Delving into the Latest Updates on Polidocanol with Synapse

Overview

Basic Info

Drug Type

Polymer

Synonyms

Aethoxy-sklerol, Laureth 9, Laureth-9

+ [21]

Target

mAChRs

Action

agonists

Mechanism

mAChRs agonists(Muscarinic acetylcholine receptor agonists)

Therapeutic Areas

Cardiovascular DiseasesOther Diseases

Active Indication

primary varicose veinsVaricose VeinsBleeding esophageal varices

Inactive Indication

TelangiectasisVein disorderVenous Insufficiency

Originator Organization

Chemische Fabrik Kreussler & Co. GmbH

Active Organization

Chemische Fabrik Kreussler & Co. GmbHProvensis Ltd.

Kaigen Pharma Co., Ltd.

+ [2]

Inactive Organization

Boston Scientific Corp.

License Organization

BNC KOREA, Inc.Leios Therapeutics

Drug Highest PhaseApproved

First Approval Date

Japan (28 Jun 1991),

Bleeding esophageal varices

RegulationOrphan Drug (United States)

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Structure/Sequence

Molecular FormulaC14H30O2

InChIKeySFNALCNOMXIBKG-UHFFFAOYSA-N

CAS Registry9002-92-0

This study compares two minimally invasive treatments for varicose veins in the legs, specifically the great saphenous vein.
Varicose veins can cause symptoms such as leg pain, swelling, and skin changes. One commonly used treatment is foam sclerotherapy, where a special foam is injected into the vein to close it. This method is simple and allows patients to return quickly to their daily activities, but sometimes the vein can reopen, requiring additional treatments.
Another option is mechanochemical ablation, which combines a small device with a medication to close the vein. This method also allows for quick recovery and may have a lower chance of the vein reopening.
In this study, 50 patients with varicose veins will be randomly assigned to receive one of these two treatments. Doctors will follow patients over time to evaluate:
How well the treated vein stays closed Improvement in quality of life Pain during the procedure Possible complications All procedures are performed with local anesthesia, and additional small varicose veins are treated at the same time.

Start Date01 May 2026

Sponsor / Collaborator

University of Sao Paulo

NCT07276243

/ RecruitingNot ApplicableIIT

Comparação da eficácia clínica e estética Entre o Tratamento de Varizes Com Espuma de Polidocanol Associada ou não ao Laser transdérmico: Ensaio clínico Randomizado

This randomized, parallel clinical trial with blinded outcome assessment will compare the clinical and aesthetic outcomes of polidocanol foam sclerotherapy alone versus polidocanol foam associated with long-pulse 1064 nm Nd:YAG transdermal laser in the treatment of lower-limb tributary varicose veins. The primary endpoint is venous occlusion rate at 30 days, assessed by Doppler ultrasound. Secondary outcomes include cutaneous hyperpigmentation, pain, patient satisfaction, and adverse events.

Start Date24 Mar 2026

Sponsor / Collaborator-

100 Clinical Results associated with Polidocanol

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100 Translational Medicine associated with Polidocanol

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100 Patents (Medical) associated with Polidocanol

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1,142

Literatures (Medical) associated with Polidocanol

31 Dec 2026·INTERNATIONAL JOURNAL OF HYPERTHERMIA

Polidocanol augments high-intensity focused ultrasound efficacy for hyperintense fibroids on T2WI: a retrospective cohort study

Review

Author: He, Hong-ni ; He, Tian-wen ; Tang, Ying ; Lin, Chuan ; Tian, Ling ; Hu, Hui-quan ; Li, Jun ; Xia, Yu ; Yang, Ming-tao

OBJECTIVE:

To compare the immediate efficacy and safety of high-intensity focused ultrasound (HIFU) monotherapy with the combination of ultrasound-guided intratumoral polidocanol injection and HIFU for the treatment of uterine fibroids with high T2-weighted imaging (T2WI) signal intensity.

METHODS:

In this retrospective study, 116 patients with T2-hyperintense uterine fibroids treated between January 2024 and May 2025 were enrolled. Patients were allocated to either HIFU monotherapy (the H group, n = 63) or combined polidocanol and HIFU therapy (the H + P group, n = 53). Thereafter, therapeutic parameters, the non-perfused volume ratio (NPVR), and adverse events were compared between the two groups after propensity score matching.

RESULTS:

The matched cohort comprised 53 patients per group. The median NPVR was significantly higher in the H + P group than in the H group (92.57% vs. 77.81%, p < 0.001). Additionally, a significantly greater proportion of patients in the H + P group achieved an NPVR ≥ 80% (87% vs. 43%, p < 0.001) and an NPVR ≥ 90% (60% vs. 9%, p < 0.001). The H + P group also required significantly less sonication time and lower total energy delivery (both p < 0.05). Furthermore, the overall incidence of adverse events was similar between the two groups (73.6% vs. 69.8%, p = 0.506). However, the H + P group exhibited a markedly lower incidence of sacrococcygeal pain (5.7% vs. 45.3%, p < 0.001).

CONCLUSION:

Pretreatment with ultrasound-guided intratumoral polidocanol injection may improve the immediate ablation efficacy of HIFU in T2-hyperintense uterine fibroids, reducing energy requirements and mitigating procedure-related sacrococcygeal pain. These findings highlight the potential of this combined therapy and underscore the need for prospective studies to confirm its long-term clinical benefits.

01 Jul 2026·Journal of Vascular Surgery-Venous and Lymphatic Disorders

A randomized controlled trial of 3% polidocanol foam with saline prewashing compared with standard foam sclerotherapy for the treatment of varicose veins

Article

Author: Volpiani, Giuliano Giova ; da Silva, Viviane Santana ; Parente, José Ben-Hur Ferraz ; Leal, Isabela Zampirolli ; Zanoni, Marcela Pereira ; Ramacciotti, Eduardo ; Paganotti, Alexia ; Rocha, Lidiane Aparecida Ferreira

BACKGROUND:

Chronic venous disease is a highly prevalent global condition. Sclerotherapy with polidocanol foam is an established minimally invasive treatment. However, complications such as postprocedural hyperpigmentation remain common, and the maximum injectable volume per session may limit treatment efficacy. These factors highlight the need for optimized techniques to enhance vein occlusion and cosmetic outcomes. This study evaluated the efficacy and safety of 3% polidocanol foam with prewashing with saline compared with the conventional 1% polidocanol foam method.

METHODS:

This single-center, prospective, randomized controlled trial enrolled 35 patients (70 limbs) with Clinical Ethological Anatomical Pathophysiological class C2 to C5 varicose veins. Participants were randomized 1:1 to receive either 3% polidocanol foam with 0.9% saline prewashing and extrinsic compression using a low-density polyethylene cylinder at 20 to 30 mm Hg, or 1% polidocanol foam. Primary outcomes were venous occlusion at day 90 on Doppler ultrasound examination and foam volume. Secondary outcomes were superficial venous thrombosis, hyperpigmentation, and quality of life, assessed using the revised Venous Clinical Score at baseline and day 90.

RESULTS:

Thirty-one patients (62 limbs) completed the study (16 in the 3% polidocanol plus saline prewashing group; 15 in the 1% polidocanol group). Baseline characteristics were comparable across treatment arms. No major adverse events occurred. Occlusion rates were similar between the groups (P = .80). The 3% polidocanol foam technique achieved comparable occlusion using significantly less foam volume (0.27 ± 0.21 mL vs 0.54 ± 0.28 mL; P < .001). Rates of superficial thrombosis and hyperpigmentation were low and did not differ significantly. No statistically significant difference in the revised Venous Clinical Score was observed between groups; the small sample size may limit interpretation of these findings.

CONCLUSIONS:

The 3% SALFOAM method can be used with comparable efficacy and safety while using a lower sclerosant volume.

01 Jul 2026·JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY

Percutaneous Sclerotherapy Followed by Transabdominal Microwave Ablation for Treatment of Uterine Fibroids: A Prospective Study

Article

Author: Guo, Jing ; Zhang, Hui-Li ; Yao, Yu ; Zhu, Jing-E ; Li, Jia-Xin ; Yu, Song-Yuan ; Xie, Chen-Yi ; Sun, Li-Ping ; Peng, Cheng-Zhong

PURPOSE:

To evaluate the clinical and technical effectiveness, treatment efficiency, and safety of ultrasound (US)-guided polidocanol sclerotherapy combined with transabdominal microwave ablation (MWA) for fibroids.

MATERIALS AND METHODS:

Fifty-seven patients with 74 fibroids who underwent sclerotherapy combined with MWA treatment were included. Intraoperative contrast-enhanced US was used to assess sclerotherapy-induced vascular occlusion. Fibroid characteristics and ablation parameters were compared based on the vascular occlusion degrees (Grades 0-3). The nonperfusion volume ratio (NPVr) was calculated from magnetic resonance (MR) imaging. Follow-up at 3, 6, and 12 months evaluated symptom relief, uterine/fibroid volume, hemoglobin (Hb) level, pictorial blood loss assessment chart (PBAC) score, symptom severity score (SSS), and health-related quality of life (HRQOL) scores. Adverse events (AEs) were recorded.

RESULTS:

The mean patient age was 42 years (interquartile range [IQR], 38-46 years). Complete, significant, slight, and failed occlusion rates were 48.6%, 39.2%, 6.8%, and 5.4%, respectively. The degree of occlusion was associated with fibroid classification, T2 signal intensity, and NPVr. Median NPVr was 98.5% (IQR, 88.3%-101.1%), and median ablation efficiency was 4.9 s/cm (IQR, 3.3-6.4 s/cm). At 12 months, the complete relief rates of menorrhagia, prolonged menses, anemia, frequent micturition, and pelvic discomfort were 76.9%, 66.7%, 71.4%, 61.9%, and 68.8%, respectively. Uterine and fibroid volume decreased significantly, with improvement in Hb levels, PBAC, SSS, and HRQOL scores. No moderate or worse AEs occurred.

CONCLUSIONS:

US-guided sclerotherapy followed by MWA appears to be a practical, efficient, and safe treatment for fibroids.

10

News (Medical) associated with Polidocanol

28 Jan 2026

·www.globenewswire.com

Leios Therapeutics and BNC Korea Announce Strategic Collaboration to Accelerate Development of 10XB-101 in South Korea

Jan. 26, 2026 -- Leios Therapeutics, a clinical-stage biotechnology company focused on innovative aesthetic therapies, today announced the execution of a licensing agreement for 10XB-101, its investigational product for focal fat reduction and body contouring, along with a strategic equity investment by BNC Korea (KOSDAQ:256840), a leading healthcare and aesthetics-focused company in South Korea. “We are delighted to enter this strategic partnership with BNC Korea for 10XB-101, marking a significant milestone for Leios Therapeutics,” said Ted White, Chief Executive Officer of Leios Therapeutics. “BNC Korea’s leadership in the aesthetics market, deep regional expertise, and outstanding commercialization capabilities make them an ideal partner to help bring 10XB-101 to market. The strategic investment further validates the potential of our pipeline, strengthens our balance sheet and supports the advancement of our clinical development program and long-term growth strategy.” Choi Wan-gyo, CEO of BNC Korea added, “We are pleased to partner with Leios Therapeutics on 10XB-101, a promising candidate in the rapidly expanding body contouring market, which demonstrated compelling results in the Phase 2b study, with 64% and 70%% of completers in higher dose groups (3.0% and 4.5%) achieving grade 2 or greater improvement in both clinician and patient submental fat scales (CSFS and PSFS) compared to 0% on placebo, as part of the patient reported outcome assessment. Importantly, a pristine safety profile of 10XB-101 was observed. We believe this product has the potential to address unmet needs in focal fat treatment, and we look forward to working closely with the Leios team to advance development and commercialization in our region.” Under the terms of the agreement, Leios Therapeutics has granted BNC Korea the rights to develop and commercialize 10XB-101 in the following territories; South Korea, Taiwan, Singapore, Indonesia, Thailand, Vietnam, Russia, Belarus, and Kazakhstan. Vault Advisors acted as the exclusive financial advisor to Leios Therapeutics in the transaction. 10XB-101 is being developed as a best-in-class minimally invasive injectable treatment designed to reduce focal fat deposits and enhance body contouring outcomes. Leios has completed Phase 2 trials in submental fat reduction indication. Leios Therapeutics is a clinical-stage biotechnology company dedicated to developing innovative therapies for aesthetic indications. The company’s mission is to deliver scientifically differentiated products that offer meaningful benefits to patients, healthcare providers and partners. BNC Korea (KOSDAQ: 256840), founded in 2007 and based in Daegu, South Korea, is a manufacturer of dermal fillers, specializing in wrinkle improvement fillers and adhesion prevention products. The company researches and develops strategic application products that will lead the next-generation bio markets for medical devices, pharmaceuticals and cosmeceutical products containing physiologically active substances by processing biomaterials such as hyaluronic acid and collagen. The content above comes from the network. if any infringement, please contact us to modify.

License out/inClinical Result

02 Jan 2026

·www.prnewswire.com

United Vein & Vascular Centers Expands Dallas-Area Presence With Opening of Rockwall Clinic

ROCKWALL, Texas, Jan. 2, 2026 /PRNewswire/ -- United Vein & Vascular Centers (UVVC), a national leader in minimally invasive vein and vascular care, is proud to announce the official opening of its newest clinic in Rockwall, Texas, expanding access to expert outpatient care across the northeast Dallas area. Beginning today, patients can visit the new facility located at 1005 W Ralph Hall Parkway, Suite 221, Rockwall, TX 75032, for advanced, personalized treatment of vein and vascular conditions. The Rockwall clinic broadens UVVC's growing national network of state-of-the-art centers, providing residents of Rockwall County and surrounding communities with convenient access to comprehensive vein care close to home. At the Rockwall location, patients can expect compassionate, results-driven care delivered through minimally invasive procedures designed to relieve leg pain, improve circulation, and restore comfort and mobility. UVVC's team develops individualized treatment plans using advanced imaging and technology to achieve long-term relief and superior outcomes. Patients at the Rockwall clinic will have access to a full suite of modern procedures, including: Radiofrequency Ablation (RFA): Heat-based treatment that closes damaged veins to relieve discomfort. VenaSeal™ Closure System: Non-thermal adhesive procedure that seals diseased veins quickly and comfortably. Varithena®: Microfoam therapy that collapses problem veins and restores healthy blood flow. Microphlebectomy: Minimally invasive removal of large varicose veins through small incisions. Sclerotherapy: An injectable treatment that collapses affected veins and reroutes blood flow to healthier vessels. With the opening of the Rockwall clinic, United Vein & Vascular Centers now operates 15 clinics across Texas, expanding its reach and reaffirming its commitment to providing high-quality vein and vascular care throughout the state. For more information or to schedule a consultation at the Rockwall clinic, visit our website or call (800) 952-5954. About United Vein & Vascular Centers United Vein & Vascular Centers provides safe, effective outpatient care for vein and vascular disease at over 50 locations nationwide, including Florida, Georgia, Illinois, Colorado, Arizona and Texas. With state-of-the-art medical technology and board-certified physicians, UVVC remains at the forefront of vein and vascular healthcare. Media contact: Barbara Kramer or Mike Patino [email protected] SOURCE United Vein & Vascular Centers 21% more press release views with Request a Demo

03 Nov 2025

·www.prnewswire.com

United Vein & Vascular Centers Expands Atlanta Presence with Opening of Newnan Clinic

NEWNAN, Ga., Nov. 3, 2025 /PRNewswire/ -- United Vein & Vascular Centers (UVVC), a national leader in minimally invasive vein and vascular care, is proud to announce the official opening of its newest clinic in Newnan, Georgia. Beginning today, patients can visit the new facility located at 354 Newnan Crossing Bypass, Suite 210, Newnan, GA 30263, for expert, outpatient vein and vascular treatment. The Newnan clinic expands UVVC's growing network of state-of-the-art centers across the country, providing residents of Coweta County and the greater south metro Atlanta area with convenient access to expert vein and vascular care. Led by Dr. Conrad Manayan, D.O., a board-certified vein specialist, the Newnan clinic provides comprehensive care for a variety of vein and vascular conditions. Using advanced imaging and minimally invasive techniques, Dr. Manayan and his team create personalized treatment plans to relieve pain, improve circulation, and help patients regain comfort and mobility. Patients at the Newnan clinic will have access to a full suite of advanced, outpatient procedures, including: Radiofrequency Ablation (RFA): Heat-based treatment that closes damaged veins and alleviates leg discomfort. VenaSeal™ Closure System: A quick, non-thermal procedure that seals problem veins using a medical adhesive. Varithena®: Microfoam therapy that collapses diseased veins to restore healthy circulation. Microphlebectomy: Minimally invasive removal of large varicose veins through small incisions. Sclerotherapy: Injection treatment for spider veins and smaller varicose veins. The opening of the Newnan clinic reinforces UVVC's commitment to expanding access to expert vein care across Georgia and beyond. For more information or to schedule a consultation at the Newnan clinic, visit our website or call (800) 952-5954. About United Vein & Vascular Centers United Vein & Vascular Centers provides safe, effective outpatient care for vein and vascular disease at over 50 locations nationwide, including Florida, Georgia, Illinois, Colorado, Arizona and Texas. With state-of-the-art medical technology and board-certified physicians, UVVC remains at the forefront of vein and vascular healthcare. Media contact: Barbara Kramer or Mike Patino [email protected] SOURCE United Vein & Vascular Centers 21% more press release views with Request a Demo

100 Deals associated with Polidocanol

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External Link

KEGG	Wiki	ATC	Drug Bank
-	Polidocanol	C05BB02	DB06811

R&D Status

Approved

10 top approved records.

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Indication	Country/Location	Organization	Date
primary varicose veins	Japan	Kaigen Pharma Co., Ltd.	26 Jul 2006
Varicose Veins	Australia	Accelagen	27 Jul 2001
Bleeding esophageal varices	Japan	Kaigen Pharma Co., Ltd.	28 Jun 1991

Developing

10 top R&D records.

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Indication	Highest Phase	Country/Location	Organization	Date
Venous Insufficiency	Phase 3	United States	Boston Scientific Corp.	01 Sep 2010
Telangiectasis	Phase 3	Germany	Chemische Fabrik Kreussler & Co. GmbH	08 Nov 2006
Vein disorder	Phase 3	Germany	Chemische Fabrik Kreussler & Co. GmbH	08 Nov 2006

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Clinical Result

Indication

Phase

Evaluation

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Study	Phase	Population	Analyzed Enrollment	Group	Results	Evaluation	Publication Date


NCT05312970 (VERITAS, CTgov)	Phase 4	Varicose Veins	43	Varithena® (Varithena®)	ipxfsxqdjk(lbrehybwfa) = tnyispxodg vchysloyyy (cnozvgkzze, 8.23) View more	-	20 Mar 2026
				FDA-approved Endothermal Ablation (ETA) systems (FDA-approved ETA Systems)	ipxfsxqdjk(lbrehybwfa) = kuymwitjfi vchysloyyy (cnozvgkzze, 4.55) View more
NCT02557542 (OSVeC, CTgov)	Not Applicable	Varicose Veins	3	Endovenous laser ablation+Sodium Tetradecyl+Polidocanol (One Stop Vein Clinic)	kxlpyqdixi(aswgwbdurt) = xdxdyzipyf nqhepftjfh (dvppuashxl, upsxpxfhvh - jntgkpkpnz) View more	-	16 May 2025
				Endovenous laser ablation+Sodium Tetradecyl+Polidocanol (Normal Care Pathway)	kxlpyqdixi(aswgwbdurt) = vrzyxedbcs nqhepftjfh (dvppuashxl, gxfljqmeem - ugiweqjefk) View more
NCT05154955 (NEWS)	Phase 2	-	-	聚多卡醇-10XB101	qmlyaokxir(eqvqemtssx) = zmuszrghlk fuszwvzlwc (usydpbahht )	Positive	11 Mar 2024
				安慰剂	qmlyaokxir(eqvqemtssx) = ppfmumhgmd fuszwvzlwc (usydpbahht )
UEGW2022	Not Applicable	Hemorrhoids	46	Polidocanol foam sclerotherapy (SP)	hbhsoppqqw(fcatgxgfjd) = ddflasqrfc igzqrnqmee (hkgxjfenkc ) View more	Positive	09 Oct 2022
				Polidocanol foam (Hemorrhoidal artery ligation with recto-anal repair (HAL-RAR))	hbhsoppqqw(fcatgxgfjd) = szljhpwitr igzqrnqmee (hkgxjfenkc ) View more
NCT03791775 (SCLEROFOAM, Pubmed \| Tech Coloproctol) Manual	Phase 2	Hemorrhoids	183	polidocanol foam	cklegigupm(thzxakjjci) = pwmupygrrw hiqqxkjugr (gfslbsllzz ) View more	Positive	25 Mar 2022
NCT02462720 (COMFORT, CTgov)	Phase 4	Pain \| Varicose Veins	35	polidocanol (Varithena®)	pxqqjhhrpx(rmfgcccmqs) = jdzaqseysn dociwtwkcy (jmcxiuhxsy, 2.90) View more	-	23 Jan 2018
				Varithena (Radiofrequency Ablation)	pxqqjhhrpx(rmfgcccmqs) = ncpxxekdky dociwtwkcy (jmcxiuhxsy, 2.90) View more
NCT02657252 (PG3T, CTgov)	Phase 4	Telangiectasis \| Varicose Veins	115	Glucose (Glucose)	xorwmjkkqt(uxpgpnaanj) = zujbzxxmkp qgrpvlglki (qsngzpbulh, 22.69) View more	-	28 Nov 2017
				Glucose (Polidocanol With Glucose)	xorwmjkkqt(uxpgpnaanj) = ysjowgxegr qgrpvlglki (qsngzpbulh, 18.63) View more
NCT00758420 (Pubmed \| Phlebology)	Phase 2/3	Varicose Veins	77	Varithena 1%	peqtxyhbkk(jqtdximqtt) = reported as mild and generally resolved without sequelae xzjrondlyj (awarlvgcto )	-	01 Apr 2017
				Placebo
NCT02054325 (CTgov)	Phase 4	Vein disorder \| Varicose Veins	106	Polidocanol with Glucose (Polidocanol With Glucose)	cptayfzqbe(yglfhegwws) = zfgkpwqwtq ompwtjbzjd (shxytfsgej, 9.09) View more	-	27 Jan 2017
				Glucose (Glucose)	cptayfzqbe(yglfhegwws) = etcxwbmwrw ompwtjbzjd (shxytfsgej, 17.04) View more
NCT01072877 (VANISH-1, CTgov)	Phase 3	Varicose Veins	279	Placebo Vehicle (Vehicle)	zpxblyqkti(vbzwkwkxpp) = ogpdpdmugh unclndarox (ncgumqvudd, 0.452) View more	-	16 May 2014
				Polidocanol injectable foam (PEM) (Polidocanol Injectable Foam 0.125%)	zpxblyqkti(vbzwkwkxpp) = jsnsrwcsae unclndarox (ncgumqvudd, 0.447) View more