Topical TCP-25 gel to help heal wounds in epidermolysis bullosa
Official title: A Randomized, Double-blind, Vehicle-controlled Phase 2 Study to Evaluate Efficacy, Safety, and Tolerability of Topically Applied TCP-25 in Patients With Epidermolysis Bullosa
Run by Xinnate AB · NCT06594393 · Data updated 2026-11-12
This trial tests whether applying TCP-25 gel to matched skin wounds helps improve healing in children and adults with dystrophic or junctional epidermolysis bullosa.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 4 Years and up |
| Sex | All |
| Enrollment | 32 (estimated) |
| Sponsor | Xinnate AB Industry-sponsored |
| Drugs / interventions | prednisone |
| Locations | 13 sites (Cincinnati, Ohio and 12 other locations) |
| Status | Recruiting |
| Started | January 30, 2026 |
| Main results expected | June 30, 2027 |
| Study ends | June 30, 2027 |
| Registry record updated | November 2, 2026 |
| Trial ID | NCT06594393 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients aged ≥12 years (initially) with genetically or biopsy-confirmed dystrophic or junctional EB who have at least one pair of comparable wounds and are not receiving systemic antibiotics.
✕Probably not a fit
Patients with other EB subtypes, those currently treated with systemic antibiotics, or those who used topical antibiotics on the index wounds within seven days before baseline may not benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 2, double-blind, randomized, vehicle-controlled study uses intrasubject randomization where paired index wounds on the same patient are randomized to receive TCP-25 gel or matching vehicle. Treatment is applied over a 56-day period with clinic visits at baseline and every two weeks through Day 56, and a safety follow-up conducted by telephone or video about two weeks after the last dose. Wound healing is measured by trained clinicians using 3D digital photography and specialized software for wound area quantification, alongside safety, tolerability, and pharmacokinetic assessments. The trial initially enrolls patients 12 years and older with genetically or biopsy-confirmed dystrophic or junctional EB, with enrollment of 4–11 year olds planned after a safety review.
Why it matters
Potential benefit: If successful, TCP-25 gel could speed wound closure and reduce infection and pain for patients with DEB or JEB.
How similar studies have gone: Topical peptide and antimicrobial wound therapies for EB are limited and this specific TCP-25 gel approach is relatively novel with only limited prior controlled data.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Male or female patients with documented diagnosis of DEB or JEB, confirmed by genetic testing and/or by a skin biopsy with immunofluorescence mapping. * Patients ≥4 years old. Note: Initially, patients ≥12 years will be enrolled. Enrollment will be open to 4 to 11 year old pediatric patients (both inclusive), after a DMC reviews and provides a positive opinion regarding the safety and tolerability of the IMP in at least 3 patients 12 to 18 years old who have completed at least 4 weeks of IMP use. Exclusion Criteria: * The patient has any subtype of EB other than DEB or JEB. * The patient is currently being treated or planned to be treated with systemic antibiotics. Note: Use of preventive and/or anti-inflammatory antibiotic treatment, including doxycycline, on an established treatment regimen (stable dose for ≥6 weeks before the Baseline Visit) is permitted. Use of topical antibiotics on the index wounds within 7 days before the Baseline Visit is prohibited. • Use of systemic corticosteroids \>0.2 mg/kg prednisone dose equivalent per day within 30 days or use of topical corticosteroids on index wounds within 7 days before the Screening Visit. Note: Corticosteroids for inhalation, ophthalmic, or intranasal use are permitted. • The patient has a history of or current malignancy over the index wound, eg, basal cell carcinoma or squamous cell carcinoma.
Where it's running
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Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States Recruiting -
Hopital St Louis
Paris, France Recruiting -
Andreas Syngros Hospital of Veneral & Dermatological Diseases
Athens, Greece Recruiting -
Hospital Of Skin And Venereal Diseases of Thessaloniki
Thessaloniki, Greece Recruiting -
Hospital
Modena, Italy Recruiting -
IDI Istituto Dermopatico dell'Immacolata IRCCS
Rome, Italy Recruiting
Show 7 more locations
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University hospital
Gdansk, Poland Recruiting -
Dermoklinika Centrum Medyczne
Lodz, Poland Recruiting -
San Joan de Deu, SJD Children's hospital Barcelona
Barcelona, Catalonia, Spain Recruiting -
Hospital Clinic de Barcelona
Barcelona, Spain Recruiting -
Hospital Univ La Paz
Madrid, Spain Recruiting -
Akademiska sjukhuset
Uppsala, Sweden Recruiting -
University hospital
Lund, Skåne County, Sweden Not yet recruiting
Study contacts
- Study coordinator: Head of Clinical Development
- Email: info@xinnate.com
- Phone: 46462756000
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Energy-F703EB Cream for Epidermolysis Bullosa: a skin cream test in adults
This phase 2 study tests ENERGI-F703EB Cream versus a matching vehicle to see if it is safe and helps small EB skin lesions in adults.
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Topical SD-101-6.0 cream for epidermolysis bullosa in children (1 month to 12 years)
A phase 3 trial tests whether applying SD-101-6.0 cream to the whole body daily for 60 days helps wounds heal in young EB patients.
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Ev.FV to heal wounds in dystrophic epidermolysis bullosa
This trial will test whether Ev.FV, a mesenchymal stem cell-derived extracellular vesicle therapy, helps heal wounds in people with dystrophic epidermolysis bullosa.
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KB803 eye drops versus placebo for people with dystrophic epidermolysis bullosa
This trial tests whether KB803 eye drops, given three times a week, can reduce recurrent corneal abrasions in children and adults with dystrophic epidermolysis bullosa.
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Oleogel-S10 gel for healing skin wounds in Japanese patients with epidermolysis bullosa.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.