86 Participants Needed

ShA9 Topical Gel for Eczema

Recruiting at 8 trial locations
AP
Overseen ByAmy Paller, MD
Age: Any Age
Sex: Any
Trial Phase: Phase 1 & 2
Sponsor: National Institute of Allergy and Infectious Diseases (NIAID)
Must be taking: Topical corticosteroids

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new gel treatment, ShA9, for individuals with eczema who also have a specific type of skin bacteria called S. aureus. The goal is to determine if ShA9 is safe and if it can control eczema longer than a placebo (a non-active treatment). Participants will use ShA9 alongside standard treatments for the first two weeks, then continue with only ShA9 for an additional 12 weeks. This trial may suit those with eczema showing noticeable patches on their arms, legs, or body and a positive test for S. aureus bacteria. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this new treatment.

Will I have to stop taking my current medications?

The trial requires participants to stop using certain medications before joining. You must not use topical treatments for eczema, prescription moisturizers, or antibiotics shortly before the trial starts. Additionally, you should not have used systemic corticosteroids or phototherapy within a specified period before the trial.

Is there any evidence suggesting that ShA9 Topical Gel is likely to be safe for humans?

Research has shown that ShA9, a gel derived from a bacterium found on healthy skin, could safely treat eczema. Early results suggest that participants usually tolerate ShA9 well. Most side effects reported in studies have been mild and related to the skin, such as slight redness or irritation, which are common with many skin treatments. Since the trial initially involves using ShA9 with steroid creams, researchers will closely monitor any safety concerns over the 14 weeks. Overall, current evidence suggests that ShA9 is safe for human skin.12345

Why do researchers think this study treatment might be promising for eczema?

Unlike standard eczema treatments that typically involve corticosteroids alone, ShA9 Topical Gel offers a novel approach by combining a new active ingredient with traditional topical corticosteroids (TCS) for a more comprehensive treatment. ShA9 is used alongside TCS for the first two weeks to tackle inflammation aggressively and then is continued on its own, which may reduce steroid exposure over time. This layered approach could potentially enhance skin healing and minimize flare-ups more effectively than steroids alone, making ShA9 a promising option for those seeking alternative eczema treatments. Researchers are excited about this treatment because it targets eczema differently, potentially offering faster relief and longer-lasting results without the prolonged use of steroids.

What evidence suggests that ShA9 Topical Gel might be an effective treatment for atopic dermatitis?

Research shows that ShA9, a gel applied to the skin, contains a beneficial bacterium called Staphylococcus hominis A9. This gel might help treat atopic dermatitis, commonly known as eczema. Studies have found that ShA9 can reduce the amount of Staphylococcus aureus, a bacterium that often worsens eczema. In tests with mice, ShA9 significantly reduced skin inflammation without causing other issues. This suggests that ShA9 might soothe the skin and manage eczema. Although research in humans remains in the early stages, these findings offer hope for new eczema treatments. Participants in this trial will receive either the ShA9 Topical Gel or a placebo (vehicle) gel to evaluate its effectiveness in managing eczema symptoms.13467

Who Is on the Research Team?

RG

Richard Gallo, MD, PhD

Principal Investigator

University of California, San Diego: Dermatology Clinical Trials Unit

TH

Tissa Hata, MD

Principal Investigator

University of California, San Diego: Dermatology Clinical Trials Unit

DL

Donald Leung, MD, PhD

Principal Investigator

National Jewish Health: Division of Pediatric Allergy and Clinical Immunology

Are You a Good Fit for This Trial?

The TIME-2 trial is for adults and adolescents with atopic dermatitis (AD), also known as eczema, who test positive for S. aureus colonization. Participants must be willing to undergo a two-week treatment with topical corticosteroids alongside the trial medication.

Inclusion Criteria

Each potential participant who can become pregnant must meet specific criteria prior to randomization
I have a skin area affected by disease that is at least 7 cm2.
I have a skin test showing S. aureus bacteria in a specific area.
See 5 more

Exclusion Criteria

History of psychiatric disease or substance abuse
Close contacts with specific conditions
Inability or unwillingness to give written informed consent or comply with study protocol
See 14 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2 weeks
1 visit (in-person)

Standardized Skin Care

Participants undergo a 14-day period of standardized skin care using over-the-counter products to establish a baseline and allow for washout of prohibited medications

2 weeks
1 visit (in-person)

Treatment

Participants receive ShA9 or placebo gel with TCS for 2 weeks, followed by 12 weeks of ShA9 or placebo gel alone

14 weeks
4 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks
1 visit (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • ShA9 Topical Gel
Trial Overview This Phase 2 study tests ShA9 Topical Gel's effectiveness in managing AD compared to a placebo gel, after an initial co-treatment period with topical corticosteroids. The goal is to see if ShA9 can extend the time patients have their AD under control.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: ShA9 Topical GelExperimental Treatment4 Interventions
Group II: Placebo (Vehicle) Topical GelPlacebo Group4 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

National Institute of Allergy and Infectious Diseases (NIAID)

Lead Sponsor

Trials
3,361
Recruited
5,516,000+

Atopic Dermatitis Research Network (ADRN)

Collaborator

Trials
1
Recruited
90+

Rho Federal Systems Division, Inc.

Industry Sponsor

Trials
44
Recruited
15,000+

PPD, Thermo Fisher Scientific Inc.

Collaborator

Trials
1
Recruited
90+

Published Research Related to This Trial

Topical corticosteroids (TCS) used for atopic eczema showed no significant increased risk of skin thinning in short-term studies, indicating they are generally safe for use in both adults and children.
While TCS may have a higher relative risk of skin thinning compared to topical calcineurin inhibitors, the overall long-term safety data is limited, suggesting that intermittent use of TCS is safe but requires further investigation.
Safety of topical corticosteroids in atopic eczema: an umbrella review.Axon, E., Chalmers, JR., Santer, M., et al.[2023]
Dermacare, a new cosmetic formulation for atopic dermatitis, was found to be safe and well-tolerated in a multicenter study with no reported adverse events, demonstrating its potential for daily use.
After 28 days of treatment, Dermacare significantly reduced skin barrier disruption, as shown by a 70.4% decrease in the Eczema Area and Severity Index and a 36.7% decrease in transepidermal water loss, indicating improved skin condition and quality of life for patients.
New Cosmetic Formulation for the Treatment of Mild to Moderate Infantile Atopic Dermatitis.de Lucas, R., García-Millán, C., Pérez-Davó, A., et al.[2020]
In a study of 152 patients with hand eczema, an improvement of 8.3 points on the Hand Eczema Severity Index (HECSI) was identified as the minimal important change (MIC), which is crucial for evaluating treatment effectiveness.
The study found that the MIC values can vary based on the severity of the eczema at baseline, highlighting the need for further research to clarify these differences in future clinical trials.
New evidence on the minimal important change (MIC) for the Hand Eczema Severity Index (HECSI).Yüksel, YT., Agner, T., Ofenloch, R.[2021]

Citations

Study Details | NCT06504160 | Targeted Investigation of ...The primary safety objective of this study is to compare the safety profile of ShA9 to placebo (vehicle) over 14 weeks of application, which includes an initial ...
Development of a human skin commensal microbe for ...The present study investigated the safety and mechanisms of action of Staphylococcus hominis A9 (ShA9), a bacterium isolated from healthy human skin, as a ...
ShA9 Topical Gel for Eczema - Atopic DermatitisThe primary efficacy objective of this study is to assess the ability of ShA9, compared to placebo (vehicle), to prolong the period of atopic dermatitis control ...
MatriSys Announces Positive Results From a Phase I Study ...The trial will include a randomized double-blind, placebo-controlled safety, tolerability, and efficacy study using MSB-0221 to treat Atopic ...
Commensal bacteriotherapy | Nature Reviews MicrobiologyIn a mouse model of atopic dermatitis, ShA9 substantially reduced S. aureus survival and skin inflammation, without adverse effects on other ...
Targeted Investigation of Microbiome 2 Treat Atopic ...The primary safety objective of this study is to compare the safety profile of ShA9 to placebo (vehicle) over 14 weeks of application, which includes an initial ...
Targeted Investigation of Microbiome 2 Treat Atopic ...The primary safety objective of this study is to compare the safety profile of ShA9 to placebo (vehicle) over 14 weeks of application, which includes an initial ...
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