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EscharEx 5%

Phase 1

Superficial Basal Cell Carcinoma | Small molecule | Oncology |MediWound Ltd.|Last Updated: Dec 15, 2021

Target and mechanism

ModalitySmall molecule

Also known as EscharEx (EX-03), EscharEx, EscharEx 5% (EX-02 formulation)

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials1
Total Enrollment32

FDA Designations

No designations recorded

Clinical trial landscape

EscharEx 5% · 1 trial · 2 indications

Phase 1 1
NCT05157763A Study to Evaluate the Safety and Efficacy of EscharEx (EX-02) in the Treatment of Basal Cell CarcinomaSuperficial Basal Cell Carcinoma
RECRUITING32 Analytics
PHASE1RECRUITING
A Study to Evaluate the Safety and Efficacy of EscharEx (EX-02) in the Treatment of Basal Cell Carcinoma
Superficial Basal Cell CarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence and severity of treatment-emergent AEs (TEAEs) and serious TEAEs (STEAEs).
Through study completion - an average of 16 weeks

All adverse events (AEs) will be listed. Adverse events records will include notification whether the AE is local and occurs near or in the target lesion. The AEs will be listed as counts and percentages by System Organ Class (SOC), Preferred Term (PT), severity, and time of onset. Serious Adverse Events will be analyzed in the same way as AEs

Vital signs - proportion of patients with abnormal clinical significant measurements
Up to completion of treatment period - up to 5 weeks

Assessed pre 2nd, pre 5th application and post last application

Pain assessments- Proportion of patients with clinical significant elevation in NPRS score
Up to completion of treatment period - up to 5 weeks

Assesed pre 2nd, pre 5th application and post last application compared with pre 1st application

Proportion of subjects discontinuing a treatment due to TEAEs, assessed over the entire course of the treatment.
Up to completion of treatment period - up to 5 weeks

This proportion will be calculated, together with its 95% confidence interval based on the binomial distribution.

Proportion of subjects that requested to discontinue the treatment
Up to completion of treatment period - up to 5 weeks

This will be assessed over the entire course of the treatment and will be calculated, together with its 95% confidence interval based on the binomial distribution

Secondary Endpoints

Proportion of patients who reached complete histological clearance at the end of the post treatment period.
Up to 13 weeks
Proportion of patients who reached complete clearance at the end of the post treatment period, as clinically assessed prior to surgical removal.
Up to 13 weeks
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
EscharEx 5%EXPERIMENTALThe powder of EX-02 (4 g per vial) should be reconstituted with 10 ml water for injection (WFI) to obtain 5% EX-02 gel. The EX-02 powder and the WFI are to be mixed up to 15 min prior to use. EX-02 5% gel will be topically applied in a thick layer of 2-3 mm on the lesion surface including margin of 5-10 mm for 8-12 hours (preferable over-night) and covered with an occlusive dressing. A new vial should be used for each application. Each patient will be treated with 7 applications.

Interventions

NameTypeDescription
EscharEx 5% (EX-02 formulation)DRUGEX-02 5% will be topically applied in a thick layer of 2-3 mm on the lesion surface for 8-12 hours including 5-10 mm margins and covered with an occlusive dressing. A new vial should be used for each application. Each patient will be treated with 7 applications.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites3

Inclusion Criteria: Inclusion Criteria- Patient level 1. Male or female greater than age 18, 2. Patients with one primary superficial or nodular basal cell carcinoma lesion (Histologically confirmed BCC) located on the trunk or upper extremities (not including the hands), with well-defined borders...

Countries:United States
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Frequently asked questions about EscharEx 5%

What is EscharEx used for?

EscharEx is an investigational topical drug being developed for debridement of hard to heal wounds, including venous leg ulcers (VLU), diabetic lower extremity ulcers, and traumatic or post operative wounds. It is also being studied in superficial basal cell carcinoma. EscharEx is not FDA approved and remains in clinical development.

How does EscharEx work?

EscharEx is a small molecule drug designed to selectively remove necrotic tissue, or eschar, from wounds, a process called debridement. By breaking down dead tissue, it aims to prepare the wound bed for healing. The exact molecular target has not been disclosed.

Who makes EscharEx?

EscharEx is being developed by MediWound Ltd., a biopharmaceutical company traded on NASDAQ under the ticker MDWD. MediWound is conducting clinical trials to evaluate the safety and efficacy of EscharEx for wound debridement indications.

What phase is EscharEx in?

EscharEx is currently in Phase 3 clinical development. A Phase 3 trial, NCT06568627, is recruiting participants to evaluate the efficacy and safety of EscharEx in debridement of venous leg ulcers. Earlier Phase 2 trials have been completed.

What clinical trials is EscharEx in?

EscharEx has been studied in several clinical trials. Completed Phase 2 trials include NCT02020746 in hard to heal wounds, NCT03588130 in venous leg ulcers, and NCT04817228 in lower leg ulcers. A Phase 3 trial, NCT06568627, is currently recruiting for venous leg ulcer debridement.

Is EscharEx the same as EscharEx 5%?

EscharEx is also known as EscharEx (EX-03) and EscharEx 5% (EX-02 formulation). These names refer to different formulations or versions of the same investigational drug. The EX-02 formulation was evaluated in a Phase 2 trial for venous leg ulcer debridement.