Clinical Trials

Multiple clinical trials spanning Phase 1 through Phase 3 have evaluated omaveloxolone for neuromuscular and neurodegenerative disorders such as Friedreich ataxia and mitochondrial myopathies, oncology indications like non-small cell lung cancer and refractory melanoma, and ophthalmic and hepatic conditions. Sponsored by academic institutions and biopharmaceutical companies including Biogen and Reata Pharmaceuticals, these studies assess safety, tolerability, pharmacokinetics, and clinical outcomes across completed, actively recruiting, and not yet recruiting stages.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06054893 ACTIVE_NOT_RECRUITING
Friedreich Ataxia
Biogen
2024-07-01 PHASE1
NCT06953583 RECRUITING
Friedreich Ataxia
Biogen
2025-06-09 PHASE3
NCT07297199 COMPLETED
Healthy Volunteer
Biogen
2025-12-12 PHASE1
NCT07149415 COMPLETED
Healthy Volunteer
Biogen
2025-09-02 PHASE1
NCT07019064 COMPLETED
Healthy Volunteer
Biogen
2025-06-11 PHASE1
NCT06612879 COMPLETED
Healthy Volunteer
Biogen
2024-10-18 PHASE1
NCT06054893 Not yet recruiting
Friedreich Ataxia
Biogen
2023-11-01 Phase 1
NCT05927649 COMPLETED
Health Adult Subjects
Biogen
2023-07-11 PHASE1
NCT05909644 COMPLETED
Healthy Adult Subjects
Biogen
2023-07-05 PHASE1
NCT05909644 Completed
Healthy Adult Subjects
Reata a wholly owned subsidiary of Biogen|Celerion|Q2 Solutions|Altasciences Company Inc.|Biogen
2023-07-05 Phase 1
NCT03902002 COMPLETED
Hepatic Impairment
Biogen
2019-07-19 PHASE1
NCT02255435 COMPLETED
Friedreich Ataxia
Biogen
2015-01-31 PHASE2
NCT04008186 COMPLETED
Healthy Adult Subjects
Biogen
2019-06-14 PHASE1
NCT03902002 Completed
Hepatic Impairment
Reata a wholly owned subsidiary of Biogen|Biogen
2019-07-19 Phase 1
NCT03931590 COMPLETED
Healthy Male Subjects
Biogen
2019-04-11 PHASE1
NCT03931590 Completed
Healthy Male Subjects
Reata a wholly owned subsidiary of Biogen|Biogen
2019-04-11 Phase 1
NCT03664453 COMPLETED
Healthy
Biogen
2018-10-29 PHASE1
NCT03664453 Completed
Healthy
Reata a wholly owned subsidiary of Biogen|Biogen
2018-10-29 Phase 1
NCT02259231 COMPLETED
Melanoma; Unresectable (Stage III) Melanoma; Metastatic (Stage IV) Melanoma
Biogen
2014-10-31 PHASE1; PHASE2
NCT02255422 COMPLETED
MItochondrial Myopathies
Biogen
2015-05-05 PHASE2
NCT02029729 COMPLETED
Metastatic or Incurable Non-small Cell Lung Cancer; Relapsed, Refractory Melanoma
Biogen
2013-12-31 PHASE1
NCT02142959 COMPLETED
Breast Cancer
Biogen
2014-06-30 PHASE2
NCT02128113 COMPLETED
Corneal Endothelial Cell Loss; Ocular Pain; Ocular Inflammation; Cataract Surgery
Biogen
2014-05-31 PHASE2
NCT02065375 COMPLETED
Inflammation and Pain Following Ocular Surgery
Biogen
2014-02-28 PHASE2
NCT02029716 COMPLETED
Healthy
Biogen
2013-12-31 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-09-03)

Check the Omaveloxolone (RTA-408) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Omaveloxolone (RTA-408) is a synthetic triterpenoid that binds to Keap1 to promote the nuclear translocation of Nrf2 while simultaneously suppressing nuclear factor kappa B (NF-κB) transcription, thereby upregulating antioxidant genes and attenuating pro-inflammatory mediator production. This restoration of cellular redox homeostasis and mitochondrial function mitigates oxidative damage, providing therapeutic rationale for its evaluation in neurodegenerative conditions such as Friedreich Ataxia and inflammatory or malignant disorders.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.