RecruitingPhase 2NCT06594393

A Phase 2 Study of TCP-25 Gel in Patients With Epidermolysis Bullosa, STEP-study

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


Sponsor

Xinnate AB

Enrollment

32 participants

Start Date

Jan 30, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

This is a Phase 2, double-blind, randomized, vehicle-controlled study designed to evaluate efficacy, safety, and tolerability of topically applied TCP-25 gel in patients with confirmed DEB or JEB. The study will implement intrasubject randomization, ie, a pair of matching index wounds will be randomly assigned to be treated with a local application of either TCP 25 gel or vehicle gel.


Eligibility

Min Age: 4 Years

Inclusion Criteria2

  • 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 Criteria6

  • 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.

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Interventions

DRUGTCP-25 gel

Topical gel

DRUGVehicle (placebo)

Placebo gel


Locations(6)

Hopital St Louis

Paris, France

Andreas Syngros Hospital of Veneral & Dermatological Diseases

Athens, Greece

Hospital Of Skin And Venereal Diseases of Thessaloniki

Thessaloniki, Greece

Hospital Clinic de Barcelona

Barcelona, Spain

Hospital Univ La Paz

Madrid, Spain

University hospital

Lund, Skåne County, Sweden

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NCT06594393


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