A Phase 2, Double-blind, Randomized, Active-controlled Evaluation of the Safety, Tolerability, Pharmacokinetics and Efficacy of LBP-EC01 in the Treatment of Acute Uncomplicated Urinary Tract Infection Caused by Drug Resistant E. Coli

Status: Recruiting
Location: See all (20) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

This is a Phase 2 superiority study of LBP-EC01, a recombinant bacteriophage cocktail, with an initial open-label 3-arm pharmacokinetic (PK) lead-in portion of 30 patients to evaluate the optimal dosing regimen to be used in the subsequent 288 patient blinded portion of the study which will be randomized 1:1 comparing LBP-EC01 + antibiotic versus placebo + antibiotic in patients with a history of prior urinary tract infection (UTI) cased by E. coli. All patients will be required to have an active acute uncomplicated UTI at baseline.

Eligibility
Participation Requirements
Sex: Female
Minimum Age: 18
Maximum Age: 75
Healthy Volunteers: f
View:

• History of UTI in the past 12 months and prior or current uUTI caused by AMR E. coli (as single pathogen or part of polymicrobial infection where E. coli is the predominant pathogen). Please note that the current infection can be used to meet the requirement of AMR E. coli documentation.

• Able to supply a mid-stream, clean catch urine sample for microbiological analysis.

• Active acute uUTI infection defined by:

• a. Evidence of pyuria: i. \>10 white blood cell (WBC)/mL3 on microscopic evaluation of spun, clean, mid-stream urine specimen or \>3 WBC/high power field on unspun clean, mid-stream urine specimen, AND/OR ii. Dipstick analysis of a clean, mid-stream urine specimen positive for leukocytes, AND b. At least 2 of the following signs or symptoms of UTI: dysuria, urinary frequency, urinary urgency, or suprapubic pain

• Willing to comply with all aspects of study design including study restrictions, blood, urine, and stool sampling, and scheduled study visits.

• All sexually active female patients of childbearing potential must use highly effective contraception during the study and until 2 weeks after the last dose of study drug treatment.

• Agrees to STOP continuous low dose antimicrobial prophylaxis and/or will maintain the same practices for post-coital antimicrobial prophylaxis to prevent UTI, as during the prior 12-months, for the entire study duration (throughout the 6-month follow-up period or study discharge).

• Agrees to not use any prescription or non-prescription medication for the microbiological or symptomatic treatment of the presenting acute uUTI for the first 10 days of the study.

• Capable of providing their own signed informed consent form (ICF) prior to any study-related procedures being performed.

• If participating in Part 1 of the study, agrees to fast for ≥2 h prior to first dose of study drug on Day 1/Visit 1 except for drinking 240 mL of water with study drug administration.

Locations
United States
Alabama
Research Site 115
COMPLETED
Birmingham
California
Research Site 143
COMPLETED
Chula Vista
Research Site 138
COMPLETED
Fresno
Research Site 131
RECRUITING
Lancaster
Research Site 123
RECRUITING
Los Angeles
Research Site 125
RECRUITING
Montebello
Research Site 139
RECRUITING
Orange
Research Site 137
RECRUITING
San Diego
Research Site 126
RECRUITING
Tustin
Florida
Research Site 102
RECRUITING
Doral
Research Site 140
RECRUITING
Jensen Beach
Research Site 103
RECRUITING
Miami
Georgia
Research Site 119
COMPLETED
Decatur
Illinois
Research Site 117
COMPLETED
Northbrook
Massachusetts
Research Site 120
COMPLETED
Boston
Michigan
Research Site 114
COMPLETED
Royal Oak
North Carolina
Research Site 118
RECRUITING
Winston-salem
Texas
Research Site 141
COMPLETED
Edinburg
Research Site 122
COMPLETED
Galveston
Virginia
Research Site 127
COMPLETED
Richmond
Contact Information
Primary
Locus Clinical Operations
clinicaloperations@locus-bio.com
(919) 495-4510
Backup
Paul Kim
Paul.kim@locus-bio.com
(919) 495-4510
Time Frame
Start Date: 2022-07-13
Estimated Completion Date: 2026-12
Participants
Target number of participants: 318
Treatments
Experimental: Part 1- Arm 4 (previously 1)
Intraurethral (IU) LBP-EC01 on D1 and D2 with intravenous (IV) LBP-EC01 (1x10\^11 PFU) and oral TMP/SMX on D1 through D3.
Experimental: Part 1- Arm 5 (previously 2)
Intraurethral (IU) LBP-EC01 on D1 and D2 with intravenous (IV) LBP-EC01 (1x10\^10 PFU) and oral TMP/SMX on D1 through D3.
Experimental: Part 1- Arm 6 (previously 3)
Intraurethral (IU) LBP-EC01 on D1 and D2 with intravenous (IV) LBP-EC01 infusion (1x10\^12 PFU) and oral TMP/SMX on D1 through D3.
Experimental: Part 2: LBP-EC01
LBP-EC01 given by dose regimen selected from Part 1. IU LBP-EC01 on D1 and D2 with IV LBP-EC01 (1x10\^11 PFU) and oral TMP/SMX on D1 through D3.
Placebo_comparator: Part 2: Placebo
Placebo given by dose regimen selected from Part 1. IU placebo on D1 and D2 with IV placebo and oral TMP/SMX on D1 through D3.
Related Therapeutic Areas
Sponsors
Collaborators: Parexel
Leads: Locus Biosciences

This content was sourced from clinicaltrials.gov