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LXE408

Phase 2

Localized Cutaneous Leishmaniasis | Small molecule | Other |Novartis AG|Last Updated: May 5, 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-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment250
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06997159A Clinical Trial to Investigate Efficacy, Safety and Pharmacokinetics (PK) of Two LXE408 Oral Regimens and Oral Miltefosine as Active Control in Participants Aged ≥ 18 Years Old With Localized Cutaneous Leishmaniasis in the Region of the Americas (AMR).PHASE2 NOT YET_RECRUITING 250Jun 15, 2026Apr 5, 2028May 5, 20265 Brazil, Panama
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Study Endpoints
Primary Endpoints
Proportion of participants who achieved Cure at Day 180
180 days

Cure at Day 180 (D180) is defined as: * 100% re-epithelialization of ulcerated lesions (if any) or flattening and/or no signs of induration of non-ulcerated lesions (if any) up to and at D90 and, * no relapse by D180, and * no rescue therapy up to D180 * no death, regardless of cause, up to D180

Secondary Endpoints
Proportion of participants with treatment-emergent adverse events (TEAEs) and SAEs
180 days
Proportion of participants with • Abnormalities from physical exam, vital signs, ECGs and safety laboratory assessments
180 days
Proportion of participants who achieved Cure at Day 90
90 days
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
LXE408 BID for 14 daysEXPERIMENTALLXE408 BID for 14 days followed by placebo BID for 14 days.
LXE408 BID for 28 daysEXPERIMENTAL -
Miltefosine 50 mg PO TID for 28 daysACTIVE_COMPARATOR -
Interventions
NameTypeDescription
LXE408DRUGLXE408 film-coated tablets.
Miltefosine 50 MG Oral Capsule [Impavido]DRUGEach capsule contains 50 mg miltefosine in an opaque, red, hard gelatin capsule. Capsules are supplied in packs of 56 capsules sealed in 8 aluminum blister stripes, each containing 7 capsules.
Placebo to LXE408DRUGFilm-coated tablets.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: 1. Participant must be aged ≥18 years old and weighing \> 50kg 2. Participant with first episode of CL fulfilling the following characteristics: * ≤ 6 lesions * At least one lesion of \> 50 mm2 of area * a history of CL of no longer than 6 months 3. a diagnosis of CL c...

Countries:BrazilPanama
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Recent Changes (Last 90 Days)
LOWMay 24, 2026NCT06997159studyFirstPostDate: changed