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Quoin Pharmaceuticals Provides Clinical and Regulatory Update from Constructive Type C Meeting with U.S. FDA for QRX003 in Netherton Syndrome

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(Very Positive)
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Quoin Pharmaceuticals (NASDAQ: QNRX) reported a constructive Type C meeting with the U.S. FDA on March 25, 2026 regarding QRX003 for Netherton Syndrome. FDA indicated a single Phase 3 may suffice and showed openness to alternative designs without traditional upfront placebo or vehicle control.

Quoin plans to submit Phase 2 and pediatric data, initiate a pivotal Phase 3, complete recruitment by end of 2026, and potentially file an NDA in 2027.

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Positive

  • FDA indicated a single Phase 3 could support U.S. approval
  • Company aims to complete Phase 3 recruitment by end of 2026
  • Potential NDA submission targeted for 2027
  • FDA openness to innovative randomized withdrawal or delayed-start design

Negative

  • Phase 3 completion by end-2026 creates timing risk for program
  • Planned Phase 3 design likely excludes traditional upfront placebo control

News Market Reaction – QNRX

+15.87% 16.4x vol
33 alerts
+15.87% Session close to close
+23.5% Peak Tracked
-34.4% Trough Tracked
$14.98M Market Cap
16.4x Rel. Volume

In the Mar 25 session, QNRX gained 15.87%, reflecting a significant positive market reaction. Argus tracked a peak move of +23.5% during that session. Argus tracked a trough of -34.4% from its starting point during tracking. Our momentum scanner triggered 33 alerts that day, indicating elevated trading interest and price volatility. Trading volume was exceptionally heavy at 16.4x the daily average, suggesting very strong buying interest.

Data tracked by StockTitan Argus on the day of publication.

Market Context

The stock surged +15.9% in the session following this news. A strong positive reaction aligns with t...
Analysis

The stock surged +15.9% in the session following this news. A strong positive reaction aligns with the constructive FDA Type C meeting, which indicated a single Phase 3 study may support U.S. approval and showed openness to flexible trial designs without traditional placebo control. Historically, QNRX has seen mixed moves on favorable QRX003 updates, so an outsized gain could reflect repricing of regulatory clarity. Investors would still need to weigh the sizable registered resale overhang of 10,045,455 ADSs and warrant-related dilution capacity of up to $88.7 million.

Key Figures

ADSs registered for resale: 10,045,455 ADSs Potential warrant proceeds: $88.7 million Registered vs outstanding ADSs: 1,193% of ADSs outstanding +5 more
8 metrics
ADSs registered for resale 10,045,455 ADSs Form S-3 shelf registration filed Nov 7, 2025
Potential warrant proceeds $88.7 million If all accompanying warrants are exercised for cash
Registered vs outstanding ADSs 1,193% of ADSs outstanding Relative to 838,976 ADSs outstanding as of Nov 3, 2025
ADSs outstanding 838,976 ADSs Outstanding as of Nov 3, 2025 (prospectus)
ADAR1 stake 58,230 ADSs (6.9%) Schedule 13G as of Dec 31, 2025
Woodline Partners stake 2,785,370 ordinary shares (9.5%) Schedule 13G based on 29,364,180 shares outstanding
Ikarian Capital ADS holding 211,538 ADSs (12.6%) Schedule 13G/A based on 1,683,627 ADS outstanding
Senior executive option grant 318,750 ADSs at $7.37 CEO and COO option awards on Feb 4, 2026

Historical Context

5 past events · Latest: Mar 19 (Neutral)
Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Mar 19 Earnings call scheduled Neutral +5.4% Set date for FY 2025 results and corporate update before market open.
Mar 11 Fast Track designation Positive -1.1% FDA granted Fast Track for QRX003 in Netherton Syndrome.
Feb 26 Awareness campaign Neutral +0.1% Highlighted NETHERTON NOW campaign and late-stage QRX003 development.
Jan 27 Japan ODD submission Positive -1.7% Filed for Orphan Drug and Fast Track-style review with Japan MHLW.
Jan 20 Saudi breakthrough filing Positive +1.8% Applied for Breakthrough Medicine Designation for QRX003 in Saudi Arabia.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Recent QRX003 regulatory/clinical milestones have often been positive, but price reactions have been mixed, with some material updates selling off despite favorable news.

Recent Company History

Over the past few months, Quoin has steadily advanced QRX003 for Netherton Syndrome with multiple regulatory milestones. In January–February 2026, the company pursued Orphan Drug and potential Fast Track pathways in Japan and Saudi Arabia, followed by an FDA Fast Track Designation on March 11, 2026. Investor reactions have been inconsistent, with both gains and pullbacks on positive news. Today’s FDA Type C meeting outcome further clarifies the U.S. path, complementing these earlier steps toward potential approval in 2027.

Key Terms

phase 3, nda, randomized withdrawal, randomized delayed start, +1 more
5 terms
phase 3 medical
"FDA indicated that a single Phase 3 study may be sufficient to support..."
Phase 3 is the late-stage clinical testing step for a new drug or medical treatment, where the product is given to large groups of patients to confirm effectiveness, monitor side effects, and compare it to standard care. Successful Phase 3 results are often the final scientific hurdle before regulators decide on approval and market launch—like passing a final exam before graduation—and can sharply change a company's valuation and future revenue prospects.
nda regulatory
"and potentially file for NDA approval in 2027"
An NDA, or nondisclosure agreement, is a legal contract that keeps certain information private between parties. It’s like a promise not to share sensitive details, helping protect business ideas, strategies, or data from being leaked or used without permission. For investors, NDAs help ensure that confidential information remains secure, enabling trust and open communication during business discussions.
randomized withdrawal medical
"such as a randomized withdrawal or randomized delayed start study..."
A randomized withdrawal is a clinical trial design where people who initially get better on a treatment are later randomly assigned either to keep taking it or to stop, so researchers can measure whether benefits last and whether problems reappear. Think of testing a new routine by removing it for half the group to see if results continue. Investors care because these results reveal how durable a drug’s effects and safety profile are, which affect approval, labeling, prescribing and long-term sales.
randomized delayed start medical
"such as a randomized withdrawal or randomized delayed start study..."
A randomized delayed start is a clinical trial design where participants are randomly assigned to start a treatment immediately or to begin the same treatment after a set delay, allowing comparison of early versus later treatment effects. Investors care because this setup helps show whether a drug gives lasting benefits or just temporary symptom relief, which influences regulatory decisions, long-term sales prospects and the strength of the evidence supporting the medicine—think of it like testing whether fixing a problem now prevents it from coming back later.
placebo control medical
"would likely not include a traditional upfront vehicle or placebo control"
A placebo control is a group in a clinical trial that receives an inactive treatment—such as a sugar pill or a sham procedure—so researchers can compare outcomes against those getting the real drug or device. For investors, placebo-controlled trials offer a cleaner way to see whether a therapy actually works, like checking performance against a neutral baseline; clearer results reduce uncertainty about regulatory approval, market potential, and a company’s valuation.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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FDA indicated that a single Phase 3 study may be sufficient to support marketing approval in the U.S.

FDA expressed openness to an alternative study design for Phase 3 that would likely not include a traditional upfront vehicle or placebo control

Quoin remains on track to initiate a Phase 3 study and complete Phase 3 patient recruitment in 2026 and potentially file for NDA approval in 2027

ASHBURN, Va., March 25, 2026 (GLOBE NEWSWIRE) -- Quoin Pharmaceuticals Ltd. (NASDAQ: QNRX) (“Quoin” or the “Company”), a late clinical-stage specialty pharmaceutical company focused on rare and orphan diseases, today provided a clinical and regulatory update from its recent constructive Type C meeting with the U.S. Food and Drug Administration (FDA) for its lead product candidate, QRX003, for the treatment of Netherton Syndrome (NS).

“We are very pleased to provide this update from our recent Type C meeting with FDA. Importantly, FDA acknowledged that a single Phase 3 study may be sufficient to support U.S. marketing approval of QRX003 for Netherton Syndrome, rather than the two Phase 3 studies the Company had originally contemplated. With our established network of U.S. and EU clinical trial sites, we are confident that we will be in a position to initiate our pivotal Phase 3 program and fully complete recruitment this year. FDA also expressed openness to an alternative, innovative clinical trial design, such as a randomized withdrawal or randomized delayed start study, which may be more appropriate Phase 3 design in the setting of Netherton Syndrome than a traditional upfront randomized, controlled study. Overall, this meeting represents an important milestone for Quoin and the Netherton Syndrome community at large. We are now in a position to move forward with clarity, and we remain on track to advance development of QRX003 with the goal of potentially delivering the first approved medication for the treatment of Netherton Syndrome. Finally, I would like to sincerely thank each of the KOLs who participated in the meeting: Professor Alan Irvine, Dr. Amy Paller, Dr. Keith Choate, Professor Jemima Mellerio, Professor Anna Martinez, Professor James Halpern and Professor Suzanne Pasmans. We are truly grateful for your continued support and expert input.” said Dr. Michael Myers, CEO of Quoin Pharmaceuticals.

Key highlights from the meeting include:

  • FDA indicated that a single Phase 3 study may be sufficient to support marketing approval for QRX003 for Netherton Syndrome, which is an alternative to the traditional expectation for two Phase 3 studies in NS patients originally proposed by the Company.
  • FDA expressed openness to an alternative innovative clinical trial design such as a randomized withdrawal or a randomized delayed start for a pivotal Phase 3 study. Such trial design would likely not include a traditional upfront vehicle or placebo control.

Based on the feedback from the meeting, Quoin is implementing FDA recommendations consistent with the meeting outcomes, ensuring its readiness to advance toward registrational Phase 3 development. Quoin will submit clinical data from the ongoing Phase 2 and pediatric investigator studies and plans to request a meeting to discuss this data prior to initiating the Phase 3 pivotal program for QRX003 to gain alignment with FDA on the design of the program. Quoin remains on track to complete patient recruitment into its Phase 3 program by the end of 2026 and to potentially file for FDA approval for QRX003 as the first treatment for Netherton Syndrome in 2027

About Quoin Pharmaceuticals Ltd.

Quoin Pharmaceuticals Ltd. is a late clinical-stage specialty pharmaceutical company focused on developing and commercializing therapeutic products that treat rare and orphan diseases. We are committed to addressing unmet medical needs for patients, their families, communities and care teams. Quoin’s innovative pipeline comprises several products in development that collectively have the potential to target a broad number of rare and orphan indications, including Netherton Syndrome, Peeling Skin Syndrome, SAM Syndrome, Palmoplantar Keratoderma, Scleroderma, Microcystic Lymphatic Malformations, Venous Malformations, Angiofibroma and others. For more information, visit: www.quoinpharma.com or LinkedIn for updates.

Cautionary Note Regarding Forward Looking Statements

The Company cautions that statements in this press release that are not a description of historical facts are forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements may be identified by the use of words referencing future events or circumstances such as “expect,” “intend,” “plan,” “anticipate,” “believe,” “look forward to,” and “will,” among others. All statements that reflect the Company’s expectations, assumptions, projections, beliefs, or opinions about the future, other than statements of historical fact, are forward-looking statements, including, without limitation, statements relating to: a single Phase 3 study being sufficient to support US marketing approval of QRX003 for Netherton Syndrome, rather than the two Phase 3 studies the Company had originally contemplated; remaining on track to initiate pivotal Phase 3 Study of QRX003 and complete Phase 3 patient recruitment in 2026; pursuing an alternative, innovative clinical trial design rather than a traditional upfront vehicle or placebo control study; potentially filing for FDA approval for QRX003 as the first treatment for Netherton Syndrome in 2027; being now in a position to move forward with clarity, advancing development of QRX003 with the goal of potentially delivering the first approved medication for the treatment of Netherton Syndrome; implementing FDA recommendations consistent with the meeting outcomes; ensuring the Company’s readiness to advance toward registrational Phase 3 development; submitting clinical data from the ongoing Phase 2 and pediatric investigator studies; plans to request a meeting with the FDA to discuss data prior to initiating the Phase 3 pivotal program for QRX003 to gain alignment on the design of the program; and Quoin’s belief that its products in development collectively have the potential to target a broad number of rare and orphan indications, including Netherton Syndrome, Peeling Skin Syndrome, Palmoplantar Keratoderma, Scleroderma, Epidermolysis Bullosa and others. Because such statements are subject to risks and uncertainties, actual results may differ materially from those expressed or implied by such forward-looking statements. These forward-looking statements are based upon the Company’s current expectations and involve assumptions that may never materialize or may prove to be incorrect. Actual results and the timing of events could differ materially from those anticipated in such forward-looking statements as a result of various risks and uncertainties including, but not limited to, the Company’s ability to pursue its regulatory strategy; the Company’s ability to obtain regulatory approvals for commercialization of product candidates or to comply with ongoing regulatory requirements; the Company’s ability to complete clinical trials on time and achieve desired results and benefits as expected; and other factors discussed in the Company’s Annual Report on Form 10-K for the year ended December 31, 2024 and in other filings the Company has made and may make with the SEC in the future. One should not place undue reliance on these forward-looking statements, which speak only as of the date on which they were made. The Company undertakes no obligation to update such statements to reflect events that occur or circumstances that exist after the date on which they were made, except as may be required by law.

For further information, contact:

Quoin Pharmaceuticals Ltd.
Michael Myers, Ph.D., CEO
mmyers@quoinpharma.com

Investor Relations
PCG Advisory
Jeff Ramson
jramson@pcgadvisory.com
(646) 863-6341


FAQ

When does Quoin expect to start and finish Phase 3 recruitment for QRX003 (QNRX)?

Quoin expects to initiate its pivotal Phase 3 program and complete patient recruitment by the end of 2026. According to the company, this timeline assumes implementation of FDA feedback and submission of Phase 2 and pediatric data before starting Phase 3.

Could Quoin file for FDA approval of QRX003 (QNRX) and when might that occur?

Quoin targets a potential NDA filing in 2027 for QRX003 as the first Netherton Syndrome treatment. According to the company, this depends on completing Phase 3 recruitment, aligning on trial design with FDA, and positive registrational results.

How might the FDA’s openness to alternative trial designs affect QRX003’s Phase 3 for QNRX?

An alternative design could avoid traditional upfront placebo/vehicle control, potentially improving enrollment and ethics in rare disease trials. According to the company, FDA suggested randomized withdrawal or delayed-start designs may be more appropriate for Netherton Syndrome.

What regulatory steps will Quoin (QNRX) take before initiating the Phase 3 pivotal program?

Quoin will submit data from ongoing Phase 2 and pediatric investigator studies and request a meeting with FDA to align on Phase 3 design. According to the company, this precedes initiation to ensure regulatory readiness and implement FDA recommendations.