ClinicalTrials.gg
RecruitingNCT06594393STEPUpdated Nov 2, 2026

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

A Phase 2 interventional study of TCP-25 gel and Vehicle (placebo) in Epidermolysis Bullosa (EB), Dystrophic Epidermolysis Bullosa and Junctional Epidermolysis Bullosa, sponsored by Xinnate AB. Recruiting at 13 sites in 7 countries. Open to participants aged 4 Years and older. Per ClinicalTrials.gov, last updated 2026-11-02.

Primary conditionEpidermolysis Bullosa DystrophicaRegistry: Epidermolysis BullosaReclassifiedWhy we changed it
Registry
Epidermolysis Bullosa — the first condition term the registry derived for this study.
ClinicalTrials.gg
Epidermolysis Bullosa Dystrophica
Why
  1. The study's listed conditions name Epidermolysis Bullosa Dystrophica, a narrower term within Epidermolysis Bullosa.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Xinnate AB · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2026; still recruiting 9 months later.
Updated Nov 2, 2026First site in PolandSite recruiting status changed+1 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
4 Years and older
Sex
All
01

Study 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.

Read the detailed description

The study will include a Screening Period, a Treatment Period (Days 1 to 56, with study visits conducted every 2 weeks, including the baseline [Day 1], Day 14, Day 28, Day 42, and Day 56 visits) and a Safety Follow-up conducted via a telephone/video call at approximately 14 days after the last dose of the IMP. Patients will undergo efficacy, safety, tolerability, and PK assessments at scheduled visits. For evaluation of the primary efficacy endpoint, a trained clinician will take the images of the index wounds at all scheduled visits from baseline through Day 56 (Visit 6) using 3D digital photography and software for wound measurement.

02

Conditions studied

  • Epidermolysis Bullosa (EB)
  • Dystrophic Epidermolysis Bullosa
  • Junctional Epidermolysis Bullosa

Browse trials for

Keywords

  • epidermolysis bullosa
  • topical treatment
03

In context

Epidermolysis Bullosa Dystrophica Reclassified

78 studies on the registry are indexed under Epidermolysis Bullosa Dystrophica; 21 are open to participants now.

This study's planned enrollment of 32 is above the median of 9 across 55 interventional studies indexed under Epidermolysis Bullosa Dystrophica.

Browse Epidermolysis Bullosa Dystrophica studies →

Lead sponsor

Xinnate AB is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

Compared within Epidermolysis Bullosa Dystrophica, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Epidermolysis Bullosa. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
4 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female patients with documented diagnosis of DEB or JEB, confirmed by genetic testing and/or by a skin 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

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 >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 over the index wound, eg, basal cell carcinoma or squamous cell carcinoma.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
32 participants (estimated)

Study arms

  • Experimental
    TCP-25

    Topical gel

    Drug: TCP-25 gel

  • Placebo comparator
    Vehicle

    Placebo gel

    Drug: Vehicle (placebo)

Interventions

  • DrugTCP-25 gel

    Topical gel

  • DrugVehicle (placebo)

    Placebo gel

06

What researchers measure

Primary outcomes

  1. Open wound area

    Time frame: 56 days

Secondary outcomes

  1. Frequency, intensity, and seriousness of Adverse Events in all treated patients until end of treatment

    Time frame: 56 days

  2. Change in procedural pain using the Wong Baker FACES® Pain Rating Scale (0 min -10 max)

    Wong Baker FACES pain rating scale uses 6 graphically or cartoon-depicted faces with varying facial expressions that represent no pain (no hurt) (Face 0) to worst pain/hurt that can be imagined (Face 10).

    Time frame: 56 days

  3. Change from baseline in clinical impression of overall treatment area

    Time frame: 56 days

  4. TCP-25 plasma concentrations

    Time frame: 56 days

  5. Number of participants with treatment-related local tolerability assessment at the area of IMP application assessed on a 4-point scale

    Time frame: 56 days

  6. Clinically significant changes from baseline in blood pressure until end of treatment

    Time frame: 56 days

  7. Number of patients with clinically significant changes from baseline in pulse rate until end of treatment

    Time frame: 56 days

  8. Number of patients with clinically significant changes from baseline in physical examination findings until end of treatment

    Time frame: 56 days

07

Study locations

12 of 13 sites recruiting
  • Cincinnati Children's Hospital Medical Center
    Cincinnati, Ohio 45229, United States
    Recruiting
  • Hopital St Louis
    Paris, France
    Recruiting
    • Dr BATAILLE, MD · Principal investigator
  • Andreas Syngros Hospital of Veneral & Dermatological Diseases
    Athens, Greece
    Recruiting
  • Hospital Of Skin And Venereal Diseases of Thessaloniki
    Thessaloniki, Greece
    Recruiting
    • Dimitra Kiritisi · Principal investigator
  • Hospital
    Modena, Italy
    Recruiting
    • Cristina Magnoni, Prof. · Principal investigator
  • IDI Istituto Dermopatico dell'Immacolata IRCCS
    Rome, Italy
    Recruiting
    • Dr. Didona, MD · Principal investigator
  • University hospital
    Gdansk, Poland
    Recruiting
    • Roman Nowicki, MD · Principal investigator
    • Hanna Umer, MD · Sub investigator
  • Dermoklinika Centrum Medyczne
    Lodz, Poland
    Recruiting
  • San Joan de Deu, SJD Children's hospital Barcelona
    Barcelona, Catalonia, Spain
    Recruiting
    • Vicente Villa, MD · Principal investigator
  • Hospital Clinic de Barcelona
    Barcelona, Spain
    Recruiting
  • Hospital Univ La Paz
    Madrid, Spain
    Recruiting
  • University hospital
    Lund, Skåne County 23735, Sweden
    Not yet recruiting
  • Akademiska sjukhuset
    Uppsala, Sweden
    Recruiting
    • Katja Holmgren, MD · Sub investigator
08

References and documents

Publications

  • Wallblom K, Holmgren K, Lundgren S, Belfrage E, Hoppe T, Hugerth M, Lindqvist AK, Sonkoly E, Schmidtchen A. Results of a non-randomized, open-label phase I study evaluating the novel immunomodulatory peptide TCP-25 for treatment of dystrophic epidermolysis bullosa. Orphanet J Rare Dis. 2025 Dec 2;21(1):4. doi: 10.1186/s13023-025-04156-7. PubMed 41327356 ↗

Related links

09

Updates

2 registry updates since Sep 25, 2026
Sites
3 sites added — first site in Poland. 3 sites changed recruiting status (2 now recruiting, 1 now not yet recruiting)
Show 3 sites
  • Hospital · Modena, ItalyNot yet recruiting→Recruiting
  • University hospital · Gdansk, PolandNot yet recruiting→Recruiting
  • University hospital · Lund, SwedenRecruiting→Not yet recruiting
Show 3 added (2 Poland, 1 Italy)
  • Hospital · Modena, Italy
  • University hospital · Gdansk, Poland
  • Dermoklinika Centrum Medyczne · Lodz, Poland
across 2 updates, Oct 22, 2026 – Nov 2, 2026
Site contacts
Changed at 3 sites. See the sites
Show 3 sites
  • Cincinnati Children's Hospital Medical Center · Cincinnati, United StatesContact added b•••@cchmc.org
  • Hospital · Modena, ItalyContact added (no phone or email listed)
  • University hospital · Gdansk, PolandContact added (no phone or email listed)Contact added (no phone or email listed)
Nov 2, 2026
Show all 2 updates
  1. Nov 2, 2026
    3 sites changed recruiting status (2 now recruiting, 1 now not yet recruiting)
    Show 3 sites
    • Hospital · Modena, ItalyNot yet recruiting→Recruiting
    • University hospital · Gdansk, PolandNot yet recruiting→Recruiting
    • University hospital · Lund, SwedenRecruiting→Not yet recruiting
    Site contacts Changed at 3 sites. See the sites
    Show 3 sites
    • Cincinnati Children's Hospital Medical Center · Cincinnati, United StatesContact added b•••@cchmc.org
    • Hospital · Modena, ItalyContact added (no phone or email listed)
    • University hospital · Gdansk, PolandContact added (no phone or email listed)Contact added (no phone or email listed)
  2. Oct 22, 2026
    3 sites added — first site in Poland
    Show 3 added (2 Poland, 1 Italy)
    • Hospital · Modena, Italy
    • University hospital · Gdansk, Poland
    • Dermoklinika Centrum Medyczne · Lodz, Poland
    + 3 other changes: verification date, oversight details and references

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06594393
Lead sponsor
Xinnate AB
Responsible party
Sponsor
First posted
Sep 19, 2024
Start date
Jan 30, 2026
Primary completion
Jun 30, 2027 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
Nov 2, 2026

Study contacts

Head of Clinical Development
Contact
info@xinnate.com
46462756000

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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