EB-101 Treatment for New and Previously Treated Patients With Recessive Dystrophic Epidermolysis Bullosa (RDEB)

Last updated: June 26, 2024
Sponsor: Abeona Therapeutics, Inc
Overall Status: Active - Recruiting

Phase

3

Condition

Epidermolysis Bullosa

Treatment

EB-101 Surgical application of RDEB wounds

Clinical Study ID

NCT05725018
EB-101-CL-302
  • Ages > 12
  • All Genders

Study Summary

To evaluate and further characterize the safety of EB-101 (LZRSE-Col7A1 gene-corrected keratinocyte sheets with type VII collagen [C7] expression) for the treatment of large, chronic RDEB wounds in new and previously EB-101 treated patients 12 months and older.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Clinical diagnosis of RDEB.

  2. Age 12 months and older.

  3. Willing and able to give consent/assent; if under the age of 18 years, guardian(s)is/are willing and able to give consent.

  4. (This inclusion criterion was deleted as of Amendment 1.)

  5. Two confirmed RDEB C7 mutations with recessive inheritance patterns (or confirmationthat parents don't have any evidence of dominant disease).

  6. Able to undergo adequate anesthesia during EB-101 treatment.

  7. All women of childbearing potential must have a negative urine pregnancy test anduse a reliable birth control method throughout the duration of the study.

  8. On stable pain medication regimen for at least 30 days prior to Screening (andthrough Baseline).

  9. Must have at least one wound site that meets all of the following criteria:

  10. An area ≥20 cm2,

  11. Present for ≥6 months, and

  12. Stage 2 wound defined as an open skin wound with partial thickness loss ofdermis that has not extended through the dermis into subcutaneous tissue.

Exclusion

Exclusion Criteria:

  1. Medical instability limiting ability to travel to the study site or undergo EB 101treatment.

  2. The presence of medical illness expected to complicate participation and/orcompromise the safety of this technique, such as active infection with humanimmunodeficiency virus (HIV), hepatitis B, or hepatitis C.

  3. (This exclusion criterion was deleted as of Amendment 3.)

  4. Evidence of systemic infection.

  5. Current evidence or a history of SCC in the area that will undergo EB-101application.

  6. Active drug or alcohol addiction.

  7. Hypersensitivity to vancomycin or amikacin.

  8. Receipt of chemical or biological investigational therapy for the specific treatmentof RDEB in the 3 months prior to EB-101 application.

  9. Breast-feeding.

  10. Inability to properly follow protocol assessments and protect keratinocyte sheetsites as determined by the PI.

  11. Grade 3 clinical event or laboratory abnormality at Day 0. Abnormalities such asesophageal strictures, anemia, low albumin, and pain/itch are expected in RDEBpatients, and these abnormalities will not exclude a patient.

  12. Unwillingness or inability to provide 4 skin biopsies, or patient's keratinocytescannot be manufactured for use in EB-101 application.

  13. Any other circumstance where the PI believes that the patient may not be appropriatefor participation in the study.

Study Design

Total Participants: 12
Treatment Group(s): 1
Primary Treatment: EB-101 Surgical application of RDEB wounds
Phase: 3
Study Start date:
April 02, 2023
Estimated Completion Date:
June 30, 2025

Study Description

A multicenter, open-label, single-arm Phase 3b safety study of one-time surgical application of up to 12 autologous, LZRSE-Col7A1 gene-corrected keratinocyte sheets with C7 expression (EB-101) for the treatment of large, chronic RDEB wounds in each of approximately 10-12 patients. Patients enrolled will also contribute biopsies to support manufacturing requirements. All patients will be followed through 24 weeks post-treatment.

Patients will be evaluated at their Screening Visit (D -60 to D -25), a phone call approximately 14 days after screening, and at Baseline (Day -1) prior to treatment on Day 0. Patients will remain in the hospital, or other suitable inpatient medical facility that will allow appropriate immobilization of treated wounds, as determined by the Investigator, for observation for up to 7 days (±2 days) following treatment. They will be evaluated by phone on Day 14; by telehealth visits on Weeks 4, 8, and 18; and by clinic visits on Weeks 12 and 24.

Connect with a study center

  • Stanford University

    Redwood City, California 94063
    United States

    Active - Recruiting

  • University of Massachusetts Medical School

    Worcester, Massachusetts 01605
    United States

    Active - Recruiting

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