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Not yet recruitingNCT07658924BEST-CTCLUpdated Jun 22, 2026

Efficacy and Safety of Benvitimod Cream in Cutaneous T-Cell Lymphoma

A Phase 2 interventional study of Benvitimod Cream and Placebo cream in Cutaneous T-Cell Lymphoma and Mycosis Fungoides (MF), sponsored by Peking University First Hospital. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-22.

Sponsored by Peking University First Hospital · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
35
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Background:

CTCL is a rare type of non-Hodgkin lymphoma that primarily affects the skin, causing red patches, plaques, and severe itching. Currently, topical corticosteroids are commonly used for early-stage disease, but long-term application can cause significant skin side effects such as atrophy. Benvitimod is a novel, non-steroidal aryl hydrocarbon receptor (AhR) agonist. Previous studies suggest it has the potential to inhibit tumor cell proliferation and reduce skin inflammation, providing a promising new targeted therapy for CTCL patients.

Study Design:

This is a prospective, single-center, double-blind, placebo-controlled study. To ensure a highly accurate comparison and eliminate individual differences, the study uses an intra-patient (left-right) control design. Approximately 35 patients will be enrolled.

Participants will have two comparable target lesions selected on opposite sides of their body (e.g., left and right trunk or limbs). They will be randomly assigned to apply benvitimod cream to the lesion on one side and a placebo cream to the matching lesion on the other side. The creams will be applied once daily for up to 24 weeks.

Researchers will evaluate the improvement in skin lesions (using the mSWAT score), reduction in itching (using the VAS score), and closely monitor any adverse events at weeks 2, 4, 8, 16, and 24 to assess both the effectiveness and safety of the treatment.

02

Conditions studied

  • Cutaneous T-Cell Lymphoma
  • Mycosis Fungoides (MF)

Keywords

  • Benvitimod
  • Tapinarof
  • Topical Therapy
03

In context

Lymphoma, T-Cell, Cutaneous

337 studies on the registry are indexed under Lymphoma, T-Cell, Cutaneous; 61 are open to participants now.

This study's planned enrollment of 35 is close to the median of 33 across 275 interventional studies indexed under Lymphoma, T-Cell, Cutaneous.

Browse Lymphoma, T-Cell, Cutaneous studies →

Lead sponsor

Peking University First Hospital is the lead sponsor of 378 studies on the registry; 178 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Inclusion criteria

  • Patients diagnosed with cutaneous T-cell lymphoma (CTCL) / mycosis fungoides (MF) by skin biopsy.
  • Aged 18 years or older.
  • Possess complete baseline clinical data.
  • Good compliance with treatment and willing to attend follow-up visits.
  • Conscious, with no cognitive impairment or communication barriers.
  • Voluntarily participate in this study and sign the informed consent form.

Exclusion criteria

Exclusion Criteria:

  • Pregnant or lactating women, or those planning pregnancy within the next 6 months.
  • Known allergy or hypersensitivity to benvitimod cream or its excipients.
  • Severe ulceration or active infection at the target application sites.
  • Unwilling or unable to sign the informed consent form.
05

Study design

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

Study arms

  • Experimental
    Benvitimod treated side

    The target lesion on one side of the body (left or right) randomly assigned to receive topical benvitimod cream.

    Drug: Benvitimod Cream

  • Placebo comparator
    Placebo treated side

    The matching target lesion on the contralateral side of the body assigned to receive placebo cream.

    Drug: Placebo cream

Interventions

  • DrugBenvitimod Cream

    Applied topically to the randomly assigned target lesion (left or right side) once daily for up to 24 weeks. The application area will not exceed 2% of the body surface area.

    Also known as: Tapinarof cream

  • DrugPlacebo cream

    A vehicle cream matching the appearance of benvitimod cream. Applied topically to the contralateral target lesion once daily for up to 24 weeks.

06

What researchers measure

Primary outcomes

  1. Percentage change in modified Severity-Weighted Assessment Tool (mSWAT) score

    The mSWAT is used to assess the severity and extent of CTCL skin lesions. The improvement rate is calculated as: (1 - post-treatment mSWAT score / baseline mSWAT score) \* 100%. A higher percentage indicates better clinical improvement of the skin lesions.

    Time frame: Baseline, Week 2, Week 4, Week 8, Week 16, and Week 24

  2. Change in Pruritus Visual Analogue Scale (VAS) score

    Patients will self-report the intensity of their itching using a Visual Analogue Scale (VAS) ranging from 0 to 10. A score of 0 represents "no itch at all," and a score of 10 represents "the worst imaginable itch." A decrease in the score from baseline indicates an improvement in pruritus.

    Time frame: Baseline, Week 2, Week 4, Week 8, Week 16, and Week 24

Secondary outcomes

  1. Incidence of Adverse Events (AEs) and Adverse Drug Reactions (ADRs)

    The number of participants experiencing local adverse events (such as erythema, worsening pruritus, or contact dermatitis at the application site) and any systemic adverse events will be recorded and evaluated by clinicians to assess the safety of the topical treatment.

    Time frame: Up to Week 24

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07658924
Lead sponsor
Peking University First Hospital
Responsible party
Yang WANG (Professor, Peking University First Hospital) — Principal investigator
First posted
Jun 22, 2026
Start date
Jul 1, 2026 (estimated)
Primary completion
Oct 1, 2027 (estimated)
Completion
Oct 1, 2027 (estimated)
Last update
Jun 22, 2026

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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