Eicosapentaenoic acid

A fatty acid.

Phase of research

Potential treatment - pre-clinical evidence

How it helps

Antiviral

Drug status

Natural product

1
Supporting references
0
Contradictory references
8
AI-suggested references
5
Clinical trials

General information

Eicosapentaenoic acid is a poly-unsaturated long-chain fatty acid with anti-inflammatory and other biological properties (NCIt).

Eicosapentaenoic acid on DrugBank
Eicosapentaenoic acid on PubChem
Eicosapentaenoic acid on Wikipedia



Synonyms

Timnodonic acid; Icosapent; Icosapentaenoic acid; EPA

 

Structure image - Eicosapentaenoic acid

CC/C=C\C/C=C\C/C=C\C/C=C\C/C=C\CCCC(=O)O


Supporting references

Link Tested on Impact factor Notes Publication date
Polyunsaturated ω-3 fatty acids inhibit ACE2-controlled SARS-CoV-2 binding and cellular entry
Spike protein ACE2 TMPRSS2 Cathepsin L Small molecule In vitro
A549/hACE2 cells; (rVSV) SARS-CoV-2 Spike pseudovirus 4.00

The fatty acid blocked SARS-CoV-2 Spike protein pseudovirus entry into cells in vitro. It impeded RBD binding to host ACE2 receptor and reduced the activity (but not protein levels) of TMPRSS2 and cathepsin L proteases.

Mar/04/2021

AI-suggested references

Clinical trials

ID Title Status Phase Start date Completion date
NCT04505098 A Pragmatic Randomized Trial of Icosapent Ethyl for High-Cardiovascular Risk Adults Active, not recruiting Phase 4 Aug/07/2020 Feb/28/2023
  • Alternative id - 1597940
  • Interventions - Drug: Icosapent ethyl
  • Study type - Interventional
  • Study results - No Results Available
  • Locations - Kaiser Permanente Northern California, Oakland, California, United States
  • Study designs - Allocation: Randomized|Intervention Model: Parallel Assignment|Masking: Single (Outcomes Assessor)|Primary Purpose: Prevention
  • Enrollment - 39600
  • Age - 50 Years and older   (Adult, Older Adult)
  • Outcome measures - Rate of confirmed viral URIs|Percentage of patients with moderate or severe confirmed viral URIs|Worst clinical status due to a confirmed viral URI
NCT04460651 PREPARE-IT. Prevention and Treatment of COVID19 With EPA in Subjects at Risk - Intervention Trial Completed Phase 3 Aug/14/2020 Aug/30/2021
  • Alternative id - PREPARE-IT. Version 4.0
  • Interventions - Drug: Icosapent ethyl (IPE)|Drug: Placebo
  • Study type - Interventional
  • Study results - No Results Available
  • Locations - Instituto de Investigaciones Clínicas - Rosario, Rosario, Santa Fe, Argentina
  • Study designs - Allocation: Randomized|Intervention Model: Parallel Assignment|Masking: Triple (Participant, Care Provider, Investigator)|Primary Purpose: Treatment
  • Enrollment - 4093
  • Age - 18 Years and older   (Adult, Older Adult)
  • Outcome measures - (A) Prevention Arm: SARS-CoV-2 positivity assesed up to day 60.|(B) Treatment Arm: COVID 19 related hospitalization (indication for hospitalization per the blinded investigator or actual hospitalization) or death assessed up to 28 days|(A) Prevention Arm: High-sensitivity C-reactive Protein (mg/dL) change from baseline to day 60 (key secondary outcome)|(A) Prevention Arm: Triglycerides (mg/dL) change from baseline to day 60|(A) Prevention Arm: FLU-PRO SCORE change from baseline to day 60 in a subset of subjects|(B) Treatment Arm: COVID 19 related hospitalization or death assessed up to 28 days (key secondary outcome)|(B) Treatment Arm: Alive and out of the hospital at 28 days.|(B) Treatment Arm: In hospital length of stay assessed up to 28 days|(B) Treatment Arm: New requirement of mechanical ventilation assed up to 28 days.|(B) Treatment Arm: Total events: non-fatal myocardial infarction or non-fatal stroke or death (initial and subsequent), until day 28.|(B) Treatment Arm: Total mortality assessed up to 28 days|(B) Treatment Arm: FLU-PRO SCORE change from baseline at 28 days
NCT04828538 Vitamin D, Omega-3, and Combination Vitamins B, C and Zinc Supplementation for the Treatment and Prevention of COVID-19 Active, not recruiting Not Applicable Jan/01/2021 Nov/30/2021
  • Alternative id - MCI102020
  • Interventions - Dietary Supplement: Vitamin D|Dietary Supplement: Omega DHA / EPA|Dietary Supplement: Vitamin C, Vitamin B complex and Zinc Acetate|Other: Placebo
  • Study type - Interventional
  • Study results - No Results Available
  • Locations - Hospital de Soledad, San Luis Potosí, SLP, Mexico
  • Study designs - Allocation: Randomized|Intervention Model: Factorial Assignment|Masking: Double (Participant, Care Provider)|Primary Purpose: Other
  • Enrollment - 1800
  • Age - 18 Years and older   (Adult, Older Adult)
  • Outcome measures - Covid infection rate (PREVENT Trial only)|Incidence of severe outcome (TREAT Trial only)|Incidence of hospitalization and death (PREVENT Trial only)|Length of hospitalization and death after discharge (TREAT Trial only)
NCT04412018 An Investigation on the Effects of Icosapent Ethyl (VascepaTM) on Inflammatory Biomarkers in Individuals With COVID-19 Completed Phase 2 Jun/04/2020 Dec/12/2020
  • Alternative id - Pro00043601
  • Interventions - Drug: Icosapent ethyl
  • Study type - Interventional
  • Study results - No Results Available
  • Locations - North York Diagnostic and Cardiology Clinic, Toronto, Ontario, Canada
  • Study designs - Allocation: Randomized|Intervention Model: Parallel Assignment|Masking: None (Open Label)|Primary Purpose: Treatment
  • Enrollment - 100
  • Age - 18 Years to 75 Years   (Adult, Older Adult)
  • Outcome measures - Change in hs-CRP levels from the randomization visit (Day 1) to the Day 14 visit|Change in D-dimer levels from the randomization visit (Day 1) to the Day 14 visit|Change in erythrocyte sedimentation rate from the randomization visit (Day 1) to the Day 14 visit|Change in complete blood count from the randomization visit (Day 1) to the Day 14 visit|Change in differential count from the randomization visit (Day 1) to the Day 14 visit|Change in serum albumin levels from the randomization visit (Day 1) to the Day 14 visit|Change in neutrophil-to-lymphocyte ratio (NLR) from the randomization visit (Day 1) to the Day 14 visit|Change in systemic immune-inflammation index from the randomization visit (Day 1) to the Day 14 visit
NCT04335032 EPA-FFA to Treat Hospitalised Patients With COVID-19 (SARS-CoV-2) Recruiting Phase 3 Jan/08/2021 Dec/01/2021
  • Alternative id - EPA-COV-001
  • Interventions - Drug: Eicosapentaenoic acid gastro-resistant capsules|Drug: Placebo
  • Study type - Interventional
  • Study results - No Results Available
  • Locations - Hospital Universitario Vall d'Hebron, Barcelona, Spain|Hull, Cottingham, United Kingdom|UHCW, Coventry, United Kingdom|NPH, Harrow, United Kingdom|Rotherham NHS Foundation Trust, Rotherham, United Kingdom
  • Study designs - Allocation: Randomized|Intervention Model: Parallel Assignment|Masking: Triple (Participant, Care Provider, Investigator)|Primary Purpose: Treatment
  • Enrollment - 284
  • Age - 18 Years and older   (Adult, Older Adult)
  • Outcome measures - Evaluation of EPA-FFA efficacy compared to placebo|Time to and amount of clinical improvement|Change in recovery and survival rate|Reduction of CRP and IL-6|Increase in IFN-γ|Reduction in proinflammatory chemokines and cytokines.