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

Phase 1
Completed
Conditions
Bacteremia
Bacteremia Staph
Staphylococcus Aureus
Bacteremia Due to Staphylococcus Aureus
Staphylococcus Aureus Bacteremia
Interventions
Other: Placebo
Registration Number
NCT05184764
Lead Sponsor
Armata Pharmaceuticals, Inc.
Brief Summary

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

Detailed Description

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.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
50
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

Key

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

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
AP-SA02AP-SA02Anti-staphylococcal bacteriophage
PlaceboPlaceboInactive isotonic solution
Primary Outcome Measures
NameTimeMethod
Incidence of Treatment-emergent Adverse Events (Safety and Tolerability) of multiple doses of intravenous AP-SA02Day 1 first dose through Day 12 or through End of Study for serious AEs

Incidence and severity of treatment-emergent adverse events as assessed by CTCAE v4.0

Secondary Outcome Measures
NameTimeMethod
Clinical Improvement or Response at Day 12Day 12

Description 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 bacteremia

Clinical Improvement or Response at End of Study28 days post completion of best available antibiotic therapy

Description 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 bacteremia

Clinical Improvement or Response at 7 days after completion of antibiotic therapy7 days post completion of best available antibiotic therapy

Description 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 bacteremia

Trial Locations

Locations (28)

Banner University Medical Center

🇺🇸

Tucson, Arizona, United States

University of California, San Diego (UCSD) - Medical Center

🇺🇸

La Jolla, California, United States

University of Southern California Keck School of Medicine

🇺🇸

Los Angeles, California, United States

University of California, Los Angeles (UCLA) - Medical Center

🇺🇸

Los Angeles, California, United States

Lundquist Institute for Biomedical Innovation at Harbor UCLA Medical Center

🇺🇸

Torrance, California, United States

Rocky Mountain Regional VA Medical Center

🇺🇸

Aurora, Colorado, United States

University of Florida (UF) - Division of Infectious Disease

🇺🇸

Gainesville, Florida, United States

University of Florida - Jacksonville

🇺🇸

Jacksonville, Florida, United States

University of South Florida

🇺🇸

Tampa, Florida, United States

Emory University Hospital Midtown

🇺🇸

Atlanta, Georgia, United States

Johns Hopkins University

🇺🇸

Baltimore, Maryland, United States

Tufts Medical Center

🇺🇸

Boston, Massachusetts, United States

University of Michigan

🇺🇸

Ann Arbor, Michigan, United States

Henry Ford Health System

🇺🇸

Detroit, Michigan, United States

Montefiore Medical Center

🇺🇸

Bronx, New York, United States

The Jamaica Hospital Medical Center

🇺🇸

Jamaica, New York, United States

Icahn School of Medicine at Mount Sinai

🇺🇸

New York, New York, United States

University of North Carolina - Chapel Hill School of Medicine

🇺🇸

Chapel Hill, North Carolina, United States

Wake Forest University Health Sciences

🇺🇸

Winston-Salem, North Carolina, United States

Rhode Island Hospital

🇺🇸

Providence, Rhode Island, United States

Regional One Healthcare

🇺🇸

Memphis, Tennessee, United States

Methodist Hospital Research Institute - Houston

🇺🇸

Houston, Texas, United States

Froedtert Hospital and the Medical College of Wisconsin

🇺🇸

Milwaukee, Wisconsin, United States

Royal Adelaide Hospital

🇦🇺

Adelaide, Australia

Monash Health

🇦🇺

Clayton, Australia

Royal Melbourne Hospital

🇦🇺

Melbourne, Australia

The Alfred Hospital

🇦🇺

Melbourne, Australia

Westmead Hospital

🇦🇺

Westmead, Australia

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