a red edge is where a trial was stopped

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 02 trials
Phase 0 NCT03727776 Aug 2019 → Jul 2023 proliferative vitreoretinopathy Johns Hopkins University Completed No outcome recorded
Phase 0 NCT01987167 Nov 2013 → Dec 2016 optic neuritis Neuro-Ophthalmologic Associates, PC Completed No outcome recorded
Phase 23 trials
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 2/32 trials
Phase 2/3 NCT03068754 Jun 2017 → Nov 2019 amyotrophic lateral sclerosis Mallinckrodt Terminated No outcome recorded
Phase 2/3 NCT02348905 Mar → Jul 2015 skin sarcoidosis Albany Medical College Unknown No outcome recorded
Phase 34 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 3 NCT02290444 Aug 2013 → Nov 2018 multiple sclerosis State University of New York at Buffalo Completed No outcome recorded
Phase 428 trials
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
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
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
Phase 4 NCT03025828 Mar 2018 → Dec 2020 membranous glomerulonephritis Icahn School of Medicine at Mount Sinai Completed No outcome recorded
Phase not applicable10 trials
NCT04808856 Apr 2021 → Apr 2022 gout Shanghai 10th People's Hospital Unknown No outcome recorded
NCT04461535 Jul 2020 → Feb 2023 primary aldosteronism Chongqing Medical University Completed No outcome recorded
NCT02725177 Jul 2016 → Dec 2021 anterior uveitis, panuveitis The Cleveland Clinic Completed No outcome recorded
NCT02030028 Nov 2014 → Jun 2022 rheumatoid arthritis Dana Ascherman Completed No outcome recorded
NCT02258217 Jun 2014 → Jun 2016 relapsing-remitting multiple sclerosis OhioHealth Completed No outcome recorded
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
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
Also used as a comparator or background therapy in 12 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 12 trials
Phase 1 NCT02486744 Comparator Mar 2015 → Jul 2016 end stage renal failure Youngstown State University Terminated No outcome recorded
Phase 1 NCT00805753 Comparator Jan 2009 → Sep 2013 idiopathic membranous glomerulonephritis Mayo Clinic Completed No outcome recorded
Phase 22 trials
Phase 2 NCT07005154 Background Jun 2025 → May 2032 expected castration-resistant prostate carcinoma, metastatic prostate carcinoma Astellas Pharma Global Development, Inc. Recruiting No outcome recorded
Phase 2 NCT00986960 Comparator Dec 2009 → Sep 2010 multiple sclerosis University at Buffalo Withdrawn No outcome recorded
Phase 48 trials
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
Phase 4 NCT04080076 Comparator Jan 2019 → Sep 2024 kidney disorder NephroNet, Inc. Withdrawn No outcome recorded
Phase 4 NCT02541955 Comparator Jul 2017 → May 2025 rheumatoid arthritis Veena Ranganath, MD, MS Completed No outcome recorded
Phase 4 NCT03082573 Comparator Mar 2017 → Feb 2018 rheumatoid arthritis Iraj Sabahi Research Inc. Unknown No outcome recorded

Evidence & citations 17 cited values

Every value below carries the sentence it was read from. 64 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

NCT03068754

NCT02258217

NCT03419650

NCT02399462

NCT01753401

NCT03511625

NCT02769702

NCT03025828

NCT01987167

NCT02779153

NCT02546492

NCT00854750

NCT02541955

NCT04080076

NCT02006849

NCT01813591

NCT03021317

NCT02382523

NCT02057523

NCT02683889

NCT01984268

NCT04169061

Known as ACTH ClinicalTrials.gov intervention name — accepted as the source's own label NCT00805753
1

NCT02282930

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
21

“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

ACTHAR Gel (adrenocorticotropic hormone) 40 units twice weekly between Baseline and week 12.” NCT02348905

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

Acthar GelNCT04169061

NCT03408405

NCT02633046

NCT01926054

NCT02953821

NCT03126760

NCT01906684

NCT01900093

NCT02188017

NCT05546047

NCT02486744

NCT02523092

NCT03656692

NCT06964269

NCT03320070

Known as Acthar Injectable Product “Drug: Acthar Injectable ProductNCT03511625
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 Adrenocorticotropic hormone “Open label Adrenocorticotropic Hormone (ACTH) Gel for 12 weeks, 80u (1mL), given subcutaneously twice each week.” NCT02030028
6

“ACTHAR Gel (adrenocorticotropic hormone) 40 units twice weekly between Baseline and week 12.” NCT02348905

NCT07005154

NCT02290444

NCT04461535

NCT03727776

NCT04808856

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
3

NCT00005890

NCT00004758

NCT03287635

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 GelNCT01813591

H.P. Acthar GelNCT01753401

NCT02434757

NCT01769937

NCT02298491

NCT01939132

NCT02245841

NCT03082573

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 InjectionNCT01753401

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