Treatment of Dysphagia in Patients With Dystrophic Epidermolysis Bullosa With Budesonide: a Retrospective Bicentric Study Nice - Paris St Louis / Necker (EBUDE Study)

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age1+
SponsorCentre Hospitalier Universitaire de Nice

About this trial

Budesonide is an anti-inflammatory medication that works by decreasing the immune system's overreaction. In the treatment of eosinophilic esophagitis, especially with Jorveza or a preparation made in a pharmacy, it reduces the production of substances responsible for inflammation in the esophagus. This action reduces the accumulation of certain inflammatory cells (eosinophils) and thus improves the symptoms and lesions of the esophagus.

Dystrophic epidermolysis bullosa (EBD) is a rare genetic disease that makes the skin and mucous membranes very fragile. Blisters, sores and wounds can appear as a result of even minor trauma. Scarring is often abnormal and can cause tissue to shrink or shrink.

To date, only two studies involving a total of eight children with EBD have evaluated a budesonide-based preparation. The results show an improvement in swallowing difficulties (dysphagia) as well as good tolerance of the treatment. However, there are currently no published data regarding the use of Jorveza in the form of an orally disintegrating tablet in adults with EBD.

Through the follow-up of patients treated at the MAGEC reference center, specialized in rare genetic diseases of the skin and mucous membranes, we aim to evaluate the interest and effects of budesonide treatment in individuals with EBD presenting with dysphagia.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

None

Trial design

Design model

Single group

Treatments tested in this trial

  • The retrospective data collected will be entered into an eCRF and then analyzed centrally

    Other intervention

    there is no treatment for the study but the patient take a treatment out of MMA and the retrospectives datas collected will be entered into an eCRF and then analyzed centrally by the sponsor

Treatment groups

15 Participants
are divided into 1 treatment group
Group A: recessive dystrophic epidermolysis bullosa with dysphagia treated with oral BUDESONIDEOther 1 intervention

Trial outcomes

Primary outcomes

1

overall patient satisfaction with the treatment

5-point Likert scale (4: complete satisfaction and 0: no change)

Time frame
month 1
2

overall patient satisfaction with the treatment

5-point Likert scale (4: complete satisfaction and 0: no change)

Time frame
month 3

Secondary outcomes

1

The assessment of budesonide treatment tolerance in patients

Assessed based on the side effects and/or reasons for stopping the treatment recorded in the medical file.

Time frame
Month 3
2

Reduce meal time

yes or no

Time frame
Month 0
3

Reduce meal time

yes or no

Time frame
Month 1
4

oesophagal expansion number

number of necessary expansions during the study

Time frame
Month 0

Other outcomes

Sponsors and contacts

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