Clinical Trial

Disease: Urinary Tract Infections, UTI, (NCT05488340)

Disease info:

The urinary system is the body's drainage system for removing wastes and extra water. It includes two kidneys, two ureters, a bladder, and a urethra. Urinary tract infections (UTIs) are the second most common type of infection in the body.

Symptoms of UTI include

Pain or burning when you urinate
Fever, tiredness, or shakiness
An urge to urinate often
Pressure in your lower belly
Urine that smells bad or looks cloudy or reddish
Pain in your back or side below the ribs
 

Frequency:
People of any age or sex can get UTIs, but about four times as many women get UTIs than men. You're also at higher risk if you have diabetes, need a tube to drain your bladder, or have a spinal cord injury.
Official title:
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
Who:

Contact

Locus Clinical Operations

Name: Paul Kim

Phone: (919) 495-4510

Email: clinicaloperations@locus-bio.com 

Backup Email: Paul.kim@locus-bio.com

Partners:

Parexel

Locations:

United States, Florida 

Research Site 102, Doral, Florida, United States, 33166

Research Site 107, Miami, Florida, United States, 33165

Research Site 106, Miami, Florida, United States, 33173

Research Site 103, Miami, Florida, United States, 33176

Research Site 100, Palmetto Bay, Florida, United States, 33157

United States, Texas 
Research Site 108, Forney, Texas, United States, 75126
 

Study start:
Jul. 13, 2022
Enrollment:
318 participants
Gene editing method:
CRISPR-Cas3
Type of edit:
Gene insertion
Gene:
Targets E. coli genome
Delivery method:
Note:
This treatment used CRISPR-engineered bacteriaphage to target E. coli genomes.
Indicator
IND Enabling Pre-clinical
Phase I Safety
Phase II Safety and Dosing
Phase III Safety and Efficacy

Status: Active recruiting

Description

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.

This study will consist of two parts.

Part 1 - Dose regimen selection: An open-label, 30 patient, 3-arm PK assessment of: Arm 4 (previously 1): LBP-EC01 (approximately 2×10^12 PFU) given by IU administration on D1 and D2 and LBP-EC01 (approximately 1×10^11 PFU) IV given as a 1 milliliter (mL) bolus QD from D1 through D3 concomitantly with oral trimethoprim/sulfamethoxazole (TMP 160mg/SMX 800mg) BID from D1 through D3 (6 doses); Arm 5 (previously 2): LBP-EC01 (approximately 2×10^12 PFU) given by IU administration on D1 and D2 and LBP-EC01 (approximately 1×10^10 PFU) IV given as a 1 mL bolus QD from D1 through D3 concomitantly with oral TMP/SMX BID from D1 through D3 (6 doses); Arm 6 (previously 3): LBP-EC01 (2×10^12 PFU) given by IU administration on D1 and D2 and LBP-EC01 (approximately 1×10^12 PFU) IV given as a 100 mL IV infusion over 2 h on D1 through D3 concomitantly with oral TMP/SMX BID from D1 through D3 (6 doses).

Part 2 - Efficacy, Safety, Tolerability and Pharmacokinetics: A blinded, 288 patient, 1:1 randomized evaluation of the Arm 4 dose regimen, selected from Part 1, versus placebo + antibiotic (TMP/SMX -160 mg TMP and 800 mg SMX) given orally BID on Days 1 through 3.

Last updated: Jan. 22, 2024
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