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Trial reportAmerican journal of clinical dermatology2025

Long-Term Safety and Tolerability of Beremagene Geperpavec-svdt (B-VEC) in an Open-Label Extension Study of Patients with Dystrophic Epidermolysis Bullosa.

M Peter Marinkovich, Amy S Paller, Shireen V Guide, Mercedes E Gonzalez, Anne W Lucky, Işın Sinem Bağcı, Brittani Agostini, Kolleen Fitzgerald, Shijie Chen, Hubert Chen and 2 more

Erratum issued Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in American journal of clinical dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04917874 (Open Label Treatment of Beremagene Geperpavec), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04917874 phase3completednot on this map

Open Label Treatment of Beremagene Geperpavec (B-VEC)

TypeinterventionalSponsorKrystal Biotech, Inc.Ran2021 to 2023Enrolled47ConditionsDystrophic Epidermolysis Bullosa, DEB - Dystrophic Epidermolysis Bullosa, Recessive Dystrophic Epidermolysis Bullosa, Dominant Dystrophic Epidermolysis BullosaArmsOpen Label Topical Beremagene Geperpavec (B-VEC)
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

M Peter MarinkovichDepartment of Dermatology, Stanford University School of Medicine, Stanford, CA, USA.
Amy S PallerDepartments of Dermatology and Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Shireen V GuideMission Dermatology Center, Department of Dermatology, Children's Hospital of Orange County, University of California Irvine, Rancho Santa Margarita, CA, USA.
Mercedes E GonzalezPediatric Skin Research, Coral Gables, FL, USA.
Anne W LuckyDivision of Dermatology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Işın Sinem BağcıDepartment of Dermatology, Stanford University School of Medicine, Stanford, CA, USA.
Brittani AgostiniKrystal Biotech, Inc., 2100 Wharton St, Suite 701, Pittsburgh, PA, 15203, USA.
Kolleen FitzgeraldKrystal Biotech, Inc., 2100 Wharton St, Suite 701, Pittsburgh, PA, 15203, USA.
Shijie ChenKrystal Biotech, Inc., 2100 Wharton St, Suite 701, Pittsburgh, PA, 15203, USA.
Hubert ChenKrystal Biotech, Inc., 2100 Wharton St, Suite 701, Pittsburgh, PA, 15203, USA.
Meghan M ConnerKrystal Biotech, Inc., 2100 Wharton St, Suite 701, Pittsburgh, PA, 15203, USA.
Suma M KrishnanKrystal Biotech, Inc., 2100 Wharton St, Suite 701, Pittsburgh, PA, 15203, USA. skrishnan@krystalbio.com.ORCID http://orcid.org/0000-0003-2163-0194

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with dystrophic epidermolysis bullosa have pathogenic variants in COL7A1, leading to skin fragility. Beremagene geperpavec-svdt (B-VEC) is a modified, herpes simplex virus type 1-based gene therapy vector that topically delivers COL7A1 to dystrophic epidermolysis bullosa wounds. In a phase III study, B-VEC significantly improved wound healing at 3 and 6 months compared with placebo.

objectiveWe aimed to evaluate the safety and tolerability of B-VEC beyond 6 months in patients with dystrophic epidermolysis bullosa.

methodsAn open-label extension study was conducted with 47 subjects (24 rollover from phase III; 23 treatment naïve) receiving B-VEC weekly to target wound areas for up to 112 weeks (median 81 weeks). Safety was assessed by adverse events. Treatment satisfaction and quality of life were assessed with patient-reported outcomes as exploratory measures of efficacy. Selected wounds from phase III rollover subjects were assessed for closure.

resultsThirty-five subjects (74.5%) reported one or more adverse events; most were mild or moderate in severity. Fourteen subjects experienced 17 serious adverse events and ten experienced 14 severe adverse events; none was considered treatment related. No adverse events led to treatment or study discontinuation. Patient-reported outcomes indicated high levels of treatment satisfaction, but were inconclusive with regard to quality of life. Among rollover subjects, wounds that received B-VEC during phase III maintained high closure rates during the open-label extension (range 61.1-89.5%, assessed baseline to month 12). LIMITATIONS: This was an open-label design, with a variable follow-up.

conclusionsPatients undergoing extended B-VEC treatment maintained high satisfaction and continued to respond to treatment with no new safety signals detected in the open-label extension study, supporting the continuous use of B-VEC. CLINICAL

trial registrationNCT04917874 (date of trial registration: 8 June, 2021).

Indexed as

Collagen Type VIIEpidermolysis Bullosa DystrophicaGenetic TherapyGenetic VectorsHerpesvirus 1, HumanAdolescentAdultChildFemaleHumansMaleMiddle AgedPatient Reported Outcome MeasuresPatient SatisfactionQuality of LifeSkinCOL7A1 protein, humanCollagen Type VII

Identifiers

PMID40220208
PMCPMC12227497

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.