Staph bacteria may hold clues to painful skin rashes in IBD patients on Anti-TNF therapy
NCT ID NCT07812675
First seen Sep 10, 2026 · Last updated Sep 11, 2026 · Updated 1 time
Summary
Some people with inflammatory bowel disease who take anti-TNF drugs develop painful rashes in skin folds and around the mouth, a condition called SPIDER. Researchers at a French hospital are studying whether levels of Staphylococcus aureus bacteria in these rashes change over six months and whether those changes match how the wounds heal. The study enrolls 82 people with IBD on anti-TNF therapy, some with SPIDER rashes and some without, and compares skin swabs from rashes, healthy skin, and clinical severity scores.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If researchers link S. aureus levels to how these rashes heal, doctors could one day predict which patients improve and tailor skin care for people on anti-TNF therapy.
- What could go wrong
- This is a small observational study of 82 people at one hospital, so it can only show associations, not cause and effect. The findings may not apply to other IBD patients or other treatments.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 82 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adult or pediatric patient (\>4 years old), diagnosed with IBD and receiving anti-TNFα therapy, with skin lesions such as crusted rhinitis ± inflammatory alopecic scalp lesions ± intertrigo of the large skin folds ± folliculitis (Scalp and Periorificial Inflammatory DERmatis, SPIDER)
- Ages
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4 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Diagnosed with IBD * Receiving anti-TNFα therapy * WITH skin lesions such as crusted rhinitis ± inflammatory alopecic scalp lesions ± intertrigo of the large skin folds ± folliculitis (Scalp and Periorificial Inflammatory DERmatis, SPIDER) * Parental consent for minor patients * Patient who has provided free and informed consent and has signed the consent form * Patient affiliated to or beneficiary of a health insurance system Exclusion Criteria: * Patients for whom a change in therapy is planned within 6 months (SPIDER+). * Patients receiving antibiotics (systemic or topical) at the time of enrollment, with a window of at least 1 month. * Patients who have participated in a clinical drug trial within the last three months * Patients currently in an exclusion period determined by a previous study * Patients under legal guardianship, conservatorship, or trusteeship * Patients who refuse to sign the informed consent form * Pregnant or breastfeeding patients.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
5 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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CHU de Béziers
Béziers, Hérault, 34500, France
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CHU de Montpellier, Hôpital Arnaud de Villeneuve
Montpellier, Hérault, 34090, France
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Centre Hospitalier de MILLAU
Millau, Aveyron, 12100, France
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Montpellier University Hospital, Saint Eloi
Montpellier, Hérault, 34090, France
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Nîmes University Hospital
Nîmes, Gard, 30029, France
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