MedPath

Anacaulase

Generic Name
Anacaulase
Brand Names
NexoBrid
Drug Type
Biotech

Overview

Anacaulase (anacaulase-bcdb) is a mixture of proteolytic enzymes extracted from the stems of pineapple plants (Ananas comosus [L.] Merr.). It is mostly composed (80-95% w/w) of proteins such as stem bromelain, ananain, jacalin-like lectin, bromelain inhibitors, and phytocystatin inhibitor, as well as saccharides, as both free monosaccharides and the N-linked glycan of stem bromelain and small molecule metabolites. Anacaulase is indicated for eschar removal in patients with deep partial thickness and/or full-thickness thermal burns. Removing eschar (a process also known as debridement) through surgical procedures can lead to significant trauma, major blood and heat loss and adjacent tissue damage. They also require specialized surgical personnel and facilities, and autologous skin grafting may be needed. Therefore, enzymatic alternatives such as anacaulase can lead to better clinical outcomes. The EMA approved the use of anacaulase in 2013, and in January 2023, anacaulase received FDA approval.

Background

Anacaulase (anacaulase-bcdb) is a mixture of proteolytic enzymes extracted from the stems of pineapple plants (Ananas comosus [L.] Merr.). It is mostly composed (80-95% w/w) of proteins such as stem bromelain, ananain, jacalin-like lectin, bromelain inhibitors, and phytocystatin inhibitor, as well as saccharides, as both free monosaccharides and the N-linked glycan of stem bromelain and small molecule metabolites. Anacaulase is indicated for eschar removal in patients with deep partial thickness and/or full-thickness thermal burns. Removing eschar (a process also known as debridement) through surgical procedures can lead to significant trauma, major blood and heat loss and adjacent tissue damage. They also require specialized surgical personnel and facilities, and autologous skin grafting may be needed. Therefore, enzymatic alternatives such as anacaulase can lead to better clinical outcomes. The EMA approved the use of anacaulase in 2013, and in January 2023, anacaulase received FDA approval.

Indication

Anacaulase is indicated for eschar removal in adults with deep partial thickness and/or full-thickness thermal burns.

Associated Conditions

No associated conditions information available.

Clinical Trials

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No clinical trials found for this drug

FDA Approved Products

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EMA Approved Products

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