Bacteriophage Therapy in Patients With Urinary Tract Infections

NCT ID: NCT04287478

Last Updated: 2023-03-03

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

TERMINATED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

1 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-09

Study Completion Date

2023-02-28

Brief Summary

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This is a phase I/II trial designed to evaluate bacteriophage therapy in patients with urinary tract infections.

Detailed Description

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This study will evaluate the safety and efficacy of bacteriophage therapy in patients with urinary tract infection (UTI). Patients to be enrolled will have urinary tract infections due to E. coli and K. pneumoniae. This will include asymptomatic patients with neurogenic bladder and symptomatic patients with complicated urinary tract infections who are at risk of UTI recurrence. Patients will be followed for bacterial clearance or recurrence of urinary tract infection.

Conditions

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Urinary Tract Infection Bacterial

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Initially, patients with neurogenic bladder and urinary tract infections will be enrolled and followed for bacterial eradication. Results from this cohort will be used to confirm or modify the phage dosing regimen before proceeding to the patients with symptomatic infection at risk of recurrence. The trial will use pre-specified criteria to determine what phage regimens should be evaluated.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Patient will be randomized to receive either active phage or placebo treatment.

Study Groups

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Intravenous (IV)

Phage administered via the intravenous route.

Group Type EXPERIMENTAL

Bacteriophage Therapy

Intervention Type BIOLOGICAL

Bacteriophage therapy will be personalized for each patient dependent on phage susceptibility testing

Intravesical (IVS)

Phage administered via the intravesical route.

Group Type EXPERIMENTAL

Bacteriophage Therapy

Intervention Type BIOLOGICAL

Bacteriophage therapy will be personalized for each patient dependent on phage susceptibility testing

Subcohort A

Selected phage for E. coli administered via selected route based on previous Arms.

Group Type EXPERIMENTAL

Bacteriophage Therapy

Intervention Type BIOLOGICAL

Bacteriophage therapy will be personalized for each patient dependent on phage susceptibility testing

Subcohort B

Selected phage for Klebsiella pneumoniae administered via selected route based on previous Arms.

Group Type EXPERIMENTAL

Bacteriophage Therapy

Intervention Type BIOLOGICAL

Bacteriophage therapy will be personalized for each patient dependent on phage susceptibility testing

Subcohort C

Selected phage for E. coli administered via selected route based on previous Arms.

Group Type EXPERIMENTAL

Bacteriophage Therapy

Intervention Type BIOLOGICAL

Bacteriophage therapy will be personalized for each patient dependent on phage susceptibility testing

Subcohort D

Selected phage for Klebsiella pneumoniae administered via selected route based on previous arms.

Group Type EXPERIMENTAL

Bacteriophage Therapy

Intervention Type BIOLOGICAL

Bacteriophage therapy will be personalized for each patient dependent on phage susceptibility testing

Interventions

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Bacteriophage Therapy

Bacteriophage therapy will be personalized for each patient dependent on phage susceptibility testing

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Males or females ≥18 years of age.
* Female patients of childbearing potential.
* Male patients must agree not to donate sperm up for one month.
* English-speaking.

Exclusion Criteria

* Stage 4 or greater chronic kidney disease (CKD).
* Abnormal liver function tests \>3×upper limit of normal (ULN).
* Other conditions which could confound study results.
* Body mass index of \> 40 or weight less than 50 kg.
* Known allergy to phage products.
* Pregnant and/or breastfeeding.
* Immunocompromised.
* Need for antiviral medication.
* History of severe autonomic dysreflexia.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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United States Department of Defense

FED

Sponsor Role collaborator

Adaptive Phage Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Robert J Hopkins, MD

Role: PRINCIPAL_INVESTIGATOR

Chief Medical Officer

Locations

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Universal Axon Clinical Research

Doral, Florida, United States

Site Status

AdMed Research

Miami, Florida, United States

Site Status

AMPM Research Clinic

Miami Gardens, Florida, United States

Site Status

Innovation Medical Research Center, Inc

Palmetto Bay, Florida, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

James J. Peters VA Medical Center

The Bronx, New York, United States

Site Status

University of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status

DHR Health Institute for Research and Development

Edinburg, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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APT.UTI.001

Identifier Type: -

Identifier Source: org_study_id

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