icosapent ethyl
Trade name: vascepa
Approved
Nov 10, 2004
Icosapent is an important polyunsaturated fatty acid found in fish oils. It serves as the precursor for the prostaglandin-3 and thromboxane-3 families. A diet rich in eicosapentaenoic acid lowers serum lipid concentration, reduces incidence of cardiovascular disorders, prevents platelet aggregation, and inhibits arachidonic acid conversion into the thromboxane-2 and prostaglandin-2 families. EPA can be used for lowering elevated triglycerides in those who are hyperglyceridemic. In addition, EPA may play a therapeutic role in patients with cystic fibrosis by reducing disease severity and may play a similar role in type 2 diabetics in slowing the progression of diabetic nephropathy. — NCATS
Clinical trial activity
562 trials · 495 clinical orgs · 19 marketing orgs
Earliest trial started Dec 1, 1986 (NCT00000461)
Timeline
1990s
- Jan 1, 1995
Earliest Phase 1 Sponsor(trial)
2000s
- Nov 10, 2004
Earliest FDA Approval
- Nov 10, 2004
SmithKline Beecham — NDA Secondary Org
- Jul 14, 2008
Amarin — IND Organization
- Jul 14, 2008
Amarin — IND Organization
2010s
- Jul 26, 2012
Amarin — First NDA Organization
- Jul 26, 2012
Amarin — NDA Secondary Org
- Jul 26, 2012
Amarin — NDA Organization
- Apr 7, 2014
Teva — Marketing Organization
- Apr 23, 2014
Osmotica Pharmaceutical — NDA Secondary Org
- Jun 24, 2014
Par Pharmaceuticals — Marketing Organization
- Sep 30, 2014
Apotex — Marketing Organization
- Nov 27, 2015
Amneal Pharmaceuticals — Marketing Organization
- Sep 19, 2017
Strides Pharma Science — Marketing Organization
- Feb 25, 2019
Ascent Pharmahealth — Marketing Organization
- Jun 14, 2019
Zydus Discovery DMCC — Marketing Organization
- Jul 10, 2019
Sofgen Pharmaceuticals — Marketing Organization
2020s
- May 21, 2020
Hikma — Marketing Organization
- Aug 7, 2020
Dr. Reddy's Laboratories — Marketing Organization
- Sep 22, 2023
ONESOURCE SPECIALTY — Marketing Organization
- Dec 22, 2023
Yichang Humanwell Pharmaceutical Co.,Ltd — Marketing Organization
- Nov 20, 2024
Qilu Pharmaceutical Co., Ltd. — Marketing Organization
- Dec 20, 2024
PHARMOBEDIENT — Marketing Organization
- Dec 20, 2024
Torrent Pharmaceuticals Limited — Marketing Organization
- Aug 6, 2025
LP Pharmaceuticals — Marketing Organization
Indications
Approved for
Studied for
- 22q11 Deletion Syndrome · Phase 2/Phase 3
- Acne Vulgaris · Phase 3
- Acquired Immunodeficiency Syndrome · Phase 4
- Adenomatous Polyposis Coli · Phase 2/Phase 3
- Adenomatous Polyps · Phase 2/Phase 3
- Aggression · Phase 2/Phase 3
- Aggressive Periodontitis · Phase 2/Phase 3
- Alzheimer Disease · Phase 3
- Amniotic Fluid · Phase 4
- Anemia, Sickle Cell · Phase 2
- Angina Pectoris · Phase 4
- Anorexia · Phase 3
- Antisocial Personality Disorder · Phase 2/Phase 3
- Anxiety Disorders · Phase 3
- Aortic Valve Stenosis · Phase 2
- Area Under Curve · Phase 1
- Arrhythmias, Cardiac · Phase 4
- Arthralgia · Phase 3
- Arthritis, Rheumatoid · Phase 1
- Asthma · Phase 3
- Atherosclerosis · Phase 4
- Atrial Fibrillation · Phase 4
- Atrial Function, Left · Phase 4
- Attention Deficit and Disruptive Behavior Disorders · Phase 4
- Attention Deficit Disorder with Hyperactivity · Phase 4
- Autism Spectrum Disorder · Phase 4
- Autistic Disorder · Phase 2
- Barrett Esophagus · Phase 4
- Behavior · Phase 2/Phase 3
- beta-Thalassemia · Phase 2
- Biological Availability · Phase 1
- Bipolar Disorder · Phase 4
- Borderline Personality Disorder · Phase 4
- Brain Injuries, Traumatic · Phase 2
- Breast Neoplasms · Phase 3
- Cachexia · Phase 3
- Carcinoma, Hepatocellular · Phase 4
- Cardiovascular Diseases · Phase 4
- Cataract · Phase 3
- Chagas Cardiomyopathy · Early Phase 1
- Child Development · Phase 4
- Cholangiocarcinoma · Phase 4
- Cholestasis · Phase 3
- Chronic Pain · Early Phase 1
- Chronic Periodontitis · Phase 4
- Cognition · Phase 1/Phase 2
- Cognition Disorders · Phase 2
- Colonic Neoplasms · Phase 3
- Colorectal Neoplasms · Phase 4
- Combat Disorders · Phase 2
- Community-Acquired Infections · Phase 3
- Coronary Artery Disease · Phase 4
- Coronary Disease · Phase 3
- COVID-19 · Phase 4
- Cystectomy · Phase 4
- Cystic Fibrosis · Phase 3
- Death, Sudden, Cardiac · Phase 3
- Defibrillators, Implantable · Phase 4
- Deficiency Diseases · Phase 4
- Dementia, Vascular · Phase 2
- Depression · Phase 3
- Depression, Postpartum · Phase 2
- Depressive Disorder · Phase 3
- Dermatitis · Phase 1/Phase 2
- Diabetes Mellitus · Phase 4
- Diabetes Mellitus, Type 1 · Phase 1
- Diabetes Mellitus, Type 2 · Phase 4
- Diabetic Neuropathies · Phase 4
- Drugs, Investigational · Phase 2
- Drug Therapy · Phase 3
- Dry Eye Syndromes · Phase 4
- Dyskinesias · Phase 4
- Dyslipidemias · Phase 4
- Dysthymic Disorder · Phase 2
- Eczema · Phase 3
- Eicosapentaenoic Acid · Phase 1/Phase 2
- Endarterectomy, Carotid · Phase 3
- Endocrine System Diseases · Phase 3
- Endothelial Cells · Phase 2
- Epilepsy · Phase 2/Phase 3
- Esophageal Neoplasms · Phase 4
- Executive Function · Phase 2
- Exocrine Pancreatic Insufficiency · Phase 2
- Facial Pain · Phase 1
- Fasting · Phase 1
- Fatigue · Phase 2
- Fatty Acids · Phase 2/Phase 3
- Fatty Acids, Omega-3 · Phase 1
- Fatty Liver · Phase 3
- Feeding and Eating Disorders · Phase 1
- Fetal Growth Retardation · Phase 2
- Fibromyalgia · Phase 2
- Fibrosis · Phase 4
- Flushing · Phase 3
- Gastrointestinal Microbiome · Phase 1/Phase 2
- General Surgery · Phase 3
- Glomerulonephritis, IGA · Phase 4
- Glucose Metabolism Disorders · Phase 3
- Head and Neck Neoplasms · Phase 3
- Healthy Volunteers · Phase 3
- Heart · Phase 4
- Heart Disease Risk Factors · Phase 4
- Heart Diseases · Phase 4
- Heart Failure · Phase 4
- Hemodialysis, Home · Phase 4
- Hemoglobin, Sickle · Phase 2
- Hemorrhage · Phase 2
- Hepatitis C, Chronic · Phase 2
- HIV · Phase 4
- HIV Infections · Phase 4
- Hot Flashes · Phase 4
- Huntington Disease · Phase 3
- Hypercholesterolemia · Phase 4
- Hyperglycemia · Phase 4
- Hyperlipidemia, Familial Combined · Phase 3
- Hyperlipidemias · Phase 4
- Hyperlipoproteinemia Type II · Phase 3
- Hypersensitivity · Phase 3
- Hypertension · Phase 4
- Hypertrophy, Left Ventricular · Phase 4
- Individuality · Phase 4
- Infant, Premature · Phase 4
- Infections · Phase 4
- Infertility · Phase 2
- Infertility, Female · Early Phase 1
- Inflammation · Phase 4
- Insulin Resistance · Phase 3
- Intermittent Claudication · Phase 3
- Ischemic Attack, Transient · Early Phase 1
- Ischemic Stroke · Early Phase 1
- Keratoconjunctivitis Sicca · Phase 2/Phase 3
- Kidney Diseases · Phase 3
- Kidney Failure, Chronic · Phase 4
- Kidney Transplantation · Phase 4
- Laminaria · Phase 3
- Leukemia · Phase 1/Phase 2
- Leukemia, Lymphocytic, Chronic, B-Cell · Phase 2
- Lichen Planus, Oral · Phase 2
- Lipid Metabolism Disorders · Phase 2/Phase 3
- Lipoproteins · Phase 4
- Liver Diseases · Phase 1/Phase 2
- Liver Neoplasms · Phase 4
- Lung Diseases · Phase 2
- Lung Neoplasms · Phase 2/Phase 3
- Lupus Erythematosus, Systemic · Phase 4
- Lymphoma · Phase 1/Phase 2
- Lymphoma, Follicular · Phase 2
- Macular Degeneration · Phase 3
- Magnetic Resonance Imaging · Phase 1
- Major Depressive Disorder · Phase 3
- Malnutrition · Phase 4
- Mania · Phase 2
- Memory Disorders · Phase 4
- Menopause · Phase 4
- Mental Disorders · Phase 2
- Metabolic Diseases · Phase 3
- Metabolic Syndrome · Phase 4
- Metabolism · Phase 2
- Migraine Disorders · Phase 4
- Mitral Valve Insufficiency · Phase 4
- Monoclonal Gammopathy of Undetermined Significance · Phase 2
- Mood Disorders · Phase 2
- Mouth · Phase 2
- Multiple Myeloma · Phase 1/Phase 2
- Multiple Sclerosis · Phase 1/Phase 2
- Multiple Trauma · Phase 1/Phase 2
- Muscles · Phase 4
- Muscular Dystrophy, Duchenne · Phase 2
- Myocardial Infarction · Phase 4
- Myocardial Ischemia · Phase 4
- Neoplasm Metastasis · Phase 3
- Neoplasms · Phase 4
- Neurocognitive Disorders · Phase 4
- Non-alcoholic Fatty Liver Disease · Phase 4
- Obesity · Phase 4
- Obesity, Morbid · Phase 4
- Osteoarthritis · Phase 2/Phase 3
- Overweight · Phase 2/Phase 3
- Pain · Phase 3
- Parenteral Nutrition · Phase 3
- Periodontal Diseases · Phase 2
- Peripheral Arterial Disease · Phase 3
- Peripheral Nerve Injuries · Phase 3
- Peroxidase · Phase 2/Phase 3
- Pharmacokinetics · Phase 1
- Pharmacology · Phase 1/Phase 2
- Phobia, Social · Phase 2
- Postoperative Cognitive Complications · Phase 4
- Postoperative Complications · Phase 2/Phase 3
- Precursor Cell Lymphoblastic Leukemia-Lymphoma · Phase 2
- Pregnancy · Phase 3
- Pregnancy Complications · Early Phase 1
- Premature Birth · Phase 4
- Premenopause · Phase 3
- Prodromal Symptoms · Phase 4
- Prostatic Neoplasms · Phase 2
- Proteomics · Phase 2
- Psoriasis · Phase 1
- Psychological Distress · Phase 2
- Psychotic Disorders · Phase 4
- Pulmonary Disease, Chronic Obstructive · Phase 2
- Pyelonephritis · Phase 3
- Quality of Life · Phase 2
- Reading · Phase 4
- Renal Insufficiency, Chronic · Phase 2
- Respiratory Distress Syndrome · Phase 3
- Respiratory Tract Infections · Phase 4
- Sarcopenia · Phase 3
- Schizophrenia · Phase 4
- Sepsis · Phase 4
- Shock, Septic · Phase 4
- Short Bowel Syndrome · Phase 1/Phase 2
- Smoldering Multiple Myeloma · Phase 2
- Sprains and Strains · Phase 2
- Squamous Cell Carcinoma of Head and Neck · Phase 3
- Steatitis · Phase 2
- Stomach Neoplasms · Phase 4
- Stress Disorders, Post-Traumatic · Phase 3
- Subarachnoid Hemorrhage · Phase 4
- Substance-Related Disorders · Phase 2
- Systemic Inflammatory Response Syndrome · Phase 4
- Tardive Dyskinesia · Phase 2
- Triglycerides · Phase 4
- Urinary Bladder Neoplasms · Phase 4
- Vascular Diseases · Phase 3
- Vasomotor System · Phase 3
- Vasospasm, Intracranial · Phase 4
- Vitamin D Deficiency · Phase 4
- Wounds and Injuries · Phase 3
Mechanism of action
- Unspecified targetOTHER
Unknown
Mode of action not fully understood; it seems to increase beta-oxidation, inhibit acyl-CoA:1,2-diacylglycerol acyltransferase (EC 2.3.1.20), decreas lipogenesis in the liver, and increase plasma lipoprotein lipase activity
Approval history
- approvedNov 10, 2004
Chemistry & pharmacology
SMILES
CC\C=C/C\C=C/C\C=C/C\C=C/C\C=C/CCCC(O)=O- Mol. weight
- 302.451 g/mol
- Lipinski Ro5
- 1 violation(s)
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaEthyl eicosapentaenoic acid ↗
- NCATSAAN7QOV9EA ↗
- ChEMBLCHEMBL460026 ↗
- ChEMBLCHEMBL367149 ↗
- ChEMBLCHEMBL2095209 ↗
- ChEMBLCHEMBL1200711 ↗
Also known as
- 5,8,11,14,17-eicosapentaenoic acid
- 5,8,11,14,17-eicosapentaenoic acid
- 5,8,11,14,17-eicosapentaenoic acid, ethyl ester, (5z,8z,11z,14z,17z)-
- 5,8,11,14,17-icosapentaenoic acid
- 5,8,11,14,17-icosapentaenoic acid
- (5z,8z,11z,14z,17z)-5,8,11,14,17-eicosapentaenoic acid
- (5z,8z,11z,14z,17z)-5,8,11,14,17-eicosapentaenoic acid
- (5z,8z,11z,14z,17z)-eicosapentaenoate
- (5z,8z,11z,14z,17z)-eicosapentaenoate
- (5z,8z,11z,14z,17z)-eicosapentaenoic acid
- (5z,8z,11z,14z,17z)-eicosapentaenoic acid
- (5z,8z,11z,14z,17z)-icosapentaenoic acid
- (5z,8z,11z,14z,17z)-icosapentaenoic acid
- all-cis-4,7,10,13,16,19-docosahexaenoic acid
- all-cis-4,7,10,13,16,19-docosahexaenoic acid
- all-cis-5,8,11,14,17-eicosapentaenoic acid
- all-cis-5,8,11,14,17-eicosapentaenoic acid
- all-cis-5,8,11,14,17-icosapentaenoic acid
- all-cis-5,8,11,14,17-icosapentaenoic acid
- all-cis-icosa-5,8,11,14,17-pentaenoic acid
- all-cis-icosa-5,8,11,14,17-pentaenoic acid
- (all-z)-5,8,11,14,17-eicosapentaenoic acid
- (all-z)-5,8,11,14,17-eicosapentaenoic acid
- amr101
- amr-101
- amr-101
- amr-101
- cis-5,8,11,14,17-eicosapentaenoic acid
- cis-5,8,11,14,17-eicosapentaenoic acid
- cis-5,8,11,14,17-epa
- cis-5,8,11,14,17-epa
- cis, cis, cis, cis, cis-eicosa-5,8,11,14,17-pentaenoic acid
- cis-delta(5,8,11,14,17)-eicosapentaenoic acid
- cis-delta(5,8,11,14,17)-eicosapentaenoic acid
- dualtis
- eicosapentaenoic acid
- eicosapentaenoic acid
- eicosapentaenoic acid
- eicosapentaenoic acid
- eicosapentaenoic acid
- eicosapentaenoic acid
- eicosapentaenoic acid
- eicosapentaenoic acid
- eicosapentaenoic acid ethyl ester
- eicosapentaenoic acid ethyl ester
- eicosapentaenoic acid ethyl ester
- eicosapentanoic acid
- eicosapentanoic acid
- epa
- epa
- epadel
- epa-e
- ethyl (5z,8z,11z,14z,17z)-icosa-5,8,11,14,17-pentaenoate
- ethyl all-cis-5,8,11,14,17-icosapentaenoate
- ethyl eicosapent
- ethyl-eicosapent
- ethyl-eicosapent
- ethyl-eicosapent
- ethyl-eicosapent
- ethyl-eicosapent
- ethyl eicosapentaenoate
- ethyl eicosapentaenoate
- ethyl eicosapentaenoate
- ethyl eicosapentaenoate
- ethyl eicosapentaenoic acid
- ethyl-eicosapentaenoic acid
- ethyl-eicosapentaenoic acid
- ethyl-eicosapentaenoic acid
- ethyl-eicosapentaenoic acid
- ethyl-eicosapentaenoic acid
- ethyl-epa
- ethyl-epa
- ethyl-epa
- ethyl icosapentaenoate
- ethyl icosapentate
- ethyl icosapentate
- ethyl icosapentate
- ethyl icosapentate
- ethyl icosapentate
- gsk2212836
- icosapent
- icosapent
- icosapent
- icosapent
- icosapent
- icosapent
- icosapent
- icosapentaenoic acid
- icosapentaenoic acid
- icosapentaenoic acid
- icosapent (epa ethyl ester)
- icosapent (epa ethyl ester)
- icosapent ethyl
- icosapent ethyl
- icosapent ethyl
- icosapent ethyl
- icosapent ethyl
- icosapent ethyl
- icosapent ethyl
- icosapent ethyl
- icosapent ethyl
- icosapent ethyl
- icosapento
- icosapento
- icosapentum
- icosapentum
- k85
- lovaza
- lovaza
- lovaza
- lovaza
- n-3 fatty acids
- n-3 fatty acids
- n-6 fatty acids
- n-6 fatty acids
- nebbaro
- omacor
- omacor
- omacor
- omacor, lovaza
- omega 3
- omega-3
- omega-3 acid
- omega-3-acid ethyl ester
- omega-3 acid ethyl esters
- omega-3 acid ethyl esters
- omega-3 acid triglycerides
- omega-3 acid triglycerides
- omega-3 ethyl ester 90
- omega-3-ethyl esters
- omega 3 fatty acid
- omega 3 fatty acid
- omega 3-fatty acid
- omega 3-fatty acid
- omega-3 fatty acid
- omega-3 fatty acid
- omega-3 fatty acid
- omega-3-fatty acid
- omega-3-fatty acid
- omega 3 fatty acides
- omega 3 fatty acids
- omega 3 fatty acids
- omega 3 fatty acids
- omega-3 fatty acids
- omega-3 fatty acids
- omega-3 fatty acids
- omega-3 marine triglycerides
- omega-3 marine triglycerides
- omega-3 phospholipids
- omega-3 polyunsaturated fatty acids
- omega-3 polyunsaturated fatty acids
- omega-3 polyunsaturates
- omega-3 polyunsaturates
- phospholipids
- phospholipids
- p-om3 adjunct
- prestylon
- teromeg
- timnodonic acid
- timnodonic acid
- timnodonic acid
- timnodonic acid ethyl ester
- vascepa
- vascepa
- vascepa
- vascepa
- vascepa
- vascepa
- ω-3 fatty acids
- ω-3 fatty acids
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07056439 | Phase 1/Phase 2 (Phase 2) | Jul 31, 2025 | Hengrui Therapeutics, Inc. |
| NCT06720662 | N/A | Apr 1, 2025 | University of Sao Paulo |
| NCT06758778 | N/A | Jan 3, 2025 | SICHUAN CREDIT PHARMACEUTICAL CO., LTD. |
| NCT06710080 | Phase 3 | Dec 15, 2024 | University of Ottawa |
| NCT06466278 | Phase 2 | Jun 1, 2023 | University of Amsterdam |
| NCT05198843 | Phase 1/Phase 2 (Phase 2) | Mar 25, 2022 | National Cancer Institute (NCI), University of Texas at Houston |
| NCT04811404 | Phase 4 | Mar 19, 2021 | Columbia University |
| NCT04562467 | Phase 4 | Sep 24, 2020 | Canadian Medical and Surgical Knowledge Translation Research Group, Harvard University, HLS Therapeutics, Inc, Unity Health Toronto, University of Toronto, University of Western Ontario |
| NCT04460651 | Phase 3 | Aug 14, 2020 | Amarin, Estudios Clínicos Latino América |
| NCT04505098 | Phase 4 | Aug 7, 2020 | Amarin, Kaiser Permanente |
| NCT04412018 | Phase 2 | Jun 30, 2020 | Amarin, Canadian Medical and Surgical Knowledge Translation Research Group, HLS Therapeutics, Inc |
| NCT04177680 | Phase 2 | Feb 29, 2020 | Matinas Biopharma, Inc, MB Clinical Research and Consulting LLC |
| NCT04221217 | Phase 3 | Feb 1, 2020 | Mochida Pharmaceutical Company, Ltd. |
| NCT04216251 | Phase 1/Phase 2 (Phase 2) | Jan 31, 2020 | Harvard University, National Institutes of Health (NIH) |
| NCT04239950 | Phase 3 | Jan 20, 2020 | Mochida Pharmaceutical Company, Ltd., Sumitomo |
| NCT04172636 | Phase 2 | Jan 1, 2020 | Harvard University |
| NCT03598309 | Phase 2 | Nov 30, 2018 | James and Esther King Biomedical Research Program, University of South Florida |
| NCT03693131 | Phase 3 | Oct 31, 2018 | Mochida Pharmaceutical Company, Ltd. |
| NCT03661047 | Phase 2 | Sep 30, 2018 | Harvard University |
| NCT03657758 | Phase 4 | Sep 17, 2018 | Kobe University |
Organizations
Research & Development (495)
Marketing (24)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Amarin | For profit | NDA2 | Jul 26, 2012 |
| Amarin | For profit | NDA | Jul 26, 2012 |
| Amarin | For profit | IND | Jul 14, 2008 |
| Amneal Pharmaceuticals | For profit | MKTG | Nov 27, 2015 |
| Apotex | For profit | MKTG | Sep 30, 2014 |
| Apotex | For profit | SYN | Jun 30, 2021 |
| Ascent Pharmahealth | For profit | MKTG | Feb 25, 2019 |
| Dr. Reddy's Laboratories | For profit | MKTG | Aug 7, 2020 |
| Hikma | For profit | MKTG | May 21, 2020 |
| Hikma | For profit | SYN | May 21, 2020 |
| LP Pharmaceuticals | For profit | MKTG | Aug 6, 2025 |
| ONESOURCE SPECIALTY | For profit | MKTG | Sep 22, 2023 |
| Osmotica Pharmaceutical | For profit | NDA2 | Apr 23, 2014 |
| PHARMOBEDIENT | For profit | MKTG | Dec 20, 2024 |
| Par Pharmaceuticals | For profit | MKTG | Jun 24, 2014 |
| Qilu Pharmaceutical Co., Ltd. | For profit | MKTG | Nov 20, 2024 |
| SmithKline Beecham | For profit | NDA2 | Nov 10, 2004 |
| Sofgen Pharmaceuticals | For profit | MKTG | Jul 10, 2019 |
| Strides Pharma Science | For profit | MKTG | Sep 19, 2017 |
| Teva | For profit | MKTG | Apr 7, 2014 |
| Torrent Pharmaceuticals Limited | For profit | MKTG | Dec 20, 2024 |
| Yichang Humanwell Pharmaceutical Co.,Ltd | For profit | MKTG | Dec 22, 2023 |
| Zydus Discovery DMCC | For profit | MKTG | Jun 14, 2019 |
| Zydus Discovery DMCC | For profit | SYN | Apr 20, 2023 |