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      "canonicalId": "NCT07193134",
      "title": "GMEB-SASS: A Gene-Modified Skin Substitute for RDEB Treatment",
      "scientificTitle": "Genetically Modified Epidermolysis Bullosa Self-Assembled Skin Substitute (GMEB-SASS) to Treat Patients Suffering From Recessive Dystrophic Epidermolysis Bullosa (RDEB)",
      "status": "recruiting",
      "studyType": "interventional",
      "phase": [
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        "PHASE2"
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        "Recessive Dystrophic Epidermolysis Bullosa",
        "Epidermolysis Bullosa Dystrophica, Recessive"
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      "interventions": [
        {
          "name": "Genetically Modified Epidermolysis Bullosa Self-Assembled Skin Substitute (GMEB-SASS)",
          "type": "DRUG",
          "description": "Wound debridement will be performed, followed by the application of temporary allogeneic skin grafts for 3-5 days. The allografts will then be removed, and the GMEB-SASS grafts will be applied."
        }
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      "sponsor": {
        "name": "CHU de Quebec-Universite Laval",
        "type": "OTHER"
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      "locations": [
        {
          "city": "Toronto",
          "country": "Canada",
          "facility": "The Hospital for Sick Children (SickKids)"
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      "outcomes": {
        "other": [
          "Quality of Life Epidermolysis Bullosa (QOLEB) questionnaire",
          "Quality-of-life EQ-5D questionnaire",
          "Quality-of-life iscorEB questionnaire - patient portion",
          "Scar evaluation - Vancouver scar scale (VSS)",
          "Participant's self-perception about the persistence of healing in the treated areas",
          "Participant's self-perception of how easily the skin blisters in the treated areas",
          "Type VII collagen protein expression",
          "Autoantibody against type VII collagen",
          "Economic impact evaluation"
        ],
        "primary": [
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          "Pain score changes using a Visual Analogue Scale (VAS)",
          "Itch score changes using a Visual Analogue Scale (VAS)"
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          "iscorEB questionnaire - clinician portion",
          "Epidermolysis Bullosa Disease Activity and Scarring Index (EBDASI)"
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        "criteria": "Inclusion Criteria:\n\n* Age\n\nLearning phase:\n\n* Subjects 1 to 3: Eighteen (18) years old or older.\n* Subjects 4 to 6: Twelve (12) years old or older.\n* Subjects 7 to 9: Seven (7) years old or older.\n\nOther Inclusion Criteria:\n\n* Clinical diagnosis of recessive dystrophic epidermolysis bullosa (RDEB) with confirmed biallelic pathogenic variant in the COL7A1 gene.\n* Candidates - or their parents/caregivers if the candidates have limited comprehension, who are able to understand the study and to comply with the study procedures.\n* On the day of grafting, one or more blistered and/or erosive skin areas on the trunk and/or extremities large enough to graft at least three 25 to 50 cm2 GMEB-SASS grafts.\n* Ability to undergo anesthesia.\n\nExclusion Criteria:\n\n* Medical instability limiting the ability to travel to the investigative center.\n* Any medical condition or illness that may impact study participation or compromise the safety of the participants, as per the investigator's judgment.\n* Evidence of systemic infection.\n* Current evidence or a history of non-metastatic or metastatic squamous cell carcinoma at the site to be grafted.\n* Any clinically significant abnormal laboratory values or abnormal findings identified during physical examination or through medical history that could compromise participant safety, as per the investigator's judgment.\n* History of or known allergy to bovine proteins.\n* Active drug or alcohol addiction.\n* Female candidate who are pregnant or breast-feeding.\n* Candidate who has received immunotherapy, including oral corticosteroids (Prednisolone \\> 1 mg/kg), for more than one week, within 2 weeks prior to the study intervention (initial biopsy and GMEB-SASS grafting) (intranasal and topical preparations are permitted).\n* Candidate who has received chemotherapy within 60 days prior to the study intervention (initial biopsy and GMEB-SASS grafting).\n* Candidate who has received, in the last 6 months prior to the study intervention (initial biopsy and GMEB-SASS grafting), any gene therapy, chemical or biological product modifying collagen 7 expression.",
        "minimumAge": "7 Years",
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        "count": 9
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      "startDate": "2026-01-07",
      "completionDate": "2035-12-01",
      "lastUpdated": "2026-03-18T00:00:00.000Z",
      "firstPosted": "2025-09-25T00:00:00.000Z",
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