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ACTH

Adrenocorticotropic Hormone · Corticotropin · Acthar

Pituitary & Trophic HormonesApproved
MW
4541g/mol
Formula
C207H308N56O58S

Adrenocorticotropic hormone (ACTH) is a peptide hormone produced by the anterior pituitary gland that plays a crucial role in stimulating the adrenal glands to release cortisol, a key stress hormone. Researchers primarily study ACTH to understand its involvement in various disorders, particularly Cushing's disease, which is characterized by excessive ACTH secretion leading to elevated cortisol levels and associated health complications. Key findings indicate that successful surgical resection of ACTH-secreting pituitary adenomas can lead to immediate biochemical remission and preservation of pituitary function, while elevated ACTH levels are also observed in conditions such as classic congenital adrenal hyperplasia. Current research is focused on elucidating the complex regulatory mechanisms of ACTH and exploring novel therapeutic approaches, including receptor antagonists, to manage related endocrine disorders. Clinical evidence indicates that understanding ACTH dynamics is essential for improving diagnostic and treatment strategies in conditions linked to adrenal dysfunction.

Overview

Übersicht

Adrenocorticotropic hormone (ACTH), also known as corticotropin or Acthar, is an endogenous peptide hormone produced by the anterior pituitary gland. It belongs to the category of pituitary and trophic hormones and plays a crucial role in the endocrine system. ACTH is synthesized as part of a larger precursor molecule called proopiomelanocortin (POMC) and is cleaved to form the active hormone. Researchers have observed that ACTH is involved in the regulation of cortisol production by the adrenal glands, which is essential for stress response and metabolic functions. ACTH stimulates the adrenal cortex to secrete glucocorticoids, primarily cortisol, which in turn influences various physiological processes including metabolism, immune response, and vascular function. The hormone is also a focus of research in conditions such as Cushing's disease and congenital adrenal hyperplasia (CAH), where its dysregulation leads to significant clinical manifestations. ACTH exerts its effects by binding to melanocortin 2 receptors (MC2R) on the adrenal cortex, initiating a cascade that results in the synthesis and release of cortisol. This pathway is crucial for maintaining homeostasis during stress. Pharmacokinetic properties of ACTH include a short circulating half-life, with its levels fluctuating in a diurnal pattern. The hormone is rapidly metabolized, and its bioavailability is not typically considered in oral form due to degradation in the gastrointestinal tract. Clinically, ACTH is used in diagnostic testing of adrenal function and as a therapeutic agent in certain conditions like infantile spasms and multiple sclerosis. Regulatory approval for ACTH varies by region, with specific formulations approved for different indications.

Chemical profile

Chemische Struktur

Chemical structure of ACTH
FormelC207H308N56O58S
Molekulargewicht4541g/mol
CAS-Nummer9002-60-2
PubChem CID16132265
Mechanism

Wirkmechanismus

ACTH acts primarily on the melanocortin 2 receptor (MC2R) located on the adrenal cortex. Upon binding, it activates the cAMP signaling pathway, leading to increased production and secretion of cortisol and other glucocorticoids, which are vital for stress response and metabolic regulation.

Mechanism

Signalweg

Adrenocorticotropic hormone (ACTH) primarily exerts its effects through the activation of melanocortin 2 receptors (MC2R) on adrenal cortical cells, initiating the cAMP/PKA signaling pathway. This activation stimulates the biosynthesis and secretion of glucocorticoids, particularly cortisol, from the adrenal cortex, thereby influencing various biological processes such as glucose metabolism, immune response modulation, and stress adaptation. The precise regulatory mechanisms of ACTH's action, particularly in the context of feedback loops within the hypothalamic-pituitary-adrenal (HPA) axis, are still being elucidated.

Half-Life & Pharmacokinetics

ENEndogenous

Pulsatile, varies by time of day

IVIntravenous

Circulating half-life ~10 minutes

POOral

Poor bioavailability due to first-pass metabolism

ACTH's short half-life and pulsatile secretion pattern are important for its physiological role in stress response.

Storage

Temperature

Refrigerate at 2-8C

Light

Protect from light

Form

Aqueous solution: use within specified time after opening

Notes

Proper storage conditions are crucial to maintain the stability and efficacy of ACTH formulations.

Solubility

Löslichkeit

ACTH is soluble in water, which is relevant for its formulation as an injectable solution.

Legal Status

🇩🇪DE

Verschreibungspflichtig (prescription only); not listed as a controlled substance under BtMG.

🇺🇸US

FDA approved for specific indications; prescription required.

🇦🇺AU

TGA Schedule 4 (prescription only medicine).

🇬🇧UK

Prescription only medicine (POM); regulated by MHRA.

Legal status information is provided for general reference only and may not reflect the most current regulatory changes. Always verify with official government sources before making any decisions.

Open Questions

Offene Forschungsfragen

Current evidence is limited regarding the long-term effects of elevated ACTH levels in various populations, particularly in patients with lung carcinoma and those with Cushing's disease, where the biological activity of different ACTH forms remains poorly understood. Further research is needed to clarify the role of corticotropin-releasing hormone in modulating ACTH's effects on cortisol secretion, particularly through larger randomized controlled trials that explore the dynamics of the hypothalamic-pituitary-adrenal axis in diverse patient groups. Additionally, the mechanisms underlying the differential biological activity of big ACTH compared to its active forms warrant further investigation to elucidate their clinical significance in endocrine disorders.

144 Research Publications

4,953

Total Citations

29

Human/RCT

3.7

Avg. Influence

2025

Latest

Sort
Filter
#01

Corticotropin releasing factor receptor 1-deficient mice display decreased anxiety, impaired stress response, and aberrant neuroendocrine development.

AnimalInfluence29.0
875
The study demonstrated that corticotropin releasing factor receptor 1-deficient mice exhibited reduced anxiety and disrupted hypothalamic-pituitary-adrenal axis function due to insufficient adrenocorticotropic hormone production.
#02

Neuroendocrine aspects of hypercortisolism in major depression.

ReviewInfluence17.0
455
Researchers observed that major depression is associated with hypersecretion of ACTH and cortisol, with chronic depression showing reduced ACTH levels despite elevated cortisol.
#03

Regulation of the hypothalamic-pituitary-adrenal axis.

ReviewInfluence16.0
370
The study demonstrated that the hypothalamic-pituitary-adrenal axis is crucial for cortisol secretion, which is regulated by corticotropin-releasing hormone and arginine vasopressin.
#04

Inhibition of adrenocorticotropic hormone secretion in the rat by immunoneutralization of corticotropin-releasing factor.

AnimalInfluence4.0
269
Researchers observed that immunoneutralization of corticotropin-releasing factor significantly reduced ACTH secretion in rats, indicating its physiological role in regulating ACTH release.
#05

Cushing's disease: pathobiology, diagnosis, and management.

Lonser Russell R, et al. · Journal of neurosurgery · 2017

ReviewInfluence8.0
163
Researchers observed that successful resection of ACTH-secreting pituitary adenomas in Cushing's disease leads to immediate biochemical remission and preservation of pituitary function.

Key findings

  1. 01Cushing's disease results from excess adrenocorticotropic hormone (ACTH) secretion.
  2. 02High cortisol levels are linked to severe health problems, including hypertension and obesity.
  3. 03Surgical removal of the tumor is the most effective treatment and can restore normal hormone levels.
#06

Circadian rhythm in the in vitro response of mouse adrenal to adrenocorticotropic hormone.

Animal
119
Researchers observed that the responsiveness of mouse adrenal glands to ACTH stimulation varies with the time of gland removal, being highest when serum corticosterone levels are lowest.
#07

Neuroendocrinology of amphibian metamorphosis.

AnimalInfluence9.0
116
Researchers observed that corticotropin-releasing factor regulates the secretion of adrenocorticotropic hormone (ACTH) and thyroid-stimulating hormone (TSH) during amphibian metamorphosis, integrating environmental signals and developmental cues.
#08

ACTH, cortisol, and corticosterone output after ovine corticotropin-releasing factor challenge during depression and after recovery.

HumanInfluence5.0
108
#09

The renaissance of corticotropin therapy in proteinuric nephropathies.

ReviewInfluence6.0
101
Researchers observed that ACTH has antiproteinuric and renoprotective properties in nephrotic syndrome, suggesting its potential effectiveness in patients resistant to standard therapies.
#10

Intrahypothalamic infusion of interleukin-1 beta increases the release of corticotropin-releasing hormone (CRH 41) and adrenocorticotropic hormone (ACTH) in free-moving rats bearing a push-pull cannula in the median eminence.

AnimalInfluence2.0
98
The study demonstrated that interleukin-1 beta infusion significantly increases both corticotropin-releasing hormone and adrenocorticotropic hormone levels in free-moving rats.

Clinical Trials (81)

Preclinical
Phase I
Phase II
Phase III
Approved

81

Total Trials

2,943

Total Enrolled

Corticotropin Stimulation in Adrenal Venous Sampling for Patients With Primary Aldosteronism(ADOPA)

NCT04461535COMPLETED
Sponsor

Chongqing Medical University

Enrollment

228

Started

2020

Primary outcome

Compare the proportion of surgically treated patients with complete biochemical remission in the overall cohort between two groups

Primary Aldosteronism

Dermatomyositis and Polymyositis Registry

Sponsor

Phoenix Neurological Associates, LTD

Enrollment

100

Started

2013

Primary outcome

Determining if Acthar treatment improves disease progression

DermatomyositisPolymyositis

Isolated ACTH Deficiency in Patients With Hashimoto Thyroiditis

NCT00552487COMPLETED
Sponsor

University of Wuerzburg

Enrollment

62

Started

2005

Primary outcome

serum cortisol-peak 30 min after ACTH-stimulation

Hashimoto DiseaseAdrenal Insufficiency

Treatment of Refractory Gout With ACTH or Methylprednisolone

Sponsor

Shanghai 10th People's Hospital

Enrollment

60

Started

2021

Primary outcome

Measurement of pain

Gout

ACTH vs Betamethasone in Hospitalized Patients With Acute Gout

Sponsor

University of Patras

Enrollment

60

Started

2018

Primary outcome

Pain VAS

Gout Attack

Diagnostic Study of Adrenal Cortical Function in Children With Septic Shock

NCT00005890COMPLETED
Sponsor

National Center for Research Resources (NCRR)

Enrollment

56

Started

1996

Septic Shock

Cortisol Levels on Menopausal Symptoms - Ancillary (Addendum) Study to Protocol 16997

NCT00950781COMPLETED
Sponsor

Cedars-Sinai Medical Center

Enrollment

45

Started

2009

Primary outcome

circulation at baseline and after acute ACTH stimulation

Menopause

Availability Study of ACTH to Treat Children SRNS/SDNS

Sponsor

Xinhua Hospital, Shanghai Jiao Tong University School of Medicine

Enrollment

42

Started

2016

Primary outcome

24-hour proteinuria excretion

Proteinuria

Neuroprotective Effects of ACTH4-10PRO8-GLY9-PRO10

NCT05648526COMPLETED
Sponsor

Universitas Sumatera Utara

Enrollment

42

Started

2021

Primary outcome

BDNF Expression

Ketamine-Induced Neurotoxicity

Mechanisms of Increased Androgen Production Among Women With Polycystic Ovary Syndrome

NCT00989781COMPLETED
Sponsor

University of California, San Diego

Enrollment

41

Started

2009

Primary outcome

17-hydroxyprogesterone Responses to hCG in PCOS Women and Normal Controls

Polycystic Ovary Syndrome

Experience With H.P. Acthar Gel Treatment of Patients With Nephrotic Syndrome/Proteinuria Due to Various Etiologies and Its Effect on Podocyte Function

Sponsor

Greater Boston Medical Associates

Enrollment

40

Started

2017

Primary outcome

level of proteinuria

Decrease of Proteinuria With H.P. Acthar Gel and Its Effects on Clinical and Podocyte Function

Tolerability of Acthar for the Treatment of Multiple Sclerosis in Relapses (TAMS)

NCT02258217COMPLETED
Sponsor

OhioHealth

Enrollment

30

Started

2014

Primary outcome

ARMS (Assessing Relapses in Multiple Sclerosis) ADL Scores (Activities of Daily Living)

Relapsing Remitting Multiple Sclerosis

Searching a Dysfunction of Corticotropic & Thyrotropin Axis During the Acute Phase of a Subarachnoid Hemorrhage Secondary to Spontaneous Rupture of Cerebral Aneurysm

NCT03655509COMPLETED
Sponsor

Rennes University Hospital

Enrollment

26

Started

2015

Primary outcome

ACTH stimulation test

Subarachnoid Hemorrhage

Value of 25 mcg Cortrosyn Stimulation Test

NCT01428336COMPLETED
Sponsor

The Cleveland Clinic

Enrollment

22

Started

2011

Primary outcome

Pearson Correlation of the Total Cortisol Levels Between the ITT and CSTs

Adrenal Insufficiency

Effects of Corticorelin Administration on Dopamine Transmission, Craving, and Mood in Cocaine Dependence

NCT01984177COMPLETED
Sponsor

Centre for Addiction and Mental Health

Enrollment

17

Started

2013

Primary outcome

PET measure: [11C]-(+)-PHNO binding

Cocaine-Related DisordersCocaine AddictionSubstance-Related Disorders

Addition of H.P. Acthar Gel to Treatment Regimen of Patients With Rheumatoid Arthritis

Sponsor

Ronald J. Rapoport, MD

Enrollment

10

Started

2014

Primary outcome

Percentage of patients with reduction of >1.2 points in DAS-28 score

Rheumatoid Arthritis

(ACTH) for the Treatment of Sarcoid Uveitis

Sponsor

John Huang, MD

Enrollment

10

Started

2018

Primary outcome

Degree of aqueous and vitreous inflammatory cells-change is being assessed

Sarcoid Uveitis

Ocular Sarcoidosis Open Label Trial of ACTHAR Gel

NCT02725177COMPLETED
Sponsor

The Cleveland Clinic

Enrollment

9

Started

2016

Primary outcome

Percentage of Patients With Clinically Significant Improvement in Visual Acuity

Ocular SarcoidosisPanuveitisAnterior Uveitis

Prevention of West Syndrome With Low-dose Adrenocorticotropin Hormone (ACTH)

NCT01367964TERMINATED
Sponsor

Ann & Robert H Lurie Children's Hospital of Chicago

Enrollment

6

Started

2011

Primary outcome

Evidence for improvement in the EEG one month following initiation of the 2 week course of low-dose ACTH.

West Syndrome

Safety and Efficacy of Combination Acthar Gel and Tacrolimus in the Treatment of Steroid Resistant Nephrotic Syndrome

NCT03042637SUSPENDED
Sponsor

Southeast Renal Research Institute

Started

2012

Primary outcome

Reduction of proteinuria in idiopathic membranous glomerulonephritis (MGN) and other forms of glomerulopathy including focal segmental glomerulosclerosis (FSGS) and advanced diabetic nephropathy

Nephrotic Syndrome

Safety and Effectiveness of Acthar Gel in Participants With Rheumatoid Arthritis

NCT02919761Phase 4COMPLETED
Sponsor

Mallinckrodt

Enrollment

259

Started

2016

Primary outcome

Part 1: Number of Participants With Low Disease Activity (LDA) by Visit

Arthritis, Rheumatoid

Acthar for Treatment-Resistant or Treatment-Intolerant Proteinuria

NCT02633046Phase 4COMPLETED
Sponsor

Mallinckrodt ARD LLC

Enrollment

63

Started

2016

Primary outcome

Number of Participants With Adverse Events

Idiopathic Focal Segmental Glomerulosclerosis

Acthar for Treatment of Proteinuria in Membranous Nephropathy Patients

NCT01386554Phase 4COMPLETED
Sponsor

Mallinckrodt

Enrollment

60

Started

2011

Primary outcome

Percentage of Participants With Complete or Partial Remission in Proteinuria at 24 Weeks

ProteinuriaIdiopathic Membranous Nephropathy

Efficacy and Safety of H.P. ACTHAR GEL in Adults With Retinal Vasculitis

NCT03066869Phase 4UNKNOWN
Sponsor

Ocular Immunology and Uveitis Foundation

Enrollment

40

Started

2017

Primary outcome

Percentage of responders to Acthar at the end of treatment.

Uveitis, PosteriorVasculitis Retinal

Acthar for the Treatment of Systemic Lupus Erythematosus (SLE) in Patients With a History of Persistently Active Disease

NCT01753401Phase 4COMPLETED
Sponsor

Mallinckrodt

Enrollment

38

Started

2013

Primary outcome

Number of Participants Who Meet the Definition of a Responder Within 4 Weeks

Systemic Lupus Erythematosus (SLE)

A Trial of Neuroprotection With ACTH in Acute Optic Neuritis

NCT01838174Phase 4TERMINATED
Sponsor

University of Colorado, Denver

Enrollment

37

Started

2013

Primary outcome

Retinal Nerve Fiber Layer (RNFL) thickness

Multiple Sclerosis

Acthar Gel for Multiple Sclerosis That Keeps Getting Better and Worse (RRMS)

NCT03126760Phase 4TERMINATED
Sponsor

Mallinckrodt ARD LLC

Enrollment

35

Started

2017

Primary outcome

Score on the Expanded Disability Status Scale (EDSS) at Baseline and Day 42

Multiple Sclerosis, Relapsing-Remitting

Efficacy, Radiographic and Laboratory Changes in Refractory Rheumatoid Arthritis Patients Treated With H.P. Acthar Gel

NCT03082573Phase 4UNKNOWN
Sponsor

Iraj Sabahi Research Inc.

Enrollment

30

Started

2017

Primary outcome

ACR 20 response ACR 20 response

Rheumatoid Arthritis

Pilot Clinical Trial of ACTHar Gel 14 Days Subcutaneous (SQ)Versus ACTHar Gel Five Days SQ for the Treatment of MS Exacerbations

NCT01888354Phase 4COMPLETED
Sponsor

The University of Texas Health Science Center, Houston

Enrollment

25

Started

2013

Primary outcome

Comparison of EDSS Mean Recovery between 5-day vs 14-day SQ 80 IU ACTHar Gel therapy groups

Multiple Sclerosis (MS)

Standardized 1µg Adrenocorticotropic Hormone Stimulation Test, and Salivary Cortisol Concentration During the Test

NCT02413944Phase 4COMPLETED
Sponsor

Bnai Zion Medical Center

Enrollment

20

Started

2015

Primary outcome

Serum cortisol concentrations during intravenous injection of 1 mcg adrenocorticotropic hormone through short cannula and during direct intravenous injection, in healthy participants.

Healthy

Acthar Gel for Chronic Pulmonary Sarcoidosis (ACPS)

NCT02188017Phase 4UNKNOWN
Sponsor

University of Cincinnati

Enrollment

20

Started

2014

Primary outcome

Steroid toxicity

SarcoidosisPulmonary Sarcoidosis

Effect of CRH on Duodenal Markers and Gastric Sensorimotor Function

NCT05071781Phase 4COMPLETED
Sponsor

Universitaire Ziekenhuizen KU Leuven

Enrollment

20

Started

2021

Primary outcome

The effect of corticotrophin release hormone (CRH) on duodenal mast cell count

GI Motility Disorder

Use of Acthar Gel Single-Dose Pre-Filled SelfJectTM Injector in Patients With Moderate-Severe Keratitis and Autoimmune Disease

NCT06964269Phase 4RECRUITING
Sponsor

Toyos Clinic

Enrollment

20

Started

2025

Primary outcome

Visual Analog scale for injection comfort

Autoimmune DiseasesDry EyeNeurotrophic Keratitis

Efficacy and Safety of H.P. Acthar Gel for the Treatment of Refractory Cutaneous Manifestations of Dermatomyositis

NCT02245841Phase 4COMPLETED
Sponsor

The Cleveland Clinic

Enrollment

19

Started

2015

Primary outcome

Change From Baseline in Cutaneous Dermatomyositis at 6 Months

DermatomyositisJuvenile Dermatomyositis

Clinical Efficacy of H.P. Acthar Gel 80 U/ml to Improve the Signs and Symptoms in Subjects With Dry Eye Disease

NCT03287635Phase 4COMPLETED
Sponsor

Toyos Clinic

Enrollment

19

Started

2018

Primary outcome

Dry Eye Comfort Questionnaire, SANDE

Dry Eye Disease

Idiopathic Focal Segmental Glomerulosclerosis (FSGS) and Treatment With ACTH

NCT01155141Phase 4COMPLETED
Sponsor

Stanford University

Enrollment

15

Started

2009

Primary outcome

24 Hour Proteinuria

Kidney Diseases

Treatment of Resistant Nephrotic Syndrome With ACTH Gel (ACTHAR)

NCT01129284Phase 4COMPLETED
Sponsor

Columbia University

Enrollment

15

Started

2009

Primary outcome

Significant Reduction in Proteinuria to Remission Levels During the Treatment Period (Includes Complete and Partial Remission, as Defined in the Outcome Measure Description Below)

Treatment Resistant Nephrotic Syndrome

Adrenocorticotropic Hormone (ACTH) Effects on Myelination in Subjects With MS

NCT02446886Phase 4TERMINATED
Sponsor

Weill Medical College of Cornell University

Enrollment

15

Started

2016

Primary outcome

Change in Myelin Water Fraction (MWF) Within New Enhancing Lesions Over the Course of 12 Months

Multiple Sclerosis

Adrenocorticotropic Hormone (ACTH) Treatment of Nephrotic Range Proteinuria in Diabetic Nephropathy (NRDN)

NCT01028287Phase 4COMPLETED
Sponsor

Southeast Renal Research Institute

Enrollment

15

Started

2009

Primary outcome

Percentage of patients achieving less than 300 mg protein per 24 hours after 6 months of Acthar Gel.

Diabetic NephropathyNephrotic Syndrome

Open-label Trial of Acthar Gel in Subjects With Moderate to Severe Active Systemic Lupus Erythematosus

NCT01769937Phase 4COMPLETED
Sponsor

Fiechtner, Justus J., M.D., P.C.

Enrollment

10

Started

2012

Primary outcome

SLEDAI-2K score

Lupus Erythematosus Systemic Exacerbation

Clinical Impact of Acthar in the Psoriatic Arthritis Patient (CLIPS)

NCT03419650Phase 4COMPLETED
Sponsor

IRIS Research and Development, LLC

Enrollment

10

Started

2018

Primary outcome

Primary Clinical Endpoint

Psoriatic Arthritis

ACTHar in the Treatment of Lupus Nephritis

NCT02226341Phase 4TERMINATED
Sponsor

Columbia University

Enrollment

8

Started

2014

Primary outcome

Number of Patients With a Complete Response (CR)

Lupus Nephritis

Repository Corticotropin Injection To Treat Rheumatoid Arthritis Patients Who Have Failed Three Biologic Therapies.

NCT01966718Phase 4COMPLETED
Sponsor

Arthritis Treatment Center, Maryland

Enrollment

8

Started

2013

Primary outcome

Change From Baseline in the Ritchey-Camp Articular Index

Rheumatoid Arthritis

Evaluation of Neuroinflammation in Children With Infantile Spasms

NCT02092883Phase 4COMPLETED
Sponsor

Wayne State University

Enrollment

8

Started

2013

Primary outcome

Neuroinflammation in cortical and/or subcortical structures

Infantile Spasms

Study of H.P. ACTHAR Subcutaneous Gelatin (Gel)(Highly Purified Gel Injection) in Uveitis Patients

NCT02764697Phase 4COMPLETED
Sponsor

Tampa Bay Uveitis Center, LLC

Enrollment

6

Started

2016

Primary outcome

Number of Participants With Photographic Haze Reduced to Grade 0 or Down 2 Steps Documented With Fundus Photography

UveitisAnterior UveitisIntermediate UveitisPosterior UveitisScleritisClinically Significant Macular Edema

Effects of ACTHAR on Advanced MRI Surrogate Markers of Disease Activity and on Comprehensive Immune Signature During MS Relapses

NCT03021317Phase 4TERMINATED
Sponsor

University of Chicago

Enrollment

5

Started

2016

Primary outcome

Change in T1 Lesion Relaxation Time

Multiple Sclerosis

Safety and Effectiveness of Acthar Gel for Inflammation of the Eye's Uvea (Middle Layer)

NCT03656692Phase 4TERMINATED
Sponsor

Mallinckrodt

Enrollment

5

Started

2018

Primary outcome

Score on the Nussenblatt Grading Scale

Uveitis, PosteriorUveitis, IntermediatePanuveitis

Treatment of CNS Sarcoidosis With H.P. Acthar Gel

NCT02298491Phase 4COMPLETED
Sponsor

University of Maryland, Baltimore

Enrollment

4

Started

2016

Primary outcome

Karnofsky Performance Status (KPS) Score

CNS Sarcoidosis

Open Label Study of Acthar SQ Gel Injection in Patients With Active Anterior Uveitis

NCT02769702Phase 4TERMINATED
Sponsor

Washington University School of Medicine

Enrollment

2

Started

2016

Primary outcome

Change From Baseline in Eye With Uveitis of Anterior Chamber Cellularity Graded From 0-4 on a Likert Scale Determined by Slit Lamp Examination

Uveitis

Use of CXCL9 as a Biomarker of Acthar Efficacy

NCT02523092Phase 4TERMINATED
Sponsor

University of California, San Francisco

Enrollment

2

Started

2022

Primary outcome

Number of Participants That Show a Decrease in Blood CXCL9 Levels by 50%

Sarcoidosis

Acthar as Rescue Therapy for Transplant Glomerulopathy in Kidney Transplant Recipients

NCT02057523Phase 4TERMINATED
Sponsor

University of Illinois at Chicago

Enrollment

2

Started

2014

Primary outcome

50% Reduction in Proteinuria or Proteinuria < 150mg/Day

ProteinuriaTransplant Glomerulopathy

Modeling and Treating the Pathophysiology of Demyelination in Multiple Sclerosis

NCT00854750Phase 4TERMINATED
Sponsor

Elliot Frohman

Enrollment

1

Started

2009

Primary outcome

To determine if preemptive cooling provides protection against worsening of INO and its effect on reading, with body heating.

Multiple Sclerosis

The Adrenal Contribution to Androgen Production in Girls During Puberty

NCT01062568Phase 3COMPLETED
Sponsor

University of California, San Diego

Enrollment

50

Started

2010

Primary outcome

17-hydroxyprogesterone Response to ACTH

Development

Use of Acthar in Patients With FSGS That Will be Undergoing Renal Transplantation

NCT02683889Phase 3COMPLETED
Sponsor

University of Colorado, Denver

Enrollment

15

Started

2019

Primary outcome

Rate of Recurrence of FSGS as Seen in Renal Transplant Biopsies Proteinuria

FSGS

ACTH for Fatigue in Multiple Sclerosis Patients

NCT02315872Phase 3COMPLETED
Sponsor

Providence Health & Services

Enrollment

8

Started

2015

Primary outcome

Fatigue at 28 Weeks

Multiple Sclerosis, Relapsing-Remitting

The Effects of Acthar on Synovial Inflammation in Rheumatoid Arthritis

NCT03511625Phase 3UNKNOWN
Sponsor

Attune Health Research, Inc.

Enrollment

6

Started

2018

Primary outcome

Degree of inflammation after short term treatment, as measured by a pathologist during histological assessment

Rheumatoid Arthritis

Study of Acthar® Gel (Acthar) for Amyotrophic Lateral Sclerosis (ALS)

NCT03068754Phase 2/3TERMINATED
Sponsor

Mallinckrodt

Enrollment

143

Started

2017

Primary outcome

Treatment Period: Scores on a Scale for Telephone-administered Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R)

Amyotrophic Lateral Sclerosis

Ketogenic Diet vs ACTH for the Treatment of Children With West Syndrome

NCT05279118Phase 2/3UNKNOWN
Sponsor

All India Institute of Medical Sciences

Enrollment

80

Started

2022

Primary outcome

Mean percentage reduction of spam (Baseline mean weekly spasm rate - mean weekly spasm rate on 6th week of therapy/Baseline mean weekly spasm rate * 100) is compared in both arms

Ketogenic DietWest SyndromeInfantile SpasmACTH

Cortical Excitability in West Syndrome Using Transcranial Magnetic Stimulation

NCT06201897Phase 2/3UNKNOWN
Sponsor

All India Institute of Medical Sciences

Enrollment

40

Started

2024

Primary outcome

Change in Cortical Excitability

West Syndrome

Efficacy Study of Adrenocorticotropin Hormone to Treat Multiple Sclerosis (MS) Relapses After Sub-responding to an Initial 3 Day Course of Intravenous (IV) Methylprednisolone

NCT00947895Phase 2/3TERMINATED
Sponsor

Neurologique Foundation, Inc.

Enrollment

30

Started

2009

Primary outcome

Improvement in EDSS (Expanded Disability Status Scale) and Kurtzke Functional Scale (to assess individual disabilities).

Multiple Sclerosis

ACTHAR GEL for Sarcoidosis-Associated Calcium Dysregulation: An Open-label Pilot Study

NCT02155803Phase 2/3UNKNOWN
Sponsor

Albany Medical College

Enrollment

10

Started

2015

Primary outcome

Reduction of 24 hour urine calcium

SarcoidosisHypercalcemia Due to Sarcoidosis

ACTHAR Gel for Cutaneous Sarcoidosis: An Open Label Trial

NCT02348905Phase 2/3UNKNOWN
Sponsor

Albany Medical College

Enrollment

10

Started

2015

Primary outcome

The change in SASI induration & erythema score.

SarcoidosisCutaneous Sarcoidosis

A Phase 2 Study to Evaluate the Effects of ASP5541 in Participants With Prostate Cancer

NCT07005154Phase 2RECRUITING
Sponsor

Astellas Pharma Global Development, Inc.

Enrollment

218

Started

2025

Primary outcome

Proportion of androgen receptor pathway inhibitor (ARPI) -naïve metastatic castration-resistant prostate cancer (mCRPC) participants with Prostate Specific Antigen (PSA) decline ≥ 90% (Cohort 1)

Prostate CancerMetastatic Castration-Resistant Prostate CancerMetastatic Hormone Sensitive Prostate Cancer

Corticotropin for Behçet's Disease: A Multicenter Randomized Controlled TrialAcronym.

NCT07833163Phase 2NOT_YET_RECRUITING
Sponsor

Peking University People's Hospital

Enrollment

60

Started

2026

Primary outcome

Change in the number of active oral aphthous ulcers from baseline to Week 12

Behçet's SyndromeBehçet's Syndrome (BS)

ACTH in Progressive Forms of MS

NCT01950234Phase 2TERMINATED
Sponsor

University of Minnesota

Enrollment

59

Started

2014

Primary outcome

Proportion of Patients Exhibiting a 20% Worsening in T25FW at 36 Months

Secondary Progressive Multiple SclerosisPrimary Progressive Multiple SclerosisProgressive Relapsing Multiple Sclerosis

Evaluation of the Effectiveness and Tolerance of Tetracosactide Synacthen® in the Treatment of Post Dural Puncture Headaches (ESYBRECHE)

NCT02813655Phase 2TERMINATED
Sponsor

Hospices Civils de Lyon

Enrollment

46

Started

2016

Primary outcome

Rate of blood patch use

Post-dural Puncture Headache

Acthar for Treatment of Proteinuria in Diabetic Nephropathy Patients

NCT01601236Phase 2COMPLETED
Sponsor

Mallinckrodt

Enrollment

34

Started

2012

Primary outcome

Percent Change in Estimated Glomerular Filtration Rate (eGFR) at Visit 12

Diabetic Nephropathy

Phase II Randomized Study of Early Surgery Vs Multiple Sequential Antiepileptic Drug Therapy for Infantile Spasms Refractory to Standard Treatment

NCT00004758Phase 2COMPLETED
Sponsor

National Center for Research Resources (NCRR)

Enrollment

30

Started

1993

Spasms, InfantileEpilepsy

A Clinical Study to Evaluate the Potential Role of ACTH Gel in Patients With Scleritis

NCT03465111Phase 2UNKNOWN
Sponsor

Metropolitan Eye Research & Surgery Institute

Enrollment

30

Started

2019

Primary outcome

Change in grade of pain on an 11-point pain intensity numerical rating scale (NRS).

Scleritis

ACTH as A Re-emerging theRapy for Uveitis (The ACTHAR Study)

NCT02931175Phase 2COMPLETED
Sponsor

Quan Dong Nguyen

Enrollment

28

Started

2017

Primary outcome

Incidence of ocular adverse events (AEs)

Uveitis

A Two-Arm Study Evaluation H.P. Acthar Injection Gel in Treatment of Chronic Migraines

NCT01813591Phase 2COMPLETED
Sponsor

Dent Neuroscience Research Center

Enrollment

20

Started

2013

Primary outcome

Average total number of headache days (both 40IU and 80IU groups)

Chronic Migraine

ACTHAR for Acute Treatment of Rheumatoid Arthritis Patients With Inadequate Response to Methotrexate

NCT01984268Phase 2TERMINATED
Sponsor

Dartmouth-Hitchcock Medical Center

Enrollment

15

Started

2014

Primary outcome

Improvement in Disease Activity as Measured by ACR20 and ACR50.

Rheumatoid Arthritis

Acthar in Treatment of Refractory Dermatomyositis and Polymyositis

NCT01906372Phase 2COMPLETED
Sponsor

Rohit Aggarwal, MD

Enrollment

12

Started

2013

Primary outcome

Specific Aim 1: Number of Subjects Meeting IMACS Preliminary Definition of Improvement (DOI).

DermatomyositisPolymyositis

A Dose Escalation Study of Long-acting ACTH Gel in Membranous Nephropathy

NCT01093157Phase 1/2COMPLETED
Sponsor

University Health Network, Toronto

Enrollment

10

Started

2010

Primary outcome

change in proteinuria from baseline to value at 3 months .

Glomerulonephritis

Pulse ACTH vs. MP for MS

NCT01049451Phase 1COMPLETED
Sponsor

University of Southern California

Enrollment

23

Started

2009

Primary outcome

Annualized Relapse Rate

Multiple Sclerosis

Dose-Finding Pilot Study of ACTH in Patients With Idiopathic Membranous Nephropathy

NCT00805753Phase 1COMPLETED
Sponsor

Mayo Clinic

Enrollment

20

Started

2009

Primary outcome

Change in proteinuria

Idiopathic Membranous Nephropathy

Safety and Efficacy of Acthar Gel in an Outpatient Dialysis Population

NCT02486744Phase 1TERMINATED
Sponsor

Youngstown State University

Enrollment

9

Started

2015

Primary outcome

Renal Function

End Stage Renal Disease

Relative Contributions of Predictors of Hyperandrogenism in Older vs. Young Women With PCOS

NCT03905603Early Phase 1UNKNOWN
Sponsor

University of Virginia

Enrollment

144

Started

2019

Primary outcome

Change in calculated free testosterone concentrations

Polycystic Ovary Syndrome

Effects of Hormone Stimulation on Brain Scans for Cushing s Disease

NCT01459237Early Phase 1COMPLETED
Sponsor

National Institute of Neurological Disorders and Stroke (NINDS)

Enrollment

30

Started

2011

Primary outcome

To determine effect of CRH stimulation on 18F-FDG uptake in high-resolution PET-imaging of ACTH-adenomas in CD.

Pituitary Neoplasm

Adrenocorticotropic Hormone (ACTH) for Post-op Inflammation in Proliferative Vitreoretinopathy (PVR)

NCT03727776Early Phase 1COMPLETED
Sponsor

Johns Hopkins University

Enrollment

11

Started

2019

Primary outcome

Change in mean aqueous levels of albumin in post-operative PVR patients receiving subcutaneous injections of H.P. Acthar® versus controls

Proliferative Vitreoretinopathy

Effect of Adrenocorticotropic Hormone on Vascular Endothelial Growth Factor Release in Children Study

NCT03709381Early Phase 1COMPLETED
Sponsor

Nationwide Children's Hospital

Enrollment

10

Started

2017

Primary outcome

Difference between VEGF levels at baseline and the peak VEGF level after low dose cosyntropin administration in healthy children and adolescents

Adrenal InsufficiencyOsteopenia, OsteoporosisSteroid Suppression of ACTH Secretion

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