Keenova Doses First Patient in Phase 3 Trial for Hammer Toe Treatment

  • Keenova Therapeutics dosed the first patient in its Phase 3 trial of XIAFLEX for hammer toe treatment on August 20, 2026.
  • The double-blind, randomized, placebo-controlled study (KN3835-313) aims to enroll 550 participants across 35 U.S. sites.
  • XIAFLEX is currently FDA-approved for urological and orthopedic conditions but is investigational for hammer toe.
  • No FDA-approved nonsurgical therapies exist for hammer toe, leaving a significant unmet need in the market.

Keenova's Phase 3 trial for XIAFLEX in hammer toe treatment addresses a critical gap in the orthopedic market, where nonsurgical options are lacking. The study's success could position XIAFLEX as a leading therapy for a condition affecting millions of adults in the U.S., particularly older women. The trial's outcomes will be closely watched by investors and competitors in the orthopedic space.

Regulatory Pathway
Whether XIAFLEX can secure FDA approval for hammer toe, expanding its orthopedic indications.
Market Potential
The size of the addressable market for hammer toe treatments, given the condition's prevalence.
Clinical Success
The efficacy and safety data emerging from the Phase 3 trial, which will determine XIAFLEX's viability.