Clinical trial Recruiting at 12 sites Phase 2 Interventional Ages 4 and up

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.

More Dystrophic Epidermolysis Bullosa trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages4 Years and up
SexAll
Enrollment32 (estimated)
SponsorXinnate AB
Industry-sponsored
Drugs / interventionsprednisone
Locations13 sites (Cincinnati, Ohio and 12 other locations)
StatusRecruiting
StartedJanuary 30, 2026
Main results expectedJune 30, 2027
Study endsJune 30, 2027
Registry record updatedNovember 2, 2026
Trial IDNCT06594393 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.