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Study in Patients Undergoing Debridement, Antibiotics, and Implant Retention (DAIR) for Treatment of a Periprosthetic Joint Infection (PJI) Occurring After Total Knee Arthroplasty (TKA)

Phase 1
Completed
Conditions
Joint Infection
Interventions
Registration Number
NCT05137314
Lead Sponsor
Peptilogics
Brief Summary

The purpose of this study is to learn about the safety and effects of PLG0206 for treating periprosthetic joint infections (PJI) in conjunction with the DAIR (debridement, antibiotics and implant retention) surgical procedure for patients with periprosthetic joint infections (PJI) after total knee arthroplasty (TKA) .

Detailed Description

Peptilogics, Inc. is developing PLG0206 for the treatment of PJIs. PLG0206 is an engineered antibacterial peptide (EAP) based on naturally-occurring antimicrobial peptides (AMPs). Recent work on PLG0206 has documented that PLG0206 is a highly effective anti-biofilm agent, in addition to its established activity against planktonic staphylococcus, both in vitro and in a murine animal model of PJI.

PLG0206 will be investigated in this study for treatment of PJI in conjunction with the DAIR procedure followed by the 6-week course of antimicrobial therapy that is standard-of-care (SOC) in this indication.

Patients will be followed for approximately 1 year post treatment.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
14
Inclusion Criteria
  • Patients with well-fixed prosthesis;
  • Patients who have a pre- or intra-operative diagnosis of TKA-PJI
Exclusion Criteria
  • Patients for whom a DAIR procedure is not indicated;
  • Patients with loose prosthesis and/or surgical treatment requiring removal of well-fixed, non-modular implants at screening;
  • Patients with previous history or presence of osteomyelitis in the index limb;
  • Patients who have uncontrolled diabetes mellitus;
  • Patients with body mass index >50 kg/m2 at screening;
  • Patients who are immunosuppressed;
  • Patients who require therapeutic anticoagulation and/or antiplatelet therapy

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
3 mg/mL PLG0206PLG0206administered intraoperatively by local irrigation
10 mg/mL PLG0206PLG0206administered intraoperatively by local irrigation
Primary Outcome Measures
NameTimeMethod
The percentage of treatment emergent AEsapproximately 1 year

the safety and tolerability of PLG0206 administered via an irrigation solution for the treatment of a PJI occurring after TKA during DAIR.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (12)

Stanford Hospital

🇺🇸

Palo Alto, California, United States

Gulfcoast Research

🇺🇸

Sarasota, Florida, United States

LifeBridge

🇺🇸

Baltimore, Maryland, United States

Brigham & Women's Hospital

🇺🇸

Boston, Massachusetts, United States

NYU Langone Orthopedic Hospital

🇺🇸

New York, New York, United States

Cleveland Clinic

🇺🇸

Cleveland, Ohio, United States

Ohio State University

🇺🇸

Columbus, Ohio, United States

Rothman

🇺🇸

Philadelphia, Pennsylvania, United States

Memorial Hermann Hospital

🇺🇸

Houston, Texas, United States

Michael E. DeBakey VA Medical Center

🇺🇸

Houston, Texas, United States

University of Utah Orthopaedic Center

🇺🇸

Salt Lake City, Utah, United States

WVU

🇺🇸

Morgantown, West Virginia, United States

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