FDA Orphan Status for Netherton Syndrome Drug
FDA has granted Quoin Pharmaceuticals an orphan drug designation for QRX003 and its use in treating Netherton syndrome, a rare and severe genetic skin disorder. Quoin is conducting two pivotal, late-stage clinical trials evaluating QRX003 lotion (4%) in patients with Netherton syndrome. Enrollment in both studies is expected to conclude in the first quarter of 2026, with top-line results anticipated in the second half, according to the company. It plans to submit an NDA in late 2026.
In patients with Netherton syndrome, a mutated gene leads to the absence of a protein called LEKTI. LEKTI normally inhibits certain enzymes, or serine proteases, which regulate skin shedding, the company says. Without LEKTI, these enzymes become overactive, causing severe and excessive skin shedding and creating a compromised skin barrier, it says.
QRX003 is a topical lotion that contains a broad-spectrum serine protease inhibitor. When applied to the skin, its active ingredient performs the function of the missing LEKTI protein by down-regulating the overactive enzymes, Quoin says, adding that this restores a more normal skin-shedding process and helps to form a stronger and more effective skin barrier.