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Gene Therapy Trial Report

Summary

A Phase 3b Study for the Treatment of Dystrophic Epidermolysis Bullosa (DEB) in New and Previously EB-101 Treated Patients


NCTID NCT05725018 (View at clinicaltrials.gov)
Description
Development Status Approved
Indication Recessive Dystrophic Epidermolysis Bullosa (RDEB)
Disease Ontology Term DOID:4959
Compound Name ZEVASKYN
Compound Alias Prademagene zamikeracel, EB-101
Compound Description ex-vivo-expanded autologous keratinocytes transduced with LZRSE retroviral vector containing the human COL7A1 gene
Sponsor Abeona Therapeutics, Inc
Funder Type Industry
Recruitment Status
Active not recruiting
Enrollment Count 12 (ESTIMATED)
Results Posted Not Available

Therapy Information


Target Gene/Variant COL7A1
Therapy Type Gene transfer
Therapy Route Ex-vivo
Mechanism of Action Functional gene replacement
Route of Administration Skin graft
Drug Product Type Autologous cells
Target Tissue/Cell Keratinocytes
Delivery System Viral transduction
Vector Type LZRSE
Editor Type none
Dose 1 Transduced 41.25cm^2 keratinocyte sheets, up to 6 wound sites

Study Record Dates


Current Stage Phase3
Submit Date 2023-01-23
Completion Date 2025-09-30
Last Update 2025-06-27

Participation Criteria


Eligible Age >=12 Months
Standard Ages Child, Adult, Older adult
Sexes Eligible for Study ALL
Eligibility Criteria
Inclusion Criteria: 1. Clinical diagnosis of DEB. 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. Confirmation of DEB diagnosis (either dominant \[DDEB\] or recessive \[RDEB\] forms) by genetic testing. 6. Able to undergo adequate anesthesia during EB-101 treatment. 7. All women of childbearing potential must have a negative urine pregnancy test and use 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 (and through Baseline). 9. Must have at least one wound site that meets all of the following criteria: 1. An area ≥20 cm2, 2. Present for ≥6 months, and 3. Stage 2 wound defined as an open skin wound with partial thickness loss of dermis that has not extended through the dermis into subcutaneous tissue. 10. For patients with RDEB, they must have had Vyjuvek exposure by the time of screening or positive anti-C7 antibodies at baseline. 11. Patients must be willing to discontinue Vyjuvek and Filsuvez use on EB-101 treated sites until completion of the Week 24 visit. Exclusion Criteria: 1. Medical instability limiting ability to travel to the study site or undergo EB-101 treatment. 2. The presence of medical illness expected to complicate participation and/or compromise the safety of this technique, such as active infection with human immunodeficiency 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-101 application. 6. Active drug or alcohol addiction. 7. Hypersensitivity to vancomycin or amikacin. 8. Receipt of chemical or biological investigational therapy for the specific treatment of DEB in the 3 months prior to EB-101 application. 9. Breast-feeding. 10. Inability to properly follow protocol assessments and protect keratinocyte sheet sites as determined by the PI. 11. Grade 3 clinical event or laboratory abnormality at Day 0. Abnormalities such as esophageal strictures, anemia, low albumin, and pain/itch are expected in severe DEB patients, and these abnormalities will not exclude a patient. 12. Unwillingness or inability to provide 4 skin biopsies, or patient's keratinocytes cannot be manufactured for use in EB-101 application. 13. Any other circumstance where the PI believes that the patient may not be appropriate for participation in the study.
View Inclusion and Exclusion Criteria at ClinicalTrials.gov

Locations


No.of Trial Sites 2
Locations United States

Regulatory Information


Has US IND True
FDA Designations Breakthrough Therapy, Orphan Drug Designation, Rare Pediatric Disease Designation, Regenerative Medicine Advanced Therapy
Recent Updates FDA approved on 4/29/25, list price $3.1M USD

Resources/Links