Recent Updates
Recently added Catalysts

Piclidenoson

Phase 3

Plaque Psoriasis | Small molecule | Dermatology |Can-Fite Biopharma Ltd|Trials Updated: Feb 18, 2026

Piclidenoson development status

Highest phase Phase 3
Registered trials 12 across 1 sponsor since Jan 2006

Piclidenoson target and mechanism

Molecular targetADORA3
Target classAgonist
ModalitySmall molecule

Also known as CF101

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials12
Total Enrollment2,604

FDA Designations

No designations recorded

Piclidenoson clinical trials

Piclidenoson · 12 trials · 8 indications

Phase 3 3Phase 2 9
NCT06643260A Phase 3 Study in Moderate-to-Severe Plaque Psoriasis With Piclidenoson to Study Safety and EfficacyPlaque Psoriasis
NOT YET_RECRUITING705 Analytics
NCT03168256CF101 Therapy in Patients With Moderate-to-severe Plaque PsoriasisPlaque Psoriasis
COMPLETED528 Analytics
NCT01235234Trial of CF101 to Treat Patients With Dry Eye DiseaseKeratoconjunctivitis Sicca
COMPLETED236 Analytics
PHASE3NOT YET_RECRUITING
A Phase 3 Study in Moderate-to-Severe Plaque Psoriasis With Piclidenoson to Study Safety and Efficacy
Plaque PsoriasisUnlock trial analytics
PHASE3COMPLETED
CF101 Therapy in Patients With Moderate-to-severe Plaque Psoriasis
Plaque PsoriasisUnlock trial analytics
PHASE3COMPLETED
Trial of CF101 to Treat Patients With Dry Eye Disease
Keratoconjunctivitis SiccaUnlock trial analytics

Study Endpoints

Primary Endpoints

Proportion of subjects who achieve a Psoriasis Area and Severity Index (PASI) score response of ≥75% (PASI 75)
16 weeks

Improvement of psoriasis by 75% or more

proportion of subjects who achieve a Static Physician's Global Assessment (sPGA) of 0 or 1 with at least a 2-point improvement from Baseline
16 weeks

Improvement of psoriasis by physicians' judgment

Proportion of subjects who experience adverse events
52 weeks

All adverse events occurring the trial will be recorded

Psoriasis Area and Severity Index (PASI) score response of ≥75% (PASI 75) at Week 16
16 weeks

Evaluate the efficacy of oral CF101 2 mg or 3 mg twice daily (BID) in patients with moderate-to-severe plaque psoriasis, compared with placebo, as determined by the proportion of subjects who achieve a Psoriasis Area and Severity Index (PASI) score response of ≥75% (PASI 75) at Week 16 (superiority)

Adverse event profile in this patient popluation
16 weeks

Nature, incidence and severity of treatment-emergent adverse events

Number of Subjects Who Achieved Complete Clearing of Corneal Staining (i.e., Total Corneal FS Score = 0) at Week 24
24 weeks

Complete clearing of corneal staining by fluorescein staining (FS). The primary efficacy analysis was performed for 1eye (target eye), defined as the eye with the larger corneal FS value at Baseline. If both eyes had the same corneal FS value at baseline, the target eye was considered the eye with the larger central corneal staining value at Baseline. Corneal FS defined as a corneal punctate fluorescein staining score of ≥4 in either eye by the National Eye Institute evaluation scale summed over 5 areas each with a 0-3 scoring scale

Number of Subjects With Adverse Events
24 weeks

Determine the safety of oral CF 101 in this subject population. Adverse Events (AEs) and changes in vital signs, physical examination, clinical laboratory tests (liver, kidney, hematology, chemistry and urinalysis), electrocardiogram (ECG) findings, slit lamp and ophthalmic examination, visual acuity, and intraocular pressure measurements.

99mTc-DMSA
6 months

The primary end-point is to assess whether treatment for 6 months with piclidenoson improves the functioning of renal proximal tubular cells (PTCs), as assessed by the increase in 99mTc-DMSA uptake as compared to Baseline

Proportion of subjects alive and free of respiratory failure
29 days

Proportion of subjects alive and free of respiratory failure (defined as need for non-invasive or invasive mechanical ventilation, high-flow oxygen, or extracorporeal membrane oxygenation) at Day 29

Proportion of subjects discharged home alive
29 days

Proportion of subjects alive and discharged to home without need for supplemental oxygen at Day 29

Treatment-emergent adverse events (AEs)
29 days

Proportion of patients experiencing AEs

Number of Subjects Achieving Psoriasis Area and Severity Index (PASI) 75 at 12 Weeks
12 weeks

Achievement of PASI 75 indicates a 75% reduction in the PASI score, which ranges from 0 (no disease) to 72 (maximal disease)

Intraocular Pressure in mmHg
16 weeks

The mean of the IOP measurements obtained at week 16

Number of Subjects Achieving an American College of Rheumatology 20 (ACR20) Response (20% Improvement)
12 weeks

ACR20 Response is defined as a 20% improvement from baseline in disease: 1. \>20% improvement in tender joint count (TJC), and 2. \>20% improvement in swollen joint count (SJC), and 3. \>20% improvement in at least 3 of following 5: 1. Physician global assessment (PGA), 2. Patient global assessment (PAGA), 3. Patient pain assessment (PPA), 4. Patient's assessment of physical function using Health Assessment Questionnaire (HAQ), and 5. Most improved response of ESR and CRP

ACR20 at Week 12
12 weeks

Number of patients that achieved 20% response at week 12 in American College of Rheumatology Criteria

Change From Baseline (CFB) in Psoriasis Area and Severity Index (PASI) Score
12 weeks minus baseline

PASI scale is sum of redness, thickness, and scale scores, ranging from 0 (no disease) to 72 (most severe possible score); lower scores, i..e., negative change from baseline, indicate improvement

Change From Baseline to Week 12 in Schirmer Test (ST) Score in Millimeters
12 weeks

Involved placing a standardized paper tear strip inside the lower eyelid for 5 minutes. The tear strip was then removed and the length of the strip that was wet from tears was measured in millimeters. Change from baseline is calculated. Scores range 0-35 mm, with higher scores indicating more (better) tear production.

Change From Baseline to Week 12 in Tear Break-Up Time (BUT) in Seconds
12 weeks

Time elapsed between a complete blink and the development of the first random dry spot on the tear film as seen under fluorescent light. Change from baseline is calculated. Scores range 0-30 seconds, with higher scores indicating better tear composition and function.

Number of Subjects With >25% Improvement in Fluorescein Staining of the Cornea (FS) at Week 12
12 weeks

Severity of corneal epithelial loss as graded by Fluorescein Staining of the cornea, assessed on a 0-4+ scale with 0 = none and 4+ = severe de-epithelialization (in other words, higher scores indicate worse disease), expressed as number of participants with \>25% improvement at Week 12 relative to baseline.

ACR Efficacy Criteria
12 weeks

ACR 20 response (20% improvnent in RA based on swollen and tender joint counts, physician and patient global assessments of disease activity, a patient pain score) at endpoint (Week 12), with all-cause dropouts considered as nonresponders (nonresponder imputation) in the Intent-To-Treat (ITT) population

Secondary Endpoints

Efficacy as determined by the proportion of subjects who achieve both PASI 75 and sPGA of 0 or 1 with at least a 2-point improvement from Baseline
16 weeks
Efficacy as determined by the proportion of subjects who achieve improvement of the Psoriasis Symptoms and Signs Diary (PSSD) to a score of 0 or 1
16 weeks
Efficacy as determined by the proportion of subjects who achieve improvement of the Dermatology Life Quality Index (DLQI) to a score of 0 or 1
16 weeks
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Piclidenoson treatmentEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
CF101 2mgEXPERIMENTALCF101 2mg, orally q12 hours
CF101 3mgEXPERIMENTALCF101 3mg, orally q12 hours
Apremilast 30mgACTIVE_COMPARATORApremilast 30mg, orally q12 hours
CF101 0.1 mgEXPERIMENTALSubjects were randomized to receive CF 101 0.1mg, orally, twice daily for 24 weeks
CF101 1 mgEXPERIMENTALSubjects were randomized to receive CF 101 1.0mg, orally, twice daily for 24 weeks
Piclidenoson (CF101) open-label treated patientsEXPERIMENTALPiclidenoson will be administered orally at a dose of 3 mg twice per day for 6 months
PiclidenosonEXPERIMENTALPiclidenoson 2 mg every 12 hours orally added to standard of care
CF101 2 mgEXPERIMENTALCF101 2mg oral tablets
CF101 1mgEXPERIMENTALCF101 1mg orally q12 hours
CF101 4mgEXPERIMENTAL -

Interventions

NameTypeDescription
piclidenosonDRUGPiclidenoson is a selective A3AR agonist, supplied as tablets.
PlaceboDRUGInactive control
CF101 2mgDRUGCF101 tablets, 2mg BID for 16 weeks
CF101 3mgDRUGCF101 tablets, 3mg BID for 16 weeks
Apremilast 30mgDRUGApremilast tablets, 30mg BID for 16 weeks
Placebo Oral TabletDRUGPlacebo tablets, BID for 16 weeks
CF101DRUGorally q12h
Placebo forDRUGMatching placebo tablets orally every 12 hours for 16 weeks
Placebo controlDRUGorally q12 hours
CF101 1mgDRUGCF101 1 mg q12 hours for 12 weeks
CF101 4mgDRUGCF101 4 mg q12 hours for 12 weeks
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: 1. Male or female, 18 years and above; 2. Diagnosis of moderate-to-severe chronic plaque-type psoriasis with BSA involvement ≥10%; 3. PASI score ≥12 at the Screening and Baseline visits; 4. Static PGA ≥3 at the Screening and Baseline visits; 5. Candidate for systemic treatment o...

Countries:Bosnia and HerzegovinaBulgariaCanadaCroatiaIsraelMoldovaPolandRomaniaSerbiaItalyUnited StatesCzechiaUkraine
Unlock Eligibility Criteria

Frequently asked questions about Piclidenoson

What is Piclidenoson used for?

Piclidenoson is an investigational small molecule being studied for the treatment of Lowe Syndrome, plaque psoriasis, and COVID-19. It is being developed by Can-Fite Biopharma Ltd (CANF). The drug is currently in clinical trials, including a Phase 3 study for moderate-to-severe plaque psoriasis and Phase 2 studies for Lowe Syndrome and COVID-19.

What does Piclidenoson target?

Piclidenoson targets the ADORA3 receptor, acting as an agonist. This means it binds to and activates the adenosine A3 receptor. The drug is being investigated for its potential effects in conditions such as plaque psoriasis, Lowe Syndrome, and COVID-19, though its exact mechanism in these diseases is still under study.

Who makes Piclidenoson?

Piclidenoson is being developed by Can-Fite Biopharma Ltd, a biopharmaceutical company traded under the ticker symbol CANF. The company is conducting clinical trials for the drug across multiple indications, including plaque psoriasis, Lowe Syndrome, and COVID-19.

What phase is Piclidenoson in?

Piclidenoson is in Phase 2 and Phase 3 clinical development. It has a completed Phase 2 trial for COVID-19, a Phase 2 trial for Lowe Syndrome that has not yet started recruiting, and a Phase 3 trial for plaque psoriasis that is also not yet recruiting. The drug is investigational and not yet approved.

What clinical trials is Piclidenoson in?

Piclidenoson has three registered clinical trials. NCT04333472 is a completed Phase 2 study for COVID-19 with 6 participants. NCT06643260 is a planned Phase 3 study for moderate-to-severe plaque psoriasis with 705 participants. NCT07410455 is a planned Phase 2 pilot study for Lowe Syndrome with 5 participants.

Is Piclidenoson the same as CF101?

Piclidenoson is also known by the code name CF101. The drug is being developed by Can-Fite Biopharma for multiple indications, including plaque psoriasis, Lowe Syndrome, and COVID-19. It is an adenosine A3 receptor agonist currently in clinical trials.