TheraRadar

Pharma Intelligence, Simplified

Data updated: Mar 10, 2026

NEXOBRID

ANACAULASE-BCDB
Metabolic 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.

Source: FDA Label
2
Indications
--
Phase 3 Trials
3
Years on Market

Details

Status
Prescription
First Approved
2022-12-28
Routes
TOPICAL
Dosage Forms
GEL

Companies

Active Ingredient: ANACAULASE-BCDB

NEXOBRID Approval History

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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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Active Pipeline

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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

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Indications & Usage

FDA Label (PDF)

NEXOBRID is indicated for eschar removal in adults and pediatric patients with deep partial thickness (DPT) and/or full thickness (FT) thermal burns. Limitations of Use The safety and effectiveness of NEXOBRID have not been established for treatment of: Chemical or electrical burns Burns on the face, perineum, or genitalia Burns on the feet of patients with diabetes mellitus or on the feet of patients with occlusive vascular disease Circumferential burns Burns in patients with significant cardiopulmonary disease, including inhalation injury NEXOBRID is not recommended for: Wounds contaminated ...

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Data Sources

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