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DESF

Phase 2

Allergic Reaction | Small molecule | Other |Aquestive Therapeutics, Inc.|Last Updated: Sep 26, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment36
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06527937Pharmacokinetics Study of DESF in Adults With Oral Allergy SyndromePHASE2 COMPLETED 36Jul 17, 2024Oct 13, 2024Sep 26, 20251 United States
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Study Endpoints
Primary Endpoints
Cmax
0 to 240 minutes post-dose

Baseline Corrected Maximum Epinephrine Plasma Concentration occurring at Tmax (Time to reach maximum concentration)

AUC0-10
0 to 10 minutes

Baseline Corrected Plasma Epinephrine Concentration-Time Curve from Time Zero to 10 minutes

AUC0-20
0 to 20 minutes

Baseline Corrected Plasma Epinephrine Concentration-Time Curve from Time Zero to 20 minutes

AUC0-30
0 to 30 minutes

Baseline Corrected Plasma Epinephrine Concentration-Time Curve from Time Zero to 30 minutes

AUC0-45
0 to 45 minutes

Baseline Corrected Plasma Epinephrine Concentration-Time Curve from Time Zero to 45 minutes

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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Single Doses of DESF and Intramuscular Manual InjectionEXPERIMENTALSingle dose of DESF (12 mg) administered after allergen challenge (Treatment Period 1), followed by a single dose of intramuscular (IM) manual injection (0.3 mg) without allergen challenge after a 24-hour washout period (Treatment Period 2), followed by a single dose of DESF (12 mg) without allergen challenge after a 14-day washout period from Treatment Period 1.
Repeat Doses of DESF and Intramuscular Manual InjectionEXPERIMENTALRepeat dose of DESF (24 mg \[12 mg x 2\]) administered after allergen challenge (Treatment Period 1), followed by a repeat dose of IM manual injection (0.6 mg \[0.3 mg x 2\]) without allergen challenge after a 24-hour washout period (Treatment Period 2), followed by a repeat dose of DESF (24 mg \[12 mg x 2\]) without allergen challenge after a 14-day washout period from Treatment Period 1.
Interventions
NameTypeDescription
DESFDRUGDESF administered in the sublingual space.
Epinephrine InjectionDRUGEpinephrine manual injection administered intramuscularly according to the approved prescribing information.
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Eligibility Criteria
Age Range18 Years — 55 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Willing and able to provide written informed consent and capable of following the protocol-required guidelines. * Healthy males and females 18 through 55 years of age. * Body weight ≥50 kg for males and ≥45 kg for females. * BMI ≥18 kg/m2 to ≤32 kg/m2. * Known history of oral ...

Countries:United States
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