Evaluation of Phage Therapy for the Treatment of Escherichia Coli and Pseudomonas Aeruginosa Wound Infections in Burned Patients

NCT ID: NCT02116010

Last Updated: 2015-07-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE1/PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2015-07-31

Brief Summary

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The objective of PHAGOBURN is to assess tolerance and efficacy of local bacteriophage treatment of E. coli or P. aeruginosa wound infections in burned patients.

Detailed Description

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PHAGOBURN is a Phase I/II clinical trial randomized, multicentric, open label, standard of care (Silver Sulfadiazine) controlled aiming at assessing tolerance and efficacy of local bacteriophage treatment of wound infections due to E. coli or P. aeruginosa in burned patients using Pherecydes Pharma anti-Escherichia coli and anti-Pseudomonas aeruginosa bacteriophage cocktails GMP produced. This project is a European Research \& Development (R\&D) project funded by the European Commission under the 7th Framework Programme for Research and Development. This project is involving 7 clinical sites in EU.

Conditions

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Wound Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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E. coli, Standard of care : Silver Sulfadiazine

Burn wounds infected by E. coli treated with Standard of care : Silver Sulfadiazine

Group Type ACTIVE_COMPARATOR

Standard of care : Silver Sulfadiazine

Intervention Type DRUG

Use of Standard of care : Silver Sulfadiazine, to treat E. coli or P. aeruginosa infected burn wound

E. coli, Phages cocktail

Burn wounds infected by E. coli treated with Pherecydes Pharma Phages cocktail

Group Type EXPERIMENTAL

E. coli Phages cocktail

Intervention Type DRUG

Use of Pherecydes Pharma Phages cocktail to treat respectively E. coli burn wound infection

P. aeruginosa, Standard of care : Silver Sulfadiazine

Burn wounds infected with P. aeruginosa treated with Standard of care : Silver Sulfadiazine

Group Type ACTIVE_COMPARATOR

Standard of care : Silver Sulfadiazine

Intervention Type DRUG

Use of Standard of care : Silver Sulfadiazine, to treat E. coli or P. aeruginosa infected burn wound

P. aeruginosa, Phages cocktail

Burn wounds infected by P. aeruginosa treated treated with Pherecydes Pharma Phages cocktail

Group Type EXPERIMENTAL

P. Aeruginosa, Phages cocktail

Intervention Type DRUG

Use of Pherecydes Pharma Phages cocktail to treat P. aeruginosa burn wound infection

Interventions

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E. coli Phages cocktail

Use of Pherecydes Pharma Phages cocktail to treat respectively E. coli burn wound infection

Intervention Type DRUG

Standard of care : Silver Sulfadiazine

Use of Standard of care : Silver Sulfadiazine, to treat E. coli or P. aeruginosa infected burn wound

Intervention Type DRUG

P. Aeruginosa, Phages cocktail

Use of Pherecydes Pharma Phages cocktail to treat P. aeruginosa burn wound infection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Man or woman
* Adult Informed consent obtained from patient or next of kin
* In-hospital patient treated for burn wounds in a burn unit
* Burn wound (grafted or not) or graft harvesting area, presenting local signs of infection defined by SFETB criteria:

* A local or loco-regional inflammatory reaction;
* And/or an adverse and unexpected local evolution;
* And/or regarding burn wounds: presence of pus, fast spontaneous debridement and separation, occurrence of blackish spots (necrosis or haemorrhage), unexplained conversion from a superficial lesion to a deep one (\> 48th hour);
* And/or regarding graft donor sites: presence of pus, unexplained delay in epidermisation, bedsore;
* And/or regarding graft recipient sites: presence of pus, lysis of grafts, necrosis of fat located under the graft.
* Burn wounds with a microbiologically documented infection, as defined by positive surface swab, due to Escherichia coli or Pseudomonas aeruginosa whatever their resistance profile
* Treated by povidone-iodine

Exclusion Criteria

* Pregnant or breastfeeding woman
* Intercurrent condition requiring a treatment which may interfere with analysis results: such as high dose of chronic corticotherapy, immunosuppressive medication, oncologic chemotherapy
* Patient included in an interventional research protocol with therapeutic intervention still ongoing upon inclusion time or having participated into anti-infective drug trials during the previous month.
* Patient considered as part of a vulnerable population
* Patient for whom treatment limitation or withdrawal during study period is considered
* Allergy to Silver Sulfadiazine
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Phaxiam Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Patrick Jault, MD

Role: PRINCIPAL_INVESTIGATOR

Service de Santé des Armées, Hopital Percy (Clamart, France)

Locations

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Hopital Militaire Reine Astrid

Brussels, , Belgium

Site Status NOT_YET_RECRUITING

CHU Sart-Tilman

Liège, , Belgium

Site Status NOT_YET_RECRUITING

Hôpital d'instruction des armées Percy

Clamart, , France

Site Status RECRUITING

Centre hospitalier ST Joseph et St Luc

Lyon, , France

Site Status NOT_YET_RECRUITING

Centre Hospitalier Universitaire Vaudois

Lausanne, , Switzerland

Site Status NOT_YET_RECRUITING

Countries

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Belgium France Switzerland

Central Contacts

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Patrick Jault, MD

Role: CONTACT

+33 1 41 46 62 13

Christine Cotton

Role: CONTACT

+335 61 00 13 55

Facility Contacts

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Jean-Paul Pirnay, PhD

Role: primary

+32 2 264 4844

Anne-Françoise Rousseau, MD

Role: primary

+32 4 3667495

Patrick Jault, MD

Role: primary

+33 (0)1 41 46 62 13

Thomas Leclerc, MD

Role: backup

+33 (0)1 41 46 62 13

François Ravat, MD

Role: primary

+33 (0) 478 618 925

Grégory Resch, PhD

Role: primary

+41 21 692 56 23

References

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Jault P, Leclerc T, Jennes S, Pirnay JP, Que YA, Resch G, Rousseau AF, Ravat F, Carsin H, Le Floch R, Schaal JV, Soler C, Fevre C, Arnaud I, Bretaudeau L, Gabard J. Efficacy and tolerability of a cocktail of bacteriophages to treat burn wounds infected by Pseudomonas aeruginosa (PhagoBurn): a randomised, controlled, double-blind phase 1/2 trial. Lancet Infect Dis. 2019 Jan;19(1):35-45. doi: 10.1016/S1473-3099(18)30482-1. Epub 2018 Oct 3.

Reference Type DERIVED
PMID: 30292481 (View on PubMed)

Other Identifiers

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PHAGOBURN

Identifier Type: -

Identifier Source: org_study_id

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