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Testing different treatment options for Hidradenitis Suppurativa: antibiotic beads, botulinum injections, combination therapy, or standard surgery

STIMULAN, botulinum toxin A, their combination, or standard surgery alone for Hidradenitis Suppurativa: a 4-arm design PROBE (prospective randomised open-label blinded-endpoint) trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN12863422
Enrollment
40
Registered
2026-07-23
Start date
2026-08-15
Completion date
Unknown
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hidradenitis suppurativa (HS), more specifically HS Hurley stages II and III. Skin and Connective Tissue Diseases

Interventions

Study arm 1. Surgery alone (control group) Participants allocated to this group will undergo standard NHS care for advanced hidradenitis suppurativa. This consists of wide local surgical excision of

Sponsors

STIMULAN (Biocomposites Ltd)
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 65 Years

Inclusion criteria

Inclusion criteria: 1. Patient must have HS 2. Patient must be above 18 years of age 3. Patient must be below 65 years of age 4. Patient must be in Hurley stages II or III 5. Patient must be suitable for wide excision surgery 6. Patient’s disease must be amenable to treatment in the groin, axilla, and perineal regions 7. Patient must have at least one region with active disease 8. Patient must consent to be a part of the study (including the follow-ups)

Exclusion criteria

Exclusion criteria: 1. Candidates responsive to medical therapy 2. Children and the elderly (<18 and 65<) 3. Known hypersensitivities/allergies to study interventions 4. Active systemic infection prior to surgery 5. Pregnant or breastfeeding 6. Immunosuppressed 7. Participation in another interventional trial within 90 days

Design outcomes

Primary

MeasureTime frame
HS recurrence measured using expert opinion, patient opinion, and Hurley staging. Any HS symptoms experienced by the patients at up to 1 year post-operatively;Wound Healing measured using TIME: devitalized tissue removal (T), infection and inflammation control (I), moisture imbalance (M), and advancement of the epithelial edge of the wound (E) at up to 6 months post-operatively.;Pain Score measured using patient opinion and the pain scale at up to 1 year post-operatively;Wound dehiscence rate measured using patient reports at up to 1 year post-operatively;Aesthetic outcome measured using questionnaire and blinded expert opinion at up to 1 year post-operatively;HiSCR measured using blinded expert opinion and patient opinion at up to 1 year post-operatively

Secondary

MeasureTime frame
Quality of life measured using dermatology life quality index (DLQI) at up to 1 year post-operatively

Countries

England, United Kingdom

Contacts

Public ContactParia Maghsoodlou
paria.maghsoodlou@nhs.net+44 20 7377 7000

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Aug 10, 2026