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A Human Monoclonal Antibody Against Staphylococcus Aureus Alpha Toxin in Mechanically Ventilated Adult Subjects - 2

Phase 3
Terminated
Conditions
Ventilator Associated Pneumonia
Staphylococcus Aureus
Interventions
Registration Number
NCT05331885
Lead Sponsor
Aridis Pharmaceuticals, Inc.
Brief Summary

Clinical trial looking at safety and efficacy of suvratoxumab in prevention of pneumonia caused by Staphylococcus aureus in high-risk patients

Detailed Description

This is a Phase 3, randomized, double-blind, placebo-controlled study evaluating the efficacy of a single IV dose of suvratoxumab in mechanically ventilated subjects in the ICU who are at high risk for S. aureus infections and who are currently free of active S. aureus-related disease but are colonized with S. aureus in the LRT.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
24
Inclusion Criteria
  1. Colonized with Staphylococcus aureus;
  2. Expected to require prolonged intubation and mechanical ventilation, without any evidence of active pneumonia.
Exclusion Criteria
  1. Staphylococcal disease at randomisation;
  2. Lung injury score consistent with pneumonia;
  3. Chronic tracheostomy patients;
  4. The study subject is moribund
  5. Receipt of anti- S. aureus systemic antibiotics
  6. Active pulmonary disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
AR-320 (Suvratoxumab)SuvratoxumabParticipants will receive a single intravenous (IV) dose of suvratoxumab on Day 0 of the study.
PlaceboPlaceboParticipants will receive a single IV dose of placebo to survatoxumab on Day 0 of the study.
Primary Outcome Measures
NameTimeMethod
Incidence of nosocomial all-cause pneumonia through 30 days post dose30 days

All-cause pneumonia is based on clinical, radiographic, and microbiologic criteria. The percent reduction of the incidence of (% of patients with) nosocomial all-cause pneumonia, regardless of identified etiology, following administration of study drug through 30 days post dose

Secondary Outcome Measures
NameTimeMethod
Number of Participants with Nosocomial all-cause pneumonia or death through 30 days post dose30 days

All-cause pneumonia is based on clinical, radiographic, and microbiologic criteria. The percent reduction of the incidence of (% of patients with) nosocomial all-cause pneumonia, regardless of cause, or death following administration of study drug through 30 days post dose

Number of participants with TESAE at 90 days90 days

Treatment emergent serious adverse events (TESAE) are serious adverse events (SAEs, AEs resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience; persistent or significant disability/incapacity; congenital anomaly) that, as TEAEs, are present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug, through 90 days

Number of participants with TEAESI at 90 days90 days

A TEAE of special interest (TEAESI) is an AE of scientific and medical interest specific to understanding of the study drug and may have required close monitoring and rapid communication by the investigator to the sponsor. An AESI may have been serious or non-serious. The time-frame is 90 days.

Number of Participants with Nosocomial S. aureus pneumonia through 30 days post dose30 days

S. aureus pneumonia is based on clinical, radiographic, and microbiologic criteria. The percent reduction of the incidence of (% of patients with) nosocomial S. aureus pneumonia following administration of study drug through 30 days post dose

Number of Participants with Nosocomial S. aureus pneumonia through 90 days post dose90 days

S. aureus pneumonia is based on clinical, radiographic, and microbiologic criteria. The percent reduction of the incidence of (% of patients with) nosocomial S. aureus pneumonia following administration of study drug through 90 days post dose

Number of Participants With Positive Anti-Drug Antibodies (ADA) Titer to Suvratoxumab90 days

The incidence of (number of patients with) positive anti-drug antibodies (ADA) titer to suvratoxumab will be assessed and summarized by number and percentage of subjects that are ADA positive at predose, Day 30 in all subjects and Day 90 in a subset of patients.

Number of participants with TEAE at 30 days30 days

Treatment emergent adverse events (TEAE) are those adverse events (AEs, any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship) that occur or worsen during the treatment period, i.e., after the administration of study drug, through 30 days post dose

Suvratoxumab Maximum Observed Serum Concentration (Cmax)90 days

Maximum Observed Serum Concentration (Cmax) of suvratoxumab at Day 0 (Pre-dose, end of the infusion, 8 and 24 hours post dose), and on Days 7, 30 and 90. At Day 90 only for a subset of patients.

Suvratoxumab Area under the Plasma Concentration-Time Curve (AUC)90 days

the area under the plasma concentration-time curve (AUC) will be measured from time 0 to Day 30 (AUC0-30), in all study subjects, and AUC from time 0 to Day 90 (AUC0-90) for a subset of subjects

Trial Locations

Locations (27)

Research Site Bel03

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Haine-Saint-Paul, Belgium

Research Site Bel02

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Ottignies, Belgium

Research Site Bel05

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Yvoir, Belgium

Research Site Fra05

🇫🇷

Argenteuil, France

Research Site Fra16

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La Roche-sur-Yon, France

Research Site Fra10

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Le Mans, France

Research Site Fra08

🇫🇷

Lille, France

Fra06

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Limoges, France

Research Site Fra07

🇫🇷

Orléans, France

Research Site Fra15

🇫🇷

Pierre-Bénite, France

Research Site Fra12

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Tours, France

Research Site Fra03

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Trévenans, France

Research Site GRC01

🇬🇷

Larissa, Greece

Research Site ISR03

🇮🇱

Haifa, Israel

Research Site ISR05

🇮🇱

H̱olon, Israel

Research Site ISR01

🇮🇱

Ramat Gan, Israel

Research Site ISR06

🇮🇱

Tsefat, Israel

Research Site NLD01

🇳🇱

Enschede, Netherlands

Research Site NLD03

🇳🇱

Heerlen, Netherlands

Research Site NLD02

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Utrecht, Netherlands

Research Site SPA04

🇪🇸

Barcelona, Spain

Research Site SPA01

🇪🇸

Córdoba, Spain

Research Site SPA07

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Madrid, Spain

Research Site SPA08

🇪🇸

Santander, Spain

Research Site SPA06

🇪🇸

Santiago De Compostela, Spain

Research Site SPA03

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Terrassa, Spain

Research Site SPA05

🇪🇸

Valence, Spain

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