DelveInsight’s “Dystrophic Epidermolysis Bullosa – Pipeline Insight, 2025” highlights a dynamic and rapidly advancing therapeutic landscape, with a strong focus on gene therapies, protein replacement strategies, stem-cell-based regenerative approaches, and RNA-based modalities. More than a dozen biotech innovators are actively advancing novel candidates designed to address the root genetic cause of DEB, offering the potential for long-term functional benefit rather than symptomatic relief alone.
A landmark development occurred in September 2025, when Krystal Biotech, Inc. (NASDAQ: KRYS) announced that the FDA approved a label update for VYJUVEK (beremagene geperpavec-svdt). The update expands the eligible patient population to include DEB patients from birth and grants greater flexibility in VYJUVEK application and wound dressing management. This milestone significantly broadens access and demonstrates regulators’ willingness to adapt therapeutic use as more real-world data validates efficacy and safety.
Beyond VYJUVEK, late-stage clinical trials are evaluating other gene-corrective approaches, topical gene therapies, and cell-based grafts that aim to restore or replace defective collagen VII protein central to DEB pathology. Several academic–industry collaborations are also pushing forward RNA editing and exon-skipping strategies that could further diversify treatment options.
With increasing FDA designations, rising patient advocacy, and global investments in advanced therapeutics, the DEB pipeline in 2025 reflects a transformative era—transitioning from palliative care toward durable, curative-intent solutions that could redefine patient outcomes.
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Key Takeaways from the Dystrophic Epidermolysis Bullosa Pipeline Report
• DelveInsight’s dystrophic epidermolysis bullosa pipeline analysis depicts a strong space with 15+ active players working to develop 15+ pipeline drugs for dystrophic epidermolysis bullosa treatment.
• The leading dystrophic epidermolysis bullosa companies include Phoenix Tissue Repair, Castle Creek Biosciences, Phoenicis Therapeutics, Aegle Therapeutics, RHEACELL GmbH & Co. KG, Anterogen Co., Ltd., Abeona Therapeutics, InMed Pharmaceuticals, BridgeBio Inc., Eloxx Pharmaceuticals, Relief Therapeutics, Quoin Pharmaceuticals, and others are evaluating their lead assets to improve the dystrophic epidermolysis bullosa treatment landscape.
• Key dystrophic epidermolysis bullosa pipeline therapies in various stages of development include PTR-01, FCX-007, PTW-002, AGLE 102, allo-APZ2-EB, ALLO-ASC-SHEET, EB-101, INM-755, BBP-589, ZKN-013, Nexodyn, QRX004, and others.
• In September 2025, Krystal Biotech, Inc. (NASDAQ: KRYS) announced that the U.S. FDA approved a label update for VYJUVEK (beremagene geperpavec-svdt), expanding its use to include dystrophic epidermolysis bullosa (DEB) patients from birth. The update also allows greater flexibility in VYJUVEK application and wound dressing management.
• In April 2025, the FDA approved Abeona Therapeutics' ZEVASKYN, a groundbreaking treatment for Recessive Dystrophic Epidermolysis Bullosa (RDEB). This approval marks the third treatment for the rare condition, highlighting progress in RDEB care. ZEVASKYN, the first autologous, cell-based gene therapy for RDEB, aims to enhance collagen VII expression at wound sites by integrating the COL7A1 gene, offering new hope and treatment options for patients and their families.
Dystrophic Epidermolysis Bullosa Overview
Dystrophic Epidermolysis Bullosa is a rare genetic skin disorder characterized by fragile skin that blisters and tears easily, often from minor friction or trauma. It results from mutations affecting collagen production, which weakens the structural integrity between the layers of skin. Symptoms include chronic wounds, scarring, and pain, significantly impacting quality of life. DEB can vary in severity, with some cases causing severe complications such as infections and an increased risk of skin cancer. Management focuses on wound care, pain relief, and preventing infections, while emerging therapies aim to address the underlying genetic causes.
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Dystrophic Epidermolysis Bullosa Treatment Analysis: Drug Profile
PTR-01: Phoenix Tissue Repair
Phoenix Tissue Repair is developing PTR-01, an investigational systemic recombinant collagen type VII (rC7) therapy for Recessive Dystrophic Epidermolysis Bullosa (RDEB). Delivered intravenously, PTR-01 aims to replace the defective collagen type VII with healthy collagen both internally and externally, potentially modifying the disease. Phoenix Tissue Repair acquired global rights to PTR-01 from Shire Plc in 2017 and has initiated its first clinical trial. Preclinical studies demonstrated that PTR-01 selectively targets skin and tissues lacking collagen type VII, promoting wound healing in four animal models of DEB. These studies showed improvements in tissue structure, disease symptoms, and survival, suggesting restoration of normal skin architecture.
FCX-007: Castle Creek Biosciences
FCX-007 (dabocemagene autoficel), also known as D-Fi, is an ex vivo autologous cell-based gene therapy designed to correct COL7 deficiency in patients with dystrophic epidermolysis bullosa (DEB). In a Phase 1/2 clinical trial (NCT02810951) involving six RDEB patients, 80% of treated chronic wounds (8 out of 10) fully healed within 12 weeks after the first injection, while untreated wounds showed no healing. The therapy was well tolerated, with only mild and temporary redness or discoloration at injection sites. FCX-007 is currently in Phase 3 development for localized treatment of chronic wounds in RDEB patients.
Learn more about the novel and emerging dystrophic epidermolysis bullosa pipeline therapies.
Dystrophic Epidermolysis Bullosa Therapeutics Assessment
By Product Type
• Mono
• Combination
• Mono/Combination.
By Stage
• Late-stage products (Phase III)
• Mid-stage products (Phase II)
• Early-stage product (Phase I) along with the details of
• Pre-clinical and Discovery stage candidates
• Discontinued & Inactive candidates
By Route of Administration
• Inhalation
• Inhalation/Intravenous/Oral
• Intranasal
• Intravenous
• Intravenous/ Subcutaneous
• NA
• Oral
• Oral/intranasal/subcutaneous
• Parenteral
• Subcutaneous
By Molecule Type
• Antibody
• Antisense oligonucleotides
• Immunotherapy
• Monoclonal antibody
• Peptides
• Protein
• Recombinant protein
• Small molecule
• Stem Cell
• Vaccine
Scope of the Dystrophic Epidermolysis Bullosa Pipeline Report
• Coverage: Global
• Key Dystrophic Epidermolysis Bullosa Companies: Phoenix Tissue Repair, Castle Creek Biosciences, Phoenicis Therapeutics, Aegle Therapeutics, RHEACELL GmbH & Co. KG, Anterogen Co., Ltd., Abeona Therapeutics, InMed Pharmaceuticals, BridgeBio Inc., Eloxx Pharmaceuticals, Relief Therapeutics, Quoin Pharmaceuticals, and others.
• Key Dystrophic Epidermolysis Bullosa Pipeline Therapies: PTR-01, FCX-007, PTW-002, AGLE 102, allo-APZ2-EB, ALLO-ASC-SHEET, EB-101, INM-755, BBP-589, ZKN-013, Nexodyn, QRX004, and others.
Explore detailed insights on drugs used in the treatment of dystrophic epidermolysis bullosa here.
Table of Contents
1. Introduction
2. Executive Summary
3. Dystrophic Epidermolysis Bullosa Pipeline: Overview
4. Analytical Perspective In-depth Commercial Assessment
5. Dystrophic Epidermolysis Bullosa Pipeline Therapeutics
6. Dystrophic Epidermolysis Bullosa Pipeline: Late-Stage Products (Phase III)
7. Dystrophic Epidermolysis Bullosa Pipeline: Mid-Stage Products (Phase II)
8. Dystrophic Epidermolysis Bullosa Pipeline: Early Stage Products (Phase I)
9. Therapeutic Assessment
10. Inactive Products
11. Company-University Collaborations (Licensing/Partnering) Analysis
12. Key Companies
13. Key Products
14. Unmet Needs
15. Market Drivers and Barriers
16. Future Perspectives and Conclusion
17. Analyst Views
18. Appendix
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