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Safety and Pharmacokinetics of KBPA-101 in Hospital Acquired Pneumonia Caused by O11 Pseudomonas Aeruginosa

Primary Purpose

Pneumonia, Ventilator Associated Pneumonia

Status
Completed
Phase
Phase 1
Locations
Switzerland
Study Type
Interventional
Intervention
KBPA-101
Sponsored by
Kenta Biotech Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pneumonia focused on measuring Pneumonia, Nosocomial pneumonia, Pseudomonas aeruginosa, Monoclonal antibody, Hospital-Acquired Pneumonia

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female ≥ 18 years of age
  • Patients under intensive care management with hospital acquired pneumonia
  • Microbiological diagnosis of P. aeruginosa serotype O11 HAP by lower respiratory tract specimen (BAL or miniBAL) and presence of a new or progressing pulmonary infiltrate, plus one of the three following criteria: a) fever greater than 38ºC, b) WBC greater than 10,000/mm3, or c) purulent sputum
  • In non-intubated patients confirmed microbiological diagnosis of P. aeruginosa serotype O11 HAP by endotracheal aspirate (ETA) and modified clinical pulmonary infection score (CPIS) higher than 6 points
  • Patient is expected to survive longer than 72 hours
  • Written informed consent provided by the patient or by the relatives or the designated trusted person

Exclusion Criteria:

  • Use of any investigational drug within 30 days preceding the first dose of KBPA-101, or planned use during the study and safety follow-up periods
  • Existence of any surgical or medical condition that might render the patient unduly susceptible to possible toxicity from the monoclonal antibody, including septic shock with unstable hemodynamics,
  • Patients with a known complement deficiency associated with systemic lupus erythematosus, paroxysmal nocturnal hemoglobinuria, hereditary angioedema, membranoproliferative glomerulonephritis, collagen vascular disease, autoimmune hepatitis, primary biliary cirrhosis, scleroderma, or recurrent Neisserial infections
  • Confirmed Human Immunodeficiency Virus (HIV) infection
  • Transplant patients and/or simultaneous treatment with systemic immuno-suppressive drugs.
  • Patients with a known liver function deficiency, e.g. associated with liver cirrhosis (Child Pugh B or C) or acute hepatitis
  • Administration of poly- or mono-immunoglobulins within the three months preceding the first dose of study drug or planned administration during the study period
  • Neutropenia

Sites / Locations

  • Several sites in Switzerland, France, Belgium and Greece

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

KBPA-101, a monoclonal antibody

Arm Description

1.2 mg/kg KBPA-101 i.v. infusion, 3 single doses, every third day

Outcomes

Primary Outcome Measures

Assessment of physical examination, laboratory parameters, vital signs, ECG and any adverse at repeated times since the screening phase till the end of the study.

Secondary Outcome Measures

To confirm the therapeutic plasma concentration of KBPA-101
To ascertain the therapeutic efficacy of KBPA-101 given in addition to standard care for hospital acquired pneumonia

Full Information

First Posted
February 25, 2009
Last Updated
July 29, 2009
Sponsor
Kenta Biotech Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT00851435
Brief Title
Safety and Pharmacokinetics of KBPA-101 in Hospital Acquired Pneumonia Caused by O11 Pseudomonas Aeruginosa
Official Title
A Non-comparative Open Pilot Trial to Assess the Safety and Pharmacokinetics of up to Three Single Doses of AERUMAB 11 (KBPA-101) in Patients With Hospital Acquired Pneumonia Caused by Serotype O11 P. Aeruginosa
Study Type
Interventional

2. Study Status

Record Verification Date
July 2009
Overall Recruitment Status
Completed
Study Start Date
February 2008 (undefined)
Primary Completion Date
July 2009 (Actual)
Study Completion Date
July 2009 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Kenta Biotech Ltd

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The objectives of this open study are to assess the safety, tolerability, pharmacokinetics and clinical outcome of patients who have HAP caused by Pseudomonas aeruginosa serotype O11 after three separate administrations of KBPA-101 every third day in addition of standard of care antibiotic treatment.
Detailed Description
Hospital acquired pneumonia (HAP) is a pneumonia occurring 48 hours or more after hospital admission. HAP occurs in patients on conventional hospital wards and in intensive care units (ICU), some of them associated to mechanical ventilation, known as Ventilator Associated Pneumonia (VAP). VAP is the most common infection on intensive care units representing 82% of HAP cases. Pseudomonas aeruginosa is one of the most frequent pathogens involved in ICU-HAP and despite of adequate treatment its crude mortality remains as high as 70% of the cases.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pneumonia, Ventilator Associated Pneumonia
Keywords
Pneumonia, Nosocomial pneumonia, Pseudomonas aeruginosa, Monoclonal antibody, Hospital-Acquired Pneumonia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
15 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
KBPA-101, a monoclonal antibody
Arm Type
Experimental
Arm Description
1.2 mg/kg KBPA-101 i.v. infusion, 3 single doses, every third day
Intervention Type
Biological
Intervention Name(s)
KBPA-101
Intervention Description
1.2 mg/kg KBPA-101 i.v. infusion, 3 single doses, every third day
Primary Outcome Measure Information:
Title
Assessment of physical examination, laboratory parameters, vital signs, ECG and any adverse at repeated times since the screening phase till the end of the study.
Time Frame
30 days
Secondary Outcome Measure Information:
Title
To confirm the therapeutic plasma concentration of KBPA-101
Time Frame
30 days
Title
To ascertain the therapeutic efficacy of KBPA-101 given in addition to standard care for hospital acquired pneumonia
Time Frame
30 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female ≥ 18 years of age Patients under intensive care management with hospital acquired pneumonia Microbiological diagnosis of P. aeruginosa serotype O11 HAP by lower respiratory tract specimen (BAL or miniBAL) and presence of a new or progressing pulmonary infiltrate, plus one of the three following criteria: a) fever greater than 38ºC, b) WBC greater than 10,000/mm3, or c) purulent sputum In non-intubated patients confirmed microbiological diagnosis of P. aeruginosa serotype O11 HAP by endotracheal aspirate (ETA) and modified clinical pulmonary infection score (CPIS) higher than 6 points Patient is expected to survive longer than 72 hours Written informed consent provided by the patient or by the relatives or the designated trusted person Exclusion Criteria: Use of any investigational drug within 30 days preceding the first dose of KBPA-101, or planned use during the study and safety follow-up periods Existence of any surgical or medical condition that might render the patient unduly susceptible to possible toxicity from the monoclonal antibody, including septic shock with unstable hemodynamics, Patients with a known complement deficiency associated with systemic lupus erythematosus, paroxysmal nocturnal hemoglobinuria, hereditary angioedema, membranoproliferative glomerulonephritis, collagen vascular disease, autoimmune hepatitis, primary biliary cirrhosis, scleroderma, or recurrent Neisserial infections Confirmed Human Immunodeficiency Virus (HIV) infection Transplant patients and/or simultaneous treatment with systemic immuno-suppressive drugs. Patients with a known liver function deficiency, e.g. associated with liver cirrhosis (Child Pugh B or C) or acute hepatitis Administration of poly- or mono-immunoglobulins within the three months preceding the first dose of study drug or planned administration during the study period Neutropenia
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Violetta Georgescu
Organizational Affiliation
Kenta Biotech Ltd
Official's Role
Study Director
Facility Information:
Facility Name
Several sites in Switzerland, France, Belgium and Greece
City
Basel
Country
Switzerland

12. IPD Sharing Statement

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Safety and Pharmacokinetics of KBPA-101 in Hospital Acquired Pneumonia Caused by O11 Pseudomonas Aeruginosa

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