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EscharEx

Phase 3

Venous Leg Ulcer (VLU) | Small molecule | Other |MediWound Ltd.|Last Updated: Apr 2, 2026

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
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment216
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06568627A Double Blind Study Performed to Evaluate the Efficacy and the Safety of EscharEx in Debridement of VLU (VALUE)PHASE3 RECRUITING 216Jun 1, 2025Mar 1, 2027Apr 2, 202625 United States, Austria +3
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Study Endpoints
Primary Endpoints
Incidence of complete debridement, clinically (visually) assessed after each application
up to 2 weeks

counting events of complete debridement

Facilitation of wound closure, clinically assessed, as measured by time to complete wound closure
up to 12 weeks

counting events of complete wound closure until completion of weekly visits

Secondary Endpoints
Incidence of complete healthy viable granulation tissue, as assessed clinically
up to 2 weeks
Time to the first declaration of complete debridement, clinically assessed
up to 12 weeks
Time to Wound Bed Prepared, clinically assessed
up to 12 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
EscharEx (EX-03)ACTIVE_COMPARATOREX-03 is the code name of the third generation of EscharEx investigational medicinal product (IMP) formulation. A sterile lyophilized powder containing a concentrate of proteolytic enzymes enriched in bromelain (anacaulase-bcdb ), the active pharmaceutical ingredient (API), that is blended with excipients. EX-03 5% powder, should be diluted with Water for Injection (WFI) prior usage.
PlaceboPLACEBO_COMPARATORPlacebo (Gel Vehicle, hydrogel) contains the same excipients as in EX-03, without the API. Placebo powder, should be diluted with Water for Injection (WFI) prior usage.
Interventions
NameTypeDescription
EscharEx (EX-03)DRUGa sterile lyophilized powder containing a concentrate of proteolytic enzymes enriched in bromelain (anacaulase-bcdb). The powder and sterile water are mixed to form a gel prior to application on the wound area.
Placebo (Gel vehicle)DRUGA sterile powder containing excipients only (no proteolytic enzymes). The powder and sterile water are mixed to form a gel prior to application on the wound area
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites25

Inclusion Criteria: 1. Men or women, older than 18 years of age, 2. Patients with a VLU (determined by medical history, physical examination, and a documented ultrasound scan demonstrating venous insufficiency), 3. Wound is present for at least 4 weeks but no longer than 1 year, 4. The adherent nec...

Countries:United StatesAustriaGermanyIsraelPoland
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT06568627primaryCompletionDate: changed
LOWMay 24, 2026NCT06568627studyFirstPostDate: changed