RecruitingPhase 1NCT06928246

The Impact of Botox on Neuroimmune Interactions in Atopic Dermatitis

Pilot Study on Cellular and Molecular Impact of Neuroimmune Interactions in Atopic Dermatitis


Sponsor

Daniel Kaplan

Enrollment

8 participants

Start Date

Jul 17, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to understand cellular and molecular interactions in the skin of participants with mild-to-moderate AD, and how botulinum toxin alters these interactions.


Eligibility

Min Age: 18 Years

Inclusion Criteria17

  • Phase 1b:
  • Patients 18 years or older at time of consent
  • Mild-to-Moderate AD, defined as:
  • BSA ≤ 10%
  • IGA ≤ 3
  • No past biologic therapy
  • No systemic therapy for 3 months
  • No topical therapy for treatment of AD for 4 weeks
  • Phase 2:
  • Patients 18 years or older at time of consent
  • Mild-to-Moderate AD, defined as:
  • BSA ≤ 10%
  • IGA ≤ 3
  • At least one patch of eczema of at least 5 cm in diameter
  • No past biologic therapy
  • No systemic therapy for 3 months
  • No topical therapy for treatment of AD for 4 weeks

Exclusion Criteria13

  • Phase 1b:
  • Age less than 18 years old
  • Pregnant or breastfeeding
  • Has medical comorbidity such as end stage congestive heart failure or coagulopathy that is a relative contradiction to skin biopsy procedure
  • Has had prior exposure to biologic treatments or has had prior treatment with systemic non-biologics (e.g. methotrexate) within 12 weeks
  • Has used topical therapy for treatment of AD within 4 weeks
  • Phase 2:
  • Patients enrolled in Phase 1
  • Age less than 18 years old
  • Pregnant or breastfeeding
  • Has medical comorbidity such as end stage congestive heart failure or coagulopathy that is a relative contradiction to skin biopsy procedure
  • Has had prior exposure to biologic treatments or has had prior treatment with systemic non-biologics (e.g. methotrexate) within 12 weeks
  • Has used topical therapy for treatment of AD within 4 weeks

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Interventions

DRUGOnabotulinum Toxin Type A - Phase 1b

The lesions receiving Botulinum toxin will get five 0.1 mL intradermal injections of 5 units of Botulinum toxin which equates to 25 units per lesion and 50 units per patient.

DRUGOnabotulinum Toxin Type A - Phase 2

The lesions receiving Botulinum toxin will get five 0.1 mL intradermal injections of 5 units of Botulinum toxin which equates to 25 units per lesion and 75 units per patient.


Locations(2)

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

UPMC Department of Dermatology

Pittsburgh, Pennsylvania, United States

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NCT06928246


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