Study to Evaluate the Safety, Phage Kinetics, and Efficacy of Inhaled AP-PA02 in Subjects With Non-Cystic Fibrosis Bronchiectasis and Chronic Pulmonary Pseudomonas Aeruginosa Infection

NCT ID: NCT05616221

Last Updated: 2026-01-05

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-10

Study Completion Date

2024-08-08

Brief Summary

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A phase 2, multi-center, double-blind, randomized, placebo-controlled study to evaluate the safety, phage kinetics, and efficacy of inhaled AP-PA02 administered in subjects with non-cystic fibrosis bronchiectasis and chronic pulmonary Pseudomonas aeruginosa infection.

Detailed Description

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This study will be conducted in two cohorts running in parallel: Cohort A will evaluate the safety, tolerability, and efficacy of inhaled AP-PA02 in subjects who have not received an antipseudomonal inhaled antibiotic for a minimum of 3 months prior. Cohort B will evaluate the safety, tolerability, and efficacy of inhaled AP-PA02 in subjects who have received an antipseudomonal inhaled antibiotic for a minimum of 3 months prior. Subjects in both Cohorts A and B will be followed for approximately 4 weeks after last dose of study drug and evaluated for safety, tolerability, and efficacy.

Conditions

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Non-cystic Fibrosis Bronchiectasis Pseudomonas Aeruginosa Lung Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Double-blind, randomized, placebo-controlled
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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AP-PA02

Anti-pseudomonal bacteriophage

Group Type EXPERIMENTAL

AP-PA02

Intervention Type BIOLOGICAL

Bacteriophage administered via inhalation

Placebo

Inactive isotonic solution

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Inactive Placebo administered via inhalation

Interventions

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AP-PA02

Bacteriophage administered via inhalation

Intervention Type BIOLOGICAL

Placebo

Inactive Placebo administered via inhalation

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* ≥ 18 years old
* Body mass index (BMI) of ≥ 18 kg/m2
* Evidence of bronchiectasis per CT
* Evidence of chronic pulmonary Pseudomonas aeruginosa infection
* Willing to undergo sputum induction procedures at designated study visits, and willing to provide expectorated sputum samples at all other timepoints (for subjects who are able to expectorate)
* FEV1 ≥ 35% of predicted normal \[per Global Lung Function Initiative (GLI) standards\] at Screening
* For Cohort A: have not received chronic inhaled antipseudomonal antibiotics regimen for at least 3 months prior to Visit 1
* For Cohort B: have received chronic inhaled antipseudomonal antibiotics regimen for at least 3 months prior to Visit 1

Exclusion Criteria

* Abnormal vital signs at Screening
* History of lung transplantation
* History of cystic fibrosis
* History of α1-antitrypsin deficiency
* History of primary or acquired immunodeficiency syndromes
* History of COPD
* History of pulmonary malignancy or any other malignancy requiring treatment
* History of prolonged QT syndrome
* History of hemoptysis
* Recent significant weight loss
* Recent use of supplemental oxygen during the day while at rest
* Recent use of cigarettes, cigars, or pipes, or used tobacco or other nicotine source by vaping
* Recent changes in either the treatment regimen or initiation of treatment with: oral macrolides, hypertonic saline, mucolytics, bronchodilator medications, or oral corticosteroids
* Currently receiving treatment for active infection at any site
* Female pregnant of breastfeeding
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Armata Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Velocity Clinical Research

Mobile, Alabama, United States

Site Status

Southern California Institute for Respiratory Diseases Cedars-Sinai West Tower

Los Angeles, California, United States

Site Status

UCONN Health

Farmington, Connecticut, United States

Site Status

Georgetown University Hospital / Pulmonary Critical Care and Sleep Medicine

Washington D.C., District of Columbia, United States

Site Status

Southwest General Healthcare Center

Fort Myers, Florida, United States

Site Status

TecTum Medical Research, Inc.

Hollywood, Florida, United States

Site Status

Mayo Clinic/Pulmonary, Critical Care, and Sleep Medicine

Jacksonville, Florida, United States

Site Status

University of Miami

Miami, Florida, United States

Site Status

St. Lukes Hospital

Boise, Idaho, United States

Site Status

The University of Kansas Medical Center / Dept of Medicine

Kansas City, Kansas, United States

Site Status

Johns Hopkins University School of Medicine

Baltimore, Maryland, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

Rutgers Robert Wood Johnson Medical School

New Brunswick, New Jersey, United States

Site Status

New York Medical College

Hawthorne, New York, United States

Site Status

University of Cincinnati - College of Medicine

Cincinnati, Ohio, United States

Site Status

University Hospitals of Cleveland Medical Center

Cleveland, Ohio, United States

Site Status

Oregon Health & Science University

Portland, Oregon, United States

Site Status

University of Pennslyvania

Philadelphia, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

University of Texas Health Science Center at Tyler

Tyler, Texas, United States

Site Status

Virginia Commonwealth University (VCU)

Richmond, Virginia, United States

Site Status

University of Washington Medical Center

Seattle, Washington, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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http://armatapharma.com

Armata Pharmaceuticals, Inc.

Other Identifiers

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AP-PA02-201

Identifier Type: -

Identifier Source: org_study_id

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