Evaluation of D-Fi for the Treatment of Wounds Due to DEB

Last updated: March 12, 2026
Sponsor: Castle Creek Biosciences, LLC.
Overall Status: Active - Not Recruiting

Phase

3

Condition

Epidermolysis Bullosa

Treatment

D-Fi

Clinical Study ID

NCT06892639
CCB-EB-304
  • Ages > 2
  • All Genders

Study Summary

The purpose of this study is to determine whether administration of D-Fi in addition to standard of care improves wound healing as compared to standard of care alone (control) in children, adolescents, and adults with Dystrophic Epidermolysis Bullosa.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Male or female ≥2 years of age at the Screening visit

  • Clinical diagnosis of DEB with confirmation of COL7A1 genetic mutation.

Exclusion

Exclusion Criteria:

  • Medical instability limiting ability to travel to the investigative site.

  • Active infection with human immunodeficiency virus, hepatitis B or hepatitis C.

  • The presence of clinically significant COL7 antibodies.

  • Evidence of systemic infection.

  • Known allergy to any of the constituents of the product.

  • Female who is pregnant or breastfeeding.

Study Design

Total Participants: 32
Treatment Group(s): 1
Primary Treatment: D-Fi
Phase: 3
Study Start date:
March 27, 2025
Estimated Completion Date:
February 28, 2042

Study Description

CCB-EB-304 is a multi-center, intra-patient randomized and controlled, open-label, rater-blinded Phase 3 study of D-Fi for the treatment of persistent non-healing and recurrent DEB wounds in approximately 32 subjects. Each subject will serve as his/her own control. Each subject's Target Wounds will be paired then randomized to receive D-Fi (Treatment Wound) or remain untreated (Control Wound). One Target Wound Pair will be identified for each subject.

Subjects will receive intradermal injections of D-Fi in each specified Treatment Wound in three or more treatment sessions. The first treatment session occurs at Day 1, the second at Week 8/Month 2 and the third at Week 16/Month 4. Additional treatment sessions may occur at Week 26/Month 6 and Week 32/Month 8 and Week 40/Month 10 when unclosed Treatment Wounds may be re-treated, and unclosed Control Wounds may be treated. Safety and efficacy assessments will occur at scheduled intervals through Week 48/Month 12, when the Treatment Period is completed, and is followed by an optional Open-Label Extension (OLE) treatment phase of an additional 96 weeks. A long-term safety follow-up period (through 15 years) commences for subjects who have received one or more D-Fi injections, either following the treatment phase or if the subject had opted-in, the OLE.

Connect with a study center

  • Stanford University School of Medicine, Dermatology

    Redwood City, California 94063
    United States

    Site Not Available

  • Mission Dermatology

    Santa Margarita, California 92688
    United States

    Site Not Available

  • Stanford University School of Medicine, Dermatology

    Redwood City 5386834, California 5332921 94063
    United States

    Site Not Available

  • Mission Dermatology

    Santa Margarita 5393154, California 5332921 92688
    United States

    Site Not Available

  • Children's Hospital Colorado

    Aurora, Colorado 80045
    United States

    Site Not Available

  • Children's Hospital Colorado

    Aurora 5412347, Colorado 5417618 80045
    United States

    Site Not Available

  • University of Massachusetts

    Worcester, Massachusetts 01655
    United States

    Site Not Available

  • University of Massachusetts

    Worcester 4956184, Massachusetts 6254926 01655
    United States

    Site Not Available

  • Thomas Jefferson University Dept of Dermatology and Cutaneous Biology

    Philadelphia, Pennsylvania 19107
    United States

    Site Not Available

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