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MediWound Announces Phase III CIDS Publication on NexoBrid® for Pediatric Burn Care

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MediWound (Nasdaq: MDWD) announced the publication of its Phase III Children Innovative Debridement Study (CIDS) in Burns, the peer-reviewed Journal of the International Society for Burn Injuries. The study evaluated NexoBrid® compared to standard of care in pediatric patients with deep thermal burns.

The publication, titled "Open-Label RCT of the Efficacy and Safety of NexoBrid Compared to SOC in Children with Burns," presents findings that supported NexoBrid's label expansion for pediatric patients in the E.U. (2023) and U.S. (2024). The results confirm NexoBrid's superiority as a rapid, effective, and non-surgical alternative for eschar removal in pediatric burn patients.

Professor Jose Ramón Martínez-Méndez noted that pediatric burn patients account for approximately 30% of all burn cases and present unique challenges. NexoBrid provides a non-surgical solution that effectively removes eschar while preserving healthy tissue, addressing the need to protect viable dermis and improve outcomes.

MediWound (Nasdaq: MDWD) ha annunciato la pubblicazione del suo studio di Fase III sull'Innovativo Debridement nei Bambini (CIDS) nella rivista Burns, il giornale sottoposto a revisione paritaria della Società Internazionale per le Lesioni da Ustione. Lo studio ha valutato NexoBrid® rispetto allo standard di cura in pazienti pediatrici con ustioni termiche profonde.

La pubblicazione, intitolata "RCT Open-Label dell'Efficacia e Sicurezza di NexoBrid Rispetto allo SOC nei Bambini con Ustioni," presenta risultati che supportano l'espansione dell'etichetta di NexoBrid per pazienti pediatrici nell'UE (2023) e negli Stati Uniti (2024). I risultati confermano la superiorità di NexoBrid come alternativa rapida, efficace e non chirurgica per la rimozione dell'escara nei pazienti pediatrici con ustioni.

Il professor Jose Ramón Martínez-Méndez ha osservato che i pazienti pediatrici con ustioni rappresentano circa il 30% di tutti i casi di ustioni e presentano sfide uniche. NexoBrid fornisce una soluzione non chirurgica che rimuove efficacemente l'escara preservando il tessuto sano, affrontando la necessità di proteggere il derma vitale e migliorare i risultati.

MediWound (Nasdaq: MDWD) anunció la publicación de su estudio de Fase III sobre el Desbridamiento Innovador en Niños (CIDS) en la revista Burns, la revista revisada por pares de la Sociedad Internacional de Lesiones por Quemaduras. El estudio evaluó NexoBrid® en comparación con el estándar de atención en pacientes pediátricos con quemaduras térmicas profundas.

La publicación, titulada "RCT Abierto de la Eficacia y Seguridad de NexoBrid Comparado con SOC en Niños con Quemaduras," presenta hallazgos que respaldan la expansión de la etiqueta de NexoBrid para pacientes pediátricos en la UE (2023) y EE. UU. (2024). Los resultados confirman la superioridad de NexoBrid como una alternativa rápida, efectiva y no quirúrgica para la eliminación de escaras en pacientes pediátricos con quemaduras.

El profesor Jose Ramón Martínez-Méndez señaló que los pacientes pediátricos con quemaduras representan aproximadamente el 30% de todos los casos de quemaduras y presentan desafíos únicos. NexoBrid proporciona una solución no quirúrgica que elimina eficazmente la escara mientras preserva el tejido sano, abordando la necesidad de proteger la dermis viable y mejorar los resultados.

MediWound (Nasdaq: MDWD)Burns 저널, 즉 국제 화상 부상 학회에서 심사한 저널에 아동 혁신적 데브리드먼트 연구(CIDS)의 3상 연구 결과를 발표했다고 발표했습니다. 이 연구는 NexoBrid®심부 화상을 가진 소아 환자에서 표준 치료와 비교하여 평가했습니다.

“소아 화상 환자에서 SOC에 대한 NexoBrid의 효능 및 안전성에 대한 공개 라벨 RCT”라는 제목의 이 출판물은 NexoBrid의 라벨 확장이 EU(2023)와 미국(2024)에서 소아 환자를 위한 것임을 지지하는 결과를 제시합니다. 결과는 NexoBrid의 우수성을 확인하며, 소아 화상 환자에서 빠르고 효과적이며 비수술적인 각질 제거 대안으로 자리잡고 있습니다.

호세 라몬 마르티네스-멘데즈 교수는 소아 화상 환자가 전체 화상 사례의 약 30%를 차지하며 독특한 도전 과제를 제시한다고 언급했습니다. NexoBrid는 건강한 조직을 보존하면서 각질을 효과적으로 제거하는 비수술적 솔루션을 제공하여 생존 가능한 진피를 보호하고 결과를 개선할 필요성을 해결합니다.

MediWound (Nasdaq: MDWD) a annoncé la publication de son étude de Phase III sur le Débridement Innovant chez les Enfants (CIDS) dans la revue Burns, la revue à comité de lecture de la Société Internationale des Brûlures. L'étude a évalué NexoBrid® par rapport aux soins standards chez des patients pédiatriques souffrant de brûlures thermiques profondes.

La publication, intitulée "RCT Open-Label de l'Efficacité et de la Sécurité de NexoBrid par rapport au SOC chez les Enfants avec Brûlures," présente des résultats qui soutiennent l'expansion de l'étiquette de NexoBrid pour les patients pédiatriques dans l'UE (2023) et aux États-Unis (2024). Les résultats confirment la supériorité de NexoBrid en tant qu'alternative rapide, efficace et non chirurgicale pour l'élimination des escarres chez les patients pédiatriques souffrant de brûlures.

Le professeur Jose Ramón Martínez-Méndez a noté que les patients pédiatriques brûlés représentent environ 30% de tous les cas de brûlures et présentent des défis uniques. NexoBrid fournit une solution non chirurgicale qui élimine efficacement les escarres tout en préservant le tissu sain, répondant ainsi à la nécessité de protéger le derme viable et d'améliorer les résultats.

MediWound (Nasdaq: MDWD) gab die Veröffentlichung seiner Phase-III-Studie zur innovativen Wundbehandlung bei Kindern (CIDS) im Burns bekannt, der von Fachkollegen geprüften Zeitschrift der Internationalen Gesellschaft für Brandverletzungen. Die Studie bewertete NexoBrid® im Vergleich zur Standardbehandlung bei pediatric patients with deep thermal burns.

Die Veröffentlichung mit dem Titel "Open-Label-RCT zur Wirksamkeit und Sicherheit von NexoBrid im Vergleich zu SOC bei Kindern mit Verbrennungen" präsentiert Ergebnisse, die die Erweiterung des Labels von NexoBrid für pädiatrische Patienten in der EU (2023) und den USA (2024) unterstützen. Die Ergebnisse bestätigen die Überlegenheit von NexoBrid als schnelle, effektive und nicht-chirurgische Alternative zur Entfernung von Schorf bei pädiatrischen Brandverletzten.

Professor Jose Ramón Martínez-Méndez wies darauf hin, dass pädiatrische Brandverletzte etwa 30% aller Brandverletzungen ausmachen und einzigartige Herausforderungen darstellen. NexoBrid bietet eine nicht-chirurgische Lösung, die Schorf effektiv entfernt und gesundes Gewebe erhält, um die Notwendigkeit zu adressieren, das lebensfähige Dermis zu schützen und die Ergebnisse zu verbessern.

Positive
  • NexoBrid received pediatric use approval in the U.S., E.U., and Japan
  • Phase III CIDS study confirmed NexoBrid's superiority over standard of care
  • Publication in peer-reviewed Burns journal validates clinical significance
  • Addresses 30% of burn cases that are pediatric patients
  • Provides non-surgical alternative that preserves healthy tissue
Negative
  • None.

Insights

The publication of MediWound's Phase III CIDS study in the prestigious Burns journal represents more than just academic validation – it's a important commercial catalyst for NexoBrid's pediatric market penetration following recent regulatory approvals in the U.S. (2024), E.U. (2023), and Japan.

This peer-reviewed publication strategically addresses a critical adoption barrier in the medical community, where evidence-based practice drives purchasing decisions. For a specialized product like NexoBrid, clinical validation in the sensitive pediatric population (~30% of all burn cases) could accelerate uptake in burn centers, particularly given the publication's emphasis on tissue preservation – a paramount concern in pediatric patients.

The commercial implications are substantial for MediWound's growth trajectory. Through its U.S. partnership with Vericel , MediWound receives tiered royalties (high single-digits to low double-digits) plus milestone payments, while maintaining direct sales rights in international markets. With the pediatric indication now secured across major markets, MediWound has effectively expanded its addressable market by nearly a third.

What's particularly compelling is how this pediatric validation strengthens MediWound's entire enzymatic debridement platform. Success in the most sensitive patient populations enhances credibility for the company's broader pipeline, especially EscharEx for chronic wounds – a significantly larger market opportunity than burns. This publication effectively de-risks both current commercialization efforts and future development programs.

For a company with a $196 million market cap, expanding NexoBrid's approved indications represents a material growth driver. While the announcement doesn't provide specific revenue projections, the pediatric burn market represents a concentrated opportunity with relatively low sales force requirements, potentially delivering meaningful revenue contribution with minimal additional commercial infrastructure.

Findings in Burns Journal confirm NexoBrid’s superiority over standard of care in pediatric patients with deep thermal burns
NexoBrid is approved for pediatric use in the U.S., E.U. and Japan

YAVNE, Israel, Feb. 25, 2025 (GLOBE NEWSWIRE) -- MediWound Ltd. (Nasdaq: MDWD), a global leader in next-generation enzymatic therapeutics for tissue repair, today announced the publication of its Phase III Children Innovative Debridement Study (CIDS) in Burns, the peer-reviewed Journal of the International Society for Burn Injuries (ISBI). The study evaluated the efficacy and safety of NexoBrid® compared to the standard of care (SOC) in pediatric patients with deep partial- and full-thickness thermal burns. Read the full publication here.

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). These results reinforce NexoBrid’s clinical benefits as a rapid, effective, and non-surgical alternative for eschar removal in pediatric burn patients, validating its significance as a transformative treatment in burn care.

"Pediatric burn patients account for approximately 30% of all burn cases, and their treatment presents unique challenges. Surgical procedures can be particularly traumatic for young patients, making non-surgical alternatives essential" said Professor Jose Ramón Martínez-Méndez, Head of Burns Unit, University Hospital La Paz, Madrid, Spain. "NexoBrid provides a rapid, non-surgical solution that effectively removes eschar while preserving healthy tissue, addressing the critical need to protect viable dermis and improve outcomes for pediatric burn patients."

About the CIDS Phase III

The CIDS Phase III was a multicenter, multinational, randomized, controlled, open label study, conducted in pediatric patients with deep partial thickness (DPT) and full thickness (FT) thermal burns across 36 burn centers in the US, EU, Israel and India. The study randomized 145 pediatric patients, ranging from newborn to eighteen years of age, randomized 1:1 to receive either NexoBrid or SOC.

Key Findings:
All co-primary endpoints were successfully met:
1.Faster eschar removal: NexoBrid achieved complete eschar removal in a median time of one day compared to six days with SOC (p < 0.001)
2.Reduced wound area excised: The mean percentage of wound area surgically excised was significantly lower in the NexoBrid arm vs. SOC (1.5% vs. 48.1%, respectively, p < 0.001)
3.Comparable long-term outcomes: At 12 months, NexoBrid demonstrated comparable cosmesis and functional outcomes to SOC, with lower (better) MVSS scores of 3.8 in the NexoBrid arm vs. 4.9 in the SOC (test for non-inferiority, p < 0.001)
  
Additional findings:
4.Reduced need for surgery: 8.3% of NexoBrid treated patients required surgical excision vs. 64.4% of patients treated with SOC (p < 0.001)
5.High efficacy: 94.2% of patients treated with NexoBrid achieved complete eschar removal
6.Comparable safety profile: NexoBrid demonstrated comparable safety profile to SOC
  

About NexoBrid

NexoBrid® is a topically administered biological orphan drug that enzymatically removes eschar while preserving viable tissue in patients with deep partial- and full-thickness thermal burns. It is approved for use in in more than 40 countries, including the United States, European Union, and Japan.

NexoBrid development has been supported in whole or in part with federal funds from the U.S. Department of Health and Human Services; Administration for Strategic Preparedness and Response; Biomedical Advanced Research and Development Authority (BARDA), under contract HHSO100201500035C. This contract provided funding and technical support for the pivotal U.S. Phase 3 clinical study (DETECT), the randomized, controlled pivotal clinical trial for use in the pediatric population (CIDS), the marketing approval registration process for NexoBrid as well as its procurement and availability under the expanded access treatment protocol (NEXT). Additional projects for evaluation of NexoBrid funded under the BARDA contract include establishment of a pre-emergency use data package and development of the health economic model to evaluate the cost savings impact to enable market adoption in the United States.

About MediWound

MediWound Ltd. (Nasdaq: MDWD) is a global leader in next-generation enzymatic therapeutics focused on non-surgical tissue repair. The Company specializes in the development, production and commercialization of innovative biologics that enhance existing standards of care and improve patient experiences while reducing healthcare costs and unnecessary surgeries.

MediWound’s first drug, NexoBrid®, is an FDA- and EMA-approved orphan biologic for eschar removal in deep partial-thickness and/or full-thickness thermal burns, significantly reducing the need for surgical interventions. Leveraging its proprietary enzymatic technology, MediWound is advancing EscharEx®, a promising candidate currently in Phase III development for the debridement of chronic wounds. Phase II clinical trials have shown EscharEx has distinct advantages over the currently available $375+ million drug for wound debridement, presenting a unique opportunity for significant market growth.

For more information visit www.mediwound.com and follow us on LinkedIn.

Cautionary Note Regarding Forward-Looking Statements

MediWound cautions you that all statements other than statements of historical fact included in this press release that address activities, events, or developments that we expect, believe, or anticipate will or may occur in the future are forward-looking statements. Although we believe that we have a reasonable basis for the forward-looking statements contained herein, they are based on current expectations about future events affecting us and are subject to risks, assumptions, uncertainties, and factors, all of which are difficult to predict and many of which are beyond our control.  Actual results may differ materially from those expressed or implied by the forward-looking statements in this press release.  These statements are often, but are not always, made through the use of words or phrases such as “anticipates,” “intends,” “estimates,” “plans,” “expects,” “continues,” “believe,” “guidance,” “outlook,” “target,” “future,” “potential,” “goals” and similar words or phrases, or future or conditional verbs such as “will,” “would,” “should,” “could,” “may,” or similar expressions.

Specifically, this press release contains forward-looking statements concerning the anticipated progress, development, study design, expected data timing, objectives anticipated timelines, expectations and commercial potential of NexoBrid and EscharEx®. Among the factors that may cause results to be materially different from those stated herein are the inherent uncertainties associated with the uncertain, lengthy and expensive nature of the product development process; the timing and conduct of our studies of EscharEx, including the timing, progress and results of current and future clinical studies, and our research and development programs; the approval of regulatory submission by the FDA, the European Medicines Agency or by any other regulatory authority, our ability to obtain marketing approval of EscharEx in the U.S. or other markets; the clinical utility, potential advantages and timing or likelihood of regulatory filings and approvals of our products and products; our expectations regarding future growth, including our ability to develop new products; market acceptance of NexoBrid and EscharEx; our ability to maintain adequate protection of our intellectual property; competition risks; the need for additional financing; the impact of government laws and regulations and the impact of the current global macroeconomic climate on our ability to source supplies for our operations or our ability or capacity to manufacture, sell and support the use of our products and product candidates in the future.

These and other significant factors are discussed in greater detail in MediWound’s annual report on Form 20-F for the year ended December 31, 2023, filed with the Securities and Exchange Commission (“SEC”) on March 21, 2024 and Quarterly Reports on Form 6-K and other filings with the SEC from time-to-time. These forward-looking statements reflect MediWound’s current views as of the date hereof and MediWound undertakes, and specifically disclaims, any obligation to update any of these forward-looking statements to reflect a change in their respective views or events or circumstances that occur after the date of this release except as required by law.

MediWound Contacts:
Hani Luxenburg
Chief Financial Officer
MediWound Ltd.
ir@mediwound.com
Daniel Ferry
Managing Director
LifeSci Advisors, LLC
daniel@lifesciadvisors.com
  
Media Contact: 
Ellie Hanson
FINN Partners for MediWound
ellie.hanson@finnpartners.com
+1-929-588-2008
 

FAQ

What were the key findings of MediWound's Phase III CIDS study for NexoBrid?

The Phase III CIDS study confirmed NexoBrid's superiority over standard of care in pediatric patients with deep thermal burns. The findings supported label expansion for pediatric use in the E.U. (2023) and U.S. (2024), demonstrating NexoBrid as a rapid, effective, non-surgical alternative for eschar removal that preserves healthy tissue.

When did NexoBrid receive approval for pediatric use in the United States?

According to the press release, NexoBrid received approval for pediatric use in the United States in 2024, following earlier approval in the European Union in 2023.

What percentage of burn cases are pediatric patients according to MDWD's publication?

According to Professor Jose Ramón Martínez-Méndez cited in MDWD's press release, pediatric burn patients account for approximately 30% of all burn cases.

How does NexoBrid benefit pediatric burn patients compared to traditional treatments?

NexoBrid provides a rapid, non-surgical solution for pediatric burn patients, effectively removing eschar while preserving healthy tissue. This is particularly important for children, as surgical procedures can be traumatic for young patients, and NexoBrid helps protect viable dermis and improve outcomes.

Where was MDWD's Phase III CIDS study on NexoBrid published?

MediWound's Phase III Children Innovative Debridement Study (CIDS) was published in Burns, the peer-reviewed Journal of the International Society for Burn Injuries (ISBI).

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