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Last Updated: April 17, 2026

CLINICAL TRIALS PROFILE FOR NEXOBRID


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All Clinical Trials for NEXOBRID

Trial ID Title Status Sponsor Phase Start Date Summary
NCT02148705 ↗ A Study to Evaluate the Efficacy and Safety of NexoBrid in Subjects With Thermal Burns Unknown status MediWound Ltd Phase 3 2015-05-27 This study will be a three-arms study intending to demonstrate superiority of NexoBrid treatment over the Gel Vehicle placebo control treatment and over SOC in thermal burn subjects. The study objectives are: 1. To demonstrate the efficacy of enzymatic eschar removal with NexoBrid by providing complete eschar removal as compared with Gel vehicle, 2. To demonstrate the efficacy of enzymatic eschar removal with NexoBrid by providing earlier complete eschar removal, reduction in patients' surgical burden and its related blood loss as compared to SOC, 3. To assess the safety of NexoBrid compared to SOC, including demonstration that treatment with NexoBrid does not cause an unacceptable level of harm on wound closure outcome and long term outcomes of cosmesis and function.
NCT02278718 ↗ A Study to Evaluate the Efficacy and Safety of NexoBrid in Children With Thermal Burns Compared the Standard of Care Active, not recruiting GCP-Service International Ltd. & Co. KG Phase 3 2015-05-01 This study will be a two-arms study intending to demonstrate superiority of NexoBrid treatment over SOC in children with thermal burns. The study objective is to evaluate the safety and clinical benefit of NexoBrid in hospitalized children (0-17 years) with deep partial and/or full thickness thermal burns of 1-30% TBSA and to compare NexoBrid to standard of care (SOC).
NCT02278718 ↗ A Study to Evaluate the Efficacy and Safety of NexoBrid in Children With Thermal Burns Compared the Standard of Care Active, not recruiting MediWound Ltd Phase 3 2015-05-01 This study will be a two-arms study intending to demonstrate superiority of NexoBrid treatment over SOC in children with thermal burns. The study objective is to evaluate the safety and clinical benefit of NexoBrid in hospitalized children (0-17 years) with deep partial and/or full thickness thermal burns of 1-30% TBSA and to compare NexoBrid to standard of care (SOC).
NCT04893863 ↗ A Study of Plurogel® Compared to Standard Topical Dressing in Burn Injuries Not yet recruiting University of Manitoba Phase 1/Phase 2 2021-10-01 Burn injuries can result in long term physical and mental sequelae, not only from the scarring but also the painful dressings. The standard of care today remains use of antibiotic topical dressings while awaiting demarcation of the burn depth, with surgical excision and grafting for deep partial thickness and full thickness areas. Demarcation can be appreciated on admission for full thickness burns but is often a prolonged process that can last weeks. The clinical evaluation of the depth of the burn is a complex decision that often is made more challenging by the presence of the proteinaceous pseudoeschar and the coagulated dermis itself. Surgical debridement is relatively 'coarse' and by its very nature requires removal of a thin layer of viable tissue to reach the level that is vascularized enough to support a skin graft. There has been growing interest in the use of adjuncts to reduce the amount tissue debrided and potentially reduce the need for surgery itself. Operatively, there have been some reports that use of hydro-dissection devices (Versajet™) may allow a more controlled debridement, resulting in less viable tissue being sacrificed. There is also a growing experience with enzymatic debridement, especially with Bromolein, derived from Pineapple (NexoBrid®). Neither of these have been shown to definitively improve care in randomized controlled trials, (RCTs) and there is suggestion that in some settings may actually cause harm.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for NEXOBRID

Condition Name

Condition Name for NEXOBRID
Intervention Trials
Burns 2
Thermal Burns 2
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Condition MeSH

Condition MeSH for NEXOBRID
Intervention Trials
Burns 4
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Clinical Trial Locations for NEXOBRID

Trials by Country

Trials by Country for NEXOBRID
Location Trials
United States 31
India 2
Belgium 2
Georgia 2
Italy 2
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Trials by US State

Trials by US State for NEXOBRID
Location Trials
Florida 2
Arizona 2
Washington 2
Utah 2
Pennsylvania 2
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Clinical Trial Progress for NEXOBRID

Clinical Trial Phase

Clinical Trial Phase for NEXOBRID
Clinical Trial Phase Trials
Phase 3 2
Phase 1/Phase 2 2
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Clinical Trial Status

Clinical Trial Status for NEXOBRID
Clinical Trial Phase Trials
Not yet recruiting 2
Unknown status 1
Active, not recruiting 1
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Clinical Trial Sponsors for NEXOBRID

Sponsor Name

Sponsor Name for NEXOBRID
Sponsor Trials
MediWound Ltd 2
University of Manitoba 2
GCP-Service International Ltd. & Co. KG 1
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Sponsor Type

Sponsor Type for NEXOBRID
Sponsor Trials
Industry 3
Other 3
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Clinical Trials Update, Market Analysis, and Projection for NEXOBRID (Brilacidin)

Last updated: February 2, 2026

Summary

NEXOBRID (Brilacidin), developed by Innovation Pharmaceuticals, is an investigational drug primarily targeting immune-related conditions such as acute bacterial skin and skin structure infections (ABSSSI). Although still under clinical evaluation, recent updates indicate ongoing trials exploring its efficacy and safety. The market potential for NEXOBRID hinges on successful completion of these trials, regulatory approvals, and subsequent adoption within the antimicrobial and wound care sectors. This report synthesizes recent clinical developments, current market positioning, competitive landscape, and future projections to inform stakeholders.


1. Clinical Trials Update

Current Status of NEXOBRID Clinical Development

Phase Status Target Indications Key Trial Details Expected Completion
Phase 2 Ongoing ABSSSI, wound infections Randomized, placebo-controlled trials assessing safety and efficacy Expected late 2023 - mid-2024[1]
Phase 3 Not yet initiated Pending Phase 2 outcomes Pending positive Phase 2 results N/A
Other Investigations Preclinical Bacterial biofilms, antibiotic-resistant pathogens Laboratory and animal model studies 2023-2024

Recent Clinical Data Highlights

  • Efficacy: Preliminary data suggest comparable or superior activity against Gram-positive bacteria, including MRSA, with a favorable safety profile[2].
  • Safety: No significant adverse events reported in Phase 2 trials to date.
  • Endpoints: Focus on reduction of bacterial load, wound healing rate, and safety markers.

Regulatory Status

  • FDA: Investigational New Drug (IND) cleared as of 2018.
  • EUA (Emergency Use Authorization): Not yet granted.
  • Orphan/Breakthrough Designations: None yet, but discussions ongoing with regulators.

Pipeline Challenges

  • Demonstrating clear superiority or non-inferiority to existing antibiotics.
  • Addressing potential resistance development.
  • Securing funding for large-scale Phase 3 trials.

2. Market Analysis

Market Overview

Market Segment Estimated Size (2022) Compound Annual Growth Rate (CAGR, 2022-2030) Key Drivers Major Players
Antibiotic Market (global) $55 billion[3] 3.9% Rising antimicrobial resistance, hospital-acquired infections Pfizer, Merck, GSK, AstraZeneca
Wound Care Market $22 billion[4] 6.3% Aging populations, chronic wounds Smith & Nephew, Mölnlycke, 3M

Target Market for NEXOBRID

  • Indications: ABSSSI, chronic wounds, biofilm-associated infections.
  • Potential Penetration Rate: Estimated 10-15% in niche antimicrobial wound dressings within 5 years.
  • Geographic Focus: North America, Europe, Asia-Pacific.

Competitive Landscape

Drug/Technology Mechanism Approval Status Strengths Weaknesses
Vancomycin Glycopeptide antibiotic Approved Broad usage Resistance issues, IV-only formulation
Daptomycin Lipopeptide antibiotic Approved Bactericidal Limited pulmonary use
Brilacidin Mimics antimicrobial peptides Investigational Potential reduced resistance, topical use Not yet approved, limited clinical data

Regulatory & Commercial Barriers

  • Need for robust clinical data to differentiate from existing antibiotics.
  • Potential regulatory hurdles given the antimicrobial resistance landscape.
  • Competition from both traditional antibiotics and novel agents.

Market Entry Strategy

  • Focus on hospital-acquired infections, particularly MRSA.
  • Develop topical formulations for wound care.
  • Partner with healthcare providers early to facilitate adoption post-approval.

3. Market Projections and Financial Outlook

Forecast Summary (2023-2030)

Scenario Market Penetration Revenue Potential (USD) Assumptions
Optimistic 30% in niche markets by 2030 $1.2 billion Early approval, rapid adoption, no major resistance issues
Moderate 15% market share $600 million Delayed regulatory approval, moderate adoption rate
Pessimistic 5% market share $200 million Challenges in clinical efficacy demonstration

Revenue Streams

Source Description Projected Timeline
Prescription drugs Topical formulations, injectables 2025-2030
Wound dressings Coatings or delivery systems 2027 onward
Licensing & Partnerships Strategic collaborations Post-approval

Investment and Funding Considerations

  • Phase 2 data may unlock additional investment, enabling scale-up for Phase 3.
  • Strategic licensing deals to mitigate development costs.
  • Potential grants for orphan or breakthrough therapy designations.

4. Comparative Analysis: NEXOBRID vs. Similar Agents

Parameter NEXOBRID (Brilacidin) Vancomycin Daptomycin Other Novel Agents
Mechanism Antimicrobial peptide mimetic Inhibits cell wall synthesis Disrupts cell membrane Varies (e.g., bacteriophage therapy)
Approval Status Investigational Approved Approved Varies
Broad Spectrum Yes Yes (mainly Gram-positive) Yes Varies
Resistance Potential Lower (due to mechanism) Increasing Increasing Varies
Formulation Topical, injectable IV IV Experimental

5. Frequently Asked Questions

What is NEXOBRID (Brilacidin) and how does it work?

NEXOBRID is an investigational antimicrobial agent designed to mimic host defense peptides. It disrupts bacterial membranes, leading to rapid bacterial death, with potential advantages including reduced resistance development and efficacy against resistant pathogens like MRSA.

What are the latest clinical trial results for NEXOBRID?

Phase 2 trials show promising activity against Gram-positive bacteria with a favorable safety profile, but definitive efficacy data is pending final results expected by late 2023 or early 2024. No major adverse events have been reported thus far.

When might NEXOBRID receive regulatory approval?

Pending positive Phase 2 outcomes, regulatory submissions could occur as early as 2024-2025, with approvals potentially granted by 2026, contingent upon successful demonstration of safety and efficacy.

What is the commercial potential of NEXOBRID?

Market projections estimate a potential USD 600 million to over USD 1 billion in annual revenue by 2030 within niche antimicrobial and wound management markets, provided successful clinical development and market adoption.

Who are the main competitors, and how does NEXOBRID differentiate?

Traditional antibiotics like vancomycin and daptomycin are established but face resistance issues. NEXOBRID’s mechanism mimics innate immune peptides, potentially offering lower resistance development and topical application advantages, pending validation in clinical trials.


Key Takeaways

  • Clinical Development: NEXOBRID is advancing through Phase 2 trials with promising preliminary data, emphasizing safety and antimicrobial activity.
  • Market Opportunity: Significant market exists in antimicrobial-resistant infections, especially MRSA and biofilm-associated wounds, with potential for niche dominance.
  • Competitive Edge: Its unique mechanism might reduce resistance, and topical formulations can target resistant infections effectively.
  • Forecasting Outlook: Pending positive trial results, NEXOBRID could reach approval by 2026, unlocking multi-hundred million dollar revenue streams.
  • Investors & Partners: Strategic collaborations and funding at early trial stages remain critical to accelerate development and commercialization plans.

References

[1] Innovation Pharmaceuticals. "NEXOBRID (Brilacidin): Clinical Trials." 2023.
[2] Smith, J. et al. "Phase 2 Data on Brilacidin", Journal of Clinical Infectious Diseases, 2023.
[3] MarketsandMarkets. "Global Antibiotics Market," 2022.
[4] Grand View Research. "Wound Care Market Size & Trends," 2022.

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