Vatiquinone

Drug

Drug Profile

Vatiquinone is a first-in-class small-molecule selective 15-lipoxygenase inhibitor developed for Friedreich's ataxia. In August 2025, FDA issued a Complete Response Letter for the NDA and did not approve vatiquinone, requesting an additional adequate and well-controlled study. It therefore remains investigational.

Drug Class
Investigational small-molecule selective 15-lipoxygenase (15-LO) inhibitor
Approval Status
Not FDA approved (NDA received Complete Response Letter in August 2025)
Mechanism of Action
Inhibits 15-LO to address energetic and oxidative stress pathway dysregulation, aiming to reduce inflammation and oxidative stress and promote neuronal survival.
Indications
  • \Friedreich's ataxia (investigational)\

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Related Clinical Trials

NCT ID Title Status Phase
NCT07159139

Vatiquinone Expanded Access Protocol

NO_LONGER_AVAILABLE
NCT05515536

A Study to Assess the Safety and Efficacy of Vatiquinone in Participants With Friedreich Ataxia

ACTIVE_NOT_RECRUITING PHASE3
NCT05485987

A Study of Vatiquinone for the Treatment of Participants With Friedreich Ataxia

COMPLETED PHASE2
NCT05218655

A Safety Study for Previously Treated Vatiquinone (PTC743) Participants With Inherited Mitochondrial Disease

COMPLETED PHASE3
NCT04577352

A Study to Assess the Efficacy and Safety of Vatiquinone for the Treatment of Participants With Friedreich Ataxia

COMPLETED PHASE2/PHASE3
NCT04378075

A Study to Evaluate Efficacy and Safety of Vatiquinone for Treating Mitochondrial Disease in Participants With Refractory Epilepsy

TERMINATED PHASE2/PHASE3