Last reviewed · How we verify

High dose - SkQ1

Mitotech, SA · Phase 3 active Small molecule ✓ Verified May 2026

High dose - SkQ1 is a Mitochondrial-targeted antioxidant Small molecule drug developed by Mitotech, SA. It is currently in Phase 3 development for Age-related macular degeneration (AMD), Dry eye disease, Other age-related ocular conditions. Also known as: Visomitin.

SkQ1 is a mitochondrial-targeted antioxidant that accumulates in mitochondria to neutralize reactive oxygen species and protect against oxidative damage.

High dose SkQ1 is being studied in a clinical trial for the treatment of Keratoconjunctivitis Sicca and Dry Eye Syndrome. The trial is comparing the safety and efficacy of a high dose 1.55µg/mL SkQ1 ophthalmic solution to a low dose 0.155µg/mL SkQ1 ophthalmic solution and a placebo solution.

Likelihood of approval
58.3% vs 58.3% industry baseline
If approved by FDA: likely 2028–2030
Steps remaining: NDA/BLA submission
Confidence: High
Why this estimate
  • Baseline phase 3 → approval rate +58.3pp
    Industry-wide phase 3 drugs reach approval ~58.3% of the time (BIO/Informa 2023 industry benchmark across all therapeutic areas).
Predicted approval windows by jurisdiction (conditional on FDA approval)
Regulator Country Likely year Lag vs FDA
FDA US 2028–2030
EMA EU 2029–2031 +0.7 yr
MHRA GB 2029–2031 +0.7 yr
Health Canada CA 2029–2032 +0.9 yr
TGA AU 2029–2032 +1.2 yr
PMDA JP 2029–2032 +1.5 yr
NMPA CN 2030–2033 +2.3 yr
MFDS KR 2029–2032 +1.4 yr
CDSCO IN 2029–2033 +1.8 yr
ANVISA BR 2030–2033 +2.3 yr

Hover any row for the lag rationale. Lag estimates are reduced when the drug has FDA Breakthrough or EMA PRIME designation (sponsors file globally in parallel).

Estimate based on the BIO/Informa industry phase transition rates plus per-drug modifiers for therapeutic area, sponsor type, FDA designations, mechanism, and trial design. Per-jurisdiction lags from Tufts CSDD international approval studies. Not investment, clinical or regulatory advice. Methodology: /methodology#likelihood.

At a glance

Generic nameHigh dose - SkQ1
Also known asVisomitin
SponsorMitotech, SA
Drug classMitochondrial-targeted antioxidant
TargetMitochondrial electron transport chain / reactive oxygen species
ModalitySmall molecule
Therapeutic areaOphthalmology; Age-related degenerative diseases
PhasePhase 3

Mechanism of action

SkQ1 (plastoquinone derivative) is designed to cross cell membranes and concentrate in mitochondria due to its lipophilic cationic structure. Once localized to mitochondria, it acts as an electron acceptor and antioxidant, reducing mitochondrial oxidative stress and preventing cellular damage from reactive oxygen species. This mechanism is intended to slow age-related degeneration and protect against conditions driven by mitochondrial dysfunction.

Approved indications

Common side effects

Key clinical trials

Primary sources

Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.

SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

Competitive intelligence

For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:

Frequently asked questions about High dose - SkQ1

What is High dose - SkQ1?

High dose - SkQ1 is a Mitochondrial-targeted antioxidant drug developed by Mitotech, SA, indicated for Age-related macular degeneration (AMD), Dry eye disease, Other age-related ocular conditions.

How does High dose - SkQ1 work?

SkQ1 is a mitochondrial-targeted antioxidant that accumulates in mitochondria to neutralize reactive oxygen species and protect against oxidative damage.

What is High dose - SkQ1 used for?

High dose - SkQ1 is indicated for Age-related macular degeneration (AMD), Dry eye disease, Other age-related ocular conditions.

Who makes High dose - SkQ1?

High dose - SkQ1 is developed by Mitotech, SA (see full Mitotech, SA pipeline at /company/mitotech-sa).

Is High dose - SkQ1 also known as anything else?

High dose - SkQ1 is also known as Visomitin.

What drug class is High dose - SkQ1 in?

High dose - SkQ1 belongs to the Mitochondrial-targeted antioxidant class. See all Mitochondrial-targeted antioxidant drugs at /class/mitochondrial-targeted-antioxidant.

What development phase is High dose - SkQ1 in?

High dose - SkQ1 is in Phase 3.

What are the side effects of High dose - SkQ1?

Common side effects of High dose - SkQ1 include Local ocular irritation, Conjunctival hyperemia, Eye discomfort.

What does High dose - SkQ1 target?

High dose - SkQ1 targets Mitochondrial electron transport chain / reactive oxygen species and is a Mitochondrial-targeted antioxidant.

Related

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing