About ZEVASKYN

What is ZEVASKYN?

ZEVASKYN is designed for long-lasting wound healing with a single surgical application

What is it?

ZEVASKYN (ZEE-vah-skin) gene-modified cellular sheets are made from your own skin cells and surgically applied.

How is it made?

Two punch biopsies are taken from your skin and sent to Abeona Therapeutics®. The cells are then genetically modified to produce working type VII collagen. Over a few weeks, the cells are grown into credit card–sized ZEVASKYN cellular sheets.

How is it applied?

In a single surgery, ZEVASKYN sheets are applied to your wounds under general or other appropriate anesthesia.

How does it work?

ZEVASKYN works by producing functional type VII collagen in your treated wounds. This forms anchoring fibrils that bond together the epidermal and dermal layers of your skin.

How ZEVASKYN works on skin diagram
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How ZEVASKYN works on skin diagram

How much wound coverage can ZEVASKYN provide?

Your two 8 mm punch biopsies (the size of 2 small peas) expand up to 12 credit card–sized sheets.

ZEVASKYN on skin coverage diagram

ZEVASKYN provides unprecedented coverage for RDEB wounds in a single surgical session

In a clinical study, patients with wound size of 20 cm2 or more were treated with ZEVASKYN sheets in one surgery under general or other appropriate anesthesia.

You can receive up to 12 credit card–sized ZEVASKYN sheets in one surgical session.

Diagram of ZEVASKYN placement on patient
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Image is based on patient being approximately 5 feet tall.

You can receive up to 12 credit card–sized ZEVASKYN sheets in one surgical session.

How was ZEVASKYN studied?

ZEVASKYN was studied in chronic RDEB wounds of various shapes and sizes

A clinical study (VIITAL) assessed how well ZEVASKYN works

The clinical study evaluated 43 ZEVASKYN-treated wounds in 11 patients over 6 months. Each wound was compared to a matched control wound of similar size and chronicity in the same patient.* A total of 86 wounds were evaluated across all patients.

  • Ages of patients treated in the study ranged from 6 to 40 years old
  • Wounds studied had been open for a median (middle value) of 5 years with a range of 6 months to 21 years
  • Wound size had to be at least 20 cm2
  • Patients in the clinical study received a median of 6 ZEVASKYN sheets (range of 3-6 sheets), which was the maximum number allowed in the clinical study

Left thigh before treatment

Left thigh before ZEVASKYN treatment

Left side of torso before treatment

Left side of torso before ZEVASKYN treatment

At 6 months, the study measured:

  • Wound healing
  • Pain reduction
  • Itch reduction
  • *43 control wounds (those not treated with ZEVASKYN) received standard of care treatment (eg, bandages and palliative care).
  • Median is the middle number in a group of numbers arranged from lowest to highest.

Significant wound healing with ZEVASKYN at 6 months

ZEVASKYN-treated wounds pie chart
  • Complete healing seen in 16% of ZEVASKYN-treated wounds vs none of the matched control wounds
  • ~2 out of 3 ZEVASKYN-treated wounds (28 of 43) healed by 75% or more vs 7% of matched control wounds (3 of 43)

ZEVASKYN-treated wounds showed noticeable healing within 6 weeks, compared to fewer control wounds. This analysis was based on a subset of wounds (28/43) that were assessed at 6 weeks.§

  • Complete wound healing was defined as the new skin completely covered, with no drainage, no damage of the treated skin, and no major scabbing.
  • §Not all wounds were evaluated early at 6 weeks. The study was not specifically designed to fully measure these results, so they should be interpreted carefully.

ZEVASKYN: Proven to reduce pain in treated wounds

At 6 months (VIITAL study)

Reduction in pain (using a 0-10 scale)||
Reduction in pain (using a 0-10 scale) on ZEVASKYN-treated wounds chart
Reduction in itch (using a 0-10 scale)
Reduction in itch (using a 0-10 scale) on ZEVASKYN-treated wounds chart
  • ||Pain reduction was measured on a 0-10 scale before and after treatment (following wound dressing change). Pain reduction was measured using the Wong-Baker FACES® Pain Rating Scale that is used to help people communicate the severity of their pain by choosing a face that best matches their experience.
  • Itch severity was measured using the Worst Itch-Numeric Rating Scale (WI-NRS), ranging from 0 (no itch) to 10 (worst itch imaginable).
Guadalupe, a patient treated with ZEVASKYN, smiling

Oh, it was bad [before treatment with ZEVASKYN]. It was constantly itching, and the medicine wasn’t helping. And then [after treatment with ZEVASKYN, there] was less itching, less wounds, and less pain, too. When it heals [after surgery], I don’t feel itching.”

ZEVASKYN can close even tough RDEB wounds

See what healing with ZEVASKYN treatment can look like at 6 months

Before
After ZEVASKYN
Chest
Before ZEVASKYN RDEB chest wound After ZEVASKYN RDEB chest wound
Upper back
Before ZEVASKYN RDEB upper back wound After ZEVASKYN RDEB upper back wound
Left thigh
Before ZEVASKYN RDEB left thigh wound After ZEVASKYN RDEB left thigh wound
Left leg
Before ZEVASKYN RDEB left leg wound After ZEVASKYN RDEB left leg wound
Back
Before ZEVASKYN RDEB back wound After ZEVASKYN RDEB back wound
Right arm
Before ZEVASKYN RDEB right arm wound After ZEVASKYN RDEB right arm wound
Left torso
Left side of torso before ZEVASKYN treatment Left side of torso after ZEVASKYN treatment
Wound images from different patients in the study. Individual results may vary.

What are the side effects of ZEVASKYN?

Established safety profile

ZEVASKYN has been evaluated in 43 large, chronic wounds in 11 patients

  • The most common adverse reactions occurring in ≥5% of patients were procedural pain (3 of 11 patients; 27%) and itching (1 of 11 patients; 9%)
  • No grade 3 side effects were reported#

Serious allergic reactions to ZEVASKYN can occur, including rare cases of anaphylaxis. ZEVASKYN may increase the risk of cancer due to how it works; lifelong monitoring is recommended. It is made from human and animal materials, and although tested, the risk of infection transmission cannot be completely ruled out. Please see additional Important Safety Information below.

  • #Grade 3 side effects are considered severe and medically significant, but not immediately life-threatening. They can interfere with daily activities, limit self-care, and may even require or prolong hospitalization.

Additional long-term safety from clinical studies

  • In 99 large, chronic ZEVASKYN-treated wounds across 18 patients:
    • Median (middle value) follow-up of 3 years and 2 months after treatment (range of 12 months to 11 years)**
  • No cases of squamous cell carcinoma (SCC) were reported in ZEVASKYN-treated wounds
    • SCC is a type of skin cancer that develops in the epidermis, or outer layer of the skin
    • SCC was observed in non-treated sites in 4 patients
  • **Median is the middle number in a group of numbers arranged from lowest to highest.
Jessica, mom and caregiver of her daughter, a ZEVASKYN-treated patient

When the nurse and doctor took off the bandage and I saw that new skin, when I saw it I just cried.”

Example of wound healing after long-term follow-up

See what healing with ZEVASKYN can look like long term

In a separate clinical study of 7 patients with RDEB, 38 chronic wounds were assessed long term after treatment with ZEVASKYN. The study did not evaluate ZEVASKYN-treated wounds against control wounds or placebo.

  • Patients were followed for a median (middle value) of 6.9 years (range 4-8 years), with a planned follow-up of 15 years††
  • Because the study did not include a control group or placebo for comparison, it was not designed to determine whether the observed effects were due to ZEVASKYN.
  • ††Median is the middle number in a group of numbers arranged from lowest to highest.
Noelle, a patient treated with ZEVASKYN, smiling

If I had the chance to do it again, I would. It helped me
a ton. And I did see the difference in my skin. I think it’s worth it.”

  • RDEB=recessive dystrophic epidermolysis bullosa.

What is ZEVASKYN?

ZEVASKYN™ (prademagene zamikeracel) is a type of gene therapy made from your own skin cells that is surgically applied to treat wounds in both children and adults who have recessive dystrophic epidermolysis bullosa (RDEB).

Important Safety Information

  • Serious allergic reactions to ZEVASKYN can occur. Get medical help right away if you or your child experience symptoms like itching, swelling, hives, difficulty breathing, runny nose, watery eyes, or nausea. In rare cases, a severe reaction called anaphylaxis may happen.
  • There is a potential risk that treatment with ZEVASKYN may contribute to the development of cancer because of how the therapy works.  Patients should be monitored for the rest of their lives to check for any signs of cancer.
  • ZEVASKYN is made using human and animal materials. Although these materials are tested before use, the risk of passing on infections cannot be eliminated.
  • The most common side effects are pain from the procedure and itching.

This is not a complete list of side effects. Call your care team for medical advice about side effects. You may report side effects to Abeona at 1-844-888-2236 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Post-Application Care

  • You may feel pain or itching at the treated area as it heals. Contact your doctor if you have: fever, increased drainage, worsening pain or swelling, or any other symptoms at or near the treated area.
  • Do not disturb the surgical dressing for 5—10 days, unless your doctor tells you otherwise.
  • Keep the dressing(s) dry. Do not soak the treated area(s) in water (like in a bath or pool) until the gauze backing falls off of the treated area(s), approximately 2—3 weeks after the surgery.

Product Manufacturing

  • ZEVASKYN is made from your own skin cells. In rare cases, the manufacturing process may not work. If this happens, your doctor may suggest taking another skin biopsy to repeat the manufacturing process.

Please see full Prescribing Information.

What is ZEVASKYN?

ZEVASKYN™ (prademagene zamikeracel) is a type of gene therapy made from your own skin cells that is surgically applied to treat wounds in both children and adults who have recessive dystrophic epidermolysis bullosa (RDEB).

Important Safety Information

  • Serious allergic reactions to ZEVASKYN can occur. Get medical help right away if you or your child experience symptoms like itching, swelling, hives, difficulty breathing, runny nose, watery eyes, or nausea. In rare cases, a severe reaction called anaphylaxis may happen.
  • There is a potential risk that treatment with ZEVASKYN may contribute to the development of cancer because of how the therapy works.  Patients should be monitored for the rest of their lives to check for any signs of cancer.
  • ZEVASKYN is made using human and animal materials. Although these materials are tested before use, the risk of passing on infections cannot be eliminated.
  • The most common side effects are pain from the procedure and itching.

This is not a complete list of side effects. Call your care team for medical advice about side effects. You may report side effects to Abeona at 1-844-888-2236 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

Post-Application Care

  • You may feel pain or itching at the treated area as it heals. Contact your doctor if you have: fever, increased drainage, worsening pain or swelling, or any other symptoms at or near the treated area.
  • Do not disturb the surgical dressing for 5—10 days, unless your doctor tells you otherwise.
  • Keep the dressing(s) dry. Do not soak the treated area(s) in water (like in a bath or pool) until the gauze backing falls off of the treated area(s), approximately 2—3 weeks after the surgery.

Product Manufacturing

  • ZEVASKYN is made from your own skin cells. In rare cases, the manufacturing process may not work. If this happens, your doctor may suggest taking another skin biopsy to repeat the manufacturing process.

Please see full Prescribing Information.