Drugs / Rinvecalinase Alfa
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Rinvecalinase Alfa

also known as DM199 · Rinvecalinasa alfa

Protein / enzyme biologic

Developed for
ischemic stroke · chronic kidney disease · diabetes mellitus · kidney disorder · preeclampsia · type 2 diabetes mellitus
Investigated by
DiaMedica Therapeutics Inc

Regulatory milestones approvals, filings & regulatory actions · 2 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Clinical hold US (FDA) — cerebral artery occlusion 2023-06-21

“On June 21, 2023, the Company announced that the U.S. Food and Drug Administration (FDA) fully lifted the clinical hold” diamedica.com ↗

Filed US (FDA) — cerebral artery occlusion 2021-05-05

“DiaMedica has submitted an Investigational New Drug (IND) application to the U.S. Food and Drug Administration (FDA)” diamedica.com ↗

Trials 6

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT03795389 Feb → Jul 2019 chronic kidney disease, diabetes mellitus DiaMedica Therapeutics Inc Completed No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT01845064 Apr 2013 → Sep 2014 type 2 diabetes mellitus DiaMedica Therapeutics Inc Completed No outcome recorded
Phase 22 trials · 2 met primary
Phase 2 NCT04123613 Dec 2019 → Mar 2022 kidney disorder DiaMedica Therapeutics Inc Completed Met primary
Phase 2 NCT03290560 Jan 2018 → Jan 2020 ischemic stroke DiaMedica Therapeutics Inc Completed Met primary
Phase 2/31 trial
Phase 2/3 NCT05065216 Nov 2021 → Dec 2026 expected ischemic stroke DiaMedica Therapeutics Inc Recruiting No outcome recorded
Phase not applicable1 trial · 1 met primary
— NCT06875141 May 2025 preeclampsia DiaMedica Therapeutics Inc Withdrawn Met primary

News releases announcing trial results or a regulatory action · 21

DateIssuerRelease
2026-03-05 DiaMedica Therapeutics Inc Regulatory DiaMedica Therapeutics Receives Health Canada Clearance to Initiate Phase 2 Study of DM199 in Preeclampsia diamedica.com ↗
DiaMedica Therapeutics Inc. (Nasdaq: DMAC), a clinical-stage biopharmaceutical company focused on developing novel treatments for preeclampsia, fetal growth restriction and acute ischemic stroke (AIS), today announced that it has received a No Objection Letter (NOL) from Health Canada for its Clinical Trial Application to evaluate DM199 in a Phase 2 trial in patients with early-onset preeclampsia (PE).
2025-12-18 DiaMedica Therapeutics Inc Results DiaMedica Therapeutics Provides DM199 Preeclampsia Program Update Following Pre-IND Meeting with FDA diamedica.com ↗
2025-07-17 DiaMedica Therapeutics Inc Results DiaMedica Therapeutics Reports Positive Interim Phase 2 Preeclampsia Results: Statistically Significant Reductions in Blood Pressure and No Placental Transfer diamedica.com ↗
DiaMedica Therapeutics Inc. (Nasdaq: DMAC), a clinical-stage biopharmaceutical company, today announced positive interim results from Part 1a of the Phase 2 study of DM199 for the treatment of preeclampsia.
2024-11-13 DiaMedica Therapeutics Inc Regulatory DiaMedica Therapeutics Provides a Business Update and Announces Third Quarter 2024 Financial Results diamedica.com ↗
2024-10-09 DiaMedica Therapeutics Inc Regulatory DiaMedica Therapeutics Announces Regulatory Approval to Begin Phase 2 Trial of DM199 in the Treatment of Preeclampsia diamedica.com ↗
2023-06-21 DiaMedica Therapeutics Inc Regulatory DiaMedica Therapeutics Announces that the FDA Has Removed The Clinical Hold On DM199 Phase 2/3 Trial For Ischemic Stroke diamedica.com ↗
We are pleased that the FDA has fully lifted the clinical hold.
2023-05-15 DiaMedica Therapeutics Inc Results DiaMedica Therapeutics Provides a Business Update and Announces First Quarter 2023 Financial Results diamedica.com ↗
DiaMedica has completed supplemental in-use studies as requested by the FDA.
2022-10-26 DiaMedica Therapeutics Inc Regulatory DiaMedica Therapeutics Provides Update on ReMEDy2 Trial diamedica.com ↗
The FDA stated it is maintaining its clinical hold at this time and that additional non-clinical data related to the materials used by a hospital in the IV infusion process is needed to resolve the clinical hold.
2022-07-06 DiaMedica Therapeutics Inc Regulatory DiaMedica Therapeutics Announces Clinical Hold of its Phase 2/3 ReMEDy2 Clinical Trial for DM199 diamedica.com ↗
DiaMedica Therapeutics Inc. (Nasdaq: DMAC), a clinical-stage biopharmaceutical company focused on developing novel treatments for neurological disorders and kidney diseases, today announced that the U.S. Food and Drug Administration (FDA) has placed a clinical hold on the Company’s Phase 2/3 ReMEDy2 trial studying the use of the Company’s product candidate, DM199, to treat acute ischemic stroke (AIS) patients.
2021-11-08 DiaMedica Therapeutics Inc Regulatory DiaMedica Therapeutics Announces Addition of Stroke Recurrence as a Second Independent Primary Endpoint in ReMEDy2 Phase 2/3 AIS Trial diamedica.com ↗
The FDA’s acceptance of the amendment allows the Company to evaluate the effects of DM199 on both physical recoveries post AIS and the rate of recurrent AIS, as two separate independent primary endpoints, with each statistically powered for success.
2021-09-30 DiaMedica Therapeutics Inc Regulatory DiaMedica Therapeutics Announces Fast Track Designation Granted to DM199 for the Treatment of Acute Ischemic Stroke diamedica.com ↗
DiaMedica Therapeutics Inc. (Nasdaq: DMAC), a clinical-stage biopharmaceutical company focused on developing novel treatments for neurological disorders and kidney diseases, today announced that the U.S. Food & Drug Administration (FDA) has granted Fast Track Designation to the Company’s lead candidate DM199 for the treatment of acute ischemic stroke (AIS) where tissue plasminogen activator and/or mechanical thrombectomy are not indicated or medically appropriate.
2021-06-29 DiaMedica Therapeutics Inc Results DiaMedica Therapeutics Announces Positive Interim Results from Phase 2 REDUX Study in CKD diamedica.com ↗
DiaMedica Therapeutics Inc. (Nasdaq: DMAC), a clinical-stage biopharmaceutical company focused on developing novel treatments for neurological disorders and cardio-renal diseases, today announced positive interim results from its Phase 2 REDUX trial of DM199 in chronic kidney disease (CKD).

All press releases naming this drug 36 releases

DateIssuerRelease

Evidence & citations 5 cited values

Every value below carries the sentence it was read from. 7 sources stand behind the page.

FieldValueCited text
Known as rinvecalinase alfa “This is a Phase 2/3 study evaluating the safety and efficacy of DM199 (rinvecalinase alfa) in treating participants with moderate stroke severity” NCT05065216 ↗
1

“Safety and tolerability of Rinvecalinase Alfa (DM199) for acute ischemic stroke” PMID 41195862 ↗ Nov 2025

Known as DM199 “This is a Phase 2/3 study evaluating the safety and efficacy of DM199 (rinvecalinase alfa) in treating participants with moderate stroke severity” NCT05065216 ↗
4

NCT04123613 ↗

NCT01845064 ↗

NCT06875141 ↗

NCT03795389 ↗

Known as Rinvecalinasa alfa ChEMBL registry synonym — accepted as the source's own label CHEMBL5314769 ↗
Modality Protein / enzyme biologic “DM199 (recombinant human tissue kallikrein-1) is being developed as a new biological treatment for type 2 diabetes mellitus.” NCT01845064 ↗
Route Subcutaneous “Subjects will receive DM199 subcutaneously (sc).” NCT01845064 ↗