Clinical efficacy of fecal microbial transplantation treatment in adults with moderate-to-severe atopic dermatitis.
Jacob Mashiah, Tal Karady, Naomi Fliss-Isakov...
https://pubmed.ncbi.nlm.nih.gov/34931478/Actively Recruiting
Led by National Institute of Allergy and Infectious Diseases (NIAID) · Updated on 2026-07-31
120
Participants Needed
1
Research Sites
N/A
Total Duration
Atopic dermatitis AD, also known as eczema, is a chronic skin condition that causes dryness and itching and can lead to complications like asthma and food allergies. Researchers are studying a topical treatment combining harmless bacteria called Roseomonas mucosa with ground cardamom seeds to see if it can improve symptoms in people aged 2 years and older with AD. This phase 2b trial compares this treatment to a placebo to evaluate its impact on AD symptoms and the skin microbiome. Participants will apply a study product made from freeze-dried Roseomonas mucosa and cardamom seeds or a placebo powder mixed with water in a spray vial. They will spray this solution on their skin 2 to 3 times per week for 14 weeks. After the treatment period, there is a 14-week follow-up without treatment to assess how long any effects last. The trial is double-blind and randomized, with half the participants receiving the active treatment and half receiving placebo. Participants will join remotely with five visits over about seven months. They will provide skin swabs collected at three visits by mailing swab samples to researchers. Optional photographs of their skin condition may be taken. Participants will also complete four online questionnaires. Researchers will measure eczema severity, itch, rash, quality of life, and safety outcomes throughout treatment and follow-up. The main measure is improvement in eczema severity 14 weeks after stopping treatment.
CONDITIONS
Cardamom and Topical Roseomonas in Atopic Dermatitis
J
Jodi L Blake, R.N.
I
Ian A Myles, M.D.
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here
National Institute of Allergy and Infectious Diseases (NIAID)
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Roseomonas mucosa and Cardamom (topical) | Placebo (topical sucrose) |
|---|---|---|
| What is it? | A topical investigational therapy combining live Roseomonas mucosa bacteria with ground cardamom seeds, reconstituted in water for application to skin areas affected by atopic dermatitis. | A placebo packet with freeze dried sucrose, also reconstituted in water and applied topically just like the investigational treatment. |
| Role in trial | Investigational intervention tested for its effect on eczema symptoms. | Placebo comparator for blinding and assessment of investigational treatment effect. |
| Primary use in this study | Evaluated as a topical microbiome-based therapy to improve symptoms in people with atopic dermatitis, aged 2 years and older. | Serves as an inactive control to allow comparison with the investigational treatment. |
| How it is given or performed | Packet contents are dissolved in water, then the mixture is applied to areas of eczema on the skin as prescribed by the protocol. | Identical-appearing placebo is prepared and applied to the skin following the same instructions as the active treatment. |
| Available published evidence | Small pilot studies of topical Roseomonas mucosa in children and adults with atopic dermatitis have reported improved eczema severity scores and good tolerability. Larger placebo-controlled trials are ongoing but no results are yet posted for this trial. There is no current published evidence regarding the addition of cardamom to this topical treatment. | A placebo topical product contains no active therapy. In randomized trials of microbiome-based topical treatments, placebo groups have not shown clinically meaningful improvement in eczema severity beyond expected placebo response. |
| Important limitations | Efficacy has not been proven in large, placebo-controlled populations. Evidence for the addition of cardamom is absent. Long-term effects and durability are unknown and safety data are limited to early-phase and open-label trials. | Acts as an inactive control and does not reflect usual or guideline-directed atopic dermatitis therapies, such as emollients or topical anti-inflammatories. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - 14 weeks
Participants apply the study powder mixed with water as a spray onto their skin 2 to 3 times per week for 14 weeks.
5 remote visits over about 7 months
Duration - 14 weeks
After treatment ends, participants are followed for 14 weeks to assess how long treatment effects last and complete assessments including skin swabs and questionnaires.
3 remote visits with skin swab collections and questionnaires
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
Have more questions? Get in touch with our team for quick support
Jacob Mashiah, Tal Karady, Naomi Fliss-Isakov...
https://pubmed.ncbi.nlm.nih.gov/34931478/Manoj Yadav, Prem Prashant Chaudhary, Brandon N D'Souza...
https://pubmed.ncbi.nlm.nih.gov/36877675/Lin Li, Zhen Han, Xiaoping Niu...
https://pubmed.ncbi.nlm.nih.gov/30465329/Ian A Myles, Noah J Earland, Erik D Anderson...
https://pubmed.ncbi.nlm.nih.gov/29720571/Ian A Myles, Carlo R Castillo, Kent D Barbian...
https://pubmed.ncbi.nlm.nih.gov/32908007/Jordan Zeldin, Prem Prashant Chaudhary, Jacquelyn Spathies...
https://pubmed.ncbi.nlm.nih.gov/36608129/Teruaki Nakatsuji, Tissa R Hata, Yun Tong...
https://pubmed.ncbi.nlm.nih.gov/33619370/National Institute of Allergy and Infectious Diseases (NIAID)
Lead Sponsor