search
Back to results

Phage Therapy for the Prevention and Treatment of Wound Infections in Burned Patients

Primary Purpose

Wound Infection

Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Bacteriophage cocktail spray
Xeroform
Sponsored by
Phagelux Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Wound Infection focused on measuring Burns, Infection, Infection wound, Infection, Bacterial, Infection Pseudomonas Aeruginosa, Infection Staphylococcus Aureus, Infection, Klebsiella pneumoniae, Resistant Infection

Eligibility Criteria

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

Inclusion Criteria:

  1. Provision of signed and dated informed consent form
  2. Stated willingness to comply with all study procedures and lifestyle considerations, and availability for the duration of the study
  3. Male or female, aged 18 years or older presenting at the emergency department, out-patient burn department or in-hospital patients with a thermal second degree burn wounds (American Burn Association severity classification).
  4. Patients with a burn wound covering less than 10% of their total body surface area (TBSA) and present within 7 days of their injury, with or without signs of local infection, expected to heal without the need for surgery.
  5. For females of reproductive potential: use of a highly effective contraception for at least 1 month prior to screening and agreement to use such a method during study participation and for an additional 4 weeks after the end of administration of the study intervention
  6. For males of reproductive potential: use of condoms or other methods to ensure effective contraception with partner

Exclusion Criteria:

  1. Current use of dressings containing silver or nanocrystalline silver
  2. Pregnancy or lactation
  3. Clinical evidence of invasive infection based on American Burn Association consensus conference(Greenhalgh et al., 2007).
  4. Burn wounds present in anatomic locations such as burns on the face, hands, feet, genitals, perineum, as well as sites at high risk for developing compartment syndrome (deep circumferential extremity burns).
  5. Known allergic reactions to components of Xeroform or Kenacomb.
  6. Patients diagnosed with Type I or Type II diabetes.
  7. Treatment with another investigational drug or other intervention within 30 days
  8. Intercurrent condition requiring a high dose of chronic corticosteroid therapy, immunosuppressive medication, oncologic chemotherapy.
  9. Patients who have additional uncontrolled serious medical or psychiatric illness determined by the investigators where the patient is unfit to receive PGX-0100.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Experimental

    Arm Label

    Standard of Care

    Cocktail-SPK and standard of care

    Arm Description

    Standard of care consists of Xeroform primary dressing, a Melolin interface and a crepe. Kenacomb will be used for participants with diagnosed or suspected local infections.

    The experimental drug consists of Cocktail-SPK used as an adjunct to the standard of care. Standard of care consists of Xeroform primary dressing, a Melolin interface and a crepe. Kenacomb will be used for participants with diagnosed or suspected local infections.

    Outcomes

    Primary Outcome Measures

    Incidence of Treatment-Emergent Adverse Events coded by MedDra
    Safety of Phage cocktail-SPK will be measured by the number and percent of treatment related adverse events
    Incidence of treatment discontinuation due to adverse events
    Tolerability of Phage Cocktail-SPK will be measured by the percent premature discontinuation from the study intervention due to treatment emergent Adverse Events

    Secondary Outcome Measures

    Assess if Phage Cocktail-SPK can prevent or reduce S. aureus, P. aeruginosa, or K. pneumoniae wound colonization.
    Change in the incidence of positive wound cultures for S. aureus, P. aeruginosa, K. pneumoniae;

    Full Information

    First Posted
    March 20, 2020
    Last Updated
    December 21, 2021
    Sponsor
    Phagelux Inc.
    search

    1. Study Identification

    Unique Protocol Identification Number
    NCT04323475
    Brief Title
    Phage Therapy for the Prevention and Treatment of Wound Infections in Burned Patients
    Official Title
    A Randomized, Open-Label, Active Controlled Study to Evaluate the Safety and Tolerability of a Phage Cocktail-SPK Therapy in Second Degree Burn Wounds in Adult Patients
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    December 2021
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    January 2022 (Anticipated)
    Primary Completion Date
    January 2023 (Anticipated)
    Study Completion Date
    August 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Phagelux Inc.

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    The central aim of this trial is to investigate the safety and tolerability of Phage Cocktail-SPK as an adjunct to standard therapy for the prevention and treatment of burns susceptible to infection/or infected by S. aureus, P. aeruginosa, or K. pneumoniae species. It is hypothesized that no adverse events, clinical abnormalities, or changes in laboratory tests results related to the application of Phage Cocktail SPK Spray will be observed.
    Detailed Description
    This is a Phase I, randomized, open-label, active controlled study to evaluate the safety and tolerability of a Phage Cocktail-SPK therapy for second degree burn wounds in adult patients. The wound will be clinically selected on the basis that it is a second degree burn less than 10 percent of total body surface area, and that, according to medical assessment, should heal without surgical intervention. The study is intended to include one site outside of the United States of America, namely the Royal Brisbane and Women's Hospital, in Brisbane, Queensland, Australia.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Wound Infection
    Keywords
    Burns, Infection, Infection wound, Infection, Bacterial, Infection Pseudomonas Aeruginosa, Infection Staphylococcus Aureus, Infection, Klebsiella pneumoniae, Resistant Infection

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    12 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Standard of Care
    Arm Type
    Active Comparator
    Arm Description
    Standard of care consists of Xeroform primary dressing, a Melolin interface and a crepe. Kenacomb will be used for participants with diagnosed or suspected local infections.
    Arm Title
    Cocktail-SPK and standard of care
    Arm Type
    Experimental
    Arm Description
    The experimental drug consists of Cocktail-SPK used as an adjunct to the standard of care. Standard of care consists of Xeroform primary dressing, a Melolin interface and a crepe. Kenacomb will be used for participants with diagnosed or suspected local infections.
    Intervention Type
    Biological
    Intervention Name(s)
    Bacteriophage cocktail spray
    Other Intervention Name(s)
    PGX-0100, Phage cocktail-SPK
    Intervention Description
    Study intervention consists of a dosage-metered airless spray containing a cocktail of 14 bacteriophages at a concentration of 1.4 x 10^8 PFU/mL for an effective dosage of 2.5 x10^5 PFU/cm^2 of burned area. The study intervention will be applied in conjunction with standard of care.
    Intervention Type
    Drug
    Intervention Name(s)
    Xeroform
    Other Intervention Name(s)
    Kenacomb
    Intervention Description
    Standard of care will consist of Xeroform primary dressing and Kenacomb topical antibiotic cream (for wounds with signs of localized infection)
    Primary Outcome Measure Information:
    Title
    Incidence of Treatment-Emergent Adverse Events coded by MedDra
    Description
    Safety of Phage cocktail-SPK will be measured by the number and percent of treatment related adverse events
    Time Frame
    At least 14 days
    Title
    Incidence of treatment discontinuation due to adverse events
    Description
    Tolerability of Phage Cocktail-SPK will be measured by the percent premature discontinuation from the study intervention due to treatment emergent Adverse Events
    Time Frame
    14 days
    Secondary Outcome Measure Information:
    Title
    Assess if Phage Cocktail-SPK can prevent or reduce S. aureus, P. aeruginosa, or K. pneumoniae wound colonization.
    Description
    Change in the incidence of positive wound cultures for S. aureus, P. aeruginosa, K. pneumoniae;
    Time Frame
    14 days
    Other Pre-specified Outcome Measures:
    Title
    Determine the effect of Phage Cocktail-SPK treatment on burn wound progression.
    Description
    Rate of wound re-epithelization by visual judgment and burn depth and progression by photography.
    Time Frame
    14 days
    Title
    Determine the effect of Phage Cocktail-SPK treatment on the sensitivity profiles of S. aureus, P. aeruginosa, or K. pneumoniae present in the wound
    Description
    Change in antibiotic and phage sensitivity profile of S. aureus, P. aeruginosa, K. pneumoniae.
    Time Frame
    14 days
    Title
    Assess the production of phage antibodies
    Description
    Presence of Phage Cocktail-SPK antibodies in serum samples
    Time Frame
    14 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Provision of signed and dated informed consent form Stated willingness to comply with all study procedures and lifestyle considerations, and availability for the duration of the study Male or female, aged 18 years or older presenting at the emergency department, out-patient burn department or in-hospital patients with a thermal second degree burn wounds (American Burn Association severity classification). Patients with a burn wound covering less than 10% of their total body surface area (TBSA) and present within 7 days of their injury, with or without signs of local infection, expected to heal without the need for surgery. For females of reproductive potential: use of a highly effective contraception for at least 1 month prior to screening and agreement to use such a method during study participation and for an additional 4 weeks after the end of administration of the study intervention For males of reproductive potential: use of condoms or other methods to ensure effective contraception with partner Exclusion Criteria: Current use of dressings containing silver or nanocrystalline silver Pregnancy or lactation Clinical evidence of invasive infection based on American Burn Association consensus conference(Greenhalgh et al., 2007). Burn wounds present in anatomic locations such as burns on the face, hands, feet, genitals, perineum, as well as sites at high risk for developing compartment syndrome (deep circumferential extremity burns). Known allergic reactions to components of Xeroform or Kenacomb. Patients diagnosed with Type I or Type II diabetes. Treatment with another investigational drug or other intervention within 30 days Intercurrent condition requiring a high dose of chronic corticosteroid therapy, immunosuppressive medication, oncologic chemotherapy. Patients who have additional uncontrolled serious medical or psychiatric illness determined by the investigators where the patient is unfit to receive PGX-0100.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Nancy Tawil, PhD
    Phone
    18002430116
    Email
    ntawil@phagelux.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Nancy Tawil, PhD
    Organizational Affiliation
    Phagelux Inc.
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    Phage Therapy for the Prevention and Treatment of Wound Infections in Burned Patients

    We'll reach out to this number within 24 hrs