Clinical trial • Phase I/II • Dermatology|Infectious Disease

Kayvirus DSM 33474; Kayvirus DSM 33473; Pbunavirus DSM 33593; concentration solution of these bacteriophages for Surgical wound infection|Surgical wound dehiscence

Phase I/II trial of Kayvirus DSM 33474; Kayvirus DSM 33473; Pbunavirus DSM 33593; concentration solution of these bacteriophages for Surgical wound infect…

Overview

Trial Therapeutic Area
Dermatology|Infectious Disease
Trial Disease
Surgical wound infection|Surgical wound dehiscence
Trial Stage
Phase I/II
Drug Modality
Other|Small molecule

Key dates

Initial CTIS Submission Date
19-11-2024
First CTIS Authorization Date
05-12-2024

Trial design

Randomised, chlorid sodný b. braun 0,9 % infuzní roztok (placebo); dose and schedule not specified in available records; route: topical application.-controlled Phase I/II trial across 1 site in Czechia.

Randomised
Yes
Comparator
Chlorid sodný B. Braun 0,9 % infuzní roztok (placebo); dose and schedule not specified in available records; route: topical application.
Target Sample Size
52
Trial Duration For Participant
70

Eligibility

Recruits 52 Vulnerable populations not selected. Participants must provide a Signed Informed Consent Form approved by the EC and CA. Age eligibility restricts participation to adults (18–75 years); no assent process for minors is mentioned..

Pregnancy Exclusion
Pregnancy or planning to become pregnant during the study.
Vulnerable Population
Vulnerable populations not selected. Participants must provide a Signed Informed Consent Form approved by the EC and CA. Age eligibility restricts participation to adults (18–75 years); no assent process for minors is mentioned.

Inclusion criteria

  • {"criterion_text":"- Patients with surgical wound infection and/or dehiscence\n- Wound infected by S. aureus and/or P. aeruginosa according to wound swab.\n- Wound in the groin or any other skin fold as per Investigator’s discretion.\n- Signed Informed Consent Form, approved by the EC and CA\n- The age between 18 and 75 years.\n- Patients able and willing to comply with study procedures.\n- There are no contraindications for planned concomitant medication.\n- Persisting symptoms of bacterial infection < 3 weeks since the surgery.\n- Women of childbearing potential must take highly effective contraceptive measures since the study start and one month after the treatment administration at a minimum."}

Exclusion criteria

  • {"criterion_text":"- History of an organ or bone marrow transplantation.\n- Hypersensitivity to the IMP or placebo.\n- Any autoimmune disease\n- Uncompensated diabetes mellitus, confirmed by the concentration of HbA1c >60 mmol/mol (6%).\n- Systematic immunosuppressive therapy.\n- Malignancy treatment <1 year before the Baseline visit.\n- COVID-19 infection <3 months before the Baseline visit, any signs of post-COVID syndrome.\n- Pregnancy or planning to become pregnant during the study.\n- Breastfeeding.\n- Participation in another clinical study."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- For Cohort 1: The endpoint will be the frequency of all (local and systemic) reactions with suspected or confirmed relation to IMP.","definition_or_measurement_approach":"Frequency (count and incidence) of all local and systemic reactions judged to be suspected or confirmed related to the investigational medicinal product (IMP)."}
  • {"endpoint_text":"- For pooled Cohorts 1 & 2: Time to commencement of healing. The commencement of healing is defined as the composite measure when both the following conditions must be true: the granulation process in the wound has started, as indicated by the score ≤ 2 in each of the 3 items A8 – A10 of the mLUMT scale, the S. aureus and/or P. aeruginosa infection has been eradicated, i.e., the swab sample is negative on both S. aureus and P. aeruginosa.","definition_or_measurement_approach":"Time-to-event measured from start of treatment to the composite definition of healing: (1) granulation process indicated by mLUMT items A8–A10 each ≤2, AND (2) eradication of S. aureus and/or P. aeruginosa (negative wound swab for both organisms)."}

Secondary endpoints

  • {"endpoint_text":"- Safety endpoints: The frequency of the following symptoms following the IMP application will be evaluated: •\tlocal reactions (local rash onset, local sensations, worsening of local inflammatory signs, discharge) •\tsystemic reactions (vital signs reactions, fever, rash, arthralgia, gastrointestinal symptoms).","definition_or_measurement_approach":"Assessment of frequency/incidence of specified local and systemic adverse reactions following IMP application, including local rash onset, local sensations, worsening local inflammatory signs, discharge, and systemic signs (vital signs changes, fever, rash, arthralgia, GI symptoms)."}
  • {"endpoint_text":"- Microbiological endpoints: Change of the microbiological profile of the wound assessed by swab (maximum 8 assessment points).","definition_or_measurement_approach":"Microbiological profiling via wound swabs at up to 8 time points to document changes in bacterial colonization and presence/absence of target pathogens."}
  • {"endpoint_text":"- Clinical efficacy endpoints: mLUMT total score change since Baseline; Time since the start of the study treatment until the bacterial infection eradication – i. e. the swab sample is negative on S. aureus and/or P. aeruginosa; Time since the start of the study treatment until the granulation process in the wound has started, as indicated by the score ≤ 2 in all 3 items A8 – A10 of the mLUMT scale; Time since the start of the study treatment until the wound is closed as assessed by Investigator.","definition_or_measurement_approach":"Changes in mLUMT total score from baseline; time-to-eradication defined by negative swab for S. aureus and/or P. aeruginosa; time-to-granulation (mLUMT A8–A10 ≤2); time-to-wound closure as per investigator assessment."}

Recruitment

Planned Sample Size
52
Recruitment Window Months
26
Consent Approach
Signed Informed Consent Form required (approved by Ethics Committee and Competent Authority). Participants (adults 18–75) provide consent; no assent for minors is described. Languages of consent documents are not specified in the available metadata.

Geography

Total Number Of Sites
1
Total Number Of Participants
52

Czechia

Earliest CTIS Part Ii Submission Date
13-11-2024
Latest Decision Or Authorization Date
12-06-2025
Processing Time Days
211
Number Of Sites
1
Number Of Participants
52

Sites

Site Name
Fakultni Nemocnice U Sv Anny V Brne
Department Name
II. chirurgická klinika
Principal Investigator Name
Robert Staffa
Principal Investigator Email
rober.staffa@fnusa.cz
Contact Person Name
Robert Staffa
Contact Person Email
rober.staffa@fnusa.cz
Number Of Participants
52

Sponsor

Primary sponsor

Full Name
MB PHARMA s.r.o.
Organisation Type
Pharmaceutical company
Country Of Registered Address
Czechia

Investigational products

Investigational Product Name
DUOFAG
Active Substance
Kayvirus DSM 33474; Kayvirus DSM 33473; Pbunavirus DSM 33593; concentration solution of these bacteriophages
Modality
Other
Routes Of Administration
TOPICAL APPLICATION ON WOUND
Route
Topical on wound
Investigational Product Name
Chlorid sodný B. Braun 0,9 % infuzní roztok
Active Substance
Sodium chloride
Modality
Small molecule
Routes Of Administration
TOPICAL APPLICATION
Route
Topical
Authorisation Status
Authorised (marketing authorisation number 76/847/92-B/C)

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