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Business Decision
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The objective of this study is to compare the efficacy and safety of RGN-137 topical gel with that of placebo gel for treatment of junctional epidermolysis bullosa (JEB) or dystrophic epidermolysis bullosa (DEB).
RGN-137 will be evaluated for efficacy and safety compared to a Placebo. A matched-pair design will be used to evaluate RGN-137 treatment versus placebo for treatment of 15 subjects with JEB or DEB. Eligible subject must have 1 set of matched-pair wound. The investigator will assign pair of index wounds, each wound with an area between 5cm2 and 50cm2, inclusive, for the eligible subject on Day 1, and for each pair, one wound will be randomized to receive RGN-137 gel and the other to receive Placebo gel. Subjects and independent evaluator will be blinded to the treatment assignments for each wound.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| RGN-137 | Experimental | It is formulated as a gel for topical administration. |
|
| Placebo | Placebo Comparator | It is composed of the same excipients as RGN-137 formulation without the active ingredient. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RGN-137 | Drug | It will be applied topically to the appropriate wound once a day for up to 84 days. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time to achieving 50% reduction in area of each index wound from Day 1 up to Day 84. | This primary endpoint will the time to achieving 50% reduction in area of each index wound from Day 1 up to Day 84, defined as date of the first study visit on which 50% reduction in index wound area is achieved minus date of Day 1 visit. | up to Day 84 |
| Measure | Description | Time Frame |
|---|---|---|
| Time to achieving 50%, 75%, and 100% (with drainage or without drainage) reduction in area of each index wound from Day 1 up to Day 84. | This secondary endpoint will the time to achieving 50%, 75%, and 100% reduction in area of each index wound from Day 1 up to Day 84, defined as date of the first study visit on which 50% reduction in index wound area is achieved minus date of Day 1 visit. | up to Day 84 |
| Measure | Description | Time Frame |
|---|---|---|
| Index wound characteristics at the scheduled visits. | (inflammation/erythema, induration, crusting, exudate, cellulitis, and other abnormalities) | up to Day 84 |
Inclusion Criteria:
Male or female and at least 4 years old with a diagnosis of DEB or JEB
Patients and their parents or guardians must be willing and able to provide written informed consent/assent
Presence of 1 pair of stable index wounds within the specified size range at study
Women of childbearing potential must have a negative pregnancy test prior to randomization
Sexually active subjects must agree to use medically accepted methods of contraception during the study
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Northwestern University | Evanston | Illinois | 60208 | United States | ||
| SUNY Downstate Medical Center |
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| Placebo | Drug | It will be applied topically to the appropriate wound once a day for up to 84 days. |
|
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| Incidence of 50%, 75%, and 100% reduction and complete re-epithelialization without drainage in area of each index wound at the scheduled visits. | This secondary endpoint will be summarized by treatment using frequency counts and percentages. | up to Day 84 |
| Change from Baseline and percent change from Baseline in surface area of each index wound at the scheduled visits. | This secondary endpoint will be computed for each treatment group as well as for treatment difference at each visit. | up to Day 84 |
| Brooklyn |
| New York |
| 11203 |
| United States |
| Cincinnati Children's Hospital Medical Center | Cincinnati | Ohio | 45229 | United States |
| The Children's Hospital of Philadelphia | Philadelphia | Pennsylvania | 19104 | United States |
| Texas Dermatology and Laser Specialists | San Antonio | Texas | 78218 | United States |
| ID | Term |
|---|---|
| D016109 | Epidermolysis Bullosa, Junctional |
| D016108 | Epidermolysis Bullosa Dystrophica |
| D004820 | Epidermolysis Bullosa |
| ID | Term |
|---|---|
| D012868 | Skin Abnormalities |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D012873 | Skin Diseases, Genetic |
| D030342 | Genetic Diseases, Inborn |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D012872 | Skin Diseases, Vesiculobullous |
| D003095 | Collagen Diseases |
| D003240 | Connective Tissue Diseases |
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