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临床试验/2023-507716-13-00
2023-507716-13-00招募中2 期

A Phase 2b Clinical Study to Evaluate the Safety and Efficacy of Topical Administration of Bacteriophage Therapy TP-102 in Patients with Diabetic Foot Infection

Technophage Investigacao E Desenvolvimento Em Biotecnologia S.A.5 个研究点 分布在 1 个国家目标入组 26 人开始时间: 2024年1月22日最近更新:

试验速览

阶段
2 期
状态
招募中
发起方
入组人数
26
试验地点
5
主要终点
Percentage of patients that achieve at least 50% reduction in wound surface area by week 4 for TP-102 versus Placebo, in addition to SoC [Day 1 (Baseline) to EOT].

研究概览

简要总结

Safety:

  1. Safety and tolerability of TP-102 as compared to Placebo, in addition to Standard of Care (SoC); Efficacy:
  2. Clinical improvement in diabetic foot infection classification (IWGDF/IDSA) of TP-102 as compared to Placebo, in addition to SoC;
  3. Effects of TP-102 on wound healing as compared to Placebo, in addition to SoC.

入排标准

年龄范围
18 years 至 65+ years(18-64 Years, 65+ Years)
接受健康志愿者

入选标准

  • Aged ≥18 years old;
  • Established diagnosis of Diabetes Mellitus (type I or II);
  • Glycosylated hemoglobin (HbA1c) value ≤ 12.0%;
  • Designated foot infection meets the following criteria: a. Present for at least 3 weeks; b. Below-ankle, full-thickness, cutaneous ulcer; c. Wound area (after debridement, if applicable) below or equal to 20.0 cm2; d. IWGDF/IDSA classification of Mild to Moderate / PEDIS infection grade 2 or 3; e. PEDIS perfusion grade 1 or 2; f. PEDIS depth grade 1 or 2 (grade 3 at the discretion of the investigator e.g. if they have received appropriate surgical treatment to remove infected bones).
  • Diabetic foot infection with at least one target bacterial strain (Pseudomonas aeruginosa, Staphylococcus aureus or Acinetobacter baumannii), susceptible to the TP-102 bacteriophage cocktail, as assessed from wound cultures;
  • Patients with suitable physical and mental health as determined by the Investigator based on medical history and general physical examination;
  • A woman of childbearing potential (WOCBP) (including egg donors) must have a negative Serum Pregnancy Test at screening
  • WOCBP must agree to use one of the following forms of birth control whilst receiving study medications and for 4 (four) weeks after stopping study medications: a. Combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation: a. Oral b. Intravaginal c. Transdermal b. progestogen-only hormonal contraception associated with inhibition of ovulation: a. Oral b. Injectable c. implantable c. Intrauterine device (IUD) d. Intrauterine hormone-releasing system (IUS) e. Bilateral tubal occlusion f. Vasectomised partner g. Sexual abstinence
  • ICF signed voluntarily before any study-related procedure is performed, indicating that the patient understands the purpose of, and procedures required in the study and is willing to participate in the study.

排除标准

  • Infected study ulcer less than 2 cm away from other ulcers, in the case of multiple ulcers;
  • Patient receiving Hyperbaric Oxygen Therapy (HBOT), Negative Pressure Wound Therapy (NPWT), Bioengineering Skin (BES) substitutes and/or growth factors;
  • Presence of active malignant or benign tumors of any kind, (with exception to nonmelanoma skin cancer as per investigator’s discretion);
  • Being pregnant or breastfeeding;
  • Currently participating in another clinical trial or having participated in a previous clinical trial with receipt of an investigational product within 30 days of the first administration of IP;
  • A condition that, in the opinion of the Investigator, could compromise the well-being of the patient or course of the study, or prevent the patient from meeting or performing any study requirements;
  • Patient which, in the opinion of the investigator, may not comply with study related procedures;
  • Participants with hypersensitivity to any component of investigational products.

结局指标

主要结局

Percentage of patients that achieve at least 50% reduction in wound surface area by week 4 for TP-102 versus Placebo, in addition to SoC [Day 1 (Baseline) to EOT].

Percentage of patients that achieve at least 50% reduction in wound surface area by week 4 for TP-102 versus Placebo, in addition to SoC [Day 1 (Baseline) to EOT].

Number and percentage of Treatment Emergent Adverse Events (TEAEs) [Day 1 (Baseline) to EOT];

Number and percentage of Treatment Emergent Adverse Events (TEAEs) [Day 1 (Baseline) to EOT];

Statistically significant change in the percentage of patients in the respective IWGDF/IDSA classes for TP-102 versus Placebo, in addition to SoC [Day 1 (Baseline) to EOT];

Statistically significant change in the percentage of patients in the respective IWGDF/IDSA classes for TP-102 versus Placebo, in addition to SoC [Day 1 (Baseline) to EOT];

次要结局

  • Change in mean CRP/ESR/PCT/WBC count value for TP-102 versus Placebo, in addition to SoC [Day 1 (Baseline) to EOT];
  • Percentage of patients with a value over clinical diagnostic cut-off for DFI for CRP/ESR/PCT/WBC count for TP-102 versus Placebo, in addition to SoC [Day 1 (Baseline) to EOT];
  • Percentage eradication of TP-102 susceptible strains for TP-102 versus Placebo, in addition to SoC, at EOT;
  • Percentage of patients with target strain not-susceptible to TP-102 for TP-102 versus Placebo, in addition to SoC, at EOT;
  • Changes in wound size, depth, granulation and partial closure (25%, 50%, 75%)from baseline, for TP-102 versus Placebo, in addition to SoC [Day 3, 8, 15, EOT and EOS].
  • Percentage of patients that achieve wound healing (complete wound closure) by EOS for TP-102 versus Placebo, in addition to SoC [Day 1 (Baseline) to FUP2].
  • Total Area Under the Curve (AUC) of the mean DFUWI score for TP-102 versus Placebo, in addition to SoC [Day 1 (Baseline) to EOT].

研究者

发起方
Technophage Investigacao E Desenvolvimento Em Biotecnologia S.A.
申办方类型
Pharmaceutical company
责任方
Principal Investigator
主要研究者

Margarida Barreto

Scientific

Technophage Investigacao E Desenvolvimento Em Biotecnologia S.A.

研究点 (5)

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