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Active, not recruitingNCT06892639Updated Mar 13, 2026

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

A Phase 3 interventional study of D-Fi in Dystrophic Epidermolysis Bullosa, sponsored by Castle Creek Biosciences, LLC.. Active, not recruiting at 4 sites in United States. Open to participants aged 2 Years and older. Per ClinicalTrials.gov, last updated 2026-03-13.

Sponsored by Castle Creek Biosciences, LLC. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
32
Allocation
Not applicable
Ages
2 Years and older
Sex
All
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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.

Read the detailed 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.

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Conditions studied

  • Dystrophic Epidermolysis Bullosa

Keywords

  • DEB
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In context

Epidermolysis Bullosa Dystrophica

77 studies on the registry are indexed under Epidermolysis Bullosa Dystrophica; 20 are open to participants now.

This study's planned enrollment of 32 is above the median of 9 across 54 interventional studies indexed under Epidermolysis Bullosa Dystrophica.

Browse Epidermolysis Bullosa Dystrophica studies →

Lead sponsor

Castle Creek Biosciences, LLC. is the lead sponsor of 12 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
2 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male or female ≥2 years of age at the Screening visit
  • Clinical diagnosis of DEB with confirmation of COL7A1 genetic mutation.

Exclusion criteria

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.
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
32 participants (estimated)

Study arms

  • Experimental
    D-Fi COL7A1 Genetically-Corrected Autologous Fibroblasts

    Intra-subject randomized (paired wounds in each subject receive experimental treatment, D-Fi, or remain untreated). One target wound pair will be identified for each subject. Following pairing, target wounds will be randomly assigned as the treatment wound (D-Fi is administered) or control wound. Subjects will receive intradermal injections of D-Fi in each specified treatment wound in two 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, Week 32/Month 8 and Week 40/Month 10 when unclosed treatment wounds may be re-treated, and unclosed control wounds may be treated.

    Biological: D-Fi

Interventions

  • BiologicalD-Fi

    D-Fi is composed of fibroblasts isolated from the subject's skin biopsies which are genetically corrected with the full length COL7A1 gene encoding for type VII collagen.

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What researchers measure

Primary outcomes

  1. The difference in Complete (100%) Wound Closure of the Target Wound Pair at either Week 22 (Visit 6), and Week 24 (Visit 7) or at Week 24 (Visit 7) and Week 26 (Visit 8) as assessed by a Blinded Assessor.

    Time frame: Week 26

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Study locations

4 sites
  • Stanford University School of Medicine, Dermatology
    Redwood City, California 94063, United States
  • Mission Dermatology
    Santa Margarita, California 92688, United States
  • Children's Hospital Colorado
    Aurora, Colorado 80045, United States
  • University of Massachusetts
    Worcester, Massachusetts 01655, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06892639
Lead sponsor
Castle Creek Biosciences, LLC.
Collaborators
Prosoft Clinical
Responsible party
Sponsor
First posted
Mar 25, 2025
Start date
Mar 27, 2025
Primary completion
Sep 2027 (estimated)
Completion
Feb 2042 (estimated)
Last update
Mar 13, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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