What potential treatments are in development?

Drug Development Pipeline

All information shared on this website is publicly available and reproduced here as a resource for the community. Note that FARA does not endorse, control, or govern the research pipeline programs.

The pipeline is a visual tool for communicating the progress of potential therapeutics.

To download a printable PDF of the pipeline, click here. Lead candidates are grouped based on mechanism of action or approach to treatment. The stage of the research (in the country where the candidate is furthest in its development process) is represented across the page. To learn more about the stages of drug development, click here.

FARA supports the advancement of treatments with financial resources, advocacy, patient engagement and/or fostered collaboration. FARA believes that an effective treatment for FA will come in the form of a "cocktail approach" — a combination of two or more therapies. The descriptions of programs shared here are for informational purposes only and are not medical advice or an endorsement of any program.

Active – programs currently under development and supported by the listed sponsor.

Inactive – programs no longer in development because of lack of safety or efficacy or for which the sponsor has paused recruitment because of resource constraints and for which there is not a clear path forward.
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Discovery
Finding potential therapies / drugs
Pre-clinical development
Testing in laboratory
Regulatory Submission
Permission to enter clinic
Phase I
Human safety trial
Phase II
Human safety and efficacy trial
Phase III
Definitive trial
Request for Approval
Permission to enter market
Available to patients

Improve Mitochondrial Function & Reduce Oxidative Stress

SKYCLARYS (omaveloxolone)

Biogen

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Available to patients *
Available to patients *

Improve Mitochondrial Function & Reduce Oxidative Stress

Vatiquinone (PTC-743)

PTC Therapeutics

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Phase III
Phase III

Improve Mitochondrial Function & Reduce Oxidative Stress

Elamipretide

Children’s Hospital of Philadelphia

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Phase I/II
Phase I/II

Improve Mitochondrial Function & Reduce Oxidative Stress

NAD+ and Exercise in FA

Children’s Hospital of Philadelphia

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Phase II
Phase II

Modulation of Frataxin Controlled Metabolic Pathways

Leriglitazone (MIN-102)

Minoryx Therapeutics

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Phase II
Phase II

Modulation of Frataxin Controlled Metabolic Pathways

Dimethyl Fumarate

University of Federico II

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Phase II
Phase II

Frataxin Replacement, Stabilizers, or Enhancers

Nomlabofusp (CTI-1601)

Larimar Therapeutics

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Phase II
Phase II

Increase Frataxin Gene Expression

DT-216P2

Design Therapeutics

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Pre-clinical
Pre-clinical

Cell Therapy

PPL-001

Papillon Therapeutics

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Pre-clinical
Pre-clinical

Gene Replacement

LX2006 Gene Therapy

Lexeo Therapeutics

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Phase I/II
Phase I/II

Gene Replacement

AVB-202-TT Gene Therapy

Solid Biosciences

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Pre-clinical
Pre-clinical

Gene Replacement

ASP2016

Astellas Gene Therapies

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Phase I
Phase I

Gene Replacement

Neurocrine Biosciences / Voyager Therapeutics AAV-Gene Therapy

Neurocrine Biosciences / Voyager Therapeutics

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Pre-clinical
Pre-clinical

Gene Replacement

FA212

FA212/UPenn

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Pre-clinical
Pre-clinical

Gene Editing

AAV Gene Editing

Prime Medicine

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Discovery
Discovery

Inactive

Acetyl-L-Carnitine or ALCAR

University of South Florida

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Inactive

Inactive

BMN 290

BioMarin/RepliGen

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Inactive

Inactive

Calcitriol (vitamin D3)

Berta Alemany, Institut d’Inverstigacio Biomedica de Girona

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Inactive

Inactive

Chantix® (varenicline)

FARA, University of South Florida

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Inactive

Inactive

Crestor® (rosuvastatin)

Children’s Hospital of Philadelphia (CHOP)

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Inactive

Inactive

Deferiprone

Apopharma

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Inactive

Inactive

A0001

Edison Pharmaceuticals

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Inactive

Inactive

Epicatechin

Mayo Clinical and Epirium Bio (formerly Cardero Therapeutics)

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Inactive

Inactive

Etravirine

Fratagene

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Inactive

Inactive

EPO (epoetin a)

Department of Neurology, Innsbruck Medical University, Innsbruck, Austria; Federico II University

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Inactive

Inactive

Exenatide (incretin analogs)

Universite Libre de Bruxelles, Brussels, Belgium

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Inactive

Inactive

GCSF

University of Bristol

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Discontinued

Inactive

Idebenone (Raxone®/Catena®)

Santhera Pharmaceuticals

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Inactive

Inactive

Interferon gamma (Actimmune®)

Horizon Therapeutics

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Inactive

Inactive

LU AA24493

Lundbeck

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Inactive

Inactive

Methylprednisolone

Children’s Hospital of Philadelphia

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Inactive

Inactive

Nicotinamide

Richard Festenstein, Imperial College; Jorg Schulz, Aachen University

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Inactive

Inactive

OXIGON (OX1 aka SHP622, VP20629)

Shire (Viro Pharma)

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Inactive

Inactive

Pioglitazone

Pierre Rustin, Hospital Robert Debre

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Inactive

Inactive

Resveratrol

Jupiter Orphan Therapeutics, Murdoch Children's Research Institute

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Inactive

Inactive

TAK-831

Takeda Pharmaceuticals

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Inactive