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Completed

NCT Number: NCT05143190

Extension Study to PTR-01-002 (A Study in Recessive Dystrophic Epidermolysis Bullosa (RDEB) Patients Previously Treated With PTR-01)

A sub-set of patients who participated in PTR-01-002 will be enrolled in an open-label study, if they meet the study eligibility criteria.

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Key information

Age range

12 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Stanford University, Redwood City, California, United States

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About this study

Protocol PTR-01-003 is a 4-part Phase 2, open-label study of PTR-01 in patients who satisfactorily completed study PTR-01-002 and meet current enrollment criteria.

In Part 1, patients will be monitored monthly for up to 2 months with patient-reported and Investigator assessments. In Part 2, patients will receive a dose of 3.0 mg/kg every week for a total of 4 doses. This will be followed by Part 3 in which patients will receive a dose of 3.0 mg/kg monthly for a total of 5 additional doses. At the end of each dosing period, efficacy assessments will be performed. During Part 4, patients will be evaluated at Months 1 and 3 after completion of dosing to assess the durability of wound healing and other efficacy parameters. Safety will be assessed continuously throughout the study.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Willing to provide informed consent form, or if 12 to <18 years of age, legal guardian has provided informed consent form and the minor has signed an assent form acknowledging that they understand and agree to study procedures.
  • Has satisfactorily completed participation in PTR-01-002.
  • Agrees to use contraception as follows:
  • For women of childbearing potential (WOCBP) agrees to use highly effective contraceptive (including abstinence) methods from Screening, through the study, and for at least 10 weeks after the last dose of study drug. Non-childbearing potential is defined as a female who meets either of the following criteria: age ≥50 years and no menses for at least 1 year or documented hysterectomy, bilateral tubal ligation, or bilateral oophorectomy.
  • For males, agrees to use a condom with any WOCBP sexual partner from Day 1 of study treatment, through the study, and at least 10 weeks after the last dose of study drug.
  • Be willing and able to comply with this protocol.

Exclusion criteria

  • Has known systemic hypersensitivity to any of the inactive ingredients in PTR-01.
  • Has previously had an anaphylactic reaction to PTR-01.
  • Is pregnant or nursing.
  • Has received in the last six months any investigational gene therapy product or in the last three months any non-gene therapy investigational products (other than PTR-01).
  • Is anticipated to receive new regimens of antibiotics or other anti-infectives during the trial.
  • Has any other medical or personal condition that, in the opinion of the Investigator, may potentially compromise the safety or compliance of the

Treatment and study plan

PTR-01

Drug

Intravenous recombinant collagen 7

Other names: Recombinant collagen 7 (rC7)

Primary outcomes

  1. Sustained wound healing

    Time frame: Up to 246 days

    Change in a majority of target lesions of at least 2 levels using a 7-point (1-7) Global Impression of Change instrument (7 being the worst)

  2. Incidence of treatment-emergent adverse events

    Time frame: Up to 246 days

    Safety and tolerability, as assessed by treatment-emergent adverse events

Secondary outcomes

  1. Delivery of recombinant collagen 7 (PTR-01) to skin

    Time frame: Up to 246 days

    Amount of recombinant collagen 7 (PTR-01) incorporation to skin as compared to normal human skin assessed by immunofluorescence using NC1 & NC2 antibody staining

  2. Formation of anchoring fibrils

    Time frame: Up to 246 days

    Formation of new anchoring fibrils as measured by electron microscopy

  3. Change in wound surface area

    Time frame: Up to 246 days

    Wound surface area of lesions as assessed by medical photography using the Canfield RUBI 3D imaging system

  4. Change in skin integrity, as assessed by suction blister time

    Time frame: Up to 246 days

    Change in skin integrity, as assessed by suction blister time

  5. Change in skin integrity, as assessed by time to re-blistering

    Time frame: Up to 246 days

    Change in skin integrity, as assessed by time to re-blistering

  6. Change in itch severity, as assessed by modified Patient-Reported Outcome Measurement Information System (PROMIS) itch domains

    Time frame: Up to 246 days

    Severity of itch, as assessed by modified Patient-Reported Outcome Measurement Information System (PROMIS) itch domains, maximum score of 5 (worst)

  7. Change in the impact of itch on quality of life

    Time frame: Up to 246 days

    Change in the impact of itch on quality of life, as assessed by the Pruritus-Specific Quality of Life Instrument (ItchyQoL), maximum score of 110 (worst)

  8. Change in pain severity, as assessed by modified Patient-Reported Outcome Measurement Information System (PROMIS) pain domains

    Time frame: Up to 246 days

    Change in pain severity, as assessed by Patient-Reported Outcome Measurement Information System (PROMIS) pain domains, maximum score of 5 (worst)

  9. Change in pain severity, as assessed by the Instrument for Scoring Clinical Outcomes for Research of Epidermolysis Bullosa (iscorEB)

    Time frame: Up to 246 days

    Change in pain severity, as assessed by the Instrument for Scoring Clinical, maximum score of 234 (worst)

  10. Change of dysphagia, as assessed using the Brief Esophageal Dysphagia Questionnaire

    Time frame: Up to 246 days

    Change of dysphagia, as assessed using the Brief Esophageal Dysphagia Questionnaire, maximum score is 40 (worst)

  11. Stabilization of dysphagia, as assessed using the Brief Esophageal Dysphagia Instrument

    Time frame: Up to 246 days

    Stabilization of dysphagia, as assessed using the Brief Esophageal Dysphagia Instrument, maximum score of 40 (worst)

  12. Change in corneal symptoms

    Time frame: Up to 246 days

    Change of corneal symptoms (eye symptoms), as assessed by the Epidermolysis Bullosa Eye Disease Index (EB-EDI), maximum score of 100 (worst)

  13. Stabilization of corneal symptoms

    Time frame: Up to 246 days

    Stabilization of corneal symptoms (eye symptoms), as assessed by the Epidermolysis Bullosa Eye Disease Index (EB-EDI), maximum score of 100 (worst)

  14. Rate of change in nutritional markers (hemoglobin)

    Time frame: Up to 246 days

    Change of nutritional markers, as assessed by hemoglobin

  15. Rate of change in nutritional markers (hematocrit)

    Time frame: Up to 246 days

    Change of nutritional markers, as assessed by hematocrit

  16. Rate of change in nutritional markers (total protein/albumin)

    Time frame: Up to 246 days

    Change of nutritional markers, as assessed by total protein/albumin

  17. Rate of change in nutritional markers (Fe/TIBC)

    Time frame: Up to 246 days

    Change of nutritional markers, as assessed by total Fe/TIBC

  18. Rate of change in nutritional markers (C-reactive protein)

    Time frame: Up to 246 days

    Change of nutritional markers, as assessed by total C-reactive protein

  19. Change in Investigator Global Impressions of Change (IGIC)

    Time frame: Up to 246 days

    Global impressions of change, as assessed through IGIC (1-7), 7 being worst

  20. Change in Investigator Patient Impressions of Change (PGIC)

    Time frame: Up to 246 days

    Global impressions of change, as assessed through PGIC (1-7), 7 being worst

  21. Change in overall quality of life, as assessed by the Quality of Life in Epidermolysis Bullosa (QOLEB) questionnaire

    Time frame: Up to 246 days

    Change in overall quality of life, as assessed by the Quality of Life in Epidermolysis Bullosa (QOLEB) questionnaire maximum score is 67 (worst)

  22. Change in overall health

    Time frame: Up to 246 days

    Change in overall disability, as assessed by the Health Assessment Questionnaire or Children's Health Assessment Questionnaire (HAQ/CHAQ) maximum score is 3 (worst)

  23. Change in mental health

    Time frame: Up to 246 days

    Change in mental health, as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS) mental health domains, maximum score is 5 (worst)

  24. Change in social function

    Time frame: Up to 246 days

    Change in social functioning, as assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS) social function domains, maximum score is 4 (worst)

  25. Change in amount of wound care

    Time frame: Up to 246 days

    Change in amount of wound care, as assessed by patient interviews

  26. Change in time for wound care

    Time frame: Up to 246 days

    Change in time for wound care, as assessed by patient interviews

  27. Change in cost of wound care

    Time frame: Up to 246 days

    Change in cost of wound care, as assessed by patient interviews

  28. Change in overall patient impression of quality of life

    Time frame: Up to 246 days

    Change in overall anecdotal quality of life, as assessed by one-on-one patient interviews

  29. Change in overall patient impression of disability

    Time frame: Up to 246 days

    Change in overall anecdotal disability, as assessed by one-on-one patient interviews

  30. Effect of anti-drug antibodies (ADA) on pharmacokinetics parameter Cmax

    Time frame: Up to 246 days

    Correlate ADA with Cmax

  31. Effect of anti-drug antibodies (ADA) on pharmacokinetics parameter Tmax

    Time frame: Up to 246 days

    Correlate ADA with Tmax

  32. Effect of anti-drug antibodies (ADA) on pharmacokinetics parameter Area Under the Curve (AUC)

    Time frame: Up to 246 days

    Correlate ADA with Area Under the Curve (AUC)

  33. Effect of anti-drug antibodies (ADA) on pharmacokinetics parameter of clearance of PTR-01

    Time frame: Up to 246 days

    Correlate ADA with clearance of PTR-01

  34. Effect of anti-drug antibodies (ADA) on pharmacokinetics parameter of PTR-01 half-life

    Time frame: Up to 246 days

    Correlate ADA with PTR-01 half-life

Sponsors and collaborators

Lead sponsor

Phoenix Tissue Repair, Inc.

Industry

Collaborators

  • Phoenix Tissue Repair, a BridgeBio company

Registry information

Official study title

A Phase 2b Open-Label Study of PTR-01 in Recessive Dystrophic Epidermolysis Bullosa (RDEB) Patients Previously Treated With PTR-01 in Study PTR-01-002

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Dec 3, 2021
Registry last updated
Nov 21, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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