Drugs / anacaulase-bcdb
last change Aug 2026 re-read 3 minutes ago

anacaulase-bcdb

also known as NexoBrid · NXB

Protein / enzyme biologic

Developed for
ulcer of lower limbs
Investigated by
MediWound Ltd

Regulatory milestones approvals, filings & regulatory actions · 8 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansion US (FDA) NEXOBRID — 2024-08-15 fda.gov ↗
Filed US (FDA) NexoBrid pediatric thermal burns 2024-01-09

“accepted a supplement to the NexoBrid ® biologics license application (sBLA) for the removal of eschar in pediatric patients with deep partial- and/or full-thickness thermal burns.” mediwound.com ↗

“the U.S. Food and Drug Administration (FDA) has completed their filing review and accepted a supplement to the NexoBrid ® biologics license application (sBLA)” mediwound.com ↗

Filed EU (EMA) NexoBrid pediatric severe thermal burns 2023-03-16

“Announced that the European Medicines Agency (EMA) accepted for review MediWound’s application for the extended indication for NexoBrid to treat pediatric patients with severe...” mediwound.com ↗

Approved US (FDA) NEXOBRID — 2022-12-28 fda.gov ↗
Filed EU (EMA) NexoBrid severe burns in children 2022-09-20

“Type II Variation submitted by MediWound in order to expand the current approved indication for NexoBrid into the pediatric population.” mediwound.com ↗

Filed US (FDA) NexoBrid thermal burns 2022-08-03

“Announced acceptance by the U.S. Food and Drug Administration (FDA) of the re-submitted Biologics License Application (BLA) filing for NexoBrid” mediwound.com ↗

“BLA filing for NexoBrid ® for the debridement of deep partial-thickness and/or full thickness thermal burns.” mediwound.com ↗

“FDA has accepted for review its recently re-submitted Biologics License Application (BLA) for NexoBrid ®” mediwound.com ↗

Rejected (CRL) US (FDA) NexoBrid severe burns 2021-06-28

“received a Complete Response Letter (CRL) from the U.S. Food and Drug Administration (FDA) regarding the Biologics License Application (BLA) seeking approval of NexoBrid” mediwound.com ↗

“BLA for NexoBrid for treatment of severe burns in the United States following the receipt of a complete response for NexoBrid on June 28, 2021” mediwound.com ↗

“Received a Complete Response Letter (CRL) from U.S. FDA for NexoBrid biologics license application (BLA)” mediwound.com ↗

Approved EU (EMA) NexoBrid — 2012-12-18 europa.eu ↗

Trials 4

20062007200820092010201120122013201420152016201720182019202020212022202320242025202620272028
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 21 trial
Phase 2 NCT06690177 Apr 2025 → Dec 2027 expected ulcer of lower limbs MediWound Ltd Not yet recruiting No outcome recorded
Phase 33 trials · 2 met primary
Phase 3 NCT02148705 May 2015 → Jun 2018 — MediWound Ltd Completed Met primary
Phase 3 NCT02278718 May 2015 → Apr 2021 — MediWound Ltd Completed Met primary
Phase 3 NCT00324311 Dec 2005 → Oct 2009 — MediWound Ltd Completed No outcome recorded
Comparator or background therapy2 trials
Phase 2 NCT07692178 Comparator Aug 2026 → Aug 2028 expected ulcer of lower limbs MediWound Ltd Not yet recruiting No outcome recorded
Phase 3 NCT06568627 Comparator Jun 2025 → Dec 2026 expected ulcer of lower limbs MediWound Ltd Recruiting No outcome recorded

News releases announcing trial results or a regulatory action · 29

DateIssuerRelease
2025-12-10 MediWound Ltd Results MediWound Reports New Clinical Data Demonstrating NexoBrid®’s Effectiveness in Preventing Traumatic Tattoos After Abrasion and Blast Injuries mediwound.com ↗
2025-09-25 MediWound Ltd Regulatory MediWound Expands Global Reach with Marketing Approval of NexoBrid® in Australia mediwound.com ↗
today announced that Australia’s Therapeutic Goods Administration (TGA) has granted marketing authorization for NexoBrid ® , the Company’s innovative enzymatic therapy for the removal of eschar in both adult and pediatric patients with deep partial- and full-thickness thermal burns.
2025-09-02 MediWound Ltd Results MediWound’s NexoBrid® to be Highlighted in 36 Scientific Presentations at the 21st European Burns Association Congress mediwound.com ↗
The presentations include data on pediatric, elderly, and critically burned patients demonstrating consistent benefits in survival, recovery, and scar outcomes, as well as value in infection control and modulation of systemic inflammatory responses.
2025-02-25 MediWound Ltd Results MediWound Announces Phase III CIDS Publication on NexoBrid® for Pediatric Burn Care mediwound.com ↗
The publication, titled “Open-Label RCT of the Efficacy and Safety of NexoBrid Compared to SOC in Children with Burns,” presents findings that supported the label expansion of NexoBrid for pediatric patients in the E.U. (2023) and U.S. (2024).
2024-08-15 MediWound Ltd Regulatory MediWound Announces U.S. Food and Drug Administration Approval of NexoBrid® for the Treatment of Pediatric Patients with Severe Thermal Burns mediwound.com ↗
today announced that the U.S. Food and Drug Administration (FDA) has approved a pediatric indication for NexoBrid ® (anacaulase-bcdb) allowing for eschar removal in pediatric patients aged newborn through eighteen with deep partial- and/or full-thickness thermal burns.
2024-08-05 MediWound Ltd Results MediWound Announces Positive Results from the U.S. NexoBrid® Expanded Access Protocol (NEXT) mediwound.com ↗
MediWound Ltd. (Nasdaq: MDWD), the global leader in next-generation enzymatic therapeutics for tissue repair, today announced the positive results of the NEXT—an Expanded Access Protocol.
2024-01-09 MediWound Ltd Regulatory MediWound Announces that FDA has Accepted for Review the Supplement to the NexoBrid BLA to Include Pediatric Patients with Severe Thermal Burns mediwound.com ↗
2023-11-13 MediWound Ltd Regulatory MediWound Receives Positive CHMP Opinion Recommending Approval for NexoBrid® to Treat Pediatric Patients mediwound.com ↗
The CHMP positive opinion is pending a decision by the European Commission, which is expected imminently.
2022-12-29 MediWound Ltd Regulatory MediWound Announces FDA Approval of NexoBrid® for the Treatment of Severe Thermal Burns in Adults mediwound.com ↗
2022-12-23 MediWound Ltd Regulatory MediWound Expands NexoBrid’s Global Presence with Marketing Approval in Japan mediwound.com ↗
The Japanese Ministry of Health , Labor, and Welfare (MHLW) has granted NexoBrid marketing authorization for non-surgical eschar removal of deep-partial and full-thickness thermal burns for the adult and pediatric population.
2022-12-20 MediWound Ltd Regulatory MediWound Strengthens European Presence of NexoBrid® mediwound.com ↗
2022-12-13 MediWound Ltd Regulatory MediWound Expands Global Presence as NexoBrid® Gains Approval in India mediwound.com ↗
MediWound Ltd. (NASDAQ: MDWD), a fully integrated biopharmaceutical company focused on next-generation biotherapeutic solutions for tissue repair and regeneration, today announced it has gained marketing approval of NexoBrid ® in India .

All press releases naming this drug 61 releases

DateIssuerRelease

Evidence & citations 5 cited values

Every value below carries the sentence it was read from. 7 sources stand behind the page.

FieldValueCited text
Known as anacaulase-bcdb “EX-03 is the code name of the third generation of EscharEx investigational medicinal product (IMP) formulation. A sterile lyophilized powder containing a concentrate of...” NCT07692178 ↗
2

“A sterile lyophilized powder containing a concentrate of proteolytic enzymes enriched in bromelain (anacaulase-bcdb ), the active pharmaceutical ingredient (API), that is...” NCT06690177 ↗

“A sterile lyophilized powder containing a concentrate of proteolytic enzymes enriched in bromelain (anacaulase-bcdb ), the active pharmaceutical ingredient (API), that is...” NCT06568627 ↗

Known as NexoBrid “with the debriding enzyme NexoBrid™ (NXB) would reduce need for surgery while achieving similar esthetic and functional outcomes as SOC.” PMID 24074719 ↗ Sep 2013
2

NCT02278718 ↗

NCT02148705 ↗

Known as NXB “with the debriding enzyme NexoBrid™ (NXB) would reduce need for surgery while achieving similar esthetic and functional outcomes as SOC.” PMID 24074719 ↗ Sep 2013
Modality Protein / enzyme biologic “with the debriding enzyme NexoBrid™ (NXB)” PMID 24074719 ↗ Sep 2013
Route Topical “mixed with gel,for topical application.” NCT00324311 ↗