Epidermolysis Bullosa
Conditions
Brief summary
In this pilot study, APR-TD011 antimicrobial wound cleansing spray will be given to all enrolled patients with junctional EB (JEB) or dystrophic epidermolysis bullosa (DEB) with Staphylococcus aureus or Pseudomonas aeruginosa culture-positive wounds. The primary aim will be to evaluate the change in skin microbiome (S. aureus, P. aeruginosa, commensal organisms) before, during, after treatment. Subjects who are colonized by S. aureus or pseudomonas will be treated for 8 weeks, will stop the spray and return at 12 weeks (4 weeks without the spray), and then will be able to use the spray as desired in a 6-month period of open-label use, with further feedback collected.
Interventions
APR-TD011 wound cleansing spray (drug/device combination product with a 510k clearance that is commercially marketed in the US for use by or on the order of a physician. Based on its product profile, APR-TD011 has been granted an FDA Orphan Drug Designation for epidermolysis bullosa.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients 6 months of age or above with junctional or dystrophic epidermolysis bullosa * Target wound that has been present for at least 3 weeks and is at least 10 cm2 * Target wound that is colonized with Staphylococcus aureus and/or Pseudomonas aeruginosa
Exclusion criteria
* Patients currently or recently (within past 4 weeks) on topical or systemic antibiotics * Do not agree to avoid bathing or topical application at the target starting the night before the visit. * Do not agree to avoid dilute bleach or vinegar baths, or other antiseptic use, at the target site starting at screening throughout the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in microbiome species | 8 weeks | Reduction of Staphylococcus aureus between baseline and Week 8. |
Countries
United States