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Onychomycosis Pipeline Analysis Report 2025

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    Report

  • 200 Pages
  • June 2025
  • Region: Global
  • Expert Market Research
  • ID: 6092260
Onychomycosis, a fungal infection affecting the nails, impacts 1% to 8% of the general population and 19% to 51.9% of patients undergoing hemodialysis. There is a significant unmet clinical need for advanced onychomycosis therapeutics, as current treatment options, such as oral antifungals and topical agents, often exhibit limited efficacy and prolonged treatment durations. The growing focus on innovative drug delivery systems, targeted therapies, and antifungal agents with improved safety profiles is expected to accelerate the development of onychomycosis drug candidates. According to the onychomycosis pipeline analysis by the publisher, these advancements aim to address the existing gaps in treatment and improve patient outcomes in the coming years.

Report Coverage

The Onychomycosis Pipeline Analysis Report by the publisher gives comprehensive insights into onychomycosis therapeutics currently undergoing clinical trials. It covers various aspects related to the details of each of these drugs under development for onychomycosis. The onychomycosis report assessment includes the analysis of over 100 pipeline drugs and 50+ companies. The onychomycosis pipeline landscape will include an analysis based on efficacy and safety measure outcomes published for the trials, including their adverse effects on patients suffering from the condition, and alignment with onychomycosis treatment guidelines to ensure optimal care practices.

The assessment part will include a detailed analysis of each drug, drug class, clinical studies, phase type, drug type, route of administration, and ongoing product development activities related to onychomycosis.

Onychomycosis Pipeline Outlook

Onychomycosis is a fungal infection of the nails caused by dermatophytes, yeasts, or non-dermatophyte molds. It occurs due to factors like prolonged exposure to moist environments, trauma to the nails, or underlying conditions such as diabetes. The infection leads to nail discoloration, thickening, and brittleness, significantly affecting patients’ quality of life.

Onychomycosis is typically treated with oral antifungals, such as terbinafine or itraconazole, and topical formulations like ciclopirox or efinaconazole. However, treatment duration is often long, with variable efficacy and potential side effects. Recent advancements focus on targeted therapeutics, improved drug delivery systems, and shorter treatment regimens, aiming to enhance outcomes and address the limitations of existing therapies. Emerging therapies in the pipeline hold promise for better management of the condition. In January 2024, Vanda Pharmaceuticals received approval from the U.S. Food and Drug Administration to initiate clinical trials for VTR-297, a novel topical antifungal candidate for onychomycosis. VTR-297 is a small molecule histone deacetylase inhibitor with antifungal activity, originally derived from Streptomyces hygroscopicus. It targets dermatophytes and fungi, offering a potential new treatment option for nail fungal infections, which have seen limited therapeutic advancements.

Onychomycosis Epidemiology

Onychomycosis affects 1% to 8% of the global population and 19% to 51.9% of hemodialysis patients. In India, the prevalence ranges from 0.5% to 5%, with dermatophytes causing 90% of cases in the United States and Europe. The rising incidence, especially among diabetic and immunocompromised populations, highlights the urgent need for advanced onychomycosis drug candidates.

Onychomycosis Pipeline Therapeutic Assessment

This section of the report covers the analysis of onychomycosis drug candidates based on several segmentations, including:

By Phase

The pipeline report covers 50+ drug analyses based on phase:

  • Late-Stage Products (Phase 3 and Phase 4)
  • Mid-Stage Products (Phase 2)
  • Early-Stage Products (Phase I)
  • Preclinical and Discovery Stage Products

By Drug Class

The onychomycosis pipeline analysis report covers 50+ drug analyses based on drug classes:

  • Small Molecules
  • Monoclonal Antibodies
  • Peptides
  • Gene Therapies

By Route of Administration

The assessment report covers 50+ drug analyses based on the route of administration.
  • Oral
  • Parenteral
  • Others

Onychomycosis - Pipeline Assessment Segmentation, By Phases

The report covers phase I, phase II, phase III, phase IV, and early-phase drugs. The coverage includes an in-depth analysis of each drug across these phases. According to analysis, phase II and phase IV at 33.33% each, cover a major share of the total onychomycosis clinical trials. demonstrates a strong developmental focus and significant post-marketing evaluations, ensuring long-term safety and effectiveness. Phase I and Phase III each account for 16.67%, indicating early and late-stage innovations. This balanced pipeline can positively impact the onychomycosis market by advancing treatment options and enhancing patient outcomes.

Onychomycosis Pipeline Assessment Segmentation, By Drug Classes

The drug molecule categories covered under the onychomycosis pipeline analysis include small molecules, monoclonal antibodies, peptides, and gene therapies. The onychomycosis report provides a comparative analysis of the drug classes for each drug in various phases of clinical trials for onychomycosis. Antifungal-based therapies for onychomycosis are gaining prominence in the drug pipeline to improve treatment outcomes. For instance, Efinaconazole 10% solution, an azole antifungal, is under evaluation for both adult and pediatric patients. Additionally, novel topical formulations and combination regimens are being investigated to enhance nail penetration and minimize systemic exposure.

Onychomycosis Clinical Trials Therapeutic Assessment - Competitive Dynamics

The report for the onychomycosis pipeline covers the profiles of key companies involved in clinical trials and their drugs under development. It provides a detailed onychomycosis therapeutic assessment, analyzing the competitive dynamics of the clinical trial landscape. Below is a list of a few players involved in onychomycosis clinical trials:
  • Moberg Pharma AB
  • AmtixBio Co., Ltd.
  • Hallux, Inc.
  • Bausch Health Companies Inc.
  • Pfizer Inc.
  • Bayer AG
  • Cipla Inc.
  • Novartis AG

Onychomycosis Emerging Drugs Profile

This section covers the detailed analysis of each drug under multiple phases, including phase I, phase II, phase III, phase IV, and emerging drugs for onychomycosis. It includes product description, trial ID, study type, drug class, mode of administration, and recruitment status of onychomycosis drug candidates.

Drug: MOB015B

A Phase 3 multicenter, double-blind study, sponsored by Moberg Pharma AB, aims to evaluate the efficacy and safety of topical MOB015B for treating distal subungual onychomycosis (DSO). With an estimated enrollment of 350 participants, the study involves an 8-week daily treatment followed by a 40-week weekly regimen. MOB-015 delivers concentrated terbinafine topically to the nail and nail bed, optimizing local efficacy while significantly reducing systemic exposure for onychomycosis treatment.

Drug: ATB1651-102

ATB1651, sponsored by AmtixBio Co., Ltd. is in a Phase 2 study that aims to evaluate the safety, tolerability, and pharmacokinetics of ATB1651 in adults with mild to moderate onychomycosis. This randomized, double-blind, placebo-controlled trial will enroll approximately 120 participants. The study is expected to complete primary data collection by June 30, 2025, with overall completion by January 30, 2026. ATB1651 gel enhances antifungal activity by modifying aryl rings, alkyl chains, and methyl groups, disrupting fungal cell membranes and inhibiting growth.

Key Questions Answered in the Onychomycosis - Pipeline Insight Report

  • Which companies/institutions are leading the onychomycosis drug development?
  • What is the efficacy and safety profile of onychomycosis pipeline drugs?
  • Which company is leading the onychomycosis pipeline development activities?
  • What is the current onychomycosis commercial assessment?
  • What are the opportunities and challenges present in the onychomycosis pipeline landscape?
  • What is the efficacy and safety profile of onychomycosis pipeline drugs?
  • Which company is conducting major trials for onychomycosis drugs?
  • Which companies/institutions are involved in onychomycosis collaborations aimed at providing enhanced therapeutic alternatives for patients?
  • What are the geographies covered for clinical trials in onychomycosis?

Reasons To Buy This Report

The Onychomycosis Pipeline Analysis Report provides a strategic overview of the latest and future landscape of treatments for onychomycosis. It provides necessary information for making informed investment decisions along with research, development, and strategic planning efforts. The stakeholders will benefit from the essential insights into onychomycosis collaborations, regulatory environments, and potential growth opportunities.

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Table of Contents

1 Preface
1.1 Introduction
1.2 Objectives of the Study
1.3 Research Methodology & Assumptions
2 Executive Summary
3 Overview of Onychomycosis
3.1 Signs and Symptoms
3.2 Causes
3.3 Risk Factors
3.4 Diagnosis
3.5 Treatment
4 Patient Profile: Onychomycosis
4.1 Patient Profile Overview
4.2 Patient Psychology and Emotional Impact Factors
4.3 Risk Assessment and Treatment Success Rate
5 Onychomycosis: Epidemiology Snapshot
5.1 Onychomycosis Incidence by Key Markets
5.2 Onychomycosis - Patients Seeking Treatment in Key Markets
6 Onychomycosis: Market Dynamics
6.1 Market Drivers and Constraints
6.2 SWOT Analysis
7 Onychomycosis: Key Facts Covered
7.1 Top Countries Contributing to Clinical Trials in Asia-Pacific
7.2 Top Countries Contributing to Clinical Trials in Europe
7.3 Top Countries Contributing to Clinical Trials in North America
7.4 Top Countries Contributing to Clinical Trials in Other Regions
8 Onychomycosis, Drug Pipeline Assessment
8.1 Assessment by Treatment Type
8.2 Assessment by Route of Administration
8.3 Assessment by Drug Class
9 Drug Pipeline Comparative Analysis
9.1 List of Onychomycosis Pipeline Drugs
9.1.1 By Company
9.1.2 By Phase
9.1.3 By Indication
9.1.4 By Trial Status
9.1.5 By Funder Type
9.2 Attribute Scoring Analysis of Pipeline Drugs (Top Drugs)
10 Onychomycosis Drug Pipeline - Late-Stage Products (Phase III and IV) (Top Drugs)
10.1 Comparative Analysis for Late-Stage Drugs
10.1.1 Study Type
10.1.2 Recruitment Status
10.1.3 Company
10.1.4 Funder Type
10.2 Product Level Analysis*
10.2.1 Drug: MOB015B
10.2.1.1 Product Description
10.2.1.2 Trial ID
10.2.1.3 Sponsor Name
10.2.1.4 Study Type
10.2.1.5 Drug Class
10.2.1.6 Eligibility Criteria
10.2.1.7 Study Record Dates
10.2.1.7.1 First Submitted
10.2.1.7.2 First Posted
10.2.1.7.3 Last Update Posted
10.2.1.7.4 Last Verified
10.2.1.8 Indication
10.2.1.9 Study Design
10.2.1.10 Recruitment Status
10.2.1.11 Enrollment (Estimated)
10.2.1.12 Location Countries
10.2.1.13 Recent Results
10.2.2 Other Drugs
11 Onychomycosis Drug Pipeline - Mid-Stage Products (Phase II) (Top Drugs)
11.1 Comparative Analysis for Mid-Stage Drugs
11.1.1 Study Type
11.1.2 Recruitment Status
11.1.3 Company
11.1.4 Funder Type
11.2 Product Level Analysis*
11.2.1 Drug: ATB1651-102
11.2.1.1 Product Description
11.2.1.2 Trial ID
11.2.1.3 Sponsor Name
11.2.1.4 Study Type
11.2.1.5 Drug Class
11.2.1.6 Eligibility Criteria
11.2.1.7 Study Record Dates
11.2.1.7.1 First Submitted
11.2.1.7.2 First Posted
11.2.1.7.3 Last Update Posted
11.2.1.7.4 Last Verified
11.2.1.8 Indication
11.2.1.9 Study Design
11.2.1.10 Recruitment Status
11.2.1.11 Enrollment (Estimated)
11.2.1.12 Location Countries
11.2.1.13 Recent Results
11.2.2 Other Drugs
12 Onychomycosis Drug Pipeline - Early-Stage Products (Phase I) (Top Drugs)
12.1 Comparative Analysis for Early-Stage Drugs
12.1.1 Study Type
12.1.2 Recruitment Status
12.1.3 Company
12.1.4 Funder Type
12.2 Product Level Analysis*
12.2.1 Drug 1
12.2.1.1 Product Description
12.2.1.2 Trial ID
12.2.1.3 Sponsor Name
12.2.1.4 Study Type
12.2.1.5 Drug Class
12.2.1.6 Eligibility Criteria
12.2.1.7 Study Record Dates
12.2.1.7.1 First Submitted
12.2.1.7.2 First Posted
12.2.1.7.3 Last Update Posted
12.2.1.7.4 Last Verified
12.2.1.8 Indication
12.2.1.9 Study Design
12.2.1.10 Recruitment Status
12.2.1.11 Enrollment (Estimated)
12.2.1.12 Location Countries
12.2.2 Other Drugs
13 Onychomycosis Drug Pipeline - Preclinical and Discovery Stage Products (Top Drugs)
13.1 Comparative Analysis for Preclinical and Discovery Stage Drugs
13.1.1 Study Type
13.1.2 Recruitment Status
13.1.3 Company
13.1.4 Funder Type
13.2 Product Level Analysis*
13.2.1 Drug 1
13.2.1.1 Product Description
13.2.1.2 Trial ID
13.2.1.3 Sponsor Name
13.2.1.4 Study Type
13.2.1.5 Drug Class
13.2.1.6 Eligibility Criteria
13.2.1.7 Study Record Dates
13.2.1.7.1 First Submitted
13.2.1.7.2 First Posted
13.2.1.7.3 Last Update Posted
13.2.1.7.4 Last Verified
13.2.1.8 Indication
13.2.1.9 Study Design
13.2.1.10 Recruitment Status
13.2.1.11 Enrollment (Estimated)
13.2.1.12 Location Countries
13.2.2 Other Drugs
14 Onychomycosis, Key Drug Pipeline Companies
14.1 Moberg Pharma AB
14.1.1 Company Snapshot
14.1.2 Pipeline Product Portfolio
14.1.3 Financial Analysis
14.1.4 Recent News and Developments
14.2 AmtixBio Co., Ltd.
14.2.1 Company Snapshot
14.2.2 Pipeline Product Portfolio
14.2.3 Financial Analysis
14.2.4 Recent News and Developments
14.3 Hallux, Inc.
14.3.1 Company Snapshot
14.3.2 Pipeline Product Portfolio
14.3.3 Financial Analysis
14.3.4 Recent News and Developments
14.4 Bausch Health Companies Inc.
14.4.1 Company Snapshot
14.4.2 Pipeline Product Portfolio
14.4.3 Financial Analysis
14.4.4 Recent News and Developments
14.5 Pfizer Inc.
14.5.1 Company Snapshot
14.5.2 Pipeline Product Portfolio
14.5.3 Financial Analysis
14.5.4 Recent News and Developments
14.6 Bayer AG
14.6.1 Company Snapshot
14.6.2 Pipeline Product Portfolio
14.6.3 Financial Analysis
14.6.4 Recent News and Developments
14.7 Cipla Inc.
14.7.1 Company Snapshot
14.7.2 Pipeline Product Portfolio
14.7.3 Financial Analysis
14.7.4 Recent News and Developments
14.8 Novartis AG
14.8.1 Company Snapshot
14.8.2 Pipeline Product Portfolio
14.8.3 Financial Analysis
14.8.4 Recent News and Developments
15 Regulatory Framework for Drug Approval, By Region16 Terminated or Suspended Pipeline Products