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Liposomal Annamycin

Phase 1

Leukemia, Myeloid, Acute | Small molecule | Oncology |Moleculin Biotech, Inc.|Last Updated: Sep 30, 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
UNCONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment49
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05319587Study of Liposomal Annamycin in Combination With Cytarabine for the Treatment of Subjects With Acute Myeloid Leukemia (AML)PHASE1 COMPLETED 22Sep 29, 2022Aug 10, 2023Sep 30, 20259 Italy, Poland
NCT03388749Study of Liposomal Annamycin for the Treatment of Subjects With Acute Myeloid Leukemia (AML)PHASE1 COMPLETED 20Dec 17, 2018Feb 14, 2022Jan 20, 20235 Poland
NCT03315039Study of Liposomal Annamycin for the Treatment of Subjects With Acute Myeloid Leukemia (AML)PHASE1 COMPLETED 7Mar 28, 2018Jun 20, 2020Mar 10, 20224 United States
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Study Endpoints
Primary Endpoints
Evaluate the safety and identify the MTD/RP2D of L-Annamycin in combination with a standard regimen of cytarabine (Ara-C, cytosine arabinoside)
Day 1 through Day 28

The number of patients who experience dose-limiting toxicities (DLT) will be captured at each dose level of LAnnamycin in order to determine the MTD/RP2D

Evaluation of safety and identification of the MTD/RP2D for L-Annamycin
Day 1 through Day 28

The number of patients who experience dose-limiting toxicities (DLT) will be captured at each dose level of L-Annamycin in order to determine the MTD/RP2D

Dose-limiting Toxicity
Day 28

Number of patients with a dose-limiting toxicity (DLT) at each dose evaluated

Secondary Endpoints
Pharmacokinetics - Area under the plasma concentration
Pre-dose and at 0.25, 0.5, 1, 2, 4, 8,12 and 24 hours after the start of liposomal annamycin infusion on Day 1 and Day 3
Anti-leukemic activity
15-35 Days after the start of therapy
Number of Participants With Anti-leukemic Activity
15-35 Days after the start of therapy
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Liposomal annamycinEXPERIMENTAL -
Interventions
NameTypeDescription
Liposomal AnnamycinDRUG2-hour intravenous infusion liposomal annamycin daily for 3 consecutive days followed by 18 days off study drug (i.e., one treatment cycle = 21 days).
CytarabineDRUGAdministered during cycle 1 at a dose of 2.0 g/m2/day by 4 hours IV infusion for 5 consecutive days and this dose will remain constant for all cohorts, including the expansion phase.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites9

Inclusion Criteria: 1. The subject has a pathologically confirmed diagnosis of AML by World Health Organization classification. This must be in the form of either a bone marrow aspirate or biopsy or a CBC that demonstrates \>5% myeloblasts. 2. The subject has AML and has not received prior therapy ...

Countries:ItalyPolandUnited States
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