Asset profile

Nitrosomonas eutropha (B244)

Microbiome therapeutic

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Evidence outlook · lead readout

NCT04490109 · Atopic Dermatitis, Pruritus

The completed lead evidence has the design features that historically survive confirmatory trials: randomized, controlled, and adequately powered against a prespecified clinically accepted endpoint.

NCT04490109: This was a randomized, quadruple-blind, vehicle-controlled trial with 547 enrolled participants, including approximately 165–174 evaluable participants per group. The primary clinical endpoint was met for both B244 doses, with significantly greater improvement in worst itch than vehicle.

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Competitive landscape

60 competitors in this universe: 0 direct rivals (same mechanism and indication), 0 same-class, 60 same-indication; 35 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Nitrosomonas Eutropha (B244): this drugPhase 2Microbiome therapeuticlive biotherapeutic (topical ammonia-oxidizing bacterium, AOBiome/B244)
Abrocitinib (Cibinqo)ApprovedSmall moleculeJAK1
Baricitinib (Olumiant)ApprovedSmall moleculeJAK, JAK1/2
Crisaborole (Eucrisa)ApprovedSmall moleculePDE4
Difamilast (Moizerto / Adquey)ApprovedSmall moleculePDE4
Dupilumab (Dupixent)ApprovedMonoclonal antibodyIL-4R-alpha
Lebrikizumab (Ebglyss)ApprovedMonoclonal antibodyIL-13
Nemolizumab (Nemluvio)ApprovedMonoclonal antibodyIL-31 receptor A
Roflumilast (Zoryve)ApprovedSmall moleculePDE4
RuxolitinibApprovedSmall moleculeJAK1/2
TapinarofApprovedSmall moleculeAryl hydrocarbon receptor, Aryl Hydrocarbon Receptor Agonist
Tralokinumab (Adbry)ApprovedMonoclonal antibodyIL-13
Upadacitinib (Rinvoq)ApprovedSmall moleculeJAK, JAK1
ADSTEMPhase 3Cell therapyautologous adipose-derived mesenchymal stem cell (AD-MSC) therapy
AfimkibartPhase 3Monoclonal antibodyTL1A
AsivatrepPhase 3Small moleculeTRPV1

…and 45 more. Research shows the complete landscape.

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

No upcoming readouts on record for this asset.

All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 2/3 (1)
Phase 2 (5)
Phase 1/2 (2)
Phase 1 (1)