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A Long-term Treatment With B-VEC for Dystrophic Epidermolysis Bullosa

Primary Purpose

Dystrophic Epidermolysis Bullosa, DEB - Dystrophic Epidermolysis Bullosa, Recessive Dystrophic Epidermolysis Bullosa

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Open Label Topical Beremagene Geperpavec (B-VEC)
Sponsored by
Krystal Biotech, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dystrophic Epidermolysis Bullosa focused on measuring DEB, Krystal Biotech

Eligibility Criteria

2 Months - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Willing and able to give consent/assent
  • Clinical diagnosis of epidermolysis bullosa
  • Confirmation of diagnosis (either DDEB or RDEB) by genetic testing including COL7A1.
  • Age: 6 months of age and older at the time of informed consent/assent
  • Women of childbearing age must be willing to use reliable birth control method throughout the treatment duration and for 3 months following the last treatment application

Exclusion Criteria:

  • Diseases or conditions that could interfere with the assessment of safety of the study treatment and compliance of the participant with study visits/procedures, as determined by the Investigator
  • Pregnant or nursing women
  • Active infection in the area that will undergo administration, that the Investigator believes will negatively impact the IP application
  • Known allergy to any of the constituents of the product
  • Concurrent skin transplant or mesh skin grafting; if the participant is currently having transplantation or grafting surgeries they must wait until the transplant has begun to heal and the graft has absorbed prior to initiating B-VEC therapy
  • Participation in an interventional gene therapy clinical trial within the past three (3) months (not including B-VEC administration)

Sites / Locations

  • Mission Dermatology Center
  • Stanford University
  • Pediatric Skin Research
  • Northwestern University
  • Cincinnati Children's Hospital Medical Center
  • Ascension Seton- Dell's Children Medical Group

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

B-VEC

Arm Description

Open label B-VEC topical treatment of DEB wounds.

Outcomes

Primary Outcome Measures

To record safety outcomes of participants while on B-VEC.
Record reportable Adverse (AE) and Serious Adverse Events (SAEs) during the continued use of B-VEC to participants who have participated in and completed Krystal Biotech's Phase 3 Protocol (A Phase 3 Efficacy and Safety Study of Beremagene Geperpavec (B-VEC, previously KB103) for the Treatment of Dystrophic Epidermolysis Bullosa (DEB)), as an extension of use, upon study completion; as well as, for participants diagnosed with DEB who have not participated in the B-VEC Phase 3 trial.

Secondary Outcome Measures

Full Information

First Posted
June 2, 2021
Last Updated
August 16, 2023
Sponsor
Krystal Biotech, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04917874
Brief Title
A Long-term Treatment With B-VEC for Dystrophic Epidermolysis Bullosa
Official Title
Open Label Treatment of Beremagene Geperpavec (B-VEC)
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Completed
Study Start Date
May 25, 2021 (Actual)
Primary Completion Date
July 31, 2023 (Actual)
Study Completion Date
July 31, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Krystal Biotech, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This is a 112-week (approximately two-year) open-label extension study of Beremagene Geperpavec (B-VEC), for participants aged 2 months and older, who have been diagnosed with Dystrophic Epidermolysis Bullosa (DEB). Participants will be dosed weekly with the topical B-VEC therapy. The primary endpoint will be to assess long term safety and tolerability of the topical gene therapy. The study is for those who participated in Phase 3 study, as well as, new participants who were unable to participate in the Phase 3 study, who meet all enrollment criteria.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Dystrophic Epidermolysis Bullosa, DEB - Dystrophic Epidermolysis Bullosa, Recessive Dystrophic Epidermolysis Bullosa, Dominant Dystrophic Epidermolysis Bullosa
Keywords
DEB, Krystal Biotech

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
47 (Actual)

8. Arms, Groups, and Interventions

Arm Title
B-VEC
Arm Type
Experimental
Arm Description
Open label B-VEC topical treatment of DEB wounds.
Intervention Type
Biological
Intervention Name(s)
Open Label Topical Beremagene Geperpavec (B-VEC)
Intervention Description
Topical gel of non-integrating, replication-incompetent HSV-1 expressing the human collagen VII protein
Primary Outcome Measure Information:
Title
To record safety outcomes of participants while on B-VEC.
Description
Record reportable Adverse (AE) and Serious Adverse Events (SAEs) during the continued use of B-VEC to participants who have participated in and completed Krystal Biotech's Phase 3 Protocol (A Phase 3 Efficacy and Safety Study of Beremagene Geperpavec (B-VEC, previously KB103) for the Treatment of Dystrophic Epidermolysis Bullosa (DEB)), as an extension of use, upon study completion; as well as, for participants diagnosed with DEB who have not participated in the B-VEC Phase 3 trial.
Time Frame
Up to 112 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Months
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Willing and able to give consent/assent Clinical diagnosis of epidermolysis bullosa Confirmation of diagnosis (either DDEB or RDEB) by genetic testing including COL7A1. Age: 2 months of age and older at the time of informed consent/assent Women of childbearing age must be willing to use reliable birth control method throughout the treatment duration and for 3 months following the last treatment application Exclusion Criteria: Diseases or conditions that could interfere with the assessment of safety of the study treatment and compliance of the participant with study visits/procedures, as determined by the Investigator Pregnant or nursing women Active infection in the area that will undergo administration, that the Investigator believes will negatively impact the IP application Known allergy to any of the constituents of the product Concurrent skin transplant or mesh skin grafting; if the participant is currently having transplantation or grafting surgeries they must wait until the transplant has begun to heal and the graft has absorbed prior to initiating B-VEC therapy Participation in an interventional gene therapy clinical trial within the past three (3) months (not including B-VEC administration)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hubert Chen, MD
Organizational Affiliation
Senior Vice President of Clinical Development
Official's Role
Study Director
Facility Information:
Facility Name
Mission Dermatology Center
City
Rancho Santa Margarita
State/Province
California
ZIP/Postal Code
92688
Country
United States
Facility Name
Stanford University
City
Redwood City
State/Province
California
ZIP/Postal Code
94063
Country
United States
Facility Name
Pediatric Skin Research
City
Coral Gables
State/Province
Florida
ZIP/Postal Code
33146
Country
United States
Facility Name
Northwestern University
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
Cincinnati Children's Hospital Medical Center
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45229
Country
United States
Facility Name
Ascension Seton- Dell's Children Medical Group
City
Austin
State/Province
Texas
ZIP/Postal Code
78723
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Long-term Treatment With B-VEC for Dystrophic Epidermolysis Bullosa

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