Could a simple cream reduce the need for major mole removal surgery?

NCT ID NCT04999631

First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This early-phase trial tests whether a topical cream called squaric acid dibutyl ester (SADBE) can safely reduce pigment-producing cells in large congenital moles before they are surgically removed. Thirty adults with these birthmarks will apply the cream or a placebo for several weeks before their planned excision. The goal is to see if the treatment lowers the number of melanocytes and lightens the mole, potentially making surgery easier or less extensive.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Squaric acid dibutyl ester (SADBE) applied as a topical solution

What this could lead to

If it works, this could point toward a non-surgical way to lighten or shrink congenital moles before removal, potentially reducing scarring or need for extensive surgery.

What could go wrong

This is a very early (Phase 1) trial with only 30 people, so it may not show clear benefit. The treatment is topical but could cause skin irritation or allergic reactions.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

large congenital melanocytic nevus

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

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