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NCT Number: NCT07538583

Phase 2/3 Clinical Study of QRX003 Lotion in Subjects With Netherton Syndrome

This is a multicenter, open-label study to evaluate the safety, tolerability, and efficacy of 4% QRX003 lotion applied twice daily (BID) for 12 weeks to Netherton syndrome (NS) diseased skin in all affected areas of the body excluding the scalp (the Treatment Area), totaling approximately 50% Body Surface Area (BSA) or more.

Recruiting

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Key information

Age range

4 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2 / Phase 3

Primary location

Center for Dermatology Clinical Research, Fremont, California, United States

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Participant is male or female and at least 4 years of age.
  • Participant has provided written informed consent/assent. Based on the participant's age and local regulations , a participant under legal age of consent must provide written informed assent and be accompanied by the parent or legal guardian at the time of assent/consent signing. The parent or legal guardian must provide informed consent for the participant. If a participant reaches the age at which consent is required by local regulations during the study, the participant must provide written informed consent at that time to continue study participation.
  • Female participants must either not have experienced menarche, be postmenopausal , or be surgically sterile , or use a highly effective method of birth control , for the duration of the study and for 3 months following EOT. Women of childbearing potential (WOCBP) must have a negative urine pregnancy test (UPT) at Visit 1/Screening and Visit 2/Baseline. Males must use a condom in addition to having their female partner use a highly effective method of birth control.
  • Participant has a genetically confirmed diagnosis of NS prior to Visit 2/Baseline. Participants without existing results must undergo genetic testing at Visit 1/Screening, which must confirm the diagnosis of NS in order for the participants to be enrolled in the study.

Exclusion criteria

  • Participant is pregnant, lactating, or is planning to become pregnant during the study.
  • Participant has active cancer of any type excluding melanoma skin cancer outside of the Treatment Area.
  • Participant has diabetes of any type, except non-insulin dependent diabetes mellitus that is reasonably controlled, in the opinion of the investigator.
  • Participant has evidence of active infection during Screening, or serious infection within 30 days prior to Visit 2/Baseline.
  • Participant has known human immunodeficiency virus, hepatitis B or C virus, or active or latent tuberculosis.
  • Participant has ongoing or recent history of any other uncontrolled and/or clinically significant systemic disease or condition which, in the opinion of the investigator, should exclude participation in the study.
  • Participant has used ultraviolet phototherapy within the Treatment Area within 4 weeks prior to Visit 2/Baseline.
  • Participant has used systemic non-biologics prescription treatment for NS or that in the opinion of the investigator may affect the participant's NS (examples include, but are not limited to antibiotics, retinoids, etc.) within 4 weeks prior to Visit 2/Baseline.
  • Participant has used systemic biologic therapy for NS or that in the opinion of the investigator may affect the participant's NS within 5 half-lives of the biologic therapy prior to Visit 2/Baseline. Published or documented half-life of the product provided by the commercial supplier or Sponsor should be used to establish this value.
  • Participant has used topical prescription treatments, including steroids (examples include, but are not limited to keratolytics, steroids, retinoids, etc.) in the Treatment Area within 2 weeks prior to Visit 2/Baseline.
  • Participant has used any topical bland moisturizers/emollients in the Treatment Area within 24 hours prior to Visit 2/Baseline.
  • Participant is currently enrolled in an investigational drug, biologic, or device study.

Treatment and study plan

QRX003

Drug

Serine Protease Inhibitor

Primary outcomes

  1. Proportion of subjects with 1-point reduction on IGA

    Time frame: Week 12

    The IGA (Investigator Global Assessment) is a 5-point scale used to assess the overall severity of a Subject's NS condition.

Secondary outcomes

  1. Proportion of subjects with 2-point improvement on the WI-NRS

    Time frame: Week 12

    Subjects will rate their itch intensity using the 11-point Worst-Itch-Numeric Rating Scale (WI-NRS)

  2. PGI-C Score

    Time frame: Week 12

    Patient (or Caregiver) Global Impression of Change (PGI-C) is a 7-point, self-assessed scale measuring the patient's (or caregiver's) improvement of their NS condition.

  3. CGI-C Score

    Time frame: Week 12

    Clinical Global Impression of Change (PGI-C) is a 7-point scale used by the clinician to assess improvement of the NS condition.

Study contacts

Contact information is provided by the study sponsor or research team.

Oleg G Khatsenko, Ph.D

CONTACT

[email protected]

858-571-1800 ext. 166

TI Clinical Research

CONTACT

[email protected]

858-571-1800 ext. 147

Sponsors and collaborators

Lead sponsor

Quoin Pharmaceuticals

Industry

Registry information

Official study title

A Multicenter, Open-label Study of QRX003 Lotion in Participants With Netherton Syndrome

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Apr 20, 2026
Registry last updated
Apr 21, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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