Epidermolysis bullosa simplex
disease diseaseOn this page
Also known as EBSEEBepidermolysis bullosa intraepidermic
Summary
Epidermolysis bullosa simplex (MONDO:0017610) is a disease (an umbrella term covering 20 Mondo subtypes) caused by variants in ITGB4, KRT14, and PLEC, with 4 cohort genes and 17 clinical trials. The dominant Reactome pathway is Type I hemidesmosome assembly (4 cohort genes). Top therapeutic interventions include cravacitinib, diacerein, and vehicle.
At a glance
- Prevalence: 1-9 / 1 000 000 (Worldwide) [Orphanet-validated]
- Causal genes: ITGB4 (GenCC Definitive), KRT14 (GenCC Definitive), PLEC (GenCC Strong)
- Umbrella term: 20 Mondo subtypes
- Cohort genes: 4
- ClinVar variants: 107
- Clinical trials: 17
Clinical features
Epidemiology
Prevalence records
4 prevalence record(s), Orphanet:
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Point prevalence | 1-9 / 1 000 000 | 0.656 | Worldwide | Validated |
| Point prevalence | 1-9 / 1 000 000 | 0.58 | Australia | Validated |
| Point prevalence | 1-9 / 100 000 | 1.19 | Netherlands | Validated |
| Point prevalence | 1-9 / 1 000 000 | 0.197 | Romania | Validated |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | epidermolysis bullosa simplex |
| Mondo ID | MONDO:0017610 |
| MeSH | D016110 |
| OMIM | 131760 |
| Orphanet | 304 |
| DOID | DOID:4644 |
| ICD-10-CM | Q81.0 |
| ICD-11 | 1860717527 |
| NCIT | C84692 |
| SNOMED CT | 67144006 |
| UMLS | C0079298 |
| MedGen | 86896 |
| GARD | 0010752 |
| Is cancer (heuristic) | no |
Also known as: EBS · EEB · epidermolysis bullosa intraepidermic · epidermolysis bullosa simplex
Data availability: 107 ClinVar variants · 3 GenCC gene-disease records · 24 cell lines.
Disease family
An umbrella term covering 20 Mondo subtypes.
Classification path: disease › human disease › disease by body system or component › integumentary system disorder › skin disorder › vesiculobullous skin disease › epidermolysis bullosa › inherited epidermolysis bullosa › epidermolysis bullosa simplex
Related subtypes (3): epidermolysis bullosa dystrophica, Kindler syndrome, junctional epidermolysis bullosa
Subtypes (20): epidermolysis bullosa simplex 1A, generalized severe, epidermolysis bullosa simplex 1C, localized, epidermolysis bullosa simplex 1B, generalized intermediate, epidermolysis bullosa simplex 5A, Ogna type, epidermolysis bullosa simplex 2F, with mottled pigmentation, epidermolysis bullosa simplex 5B, with muscular dystrophy, epidermolysis bullosa simplex 1D, generalized, intermediate or severe, autosomal recessive, epidermolysis bullosa simplex 7, with nephropathy and deafness, epidermolysis bullosa simplex 2E, with migratory circinate erythema, epidermolysis bullosa simplex 5C, with pyloric atresia, epidermolysis bullosa simplex 4, localized or generalized intermediate, autosomal recessive, epidermolysis bullosa simplex 3, localized or generalized intermediate, with BP230 deficiency, epidermolysis bullosa simplex with nail dystrophy, epidermolysis bullosa simplex 6, generalized, with scarring and hair loss, suprabasal epidermolysis bullosa simplex, epidermolysis bullosa simplex with anodontia/hypodontia, epidermolysis bullosa simplex 2A, generalized severe, epidermolysis bullosa simplex 2B, generalized intermediate, epidermolysis bullosa simplex 2C, localized, epidermolysis bullosa simplex 2d, generalized, intermediate or severe, autosomal recessive
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
ClinVar germline variants
107 retrieved; paginated sample, class counts are floors:
31 pathogenic, 26 uncertain significance, 24 benign, 7 conflicting classifications of pathogenicity, 7 benign/likely benign, 7 likely benign, 4 pathogenic/likely pathogenic, 1 likely pathogenic
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 1048024 | NM_000526.5(KRT14):c.1144G>T (p.Glu382Ter) | KRT14 | Pathogenic | criteria provided, single submitter |
| 1048025 | NM_000526.5(KRT14):c.1205T>G (p.Leu402Arg) | KRT14 | Pathogenic | criteria provided, single submitter |
| 1048026 | NM_000526.5(KRT14):c.1223T>A (p.Leu408Gln) | KRT14 | Pathogenic | criteria provided, single submitter |
| 1048027 | NM_000526.5(KRT14):c.1274+5G>C | KRT14 | Pathogenic | criteria provided, single submitter |
| 14612 | NM_000526.5(KRT14):c.373C>T (p.Arg125Cys) | KRT14 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 66316 | NM_000526.5(KRT14):c.1231_1233del (p.Glu411del) | KRT14 | Pathogenic | criteria provided, single submitter |
| 66322 | NM_000526.5(KRT14):c.1244A>G (p.Tyr415Cys) | KRT14 | Pathogenic | criteria provided, single submitter |
| 66339 | NM_000526.5(KRT14):c.346A>T (p.Lys116Ter) | KRT14 | Pathogenic | criteria provided, single submitter |
| 66353 | NM_000526.5(KRT14):c.385T>G (p.Tyr129Asp) | KRT14 | Pathogenic | criteria provided, single submitter |
| 66358 | NM_000526.5(KRT14):c.397G>T (p.Val133Leu) | KRT14 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 66375 | NM_000526.5(KRT14):c.749del (p.Lys250fs) | KRT14 | Pathogenic | criteria provided, single submitter |
| 66378 | NM_000526.5(KRT14):c.815T>C (p.Met272Thr) | KRT14 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1047955 | NM_000424.4(KRT5):c.556-16C>G | KRT5 | Pathogenic | criteria provided, single submitter |
| 1047988 | NM_000424.4(KRT5):c.587T>C (p.Leu196Pro) | KRT5 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1047989 | NM_000424.4(KRT5):c.771delG | KRT5 | Pathogenic | criteria provided, single submitter |
| 1047990 | NM_000424.4(KRT5):c.961A>C (p.Thr321Pro) | KRT5 | Pathogenic | criteria provided, single submitter |
| 1047991 | NM_000424.4(KRT5):c.1396G>C (p.Glu466Gln) | KRT5 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 14639 | NM_000424.4(KRT5):c.1388T>C (p.Leu463Pro) | KRT5 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14644 | NM_000424.4(KRT5):c.579C>G (p.Asn193Lys) | KRT5 | Pathogenic | criteria provided, single submitter |
| 14648 | NM_000424.4(KRT5):c.74C>T (p.Pro25Leu) | KRT5 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14652 | NM_000424.4(KRT5):c.556G>T (p.Val186Leu) | KRT5 | Pathogenic | criteria provided, single submitter |
| 14655 | NM_000424.4(KRT5):c.1649del (p.Gly550fs) | KRT5 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 14657 | NM_000424.4(KRT5):c.508G>A (p.Glu170Lys) | KRT5 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 21174 | NM_000424.4(KRT5):c.1429G>A (p.Glu477Lys) | KRT5 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 66202 | NM_000424.4(KRT5):c.1282G>A (p.Ala428Thr) | KRT5 | Pathogenic | criteria provided, single submitter |
| 66203 | NM_000424.4(KRT5):c.1283C>T (p.Ala428Val) | KRT5 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 66208 | NM_000424.4(KRT5):c.1398G>C (p.Glu466Asp) | KRT5 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 66246 | NM_000424.4(KRT5):c.495G>T (p.Arg165Ser) | KRT5 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 66267 | NM_000424.4(KRT5):c.556G>A (p.Val186Met) | KRT5 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 66268 | NM_000424.4(KRT5):c.557T>A (p.Val186Glu) | KRT5 | Pathogenic | criteria provided, single submitter |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 57 · Orphanet: 23 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
GenCC gene–disease validity (cohort genes)
the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| ITGB4 | Definitive | Autosomal recessive | junctional epidermolysis bullosa with pyloric atresia | 14 |
| KRT14 | Definitive | Autosomal recessive | epidermolysis bullosa simplex 1D, generalized, intermediate or severe, autosomal recessive | 25 |
| PLEC | Strong | Autosomal dominant | epidermolysis bullosa simplex 5A, Ogna type | 18 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| KRT14 | Orphanet:69087 | Naegeli-Franceschetti-Jadassohn syndrome |
| KRT14 | Orphanet:79396 | Autosomal dominant generalized epidermolysis bullosa simplex, severe form |
| KRT14 | Orphanet:79397 | Epidermolysis bullosa simplex with mottled pigmentation |
| KRT14 | Orphanet:79399 | Autosomal dominant generalized epidermolysis bullosa simplex, intermediate form |
| KRT14 | Orphanet:79400 | Localized epidermolysis bullosa simplex |
| KRT14 | Orphanet:86920 | Dermatopathia pigmentosa reticularis |
| KRT14 | Orphanet:89838 | Autosomal recessive generalized epidermolysis bullosa simplex |
| PLEC | Orphanet:1114 | Aplasia cutis congenita |
| PLEC | Orphanet:158684 | Epidermolysis bullosa simplex with pyloric atresia |
| PLEC | Orphanet:254361 | Plectin-related limb-girdle muscular dystrophy R17 |
| PLEC | Orphanet:257 | Epidermolysis bullosa simplex with muscular dystrophy |
| PLEC | Orphanet:79401 | PLEC-related intermediate epidermolysis bullosa simplex without extracutaneous involvement |
| ITGB4 | Orphanet:1114 | Aplasia cutis congenita |
| ITGB4 | Orphanet:158684 | Epidermolysis bullosa simplex with pyloric atresia |
| ITGB4 | Orphanet:251393 | Localized junctional epidermolysis bullosa |
| ITGB4 | Orphanet:79402 | Intermediate generalized junctional epidermolysis bullosa |
| ITGB4 | Orphanet:79403 | Junctional epidermolysis bullosa with pyloric atresia |
| KRT5 | Orphanet:158681 | Epidermolysis bullosa simplex with circinate migratory erythema |
| KRT5 | Orphanet:79145 | Dowling-Degos disease |
| KRT5 | Orphanet:79396 | Autosomal dominant generalized epidermolysis bullosa simplex, severe form |
| KRT5 | Orphanet:79397 | Epidermolysis bullosa simplex with mottled pigmentation |
| KRT5 | Orphanet:79399 | Autosomal dominant generalized epidermolysis bullosa simplex, intermediate form |
| KRT5 | Orphanet:79400 | Localized epidermolysis bullosa simplex |
Cohort genes → proteins
4 cohort genes, 4 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 4 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| KRT14 | HGNC:6416 | ENSG00000186847 | P02533 | Keratin, type I cytoskeletal 14 | gencc,clinvar |
| PLEC | HGNC:9069 | ENSG00000178209 | Q15149 | Plectin | gencc,clinvar |
| ITGB4 | HGNC:6158 | ENSG00000132470 | P16144 | Integrin beta-4 | gencc |
| KRT5 | HGNC:6442 | ENSG00000186081 | P13647 | Keratin, type II cytoskeletal 5 | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| KRT14 | Keratin, type I cytoskeletal 14 | The nonhelical tail domain is involved in promoting KRT5-KRT14 filaments to self-organize into large bundles and enhances the mechanical properties involved in resilience of keratin intermediate filaments in vitro. |
| PLEC | Plectin | Interlinks intermediate filaments with microtubules and microfilaments and anchors intermediate filaments to desmosomes or hemidesmosomes. |
| ITGB4 | Integrin beta-4 | Integrin alpha-6/beta-4 is a receptor for laminin. |
| KRT5 | Keratin, type II cytoskeletal 5 | Required for the formation of keratin intermediate filaments in the basal epidermis and maintenance of the skin barrier in response to mechanical stress. |
Protein-family classification
Druggable: 1 · Difficult: 1 · Unknown: 2 · Druggable fraction: 0.25
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Antibody/Immunoglobulin | 1 | 7.3× | 0.318 |
| Scaffold/PPI | 1 | 4.3× | 0.318 |
| Other/Unknown | 2 | 0.9× | 0.769 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| KRT14 | Other/Unknown | no | Keratin_I, IF_conserved, IF_rod_dom | |
| PLEC | Scaffold/PPI | no | Plectin_repeat, SH3_domain, Actinin_actin-bd_CS | |
| ITGB4 | Antibody/Immunoglobulin | yes | EGF, Integrin_bsu_VWA, Calx_beta | |
| KRT5 | Other/Unknown | no | Keratin_II, IF_conserved, Keratin_2_head |
Expression context
Cohort genes with no expression data: 0.
4 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 4 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| gingiva | 2 |
| tibial nerve | 2 |
| gingival epithelium | 1 |
| upper arm skin | 1 |
| hindlimb stylopod muscle | 1 |
| sural nerve | 1 |
| minor salivary gland | 1 |
| skin of leg | 1 |
| lower esophagus mucosa | 1 |
| pharyngeal mucosa | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| KRT14 | 193 | broad | marker | gingiva, gingival epithelium, upper arm skin |
| PLEC | 283 | ubiquitous | marker | sural nerve, hindlimb stylopod muscle, tibial nerve |
| ITGB4 | 267 | broad | marker | tibial nerve, minor salivary gland, skin of leg |
| KRT5 | 211 | broad | marker | lower esophagus mucosa, pharyngeal mucosa, gingiva |
Protein interactions among cohort
Intra-cohort edges: 5.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| PLEC | 3,529 |
| KRT5 | 3,406 |
| KRT14 | 3,351 |
| ITGB4 | 2,536 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| ITGB4 | KRT14 | string_interaction |
| ITGB4 | PLEC | intact, string_interaction |
| KRT14 | KRT5 | intact, string_interaction |
| KRT14 | PLEC | intact, string_interaction |
| KRT5 | PLEC | string_interaction |
Structural data
PDB: 4 · AlphaFold-only: 0 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| PLEC | Q15149 | 14 |
| ITGB4 | P16144 | 13 |
| KRT14 | P02533 | 2 |
| KRT5 | P13647 | 2 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 18. Enrichment computed across 4 evidence-associated genes (4 with Reactome annotation).
Pathways by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 4 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Type I hemidesmosome assembly | 4 | 1038.2× | 8e-12 | KRT14, PLEC, ITGB4, KRT5 |
| Differentiation of Keratinocytes in Interfollicular Epidermis in Mammalian Skin | 3 | 208.9× | 2e-06 | KRT14, ITGB4, KRT5 |
| Developmental Cell Lineages | 3 | 167.9× | 2e-06 | KRT14, ITGB4, KRT5 |
| Cell junction organization | 3 | 140.4× | 3e-06 | KRT14, ITGB4, KRT5 |
| Cell-Cell communication | 3 | 103.2× | 5e-06 | KRT14, ITGB4, KRT5 |
| Developmental Lineage of Mammary Gland Myoepithelial Cells | 2 | 271.9× | 6e-05 | KRT14, KRT5 |
| Assembly of collagen fibrils and other multimeric structures | 2 | 100.2× | 4e-04 | PLEC, ITGB4 |
| Formation of the cornified envelope | 2 | 43.9× | 0.002 | KRT14, KRT5 |
| Developmental Biology | 3 | 10.8× | 0.003 | KRT14, ITGB4, KRT5 |
| Keratinization | 2 | 27.9× | 0.003 | KRT14, KRT5 |
| Caspase-mediated cleavage of cytoskeletal proteins | 1 | 237.9× | 0.007 | PLEC |
| Developmental Lineage of Mammary Stem Cells | 1 | 190.3× | 0.008 | KRT5 |
| Collagen formation | 1 | 114.2× | 0.011 | ITGB4 |
| Developmental Lineage of Mammary Gland Luminal Epithelial Cells | 1 | 114.2× | 0.011 | KRT5 |
| Syndecan interactions | 1 | 105.7× | 0.011 | ITGB4 |
| Laminin interactions | 1 | 95.2× | 0.012 | ITGB4 |
| Non-integrin membrane-ECM interactions | 1 | 38.6× | 0.027 | ITGB4 |
| Extracellular matrix organization | 1 | 15.8× | 0.062 | ITGB4 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 4 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| intermediate filament organization | 3 | 180.6× | 2e-05 | KRT14, PLEC, KRT5 |
| hemidesmosome assembly | 2 | 1203.7× | 3e-05 | PLEC, ITGB4 |
| protein-containing complex organization | 1 | 4213.0× | 0.002 | PLEC |
| intermediate filament polymerization | 1 | 4213.0× | 0.002 | KRT5 |
| actomyosin contractile ring assembly actin filament organization | 1 | 4213.0× | 0.002 | PLEC |
| epidermis development | 2 | 105.3× | 0.002 | KRT14, KRT5 |
| skeletal myofibril assembly | 1 | 2106.5× | 0.004 | PLEC |
| leukocyte migration involved in immune response | 1 | 1404.3× | 0.004 | PLEC |
| peripheral nervous system myelin formation | 1 | 1404.3× | 0.004 | ITGB4 |
| cellular response to hydrostatic pressure | 1 | 1404.3× | 0.004 | PLEC |
| tight junction organization | 1 | 842.6× | 0.006 | PLEC |
| intermediate filament bundle assembly | 1 | 702.2× | 0.007 | KRT14 |
| nail development | 1 | 601.9× | 0.007 | ITGB4 |
| trophoblast cell migration | 1 | 601.9× | 0.007 | ITGB4 |
| keratinocyte development | 1 | 383.0× | 0.009 | PLEC |
| peripheral nervous system myelin maintenance | 1 | 383.0× | 0.009 | PLEC |
| mesodermal cell differentiation | 1 | 383.0× | 0.009 | ITGB4 |
| skin morphogenesis | 1 | 351.1× | 0.009 | ITGB4 |
| cellular response to fluid shear stress | 1 | 324.1× | 0.010 | PLEC |
| response to radiation | 1 | 300.9× | 0.010 | KRT14 |
| T cell chemotaxis | 1 | 280.9× | 0.010 | PLEC |
| regulation of vascular permeability | 1 | 280.9× | 0.010 | PLEC |
| hair cycle | 1 | 234.1× | 0.010 | KRT14 |
| intermediate filament cytoskeleton organization | 1 | 234.1× | 0.010 | PLEC |
| fibroblast migration | 1 | 210.7× | 0.010 | PLEC |
| respiratory electron transport chain | 1 | 210.7× | 0.010 | PLEC |
| myoblast differentiation | 1 | 210.7× | 0.010 | PLEC |
| cell adhesion mediated by integrin | 1 | 168.5× | 0.012 | ITGB4 |
| transmission of nerve impulse | 1 | 162.0× | 0.012 | PLEC |
| filopodium assembly | 1 | 162.0× | 0.012 | ITGB4 |
Therapeutics
Drugs indicated or in trials for this disease
No drug has an approved disease-direct ChEMBL indication for this disease.
2 drugs in clinical trials for this disease (phase 2–3, investigational): efficacy not established — a trial record, not an indication.
| Drug | Highest phase |
|---|---|
| Diacerein | Phase 2 |
| Onabotulinumtoxina | Phase 2 |
Drug target analysis
Approved (phase 4): 0 · Phase ≥3: 0 · Phased (≥1): 0 · Undrugged: 4
Druggability breadth: 2 of 4 evidence-associated genes (50%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| KRT14 | 0 | 0 |
| PLEC | 0 | 0 |
| ITGB4 | 0 | 0 |
| KRT5 | 0 | 0 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 0.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| PLEC | 12 | Binding:12 |
| ITGB4 | 2 | Binding:2 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 4; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
0 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 0 | |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 1 | ITGB4 |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 3 | KRT14, PLEC, KRT5 |
Undrugged target profiles
4 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| KRT14 | 0 | — |
| PLEC | 12 | — |
| ITGB4 | 2 | — |
| KRT5 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 17.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| PHASE2 | 10 |
| PHASE1 | 3 |
| Not specified | 3 |
| PHASE2/PHASE3 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT03453632 | PHASE2/PHASE3 | UNKNOWN | Injections of Botulinic Toxin in Plantar Lesions of Localized Epidermolysis Bullosa Simplex |
| NCT06136403 | PHASE2 | RECRUITING | A 44-week Monocentric Open Study Assessing the Efficacy and Safety of Deucravacitinib in Adults With Inflammatory Genodermatoses |
| NCT06509984 | PHASE2 | RECRUITING | A 20-Week Study Assessing the Efficacy of Apremilast in Patients with EB Simplex Generalized |
| NCT07027345 | PHASE2 | RECRUITING | A Phase II, Placebo Controlled, Clinical Trial of Topical TolaSure Targeting Aggregated Mutant Keratin in Epidermolysis Bullosa Simplex |
| NCT00936533 | PHASE2 | UNKNOWN | Botulinumtoxin A Treatment in Epidermolysis Bullosa Simplex and Pachyonychia Congenita |
| NCT02470689 | PHASE2 | UNKNOWN | Diacerin for the Treatment of Epidermolysis Bullosa Simplex |
| NCT02960997 | PHASE2 | COMPLETED | Using Topical Sirolimus 2% for Patients With Epidermolysis Bullous Simplex (EBS) Study |
| NCT03016715 | PHASE2 | UNKNOWN | Using Topical Sirolimus 2% for Patients With Epidermolysis Bullous Simplex (EBS) Study |
| NCT03154333 | PHASE2 | TERMINATED | Safety and Efficacy of Diacerein 1% Ointment for Subjects With Epidermolysis Bullosa Simplex (EBS) |
| NCT03389308 | PHASE2 | COMPLETED | Long Term Open-label Study Evaluating Safety of Diacerein 1% Ointment Topical Formulation in Subjects With Epidermolysis Bullosa Simplex |
| NCT04908215 | PHASE2 | COMPLETED | INM-755 (Cannabinol) Cream for Treatment of Epidermolysis Bullosa |
| NCT02592954 | PHASE1 | COMPLETED | Effect of Broccoli Sprout Extract on Keratinocyte Differentiation in Normal Skin |
| NCT03472287 | PHASE1 | COMPLETED | To Evaluate the Pharmacokinetic of Diacerein and Rhein After Maximum Use in Patients With Epidermolysis Bullosa (EB) |
| NCT05062070 | PHASE1 | COMPLETED | Safety and Efficacy of Topical TolaSure Targeting Aggregated Mutant Keratin in Severe Epidermolysis Bullosa Simplex |
| NCT03269474 | Not specified | UNKNOWN | Computational Drug Repurposing for All EBS Cases |
| NCT04213703 | Not specified | WITHDRAWN | A Pilot Study to Explore the Role of Gut Flora in Epidermolysis Bullosa |
| NCT05033574 | Not specified | UNKNOWN | The State of Sexual Development in Children With Inherited Epidermolysis Bullosa |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| CRAVACITINIB | 4 | 3 |
| DIACEREIN | 3 | 4 |
| VEHICLE | 0 | 3 |
| CHEMBL475165 | 0 | 1 |