About this trial
INVESTIGATIONAL PRODUCT: AGLE-102 is an allogeneic extracellular vesicle (EV) product derived from normal donor mesenchymal stem cells (MSCs).
INDICATION AND RATIONALE: The aim of the study is to assess the safety and efficacy of AGLE-102 in the treatment of lesions in subjects with Epidermolysis Bullosa (EB).
STUDY DESIGN: This is a phase 1/2A, randomized, multi-center, study to assess the effectiveness and safety of AGLE-102 on lesions in subjects with EB.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subjects must be 6 months or older at screening.
Subjects who have a confirmed diagnosis of DEB based on electron microscopy, immunomapping, or genetic testing. Subjects with severe DEB (e.g., RDEB patients with absent Col VII/no anchoring fibrils) and milder forms of DEB (e.g., RDEB patients with reduced Col VII and/or anchoring fibril levels) are eligible.
Presence for at least four weeks of two 10 - 50 cm2 wounds (unroofed EB erosions) at least 4 inches apart that can be considered similar enough in size, wound location and expected healing characteristics to be a matched pair. Neither index wound may have been treated with any local (topical, subcutaneous, etc) or systemic therapeutic other than standard of care treatments described in this protocol (i.e. local or systemic antimicrobials to control infection, topical anesthetic and oral analgesics if required) in the past 3 months prior to screening.
Females of childbearing potential must have a negative urine or serum pregnancy test at screening and agree to continue use of an acceptable form of birth control throughout the duration of the study. Acceptable forms of birth control include oral, implant, injectable, and transdermal contraceptives; an intrauterine device; or other forms considered acceptable by the investigator. A female subject is eligible to participate if she is not pregnant, is not a woman or childbearing potential (WOCBP), or is a WOCBP who agrees to follow the contraceptive guidance above.
Disqualifiers
Concomitant treatment at the time of screening or at any time during the study of either study wound (control or AGLE-102 treated) with local or systemic therapy other than standard of care treatments described in this protocol (i.e. local or systemic antimicrobials to control infection, topical anesthetic and oral analgesics if required). Concomitant treatment of non-study wounds with local therapy during the study is acceptable. Systemic treatment of RDEB wounds (except as noted for standard of care) during the study is not acceptable. Subjects unwilling to abstain from prohibited concomitant treatment of study wounds (treated or control) and/or systemic treatment of RDEB wounds during the study period are excluded.
Either study wound located within 6 inches of wounds treated concurrently with any other local therapy.
Clinical evidence of systemic infection.
History of bone marrow transplantation.
Trial design
Single group
Treatments tested in this trial
AGLE-102
DrugExtracellular vesicles from bone marrow derived mesenchymal stem cells - up to six topical administrations
Treatment groups
Trial outcomes
Primary outcomes
Treatment-emergent Adverse Events
Incidence of adverse events after single and repeat administrations of EVs
Wound healing improvement
Change in wound surface area relative to baseline compared with standard of care control
Secondary outcomes
Complete wound closure efficacy
Incidence of complete wound closure versus standard of care alone within 10 weeks
Time from baseline to complete wound closure
Time to wound closure versus standard of care alone
Scar quality improvement
Change from baseline in Patient and Observer Scar Assessment Scales. The min value is 1 and the max value is 10. The min value is normal skin and the max value is worst scar imaginable.
Pain relief efficacy
Change from baseline in patient reported pain using the Wong-Baker Faces Pain rating scale. The minimum value is value is 0 (no pain) and the maximum value is 10 (hurts worst).
Sponsors and contacts
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