Radicut (edaravone) FDA approved under the brand name Radicava

100 % legal and regulated
Secured logistics globally
24/7 track & trace delivery
Safe payment by bank transfer or credit card

We are registered as an independent intermediary for medicines with the Dutch Ministry of Health

Radicut (edaravone) FDA approved under the brand name Radicava

Please note that we have a generic form of edaravone (made by Pfizer and other brands) available to order as well. [Edaravone]. 

How to buy Radicut (edaravone): You can order Radicut (edaravone) via TheSocialMedwork if the drug has not been approved and/or is not available in the patient's country. TheSocialMedwork - helping patients and doctors access the latest approved medicines and at the lowest price possible worldwide.

Manufacturer Mitsubishi Tanabe
Disease ALS
Indication Amyotrophic Lateral Sclerosis (ALS)
Mode of Action Radical scavenger
Approval Status FDA approved (USA); PMDA approved (JAP)
CAS Number 89-25-8
HS Code 29331990
Strength 30 mg / 20 mL (vials), 30 mg / 100 mL (infusion bags)

Who is Radicut (edaravone) for?

Edaravone is indicated for:
  • Patients with amyotrophic lateral sclerosis (ALS) [2][7].
  • Patients affected by neurological symptoms, disorder of activities of daily living, and functional disorder associated with acute ischaemic stroke [2].
Radicut (edaravone) is approved in Japan under the name Radicut for both indications [2] and in the USA under the name Radicava for the treatment of ALS [7]. Radicava and Radicut contain the same active ingredient edaravone.

Radicut (edaravone) recommended dose

Complete information about Radicut (edaravone) dosage and administration can be found here for Radicut: [1] (an unofficial translation can be found here: [10]); and here for Radicava: [8].
The standard dosage for adult patients affected by disorders associated with ischaemic stroke is [1]:
  • 30 mg of edaravone diluted with an appropriate volume of physiological saline, etc., which is administered intravenously over 30 minutes twice a day in the morning and the evening.
  • Administration of this product should be initiated within 24 hours after the onset of the disease, and the duration of administration should be within 14 days.
The standard dosage for adult patients with ALS is [1][8]:
  • 60 mg of edaravone administered intravenously over 60 minutes once a day.
  • First cycle: daily dosing for 14 days followed by a 14-day drug-free period
  • Subsequent treatment cycles: daily dosing for 10 days out of 14-day periods, followed by 14-day drug-free periods.
Radicut, distributed by MT Pharma Japan, is supplied in two formats:
  • Single-dose infusion bags containing 30 mg / 100 mL clear, colorless, sterile solution. The infusion bags are ready for use. No dilution is required. Two infusion bags are needed for one infusion.
  • Single-dose vials containing 30 mg / 20 mL clear, colorless, sterile solution. Before the infusion, it should be diluted with an appropriate volume of physiological saline. Two vials are needed for one infusion [1].
Radicava, distributed by MT Pharma America, Inc, is supplied in single-dose polypropylene bags containing 30 mg / 100 mL clear, colourless, sterile solution for intravenous infusion (no dilution needed). Each 60 mg dose should be administered as two consecutive 30 mg intravenous infusion bags over a total of 60 minutes (infusion rate approximately 1 mg per minute ) [8].

What is Radicut (edaravone) and how does it work?

Radicut (edaravone) is a radical scavenger used to treat patients with ALS [1][8] or ischaemic stroke [1].
Free radicals such as hydroxyl radical (-OH) play a major causative role in the development of cerebral vascular disorder resulting from ischaemia. During ischaemia or ischaemic reperfusion, the production of free radicals increases which leads to cell membrane injury and ultimately to cerebral dysfunction [1].
Although the etiology of development and disease progress of amyotrophic lateral sclerosis (ALS) are unknown, a possible involvement of oxidative stress caused by free radicals is suggested [1].
The mechanism by which edaravone exerts its therapeutic effect in patients with ALS is unknown [8]. It is expected that edaravone scavenges free radicals and prevents oxidative damage to brain cells (vascular endothelial cells/nerve cells). In the case of amyotrophic lateral sclerosis (ALS), this product is expected to suppress the disease progression by exerting its inhibitory effects against the development of oxidative damage to nerve cells [1].

Is Radicut (edaravone) approved?

Radicut (edaravone) was approved by:
  • PMDA (JAP) as Radicut:
    • in June 2001 for acute ischemic stroke [2].
    • in June 2015 for the treatment of ALS [2].
  • FDA (USA) on May 5, 2017, as Radicava for the treatment of ALS [7].
The approval for the treatment of ALS was based on a study (MCI186-19) which compared the effect of edaravone with placebo on 137 ALS patients (69 patients on edaravone; 68 patients on placebo). The study consisted of 6 cycles. The comparison was based on the changes in the ALSFRS-R scores before and after the treatment. The ALSFRS-R scale consists of 12 questions that evaluate the fine motor, gross motor, bulbar, and respiratory function of patients with ALS in activities as speech, salivation, swallowing, handwriting, cutting food, dressing/hygiene, turning in bed, walking, climbing stairs, dyspnea, orthopnea, and respiratory insufficiency. Each item is scored from 0-4, with higher scores representing greater functional ability [8]. Although rates of ALS progression can vary significantly, research shows that people with ALS lose an average of one point per month on the ALSFRS-R scale [9]. The patients selected for the study had ALSFRS-R scores of minimum 2 on all 12 items; normal respiratory function (defined as percent-predicted forced vital capacity values of [% FVC] β‰₯80 %); disease duration of maximum 2 years. The majority of patients (90 %) in both groups were treated during the course of the study with another medicine named riluzole [8].
The decline in ALSFRS-R scores from baseline after 24 weeks was significantly less in the edaravone-treated patients (Mean Β± Standard Error (95 % CI) = - 5.01 Β± 0.64) as compared to placebo (Mean Β± Standard Error (95 % CI) = - 7.50 Β± 0.66) with a difference between edaravone and placebo on the ALSFRS-R scale of 2.49 (95 % CI = 0.99, 3.98) [8]. This corresponds to a 33 % difference between the two groups [9].
As it is the case with every medicine, the effect of edaravone, although on average superior to placebo, was not the same for all patients. The distribution of change in ALSFRS-R scores from baseline to Week 24 by percent of patients can be found here: [8].
Additional results can be found here: [1][3][4].
The most common adverse reactions reported by clinical trial participants receiving edaravone were bruising (contusion) and gait disturbance. It is also associated with serious risks that require immediate medical care, such as hives, swelling, or shortness of breath, and allergic reactions to sodium bisulfite, an ingredient in the drug [7].
In December 2014, edaravone was granted orphan designation by the European Commission for the treatment of ALS [5]. The European Medicine Agency (EMA) granted the orphan designation [6] based on the following expected mechanism of action:
"Damage to nerve cells in ALS appears to have several causes but there is evidence that it may involve damage to nerves caused by toxic molecules containing oxygen. In some patients, this is associated with a defect in the gene responsible for producing the enzyme called superoxide dismutase (SOD), which causes the enzyme to clump together inside nerve cells. This leads to inflammation and kills the affected nerve cells. Edaravone is expected to act as an antioxidant, a molecule that can prevent damage to nerve cells caused by oxygen-containing molecules, and also blocks the clumping together of SOD in the nerves and so reduces inflammation..."
[1] Summary of Product Characteristics [PMDA]: Radicut (edaravone), Mitsubishi Tanabe Pharma Corporation, June 2015.
[2] MT Pharma Press Release. MT Pharma Co. receives approval for additional indication for ALS in Japan. 26/06/2015.
[3] Abe K., et al. Confirmatory double-blind, parallel-group, placebo-controlled study of efficacy and safety of edaravone (MCI-186) in amyotrophic lateral sclerosis patients. Amyotroph Lateral Scler Frontotemporal Degener. 2014 Dec; 15(7–8):610–7
[4] Yoshino H. and Kimura A. Investigation of the therapeutic effects of edaravone, a free radical scavenger, on amyotrophic lateral sclerosis (Phase II study). Amyotroph Lateral Scler. 2006 Dec.; 7(4):241–5.
[5] EMA. Public summary of opinion on orphan designation. 23/02/2015.
[6] EMA. Orphan Designation. Cited on Jun. 2016.
[7] FDA News Release: FDA approves drug to treat ALS, 05/05/2017.
[8] Summary of Product Characteristics [FDA]: Radicava (edaravone), MT Pharma America Inc., May 2017.
[9] Multivu.com. What is Radicava (edaravone)? Cited on May 2017.
[10] Summary of Product Characteristics [Unofficial translation]: Radicut (edaravone), Jun. 2015.

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Medicine information contained herein may be time sensitive. The absence of a warning for a given medicine or combination thereof in no way should be construed to indicate that the medicine or combination is safe, effective or appropriate for any given patient. Always consult your treating physician before starting a course of treatment.

How can we help?

β˜… β˜… β˜… β˜… β˜…

We've received requests for support from patients and doctors in over 120 countries, and delivered medicines to 6 continents. They've given us a 5 star rating for our service. Read what our friends from around the world are saying...

"My experience has been excellent. TheSocialMedwork were totally knowledgeable about the medicine I was looking for, and how to get it delivered to me quickly and easily. I UNCONDITIONALLY recommend TSM to anyone, it is truly a world-class organisation."

β€” Charles, USA

"During the transaction process I was very well informed by TheSocialMedwork team. They have put so much effort to ensure the best service was offered to me. Moreover the medicine I ordered was imported two weeks earlier. I highly recommend TheSocialMedwork."

β€” Tomasz, Poland

"I hope you know how needed you are and what it means to get a prompt, succinct and helpful reply. You are our hero. You have given us realistic hope in obtaining needed drugs in a timely way."

β€” Regina, US

"TheSocialMedwork were so helpful in getting the right medication to me, expediting its delivery, and keeping in touch. They simply can't do enough to help you. I would not hesitate to recommend TheSocialMedwork to anybody. Lovely people."

β€” Stephen, UK

"Totally awesome! Keep up the great work you're doing!"

β€” Dee, Australia

"When the doctor tells you that there are no treatments left to try, search further - there may be new treatments in other countries."

β€” Charlotte, The Netherlands

"TheSocialMedwork's professional capabilities, kindness and patience deserve our gratitude and respect."

β€” Haoyu, China

"My daughter died at the age of 21 because she couldn't get the treatment that might have saved her life. Now TheSocialMedwork might be able to help people like Abigail to get the best treatment."

β€” Frank, Virginia, USA

"The team is highly professional, friendly and will take care of everything. More options for doctor and patients. This service is transparent, unique and necessary. Keep it up!"

β€” Pa Tric, Germany

Registered with the Dutch Ministry of Health as an independent intermediary, Registration number 6730 BEM
Registered as a USA Delaware LLC.

Our service uses cookies.