A Study of the Efficacy and Safety of ABH001 in the Treatment of Patients With Epidermolysis Bullosa Who Have Wounds That Are Not Healing
This study is currently recruiting participants.
Verified April 2013 by Shire Regenerative Medicine, Inc.
Sponsor:
Shire Regenerative Medicine, Inc.
Information provided by (Responsible Party):
Shire Regenerative Medicine, Inc.
ClinicalTrials.gov Identifier:
NCT01749306
First received: December 11, 2012
Last updated: April 22, 2013
Last verified: April 2013
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Purpose
The purpose of this study is to evaluate the efficacy and safety of ABH001 in the treatment of patients with epidermolysis bullosa who have wounds that are not healing.
It is hypothesized that ABH001 may initiate and continue wound healing in patients with epidermolysis bullosa.
| Condition | Intervention | Phase |
|---|---|---|
|
Epidermolysis Bullosa |
Biological: ABH001 Other: Control wound treatment |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Multicenter, Prospective, Randomized, Open-label, Intra-subject Controlled Study of the Efficacy and Safety of ABH001 for the Treatment of Stalled Chronic Cutaneous Wounds Associated With Generalized Epidermolysis Bullosa |
Resource links provided by NLM:
Genetics Home Reference related topics:
epidermolysis bullosa simplex
epidermolysis bullosa with pyloric atresia
junctional epidermolysis bullosa
U.S. FDA Resources
Further study details as provided by Shire Regenerative Medicine, Inc.:
Primary Outcome Measures:
- Reduction in wound surface area [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- Change in wound pain and wound itch [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
- Patient global impression of change (PGIC) [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
- Clinician global impression of change (CGIC) [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
- Proportion of subjects achieving reduction in wound surface area [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
- Time to reduction of wound surface area and duration of reduction [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
- Durability of wound healing [ Time Frame: 24 weeks ] [ Designated as safety issue: No ]
- Incidence, relatedness and severity of adverse events [ Time Frame: Up to 48 Weeks ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 21 |
| Study Start Date: | December 2012 |
| Estimated Study Completion Date: | March 2015 |
| Estimated Primary Completion Date: | August 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
ABH001
ABH001 application plus wound care dressings.
|
Biological: ABH001
ABH001 applications topically every 4 weeks (±1 week) with protocol-specified dressings until wound healed or up to 44 weeks
Other Name: Dermagraft, Allogenic Neonatal Dermal Fibroblasts Seeded on poly(glycolide-co-L-lactide) (PGLLA) Scaffold
|
|
Control
Control wound treatment
|
Other: Control wound treatment
Control wound care with protocol-specified dressings every 4 weeks (±1 week) up to 20 weeks with optional cross-over to ABH001 for additional 20 weeks
|
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- The subject or legal guardian must have read, understood and signed an Institutional Review Board/Ethics Committee (IRB/EC) approved Informed Consent or Assent Form and must be able to and willing to follow study procedures and instructions
- Male and female subjects.
- Stable nutritional status.
- Subjects with a confirmed diagnosis of generalized Epidermolysis Bullosa (EB)
Cutaneous wounds meeting the following criteria:
- Anatomical location: arms, legs, thorax, or back above the waistline and below the neck.
- Documented age (duration) of the wound(s).
- One or more wounds capable of potentially meeting the following wound selection criteria at the end of the observation period:
i. Two clinically non-infected cutaneous wounds with no clinically meaningful change in wound size during the observation period.
ii. Two matched wounds.
- Negative urine pregnancy test for women of child-bearing potential.
- Female subjects of childbearing potential and male subjects of procreative capacity must agree to use an effective method of contraception.
Exclusion Criteria:
- Pregnant or nursing women.
- Diagnosis of non-genetic generalized EB.
- Localized, active clinical infection of study wounds.
- Diseases or conditions that could interfere with the assessment of safety and efficacy of the study treatment and compliance of the subject with study visits/procedures.
- Known allergy to bovine products.
- Known allergy to silver products.
- Systemic infection at the time of enrolment in the study.
- Currently receiving or have received oral steroid therapy within the previous 4 weeks.
- Taking, or have participated in other clinical studies involving gene therapy, stem cell therapy, recombinant DNA/protein therapy.
- Received ABH001, or other biologic or cell therapy for the treatment of EB in the study wound sites within the previous 3 months.
- Hypersensitivity to any of the therapeutic agents.
- History of malignant skin disease.
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01749306
Contacts
| Contact: Kate Barcomb | +1 (858) 754-3728 | kbarcomb@shire.com |
| Contact: Citlalli Gutierrez | +1 (858) 754-3935 | cgutierrez@shire.com |
Locations
| United States, Arizona | |
| Phoenix Children's Hospital | Not yet recruiting |
| Phoenix, Arizona, United States | |
| Principal Investigator: Harper Price, MD | |
| United States, California | |
| Lucile Packard Children's Hospital at Stanford University | Recruiting |
| Redwood City, California, United States | |
| Contact: Rasidat Adeduntan 650-721-7163 radeduntan@stanford.edu | |
| Principal Investigator: Joyce Teng, MD | |
| Rady Children's Hospital - San Diego/UCSD, Pediatric and Adolescent Dermatology | Recruiting |
| San Diego, California, United States, 92123 | |
| Contact: Nicola Borok, RN, CCRC 858-576-1700 ext 4295 nborok@rchsd.org | |
| Principal Investigator: Lawrence Eichenfield, MD | |
| United States, Colorado | |
| Denver Children's Hospital | Not yet recruiting |
| Aurora, Colorado, United States | |
| Principal Investigator: Anna Bruckner, MD | |
| United States, Illinois | |
| Ann & Robert H. Lurie Children's Hospital of Chicago | Recruiting |
| Chicago, Illinois, United States, 60611 | |
| Contact: Lauren Becker, MD 312-227-6485 LRBecker@luriechildrens.org | |
| Principal Investigator: Amy Paller, MD | |
| United States, Virginia | |
| Virginia Clinical Research, Inc | Recruiting |
| Norfolk, Virginia, United States, 23507 | |
| Contact: Tina Watkins, RN, BSN, CCRP (757) 625-0151 twatkins@vcrinc.org | |
| Principal Investigator: David M Pariser, MD | |
| Austria | |
| Landeskrankenhaus Salzburg-Universitätsklinikum der Paracelsus Medizinischen Privatuniversität | Not yet recruiting |
| Salzburg, Austria | |
| Principal Investigator: Johann Bauer, Prof. Dr. | |
| Canada, Quebec | |
| University of Montreal | Not yet recruiting |
| Montreal, Quebec, Canada | |
| Principal Investigator: Catherine McCuaig, MD | |
| France | |
| Hôpital Necker-Enfants Malades | Not yet recruiting |
| Paris, Ile-De France, France | |
| Principal Investigator: Christine Bodemer, Prof. Dr. | |
| Germany | |
| University of Freiburg | Not yet recruiting |
| Freiburg, Baden-Wuerttemberg, Germany | |
| Principal Investigator: Agnes Schwieger-Briel, Dr. | |
| Poland | |
| Warszawki Uniwersytet Medyczny Katedra I Klinika Dermatologiczna | Not yet recruiting |
| Warszawa, Mazowieckie, Poland | |
| Principal Investigator: Cezary Kowalewski, prof. dr hab.n. med. | |
| Portugal | |
| Hospital de Santa Maria | Not yet recruiting |
| Lisboa, Portugal | |
| Principal Investigator: Carolina Gouveia, Dr. | |
| Spain | |
| Hospital Universitario La Paz | Recruiting |
| Madrid, Spain | |
| Contact: Manuela Castillo +34 667 88 07 08 queminfantil.hulp@salud.madrid.org | |
| Principal Investigator: Juan Carlos Lopez Gutierrez, MD | |
Sponsors and Collaborators
Shire Regenerative Medicine, Inc.
Investigators
| Principal Investigator: | Alan Arbuckle, MD, FAAD, FAAP | H&E Enterprises |
More Information
No publications provided
| Responsible Party: | Shire Regenerative Medicine, Inc. |
| ClinicalTrials.gov Identifier: | NCT01749306 History of Changes |
| Other Study ID Numbers: | EB01-ABH001, 2012-001815-21 |
| Study First Received: | December 11, 2012 |
| Last Updated: | April 22, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Shire Regenerative Medicine, Inc.:
|
epidermolysis bullosa, chronic wound, wound healing, dermal repair, fibroblasts, Dermagraft |
Additional relevant MeSH terms:
|
Epidermolysis Bullosa Skin Abnormalities Congenital Abnormalities Skin Diseases, Genetic |
Genetic Diseases, Inborn Skin Diseases Skin Diseases, Vesiculobullous |
ClinicalTrials.gov processed this record on May 16, 2013