Gene therapy skin graft aims to heal wounds in 'Butterfly Children'
NCT ID NCT07717736
First seen Jul 21, 2026 · Last updated Aug 07, 2026 · Updated 3 times
Summary
This trial evaluates a gene therapy skin graft called prademagene zamikeracel (pz-cel) for treating wounds in people with recessive dystrophic epidermolysis bullosa (RDEB), a severe genetic condition that causes fragile skin and chronic wounds. The study includes three parts: one tests a non-conforming version of the graft in RDEB patients, another collects extra skin samples from those receiving standard pz-cel, and a third assesses the graft in patient groups not included in earlier trials. The main goals are to see if wounds heal by at least 50% and if pain is reduced after six months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a gene therapy skin graft called prademagene zamikeracel (pz-cel)
- What this could lead to
- If successful, this treatment could provide a way to heal chronic wounds in people with a severe form of epidermolysis bullosa, potentially reducing pain and improving quality of life.
- What could go wrong
- This is a Phase 4 study, so the treatment is already approved; however, it is being tested in specific patient groups not fully studied before, and results may vary. There is also a risk that the non-conforming product used in one part of the trial may be less effective.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Nov 2026
An estimate. Start dates often move.
- Expected to finish
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Jul 2032
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Study A Inclusion Criteria 1. Willing and able to provide informed consent/assent; if under the age of 18, guardian(s) is (are) willing and able to provide consent. 2. Patients who are expected to receive pz-cel manufactured as intended for commercial treatment; however, the final manufactured product was non-conforming and therefore did not meet commercial release criteria. 3. All women of childbearing potential should discuss reproductive and breastfeeding plans and precautions with the treating physician in accordance with the considerations for special populations in the United States Prescribing Information (USPI). Exclusion Criteria 1. Inability to adequately follow the protocol and ensure the protection of cellular sheet sites, as determined by the Investigator. 2. Hypersensitivity to vancomycin or amikacin. 3. The presence of medical illness expected to complicate participation and/or compromise the safety of this technique, such as, but not limited to, active infection with human immunodeficiency virus (HIV), hepatitis B, or hepatitis C. 4. Evidence of systemic infection. 5. Current evidence of squamous cell carcinoma (SCC) in the area that will undergo pz-cel application. 6. Grade 3 clinical event or laboratory abnormality prior to pz-cel treatment, with the exception of abnormalities such as esophageal strictures, anemia, low albumin, and pain/itch, which are expected in patients with severe DEB. 7. Any other circumstance where the Investigator believes that it is not appropriate for the patient to participate in the study. Study B Inclusion Criteria 1. Willing and able to provide informed consent/assent; if under the age of 18, guardian(s) is (are) willing and able to provide consent. 2. Patients who are expected to receive treatment with pz-cel and are receiving a biopsy prior to pz-cel application in the post-marketing setting. Exclusion Criteria 1\. Any circumstance where the Investigator believes that the patient may not be appropriate for participation in the study. Study C Inclusion Criteria: 1. Willing and able to provide informed consent/assent; if under the age of 18, guardian(s) is (are) willing and able to provide consent. 2. Patients who were prescribed pz-cel for commercial treatment but require special access defined in the protocol for treatment to occur. 3. All women of childbearing potential must have a negative urine pregnancy test and agree to use a reliable birth control method throughout the duration of the study. Exclusion Criteria: 1. Inability to properly follow protocol assessments and protect cellular sheet sites as determined by the Investigator. 2. Currently enrolled in an interventional clinical trial involving an investigational medicinal product to treat DEB or receipt of the investigational therapy within the 3 months prior to pz-cel application. 3. Breastfeeding. 4. The presence of medical illness expected to complicate participation and/or compromise the safety of this technique, such as, but not limited to, active infection with human immunodeficiency virus (HIV), hepatitis B, or hepatitis C. 5. Evidence of systemic infection. 6. Current evidence or a history of SCC in the area that will undergo pz-cel application. 7. Active drug or alcohol addiction. 8. Hypersensitivity to vancomycin or amikacin. 9. Grade 3 clinical event or laboratory abnormality prior to pz-cel treatment, with the exception of abnormalities such as esophageal strictures, anemia, low albumin, and pain/itch, which are expected in patients with severe DEB. 10. Any other circumstance where the Investigator believes that it is not appropriate for the patient to participate in the study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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