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Dystrophic epidermolysis bullosa hereditaria are genodermatosis responsible for formation of cutaneous bullous lesion arising spontaneously or after mechanical trauma.
These lesions are due to mutation on gene COL7A1 coding for collagen VII. There is no treatment available. Cares are consisting to dress lesions and to protect the skin.
The investigators have recently observed on patients having residual expression of collagen VII that phenotype severity is modulated by activation degree of dermic metalloproteinase. The investigators have also observed that epigallocatechin-3-gallate (Polyphenon E®) could be regulated this activity.
The primary purpose of this study is to assessing the efficacity of Polyphenon E to decrease the number of cutaneous bullosa after four month of treatment.
The primary outcome measure is the rate of patient presenting a decrease of 20% or more of the number of cutaneous bullosa.
Secondary outcomes are: severity of mucosa impairment, affected cutaneous surface, the average duration of cicatrisation and treatment tolerance.
This study foresees the inclusion of 22 patients older than 2 years old in 5 centers.
When patients are included, they will be randomized and receive the treatment (or placebo) for 4 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Other | patients receive the treatment in first and placebo in second part of study |
|
| 2 | Other | patients receive placebo in first and treatment in second part of study |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Polyphenon E before Placebo | Drug | patients receive polyphenon E during 4 months, then 2 months of wash-out and finally 4 months of placebo |
|
| Measure | Description | Time Frame |
|---|---|---|
| decrease of number of cutaneous bullosa | after 4 months of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| efficacity of treatment | at 4 , 6, 7 10 months after beginnig of treatment and at year 1 | |
| tolerance tio treatment | at 1, 4, 6, 7, 10 and 12 months after beginnig the treatment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Christine Chiaverini, PhD | dermatology department, Nice University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dermatology Department, Bordeaux University Hospital | Bordeaux | France | ||||
| Dijon University Hospital, Dermatology Department |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27015660 | Derived | Chiaverini C, Roger C, Fontas E, Bourrat E, Bourdon-Lanoy E, Labreze C, Mazereeuw J, Vabres P, Bodemer C, Lacour JP. Oral epigallocatechin-3-gallate for treatment of dystrophic epidermolysis bullosa: a multicentre, randomized, crossover, double-blind, placebo-controlled clinical trial. Orphanet J Rare Dis. 2016 Mar 25;11:31. doi: 10.1186/s13023-016-0411-5. |
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| ID | Term |
|---|---|
| D016108 | Epidermolysis Bullosa Dystrophica |
| ID | Term |
|---|---|
| D004820 | Epidermolysis Bullosa |
| D012868 | Skin Abnormalities |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
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| placebo before treatment | Drug | patients receive 4 months of placebo, then 2 months of wash out et finally 4 months of treatment |
|
| Dijon |
| France |
| Dermatology Department, Necker Enfants Malades, APHP | Paris | France |
| Dermatology Department, Saint Louis Hospital, APHP | Paris | France |
| Toulouse University Hospital, Dermatology Department | Toulouse | France |
| D012873 | Skin Diseases, Genetic |
| D030342 | Genetic Diseases, Inborn |
| D003095 | Collagen Diseases |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D012871 | Skin Diseases |
| D012872 | Skin Diseases, Vesiculobullous |