Drugs / amino acids
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amino acids

Developed for
major depressive disorder · Diamond-Blackfan anemia · traumatic encephalopathy · type 2 diabetes mellitus · acute kidney injury · acute respiratory failure · brain injury · chronic obstructive pulmonary disease
+10 more · congenital anemia · delirium · hepatic encephalopathy · hypertensive disorder · liver disorder · NAFLD1 · obesity disorder · traumatic brain injury · celiac disease · urinary tract infection
Investigated by
NuSirt Biopharma · Akiva Cohen · Baylor College of Medicine · Boston Medical Center · Cambridge Health Alliance · Clinical Evaluation Research Unit at Kingston General Hospital
+21 more · Emory University · Federal Scientific Clinical Centre of Pediatric Hematology, Oncology and Immunology named after Dmitry Rogache · Johns Hopkins University · Mahidol University · National Alliance for Research on Schizophrenia and Depression · National Center for Research Resources (NCRR) · National Heart, Lung, and Blood Institute (NHLBI) · National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) · National Institute of Mental Health (NIMH) · National Institutes of Health (NIH) · Northwell Health · Poitiers University Hospital · Post Graduate Institute of Medical Education and Research, Chandigarh · Stanford University · University Hospital, Martin · University of Colorado, Denver · University of Texas Southwestern Medical Center · University of Vermont · Vita-Salute San Raffaele University · Weill Medical College of Cornell University · Women and Infants Hospital of Rhode Island

Regulatory milestones approvals, filings & regulatory actions · 2 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Approved EU (EMA) Maapliv 2025-07-28 europa.eu
Approved US (FDA) FREAMINE HBC 6.9% 1971-09-24 fda.gov

Trials 24 · a red edge is where a trial was stopped

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT02837861 Mar 2017 → Oct 2019 Boston Medical Center Completed No outcome recorded
Phase 11 trial
Phase 1 NCT04238416 Nov 2019 → Dec 2021 hepatic encephalopathy, liver disorder Post Graduate Institute of Medical Education and Research, Chandigarh Completed No outcome recorded
Phase 1/21 trial
Phase 1/2 NCT01362595 Jun 2013 → Jun 2018 Diamond-Blackfan anemia, congenital anemia Northwell Health Completed No outcome recorded
Phase 212 trials
Phase 2 NCT07647003 Oct 2026 → May 2027 expected hypertensive disorder NuSirt Biopharma Not yet recruiting No outcome recorded
Phase 2 NCT07670195 Jul 2026 → Jun 2027 expected traumatic brain injury, traumatic encephalopathy Akiva Cohen Not yet recruiting No outcome recorded
Phase 2 NCT07001098 Sep 2025 → Nov 2026 expected acute kidney injury Stanford University Not yet recruiting No outcome recorded
Phase 2 NCT06829498 Apr 2025 → Aug 2026 overdue brain injury, traumatic encephalopathy Akiva Cohen Active not recruiting No outcome recorded
Phase 2 NCT06580145 Feb 2025 → Jun 2028 expected major depressive disorder Emory University Recruiting No outcome recorded
Phase 2 NCT03364335 Jan → Aug 2018 obesity disorder NuSirt Biopharma Completed No outcome recorded
Phase 2 NCT03021902 Sep 2017 → Jan 2025 acute respiratory failure Clinical Evaluation Research Unit at Kingston General Hospital Completed No outcome recorded
Phase 2 NCT03079297 Mar 2017 → Oct 2021 major depressive disorder University of Texas Southwestern Medical Center Terminated No outcome recorded
Phase 2 NCT02546609 Nov 2015 → Nov 2016 NAFLD1 NuSirt Biopharma Completed No outcome recorded
Phase 2 NCT02435277 Oct 2014 → Sep 2015 type 2 diabetes mellitus NuSirt Biopharma Completed No outcome recorded
Phase 33 trials
Phase 3 NCT06121479 Nov 2023 → Sep 2025 overdue Mahidol University Enrolling by invitation No outcome recorded
Phase 3 NCT03709264 Oct 2019 → Jan 2024 Vita-Salute San Raffaele University Completed No outcome recorded
Phase 3 NCT00865202 Dec 2008 → Dec 2012 delirium University of Colorado, Denver Completed No outcome recorded
Phase 42 trials
Phase 4 NCT06433310 Oct 2024 → Dec 2027 expected Weill Medical College of Cornell University Recruiting No outcome recorded
Phase 4 NCT00226356 Dec 2004 → Jun 2007 major depressive disorder Cambridge Health Alliance Completed No outcome recorded
Phase not applicable4 trials
NCT06929637 Sep 2025 → Sep 2028 expected nutritional disorder University Hospital, Martin Not yet recruiting No outcome recorded
NCT03644836 Jan 2015 → Jan 2018 chronic obstructive pulmonary disease Poitiers University Hospital Completed No outcome recorded
NCT01860573 Nov 2008 → Mar 2013 Women and Infants Hospital of Rhode Island Completed No outcome recorded
NCT00005889 Oct 1999 → ? hyperglycemia National Center for Research Resources (NCRR) Unknown No outcome recorded
Also used as a comparator or background therapy in 6 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase not applicable6 trials
NCT05197231 Background Dec 2022 → Dec 2027 critical illness polyneuropathy, muscular atrophy Karolinska University Hospital Suspended No outcome recorded
NCT05576038 Comparator Dec 2022 → Apr 2025 overdue celiac disease, inborn disorder of tryptophan metabolism McMaster University Recruiting No outcome recorded
NCT03259594 Background Mar 2018 → Dec 2020 non-congenital cyst of kidney ou tongwen Unknown No outcome recorded
NCT02216253 Comparator Oct 2014 → Aug 2015 pelvic organ prolapse, urinary tract infection IRCCS San Raffaele Completed No outcome recorded
NCT01208324 Comparator Mar 2010 → Nov 2018 premature menopause University of Colorado, Denver Completed No outcome recorded

Press releases naming this drug 1 release

DateIssuerRelease
2013-02-20 Otsuka Pharmaceutical Development & Commercialization, Inc. Otsuka Pharmaceutical Contributes to the Success and Development of the Tokyo Marathon as a Total Health Care Company Supporting Safe Running and Encouraging Runners to Complete the Full Distance with Amino Acids, Fluids and Electrolytes otsuka.co.jp

Evidence & citations 14 cited values

Every value below carries the sentence it was read from. 30 sources stand behind the page.

FieldValueCited text
Known as amino acids “Infusion of amino acids once daily - dose 1g/kg, maximum 100 g daily for 3 consecutive days starting D1 after kidney transplantation procedure” NCT06929637
7

NCT03709264

NCT03259594

NCT05197231

NCT03021902

NCT02837861

NCT07001098

NCT01860573

Known as deuterated leucine “The form of leucine that will be administered is deuterated leucineNCT00152945
Known as L-Isoleucine L-Isoleucine (4.2 g)” NCT01208324
Known as L-leucine “Two tablets 550 mg L-leucine + 250 mg metformin and one tablet 1.0 mg sildenafil per dose; 3 tablets/dose orally BID” NCT07647003
5

“3 capsules BID with each capsule containing 366.7 mg L-Leucine and 41.7 mg of metformin” NCT02435277

L-Leucine (6.6 g)” NCT01208324

NCT06580145

NCT02386267

NCT03079297

Known as L-methionine L-Methionine (1.5 g)” NCT01208324
2

NCT02216253

NCT00226356

Known as L-Phenylalanine L-Phenylalanine (6.6 g)” NCT01208324
1

NCT06433310

Known as L-Threonine L-Threonine (3.0 g)” NCT01208324
Known as L-Tryptophan ClinicalTrials.gov intervention name — accepted as the source's own label NCT05576038
1

NCT00865202

Known as L-Valine L-Valine (4.8 g)” NCT01208324
Known as leucine “In preclinical, analysis of ipsilateral hippocampi isolated from mice after traumatic brain injury (TBI) demonstrated that only the concentrations of the three branched chain...” NCT07670195
10

“In preclinical, analysis of ipsilateral hippocampi isolated from mice after traumatic brain injury (TBI) demonstrated that only the concentrations of the three branched chain...” NCT06829498

“The use of branched-chain amino acids (AARs) such as valine, leucine, isoleucine in this indication can be fully justified because they stimulate protein synthesis and promote...” NCT03644836

“Each sachet contains 6.84 grams of BCAA (valine 1.82 grams, leucine 3.29 grams, isoleucine 1.72 grams), total protein 17.08 grams, carbohydrates 25.48 grams, fat 5.66 grams,...” NCT06121479

“The objective of this study was to evaluate the effects of a triple combination of leucine, metformin, and sildenafil (NS-0200) on body weight and obesity comorbidities in a...” PMID 30569637 Jan 2019

“two fixed-dose combinations of leucine and sildenafil or two fixed-dose combinations of leucine, sildenafil and metformin” NCT03364335

“Branched-Chain Amino Acids (BCAA; Isoleucine, leucine and valine) have attracted particular interest” PMID 30568347 Jun 2018

“1100 mg L Leucine in combination with 125 mg of Metformin BID” NCT02151461

NCT00152945

NCT00005889

NCT01362595

Known as Tryptan “L-tryptophan* supplements (Tryptan, Valeant Canada LP): each treatment capsule contains 500 mg of L-Tryptophan” NCT05576038
Action Activate “responsible for activating the aryl hydrocarbon receptor (AhR)” NCT05576038
Modality Small molecule “Leucine, an amino acid and glycerol, an intermediary metabolite” NCT00152945
Route Intravenous “[1-C]leucine IV over 10 hours” NCT00005889