B-VEC for Epidermolysis Bullosa

No longer recruiting at 5 trial locations
BA
Overseen ByBrittani Agostini
Age: Any Age
Sex: Any
Trial Phase: Phase 3
Sponsor: Krystal Biotech, Inc.
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to test the long-term safety of a topical gene therapy called Beremagene Geperpavec (B-VEC) for individuals with Dystrophic Epidermolysis Bullosa (DEB), a condition that causes fragile skin prone to blistering. Participants will apply the B-VEC treatment weekly for approximately two years. The trial is open to those with DEB confirmed by genetic testing who have not recently participated in a gene therapy trial. Eligible individuals may have the opportunity to try a promising treatment. As a Phase 3 trial, this study represents the final step before potential FDA approval, offering a unique chance to access a treatment nearing widespread availability.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the study team or your doctor.

Is there any evidence suggesting that Beremagene Geperpavec (B-VEC) is likely to be safe for humans?

A previous study found B-VEC to be quite safe for people with Dystrophic Epidermolysis Bullosa (DEB). Most patients did not experience serious side effects. The side effects that did occur were usually mild, such as redness or itching at the application site. Research has shown that B-VEC can help wounds heal better than a placebo, which contains no active drug.

The study is in an advanced stage, indicating that there is already substantial information about the treatment's tolerability. Additionally, B-VEC has received approval for use, often indicating safety for most people. However, this trial will continue to monitor long-term safety to ensure it remains safe for everyone involved.12345

Why do researchers think this study treatment might be promising?

Unlike the standard care options for dystrophic epidermolysis bullosa (DEB), which often focus on managing symptoms and protecting wounds with dressings and creams, Beremagene Geperpavec (B-VEC) offers a novel gene therapy approach. B-VEC is unique because it uses a topical delivery method to introduce a normal copy of the COL7A1 gene directly to the skin cells, which is crucial for producing collagen and supporting skin integrity. Researchers are excited about B-VEC because it targets the root cause of DEB, potentially offering a more effective and lasting solution compared to treatments that only address surface symptoms.

What evidence suggests that Beremagene Geperpavec (B-VEC) might be an effective treatment for Dystrophic Epidermolysis Bullosa?

Research has shown that Beremagene Geperpavec (B-VEC) improves wound healing in individuals with Dystrophic Epidermolysis Bullosa (DEB). One study found that wounds treated with B-VEC healed more effectively at 3 and 6 months compared to those treated with a placebo. In this trial, participants will receive B-VEC as an open-label topical treatment applied directly to the skin where DEB wounds occur. Another study confirmed that B-VEC is safe and effective for patients who received it weekly. These findings suggest that B-VEC can effectively manage DEB.24567

Who Is on the Research Team?

DC

David Chien, MD

Principal Investigator

Senior Vice President of Clinical Development

Are You a Good Fit for This Trial?

Inclusion Criteria

Willing and able to give consent/assent
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
See 2 more

Exclusion Criteria

You are pregnant or currently breastfeeding.
You have an infection in the area where the medication will be given, and the doctor thinks it could make the treatment less effective.
You are allergic to any of the ingredients in the product.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive weekly topical B-VEC therapy for Dystrophic Epidermolysis Bullosa

112 weeks
Weekly visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Beremagene Geperpavec (B-VEC)
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: B-VECExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Krystal Biotech, Inc.

Lead Sponsor

Trials
15
Recruited
770+

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/40220208/
Long-Term Safety and Tolerability of Beremagene ...In a phase III study, B-VEC significantly improved wound healing at 3 and 6 months compared with placebo. Objective: We aimed to evaluate the safety and ...
Trial of Beremagene Geperpavec (B-VEC) for Dystrophic ...We conducted a 6-month, phase 3 trial (GEM-3) to evaluate the efficacy and safety of topical B-VEC in patients with dystrophic epidermolysis ...
3.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/40667654/
Efficacy and Safety of the Topical Gene Therapy ...The present study was conducted to confirm the efficacy and safety of B-VEC in a cohort of Japanese DEB patients receiving weekly B-VEC treatment.
Ph 3 Efficacy and Safety of B-VEC for the Treatment of DEBThirty-one (31) participants with DEB, aged 6 months or older at time of consent were enrolled for this Phase III study. The trial duration for each subject ...
Estimated Spending on Beremagene Geperpavec for ...Estimated US spending for B-VEC therapy would be $268 million in the first year after approval and $805 million over the first 3 years.
Efficacy & Safety DataView the efficacy and safety results. See data on VYJUVEK® complete wound healing compared to placebo. See safety info.
Long-Term Safety and Efficacy of Beremagene ...OLE study was initiated in May 2021 and terminated in July 2023 once subjects could be transitioned to commercially available product. B-VEC, beremagene ...
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