A Double-blind, Intra-individual Comparison, POC Trial of AC-203 in EB Patients

Inclusion criteria

• Subject is at least 2 years of age.
• Subject has a clinical diagnosis of EB.
• Subject has a laboratory confirmed diagnosis of inherited EB based on electron microscopy and/or immunofluorescence antigenic mapping.
• Subject has two comparable areas with 1% - 5% BSA each. These two areas could be on any body surface except the face, scalp, groin, palms and soles. Percentage BSA of the designated areas within subject should be the same. Comparable areas are defined as having similar lesion (i.e., blisters, erosions, erythema and crusts) history and current lesion status by investigator's judgement on each area at Screening Visit (Visit 1) and Day 1 (Visit 2).
• Is male, or is female and meets all the following criteria:

• Not breastfeeding
• If of childbearing potential (defined as non-post-hysterectomy or non-post-menopausal [≥50 years of age and amenorrheic for at least 1 year]), must have a negative pregnancy test result at Visit 1, and must practice and be willing to continue to practice appropriate birth control during the entire duration of the study.
• Is able to read, understand, and sign the Informed Consent Form (ICF), answer the study questionnaires, communicate with the investigator, and understand and comply with protocol requirements, OR Informed consent received from subject's parents/caregiver or legal guardian (when subject < 20 years).

Exclusion criteria

• Subject has a current malignancy, or a history of treatment for a malignancy within two years.
• Systemic infections.
• Subjects who are pregnant, lactating, or planning a pregnancy during the study.
• History of allergy or hypersensitivity to any component of study medication.
• Any other significant diseases, conditions, or laboratory values which, in the opinion of the investigator, might make participation not in the subject's best interest or confound the interpretation of study results.
• Any prior use of approved or investigational biologic anti-inflammatory therapy within 6 months prior to screening, including but not limited to: anakinra, rilonacept, canakinumab, etanercept, adalimumab, infliximab, rituximab, certolizumab, golimumab, tocilizumab, bertilimumab, or abatacept.
• Use of non-steroid immunosuppressants including but not limited to azathioprine, mycophenolate, cyclophosphamide, chlorambucil, methotrexate, tacrolimus, or cyclosporine in the 2 weeks prior to screening.
• Has been treated with gentamicin within 90 days prior to screening (Note: products containing gentamicin used on eyes are allowed).
• Has been treated with minocycline, oxytetracycline, tetracycline or doxycycline within 7 days prior to screening.
• Subjects has used any topical allantoin ≥ 3% within 30 days prior to screening.
• Has been treated systemic steroid within 30 days prior to screening.
• Prior treatment with any investigational therapy within 30 days prior to screening.
• Is an immediate family member (spouse, parent, child, or sibling; biological or legally adopted) of personnel directly affiliated with the study at the clinical study site, or is directly affiliated with the study at the clinical study site.
• Is employed by sponsor (i.e., is an employee, temporary contract worker, or designee responsible for the conduct of the study).