The primary objective of the study is to evaluate the safety and tolerability in patients with EB when treated with topical BPM31510 3% cream. The secondary objectives are to (1) evaluate the pharmacokinetics of BPM31510 3% cream, and (2) evaluate the reduction in pain, improvement in quality of life, time to healing, quality of healing, increased resistance to trauma, and reduction in blister formation. The exploratory objective is evaluation of skin integrity and wound healing through Reflectance Confocal Microscopy (RCM). RCM is a cutting-edge imaging device that provides in vivo evaluation of skin without taking biopsies.
Patients remain on study for up to 18 weeks: up to 2 weeks of screening, 12 weeks of treatment and a 4 week follow up period. The study drug, BPM31510 is an ubidecarenone (Coenzyme Q10; CoQ10) containing cream formulation that has significant effect on several molecular, cellular and biochemical parameters associated with wound healing as determined using established in vitro and in vivo models. BPM31510 mediated delivery of CoQ10 to the mitochondria is associated with significant, dose dependent increase in ATP generation and increase metabolic activity in fibroblasts and keratinocytes.
