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ATR12-351

Phase 1

Netherton Syndrome | Small molecule | Rare Disease |Azitra Inc|Trials Updated: Jul 29, 2026

ATR12-351 development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since Nov 2023

ATR12-351 target and mechanism

Molecular targetLEKTI
Target classProtein
ModalitySmall molecule

Also known as ATR-12

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials1
Total Enrollment6

FDA Designations

No designations recorded

ATR12-351 clinical trials

ATR12-351 · 1 trial · 1 indication

Phase 1 1
NCT06137157Evaluation of Topical ATR12-351 in Adults With Netherton SyndromeNetherton Syndrome
COMPLETED6 Analytics
PHASE1COMPLETED
Evaluation of Topical ATR12-351 in Adults With Netherton Syndrome
Netherton SyndromeUnlock trial analytics

Study Endpoints

Primary Endpoints

Adverse events
84 days

Incidence, severity, seriousness and relatedness of all treatment-emergent adverse events

Secondary Endpoints

Investigator's Global Assessment (IGA)
42 days
Patient's Global Assessment (PGA)
42 days
NS-modified SCORAD
42 days
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Internal controlled armEXPERIMENTALATR12-351 on left side of body, vehicle on right side of body in one group; vehicle on left side of body, ATR12-351 on right side of body.

Interventions

NameTypeDescription
ATR12-351DRUGTopical ointment containing ATR12-351, a LEKTI-secreting strain of S. epidermidis
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Adults ≥18 years of age * Confirmed mutation of the serine protease inhibitor of Kazal type 5 (SPINK5) gene * Involvement of ≥20% of body surface area with skin changes consistent with Netherton syndrome Exclusion Criteria: * Use of biologic therapies, antibiotics, antihista...

Countries:United States
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Recent Changes (Last 90 Days)

MEDIUMAug 29, 2026NCT06137157TRIAL_REMOVED: changed
MEDIUMAug 29, 2026NCT06137157TRIAL_REMOVED: changed
MEDIUMAug 29, 2026NCT06137157TRIAL_REMOVED: changed
HIGHJul 29, 2026NCT06137157Status: RECRUITING → COMPLETED
HIGHJul 29, 2026NCT06137157Status: RECRUITING → COMPLETED

Frequently asked questions about ATR12-351

What is ATR12-351 used for?

ATR12-351 is an investigational topical small molecule being developed for the treatment of Netherton Syndrome, a rare genetic skin disorder. It is not yet approved for any indication and remains in clinical development. Azitra Inc is evaluating it as a topical therapy for adults with this condition.

What does ATR12-351 target?

ATR12-351 targets LEKTI, a protein encoded by the SPINK5 gene that is deficient in Netherton Syndrome. By targeting this protein, the therapy aims to address the underlying cause of the skin barrier defect associated with the condition. LEKTI deficiency leads to uncontrolled protease activity in the skin.

Who is developing ATR12-351?

ATR12-351 is being developed by Azitra Inc, a clinical-stage biopharmaceutical company. Azitra trades on the NYSE American under the ticker symbol AZTR. The company focuses on developing therapies for rare skin diseases, and ATR12-351 is its topical small molecule candidate for Netherton Syndrome.

What phase is ATR12-351 in?

ATR12-351 is in Phase 1 clinical development. A single Phase 1 trial has been completed, evaluating the topical therapy in adults with Netherton Syndrome. The drug is investigational and has not received FDA approval for any indication.

What clinical trials is ATR12-351 in?

ATR12-351 has been studied in one completed Phase 1 trial, NCT06137157, titled Evaluation of Topical ATR12-351 in Adults With Netherton Syndrome. The trial enrolled 6 participants in the United States, was uncontrolled, and included adults aged 18 years and older of all sexes.