This is a Phase I/IIa trial designed to evaluate topical bacteriophage therapy in patients with diabetic foot ulcers.
The primary objective of this study is to evaluate the safety of a topical bacteriophage cocktail in the treatment of non infected and infected diabetic foot ulcers with Pseudomonas aeruginosa, Staphylococcus aureus and/or Acinetobacter baumanni. Patients will also be evaluated for bacterial clearance and wound reduction.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
20
One mL of IP solution will be applied topically per cm3 of target ulcer. The titer of each bacteriophage in TP 102 is 1x10\^9 plaque forming units per milliliter (PFU/mL).
Hadassah Medical Center, Ein Kerem
Jerusalem, Israel
Tel Aviv Sourasky Medical Center
Tel Aviv, Israel
1. Incidence and severity of treatment-emergent solicited local and systemic AEs and relationship to IP from first administration until 1 week after end of treatment (EOT) (end of study -EOS)
Local AEs include erythema/redness, swelling/induration, pain and tenderness Systemic AEs include fatigue, myalgia, fever, headache and gastrointestinal symptoms (nausea, vomiting, diarrhea)
Time frame: 1 week
2. Incidence and severity of treatment-emergent unsolicited AEs and relationship to IP from first administration until EOS.
Time frame: 1 week
3. Incidence and severity of treatment-emergent SAEs and relationship to IP from first administration until EOS.
Time frame: 1 week
Proportion of subjects with significant reduction or eradication from baseline in microbiologic data via culture (cfu) at d3, d8, d15, d22, d26 and EOS
Time frame: 35 days
Time (days) to significant reduction or eradication of target bacteria via culture.
Time frame: 35 days
Changes in wound/ulcer healing from to baseline in terms of wound size and depth (cm^3) at EOT.
Time frame: 35 days
Changes in wound/ulcer healing from to baseline in terms of wound complete closure and partial closure (25%, 50% and 75%) at EOT.
Time frame: 35 days
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