Asset profile

Repository corticotropin (Acthar Gel)

Peptide

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Approvedregulatory verdict

Evidence outlook

Approved: Multiple Sclerosis, Epilepsy (label: infantile spasms in infants and children under 2 years), Rheumatoid Arthritis, Systemic Lupus Erythematosus, Multiple Sclerosis Exacerbations

Regulatory approval supersedes design-level evidence grading; the trials behind approval are preserved below as the drug's evidence history.

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Competitive landscape

205 competitors in this universe: 1 direct rival (same mechanism and indication), 0 same-class, 204 same-indication.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Repository Corticotropin (Acthar Gel): this drugApprovedPeptideMelanocortin receptors (primarily MC2R on the adrenal cortex), Melanocortin 2 receptor (MC2R) (agonist)
Corticotropin (H.P. Acthar Gel)Approved—Melanocortin receptors (primarily MC2R on the adrenal cortex)
Abatacept (Orencia)ApprovedProtein / enzyme therapeuticCD80/CD86 (CTLA-4-Ig), Selective T Cell Costimulation Modulator, CD80/CD86 (B7-1/B7-2) on antigen-presenting cells
Adalimumab (Humira)ApprovedMonoclonal antibodyTNF-alpha
Adalimumab-Adbm (Cyltezo)ApprovedMonoclonal antibodyTNF-alpha
Adalimumab-Ryvk (Simlandi)Approved—TNF-alpha
Aldesleukin (Proleukin)ApprovedRecombinant Cytokine (il-2)Interleukin-2 receptor (IL-2R)
AlemtuzumabApprovedMonoclonal antibodyCD52
Anakinra (r-metHuIL-1ra)ApprovedProtein / enzyme therapeuticInterleukin-1 receptor (IL-1R), Interleukin-1 receptor type 1 (IL-1R1)
AnifrolumabApprovedMonoclonal antibodyType I interferon receptor, Type I interferon receptor subunit 1 (IFNAR1)
Avacopan (Tavneos)ApprovedSmall moleculeComplement C5a receptor 1 (C5aR1/CD88)
BafiertamApprovedSmall moleculeNrf2 pathway (fumaric acid ester)
Baricitinib (Olumiant)ApprovedSmall moleculeJAK, JAK1/2
Belimumab (GSK1550188)ApprovedMonoclonal antibodyBAFF / BLyS (B-lymphocyte stimulator), BAFF (BLyS)
BrivaracetamApprovedSmall moleculeSynaptic vesicle glycoprotein 2A (SV2A)
Cannabidiol (Epidiolex)ApprovedSmall moleculeGPR55 / TRPV1 / adenosine transport (multi-target), cannabinoid

…and 190 more. Research shows the complete landscape.

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(2 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2028 (2)
February 2028 (1)
Phase 4Autoimmune Diseases, Dry Eye, Neurotrophic KeratitisRecruiting
Est. primary completion 2028-02-28 · NCT06964269 · CT.gov ↗
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October 2028 (1)
Phase 2Cushing SyndromeRecruiting
Est. primary completion 2028-10-01 · NCT06635629 · CT.gov ↗
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See the full readout calendar ↗

All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 3 (5)
Phase 2/3 (5)
Phase 2 (12)
Phase 1/2 (1)
Phase 1 (7)
Phase 4 (45)
Early phase / not applicable (18)
Used as active comparator (1)
Appears in other studies (16)