Evidence map›Paper›PMID 34665781›Full record

ArticleJCI insight2021

Clinical trial of ABCB5+ mesenchymal stem cells for recessive dystrophic epidermolysis bullosa.

Dimitra Kiritsi, Kathrin Dieter, Elke Niebergall-Roth, Silvia Fluhr, Cristina Daniele, Jasmina Esterlechner, Samar Sadeghi, Seda Ballikaya, Leoni Erdinger, Franziska Schauer and 18 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JCI insight, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03529877 (An Interventional, Multicenter, Single Arm, Phase I/IIa Clinical Trial to Investigate the Efficacy and Safety of Allo-APZ2-EB on Epidermolysis Bullosa), which is not on this map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
6.7field-weighted citation impact, top 2% of its field
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.

NCT03529877 phase1 / phase2completednot on this map

An Interventional, Multicenter, Single Arm, Phase I/IIa Clinical Trial to Investigate the Efficacy and Safety of Allo-APZ2-EB on Epidermolysis Bullosa (EB)

TypeinterventionalSponsorRHEACELL GmbH & Co. KGRan2019 to 2021Enrolled16ConditionsRecessive Dystrophic Epidermolysis BullosaArmsallo-APZ2-EB
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 78 citations in OpenAlex.

  1. Trial
  2. ABCB5⁺ mesenchymal stem cells enable high-ratio cellular augmentation of bone grafts without loss of osteogenic function.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Utilization of Stem Cells in Medicine: A Narrative Review.International journal of molecular sciences · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Progress in skin gene therapy: From the inside and out.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
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  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

28 authors at 11 institutions in 7 countries.

Dimitra KiritsiDepartment of Dermatology, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Kathrin DieterRHEACELL GmbH & Co. KG, Heidelberg, Germany.
Elke Niebergall-RothTICEBA GmbH, Heidelberg, Germany.
Silvia FluhrRHEACELL GmbH & Co. KG, Heidelberg, Germany.
Cristina DanieleRHEACELL GmbH & Co. KG, Heidelberg, Germany.
Jasmina EsterlechnerTICEBA GmbH, Heidelberg, Germany.
Samar SadeghiTICEBA GmbH, Heidelberg, Germany.
Seda BallikayaTICEBA GmbH, Heidelberg, Germany.
Leoni ErdingerRHEACELL GmbH & Co. KG, Heidelberg, Germany.
Franziska SchauerDepartment of Dermatology, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Stella GewertDepartment of Dermatology, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Martin LaimerEB House Austria, Department of Dermatology and Allergology, University Hospital of the Paracelsus Medical University Salzburg, Salzburg, Austria.
Johann W BauerEB House Austria, Department of Dermatology and Allergology, University Hospital of the Paracelsus Medical University Salzburg, Salzburg, Austria.
Alain HovnanianDepartment of Genetics at Necker Hospital and.
Giovanna ZambrunoGenodermatosis Unit and.
May El HachemDermatology Unit and Genodermatosis Unit, Genetics and Rare Diseases Research Division, Bambino Gesù Children's Hospital, IRCSS, Rome, Italy.
Emmanuelle BourratDepartment of Dermatology, Reference Center for Rare Skin Diseases MAGEC, St. Louis Hospital, Paris, France.
Maria PapanikolaouSt. John's Institute of Dermatology, Guy's Hospital, King's College London, London, United Kingdom.
Gabriela PetrofDepartment of Dermatology, Great Ormond Street Hospital NHS Foundation Trust, London, United Kingdom.
Sophie KitzmüllerEB House Austria, Department of Dermatology and Allergology, University Hospital of the Paracelsus Medical University Salzburg, Salzburg, Austria.
Christen L EbensDivision of Blood and Marrow Transplantation and Cellular Therapy, Department of Pediatrics, University of Minnesota M Health Fairview Masonic Children's Hospital, Minneapolis, Minnesota, USA.
Markus H FrankDepartment of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Natasha Y FrankTransplant Research Program, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Christoph GanssRHEACELL GmbH & Co. KG, Heidelberg, Germany.
Anna E MartinezDepartment of Dermatology, Great Ormond Street Hospital NHS Foundation Trust, London, United Kingdom.
John A McGrathSt. John's Institute of Dermatology, Guy's Hospital, King's College London, London, United Kingdom.
Jakub TolarDivision of Blood and Marrow Transplantation and Cellular Therapy, Department of Pediatrics, University of Minnesota M Health Fairview Masonic Children's Hospital, Minneapolis, Minnesota, USA.
Mark A KluthRHEACELL GmbH & Co. KG, Heidelberg, Germany.
Rheacell (Germany) · DEEB House Austria · ATUniversity of Freiburg · DEGreat Ormond Street Hospital for Children NHS Foundation Trust · GBGuy's Hospital · GBUniversity of Minnesota · USBambino Gesù Children's Hospital · ITBrigham and Women's Hospital · USEdith Cowan University · AUInserm · FRSkin Research Center · FR

Funding

ABCB5-positive stem cells for LSCD therapyR01EY025794 · NEI · BOSTON CHILDREN'S HOSPITAL · PI NATASHA Y FRANK, Markus H. Frank · 2016 to 2026
$6.1M
Multipotent ABCB5-positive cell therapeutics for corneal diseaseR24EY028767 · NEI · BRIGHAM AND WOMEN'S HOSPITAL · PI FRANK, MARKUS H., FRANK, NATASHA Y · 2018 to 2022
$5.9M
ABCB5+ Dermal Stem Cells In Regenerative Wound HealingI01RX000989 · VA · VA BOSTON HEALTH CARE SYSTEM · PI FRANK, NATASHA Y · 2015 to 2017
–
NEI NIH HHS R01 EY025794NEI NIH HHS R24 EY028767RRD VA I01 RX000989
6 · The paper itself

Abstract

BACKGROUNDRecessive dystrophic epidermolysis bullosa (RDEB) is a rare, devastating, and life-threatening inherited skin fragility disorder that comes about due to a lack of functional type VII collagen, for which no effective therapy exists. ABCB5+ dermal mesenchymal stem cells (ABCB5+ MSCs) possess immunomodulatory, inflammation-dampening, and tissue-healing capacities. In a Col7a1-/- mouse model of RDEB, treatment with ABCB5+ MSCs markedly extended the animals' lifespans.METHODSIn this international, multicentric, single-arm, phase I/IIa clinical trial, 16 patients (aged 4-36 years) enrolled into 4 age cohorts received 3 i.v. infusions of 2 × 106 ABCB5+ MSCs/kg on days 0, 17, and 35. Patients were followed up for 12 weeks regarding efficacy and 12 months regarding safety.RESULTSAt 12 weeks, statistically significant median (IQR) reductions in the Epidermolysis Bullosa Disease Activity and Scarring Index activity (EBDASI activity) score of 13.0% (2.9%-30%; P = 0.049) and the Instrument for Scoring Clinical Outcome of Research for Epidermolysis Bullosa clinician (iscorEB‑c) score of 18.2% (1.9%-39.8%; P = 0.037) were observed. Reductions in itch and pain numerical rating scale scores were greatest on day 35, amounting to 37.5% (0.0%-42.9%; P = 0.033) and 25.0% (-8.4% to 46.4%; P = 0.168), respectively. Three adverse events were considered related to the cell product: 1 mild lymphadenopathy and 2 hypersensitivity reactions. The latter 2 were serious but resolved without sequelae shortly after withdrawal of treatment.CONCLUSIONThis trial demonstrates good tolerability, manageable safety, and potential efficacy of i.v. ABCB5+ MSCs as a readily available disease-modifying therapy for RDEB and provides a rationale for further clinical evaluation.TRIAL REGISTRATIONClinicaltrials.gov NCT03529877; EudraCT 2018-001009-98.FUNDINGThe trial was sponsored by RHEACELL GmbH & Co. KG. Contributions by NYF and MHF to this work were supported by the NIH/National Eye Institute (NEI) grants RO1EY025794 and R24EY028767.

Indexed as

AdolescentAdultAnimalsATP Binding Cassette Transporter, Subfamily BChildChild, PreschoolDisease Models, AnimalEpidermolysis Bullosa DystrophicaFemaleHumansMaleMesenchymal Stem CellsMiceYoung AdultABCB5 protein, mouseATP Binding Cassette Transporter, Subfamily BAdult stem cellsClinical TrialsStem cells

Identifiers

PMID34665781
PMCPMC8663784
OpenAlexW3207490880

What OpenQuestion holds

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LicenceCC BY
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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 OpenQuestion graph.