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Study Evaluating Safety, Tolerability, and Efficacy of Intravenous AP-SA02 in Subjects With S. Aureus Bacteremia

PHASE1PHASE2RECRUITING

Phase 1b/2a, Randomized, Double-Blind, Placebo-Controlled, Multiple Ascending Dose Escalation Study of the Safety, Tolerability, and Efficacy of Intravenous AP SA02 as an Adjunct to Best Available Antibiotic Therapy Compared to Best Available Antibiotic Therapy Alone for the Treatment of Adults With Bacteremia Due to Staphylococcus aureus.

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Study details:

This study will be conducted in two phases: Phase 1b will to evaluate the safety and tolerability of multiple ascending intravenous (IV) doses of AP-SA02 or placebo as an adjunct to best available therapy (BAT) compared to BAT alone in subjects with SA bacteremia (SAB). Phase 2a will evaluate the efficacy, safety, and tolerability of multiple doses of AP-SA02 or placebo as an adjunct to BAT compared to BAT alone in subjects with complicated SAB.

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Eligibility criteria

Researchers look for people who fit a certain description, called eligibility criteria. See if you qualify.

Inclusion criteria

  • A hospitalized female or male ≥ 18 years old
  • Positive blood culture for Staphylococcus aureus (SA)
  • Source of SA infection controlled, or a plan for source control, if relevant
  • Not pregnant or breastfeeding and is not of reproductive potential or agrees to use contraception if or reproductive potential
  • Exclusion criteria

  • Concomitant growth of organisms besides SA
  • Left-sided infectious endocarditis by modified Duke criteria
  • Known or suspected brain abscess or meningitis
  • Known allergy to phage products
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    Eligibility

    Age eligible for study : 18 and older

    Healthy volunteers accepted : No

    Gender eligible for study: All

    Things to know

    Study dates

    Study start: 2022-04-26

    Primary completion: 2024-12-01

    Study completion finish: 2025-03-01

    study type

    Study type

    TREATMENT

    phase

    Phase

      PHASE1

      PHASE2

    trial

    Trial ID

    NCT05184764

    Intervention or treatment

    BIOLOGICAL: AP-SA02

    OTHER: Placebo

    Conditions

    • Bacteremia
    • Staphylococcus Aureus Bacteremia
    • Staphylococcus Aureus
    • Bacteremia Staph
    • Bacteremia Due to Staphylococcus Aureus
    Image related to Bacteremia
    • Condition: Bacteremia, Staphylococcus Aureus Bacteremia and more

    • BIOLOGICAL: AP-SA02 and other drugs

    • Adelaide, Not Specified, Australia and more

    • Sponsor: Armata Pharmaceuticals, Inc.

    Find a site

    Closest Location:

    Royal Adelaide Hospital

    Research sites nearby

    Select from list below to view details:

    • Royal Adelaide Hospital

      Adelaide, Not Specified, Australia

    • Royal Melbourne Hospital

      Melbourne, Not Specified, Australia

    • Westmead Hospital

      Westmead, Not Specified, Australia

    • Monash Health

      Clayton, Not Specified, Australia

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    Study Plan

    This section provides details of the study plan, including how the study is designed and what the study is measuring.

    How is the study designed?

    Participant Group/ArmIntervention/Treatment
    EXPERIMENTAL: AP-SA02
    • Anti-staphylococcal bacteriophage
    BIOLOGICAL: AP-SA02
    • Bacteriophage administered via intravenous bolus infusion
    PLACEBO_COMPARATOR: Placebo
    • Inactive isotonic solution
    OTHER: Placebo
    • Inactive Placebo administered via intravenous bolus infusion

    What is the study measuring?

    Primary outcome

    Primary Outcome MeasurePrimary Outcome DescriptionPrimary Outcome Time Frame
    Incidence of Treatment-emergent Adverse Events (Safety and Tolerability) of multiple doses of intravenous AP-SA02Incidence and severity of treatment-emergent adverse events as assessed by CTCAE v4.0Day 1 first dose through Day 12 or through End of Study for serious AEs

    Secondary outcome

    Secondary Outcome MeasureSecondary Outcome DescriptionSecondary Outcome Time Frame
    Clinical Improvement or Response at Day 12Description of clinical outcome in the Microbiological Intent-to-Treat (mITT) Population. Clinical outcome of improvement or response is defined as survival with resolution of S. aureus-related clinical signs and symptoms as well as eradication of S. aureus bacteremia, and without new foci of infection or complications of S. aureus bacteremiaDay 12
    Clinical Improvement or Response at 7 days after completion of antibiotic therapyDescription of clinical outcome in the Microbiological Intent-to-Treat (mITT) Population. Clinical outcome of improvement or response is defined as survival with resolution of S. aureus-related clinical signs and symptoms as well as eradication of S. aureus bacteremia, and without new foci of infection or complications of S. aureus bacteremia7 days post completion of best available antibiotic therapy
    Clinical Improvement or Response at End of StudyDescription of clinical outcome in the Microbiological Intent-to-Treat (mITT) Population. Clinical outcome of improvement or response is defined as survival with resolution of S. aureus-related clinical signs and symptoms as well as eradication of S. aureus bacteremia, and without new foci of infection or complications of S. aureus bacteremia28 days post completion of best available antibiotic therapy

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    References

    Clinical Trials Gov: Study Evaluating Safety, Tolerability, and Efficacy of Intravenous AP-SA02 in Subjects With S. Aureus Bacteremia

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