TheraRadar
Data updated: May 26, 2026

NEXOBRID (anacaulase-bcdb)

Dermatology Approved 2022-12-28

Nexobrid (anacaulase-bcdb) is a topical therapy indicated for the removal of eschar in adult and pediatric patients with deep partial-thickness and full-thickness thermal burns. The drug provides a proteolytic method for debriding severe burn wounds, though its use is restricted to specific anatomical locations and patient populations. It is not indicated for chemical or electrical burns, nor for use on the face, perineum, genitalia, or in patients with significant cardiopulmonary disease.

Source: FDA Label • MEDIWOUND, LTD

How NEXOBRID Works

Nexobrid is a mixture of proteolytic enzymes that functions by dissolving burn wound eschar. These enzymes act on the dead tissue that develops after a thermal injury to facilitate its removal from the wound bed. While the specific enzymatic components responsible for this therapeutic effect have not been identified, the biological action of the mixture breaks down the damaged tissue.

2
Indications
--
Phase 3 Trials
3
Years on Market

Details

Status
Prescription
First Approved
2022-12-28
Patent Cliff
2031

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Routes
TOPICAL
Dosage Forms
GEL

Companies

Active Ingredient: ANACAULASE-BCDB

NEXOBRID Approval History

2023
2024
2025
2026
Original
New Indication
New Form
Label Update
2 FDA actions from 2022 to 2024 · 1 indication expansions
Aug 2024 SUPPL
Efficacy
Dec 2022 ORIGINAL
New Drug · Type 1 - New Molecular Entity

What NEXOBRID Treats

1 indications

NEXOBRID is approved for 1 conditions since its original approval in 2022. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Thermal Burns
Source: FDA Label
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Clinical Trial Registry

2 trials
Trial Sponsor ID Phase Status Title
NCT02278718 results posted MW2012-01-01 Ph 3 completed A Study to Evaluate the Efficacy and Safety of NexoBrid in Children With Thermal Burns Compared the Standard of Care
NCT02148705 results posted MW 2010-03-02 Ph 3 completed A Study to Evaluate the Efficacy and Safety of NexoBrid in Subjects With Thermal Burns
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

NEXOBRID FDA Label Details

Indications & Usage

FDA Label (PDF)

NEXOBRID is indicated for the treatment of Thermal Burns.

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.