| E.1 Medical condition or disease under investigation | 
| E.1.1 | Medical condition(s) being investigated  | 
| Epidermolysis bullosa simplex - type Dowling-Meara | 
 
| Epdiermolysis bullosa simplex - Typ Dowling-Meara | 
 
 
 | 
| E.1.1.1 | Medical condition in easily understood language  | 
| Butterfly children | 
 
| Schmetterlingskinder | 
 
 
 | 
| E.1.1.2 | Therapeutic area  | Diseases [C] - Skin and Connective Tissue Diseases [C17] | 
| MedDRA Classification | 
| E.1.3 | Condition being studied is a rare disease  |  Yes  | 
| E.2 Objective of the trial | 
| E.2.1 | Main objective of the trial  | 
| Reduction of blister numbers on the treated body surface by 40% in the diacerein group in comparison to placebo within 4 weeks. | 
 
Reduktion der Blasenanzahl an der behandelten Körperfläche um 40% im Vergleich zu Placebo innerhalb von 4 Wochen.
 
 | 
 
 
 | 
| E.2.2 | Secondary objectives of the trial  | 
| Time until the reaching of the initial blister number (+/-10%) during the follow-up phase. | 
 
| Zeitspanne bis zum Wiedererreichen der initialen Blasenzahl (+/-10%) während der Follow-up Phase. | 
 
 
 | 
| E.2.3 | Trial contains a sub-study  |  No  | 
| E.3 | Principal inclusion criteria  | 
- Epidermolysis bullos simplex - type Dowling-Meara
 - Mutations in either the keratin 14 or the keratin 5 gene, leading to protein aggregation
 - Age: 6-19 | 
 
- Epidermolysis bullosa simplex - Typ Dowling-Meara
 - Mutationen im Keratin 14 oder Keratin 5 Gen, die zur Aggregatbildung führen. 
 - Alter: 6-19 Jahre
 
 | 
 
 
 | 
| E.4 | Principal exclusion criteria | 
- Other types of EB with mutations in the keratin 14 or teh keratin 5 gene.
 - participation in another clinical trial at the same time
 - known intolerance against diacerein, adjuvants (especially Tartrazine) or other substances with similar structures
 - pregnancy or lactation
 - relevant other illnesses (acute infections, ...)
 - patients with impaired liver functions | 
 
- Andere Formen von EB mit Mutationen in Keratin 14 oder Keratin 5.
 - Gleichzeitige Teilnahme an einer anderen klinischen Studie
 -Bekannte oder vermutete Unverträglichkeiten gegen Diacerein, Hilfsstoffe des Prüfpräparats (insbesondere Tartrazin) oder Substanzen mit ähnlicher Struktur.
 - Schwangerschaft oder Stillzeit (siehe 7.2.2.1)
 - Relevante andere Erkrankungen (akute Infektionen, …)
 - PatientInnen mit schweren Leberfunktionsstörungen
 
 | 
 
 
 | 
| E.5 End points | 
| E.5.1 | Primary end point(s) | 
| Reduction of blister numbers in the treated area by 40% in comparison to placebo | 
 
| Reduktion der Blasenanzahl an den behandelten Körperarealen um 40% im vergleich zu Placebo. | 
 
 
 | 
| E.5.1.1 | Timepoint(s) of evaluation of this end point | 
| After 4 weeks | 
 
| Nach 4 Wochen | 
 
 
 | 
| E.5.2 | Secondary end point(s) | 
| Time span until reaching the initial blister number (+/- 10%). | 
 
| Zeitspanne bis zum Erreichen der initialen Blasenzahl (+/- 10%). | 
 
 
 | 
| E.5.2.1 | Timepoint(s) of evaluation of this end point | 
| After 16 weeks. | 
 
| Nach 16 Wochen. | 
 
 
 | 
| E.6 and E.7 Scope of the trial | 
| E.6 | Scope of the trial | 
| E.6.1 | Diagnosis |  No  | 
| E.6.2 | Prophylaxis |  No  | 
| E.6.3 | Therapy |  Yes  | 
| E.6.4 | Safety |  Yes  | 
| E.6.5 | Efficacy |  Yes  | 
| E.6.6 | Pharmacokinetic |  No  | 
| E.6.7 | Pharmacodynamic |  No  | 
| E.6.8 | Bioequivalence |  No  | 
| E.6.9 | Dose response |  No  | 
| E.6.10 | Pharmacogenetic |  No  | 
| E.6.11 | Pharmacogenomic |  No  | 
| E.6.12 | Pharmacoeconomic |  No  | 
| E.6.13 | Others |  No  | 
| E.7 | Trial type and phase | 
| E.7.1 | Human pharmacology (Phase I) |  No  | 
| E.7.1.1 | First administration to humans |  No  | 
| E.7.1.2 | Bioequivalence study |  No  | 
| E.7.1.3 | Other |  No  | 
| E.7.1.3.1 | Other trial type description |  | 
| E.7.2 | Therapeutic exploratory (Phase II) |  No  | 
| E.7.3 | Therapeutic confirmatory (Phase III) |  Yes  | 
| E.7.4 | Therapeutic use (Phase IV) |  No  | 
| E.8 Design of the trial | 
| E.8.1 | Controlled |  Yes  | 
| E.8.1.1 | Randomised |  Yes  | 
| E.8.1.2 | Open |  No  | 
| E.8.1.3 | Single blind |  No  | 
| E.8.1.4 | Double blind  |  Yes  | 
| E.8.1.5 | Parallel group |  No  | 
| E.8.1.6 | Cross over  |  Yes  | 
| E.8.1.7 | Other |  No  | 
| E.8.2 |  Comparator of controlled trial | 
| E.8.2.1 | Other medicinal product(s) |  No  | 
| E.8.2.2 | Placebo  |  Yes  | 
| E.8.2.3 | Other |  No  | 
| E.8.2.4 | Number of treatment arms in the trial | 2 | 
| E.8.3 | 
                                The trial involves single site in the Member State concerned
                             |  Yes  | 
| E.8.4 |  The trial involves multiple sites in the Member State concerned  |  No  | 
| E.8.5 | The trial involves multiple Member States |  No  | 
| E.8.6 Trial involving sites outside the EEA | 
| E.8.6.1 | Trial being conducted both within and outside the EEA |  No  | 
| E.8.6.2 | Trial being conducted completely outside of the EEA |  No  | 
| E.8.7 | Trial has a data monitoring committee |  Yes  | 
| E.8.8 | 
                        Definition of the end of the trial and justification where it is not the last
                        visit of the last subject undergoing the trial
                     | 
 | 
| E.8.9 Initial estimate of the duration of the trial | 
| E.8.9.1 | In the Member State concerned years | 2 | 
| E.8.9.1 | In the Member State concerned months |  | 
| E.8.9.1 | In the Member State concerned days |  |