RecruitingPhase 1Phase 2NCT06830863

A Study to Evaluate Topical ATR04-484 for EGFRi-Associated Dermal Toxicity

A Phase 1/2, Multicenter, Randomized, Double-Blind, Vehicle-Controlled Study to Evaluate the Safety, Bioavailability, and Effect of Topically Administered ATR04-484 for Moderate to Severe EGFRi-Associated Dermal Toxicity


Sponsor

Azitra Inc.

Enrollment

32 participants

Start Date

Aug 25, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this randomized clinical trial is to learn if topical treatment with ATR04-484 can treat skin rash in patients undergoing EGFR inhibitor (EGFRi) therapy. The primary goal of the study is to determine safety and tolerability of ATR04-484, and the secondary goal of the study is to assess efficacy signals of ATR04-484. Researchers will compare treatment of ATR04-484 to its vehicle. Participants will: * Apply ATR04-484 or vehicle daily for 28 days * Visit the clinic periodically for evaluation and sample collection


Eligibility

Min Age: 18 Years

Inclusion Criteria2

  • Adults ≥18 years of age
  • Has Grade 2 or 3 non-infected moderate to severe EGFRi-related dermal toxicity affecting the face (the neck, chest, back and other areas may also be affected)

Exclusion Criteria3

  • Significant skin disease other than EGFRi-related dermal toxicity
  • Treatment with topical mid- to high-potency topical corticosteroids, or topical antibiotics or antibacterial washes on the face, neck, chest, or back within 14 days prior to baseline; treatment with systemic antibiotics or systemic corticosteroids within 14 days prior to baseline
  • Residing with an immunocompromised person residing with them in the same dwelling from the baseline visit through 2 weeks after the treatment period

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Interventions

DRUGATR04-484

ATR04-484 is a recombinant live biotherapeutic product (rLBP) containing the engineered S. epidermidis strain SE484 in an ointment formulation for topical use

DRUGVehicle

Topically applied vehicle.


Locations(6)

Genesis Cancer and Blood Institute

Hot Springs, Arkansas, United States

Yale University School of Medicine

New Haven, Connecticut, United States

NYU Langone

New York, New York, United States

The Ohio State University

Gahanna, Ohio, United States

MD Anderson

Houston, Texas, United States

Inova Schar Cancer

Fairfax, Virginia, United States

View Full Details on ClinicalTrials.gov

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NCT06830863


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