Targeting Collagen VII Antibodies With IV IgG in Dystrophic Epidermolysis Bullosa (IV IgG)
The study objective is to see if IV IgG treatment in Recessive Dystrophic Epidermolysis Bullosa (RDEB) skin in conjunction with VYJUVEK treatment improves wound healing and affects the levels of C7 and HSV-1 antibody levels in serum.
Fewer wounds, more rapidly healing wounds, and decreased C7 and HSV-1 antibodies could improve quality of life.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Kunju Clinical Research Coordinator, PhD
- Phone Number: 650-721-4902
- Email: kunju@stanford.edu
Study Locations
-
-
California
-
Redwood City, California, United States, 94163
- Recruiting
- Stanford University
-
Contact:
- Clinical Research Coordinator
- Phone Number: 650-723-3439
- Email: cimino@stanford.edu
-
Principal Investigator:
- Matt P Marinkovich, MD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Diagnosis of generalized Recessive dystrophic epidermolysis bullosa (RDEB) demonstrated by COL7A1 mutations.
- Diagnosis of EBA demonstrated by the presence of levels of serum C7 antibodies above the normal ELISA range
- Baseline skin blistering greater than 5% total body surface area
- 1 wound at least 20 cm^2 able to be entirely treated with Vyjuvek weekly
- 1 wound at least 20 cm^2 that has never been treated with Vyjuvek
- Ongoing VYJUVEK treatment.
Exclusion Criteria:
- History of thrombotic event(s)
- History of cardiac failure
- History of renal failure
- IgA deficiency
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Intra-Personal Control
There is one arm of the study.
First, each participant undergoes a 3-month observational period, during which they continue application of their prescribed Vyjuvek.
After 3 months, they enter the treatment period, during which they continue their Vyjuvek application and, in addition, receive the IV IgG treatment.
|
Purified IgG from human serum, delivered via IV
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Adverse Events and Effects
Time Frame: 9 Months
|
Occurrence of adverse events and effects
|
9 Months
|
|
Percent Change in Wound Area
Time Frame: 9 Months
|
The wound area at the end of the treatment phase compared to the wound area at the beginning of the treatment phase. Wound healing (% and cm^2) over the course of the treatment phase compared to the wound healing (% and cm^2), over the observation phase. |
9 Months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Matt P Marinkovich, MD, Associate Professor of Dermatology
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Genetic Diseases, Inborn
- Connective Tissue Diseases
- Skin Diseases
- Congenital Abnormalities
- Skin Diseases, Genetic
- Skin Abnormalities
- Skin Diseases, Vesiculobullous
- Collagen Diseases
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Skin and Connective Tissue Diseases
- Epidermolysis Bullosa
- Epidermolysis Bullosa Dystrophica
- Epidermolysis Bullosa Acquisita
- Amino Acids, Peptides, and Proteins
- Proteins
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Immunoglobulin Isotypes
- Immunoglobulin G
Other Study ID Numbers
Other Study ID Numbers
- 73958
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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