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The objective of PHAGOBURN is to assess tolerance and efficacy of local bacteriophage treatment of E. coli or P. aeruginosa wound infections in burned patients.
PHAGOBURN is a Phase I/II clinical trial randomized, multicentric, open label, standard of care (Silver Sulfadiazine) controlled aiming at assessing tolerance and efficacy of local bacteriophage treatment of wound infections due to E. coli or P. aeruginosa in burned patients using Pherecydes Pharma anti-Escherichia coli and anti-Pseudomonas aeruginosa bacteriophage cocktails GMP produced. This project is a European Research & Development (R&D) project funded by the European Commission under the 7th Framework Programme for Research and Development. This project is involving 7 clinical sites in EU.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| E. coli, Standard of care : Silver Sulfadiazine | Active Comparator | Burn wounds infected by E. coli treated with Standard of care : Silver Sulfadiazine |
|
| E. coli, Phages cocktail | Experimental | Burn wounds infected by E. coli treated with Pherecydes Pharma Phages cocktail |
|
| P. aeruginosa, Standard of care : Silver Sulfadiazine | Active Comparator | Burn wounds infected with P. aeruginosa treated with Standard of care : Silver Sulfadiazine |
|
| P. aeruginosa, Phages cocktail | Experimental | Burn wounds infected by P. aeruginosa treated treated with Pherecydes Pharma Phages cocktail |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| E. coli Phages cocktail | Drug | Use of Pherecydes Pharma Phages cocktail to treat respectively E. coli burn wound infection |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time for bacteria reduction adjusted on antibiotic treatment | Time necessary for a persistent bacteria reduction of two modes or persistent bacteria eradication relative to D0 adjusted on antibiotic treatment (active on targeted strain) introduced between D1 to D7. Bacteria count performed on bacteria targeted by the phages cocktail collected from surface swab samples assessed by the microbiologist. | 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of tolerance of treatment | Adverse events frequencies will be assessed in each treatment arms. Phages therapy safety profile will be compared to safety profile of standard of care . | 21 days |
| Incidence an delay of infection reduction with different bacterial species from the targets |
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Inclusion Criteria:
Man or woman
Adult Informed consent obtained from patient or next of kin
In-hospital patient treated for burn wounds in a burn unit
Burn wound (grafted or not) or graft harvesting area, presenting local signs of infection defined by SFETB criteria:
Burn wounds with a microbiologically documented infection, as defined by positive surface swab, due to Escherichia coli or Pseudomonas aeruginosa whatever their resistance profile
Treated by povidone-iodine
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Patrick Jault, MD | Contact | +33 1 41 46 62 13 | patrick.jault@santarm.fr | |
| Christine Cotton | Contact | +335 61 00 13 55 | christine.cotton@statitec.com |
| Name | Affiliation | Role |
|---|---|---|
| Patrick Jault, MD | Service de Santé des Armées, Hopital Percy (Clamart, France) | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hopital Militaire Reine Astrid | Not yet recruiting | Brussels | B-1120 | Belgium |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30292481 | Derived | Jault P, Leclerc T, Jennes S, Pirnay JP, Que YA, Resch G, Rousseau AF, Ravat F, Carsin H, Le Floch R, Schaal JV, Soler C, Fevre C, Arnaud I, Bretaudeau L, Gabard J. Efficacy and tolerability of a cocktail of bacteriophages to treat burn wounds infected by Pseudomonas aeruginosa (PhagoBurn): a randomised, controlled, double-blind phase 1/2 trial. Lancet Infect Dis. 2019 Jan;19(1):35-45. doi: 10.1016/S1473-3099(18)30482-1. Epub 2018 Oct 3. |
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| Standard of care : Silver Sulfadiazine | Drug | Use of Standard of care : Silver Sulfadiazine, to treat E. coli or P. aeruginosa infected burn wound |
|
| P. Aeruginosa, Phages cocktail | Drug | Use of Pherecydes Pharma Phages cocktail to treat P. aeruginosa burn wound infection |
|
The criteria will be assessed according to wound clinical examination and bacteria count by the microbiologist. |
| 7 days |
| number of sites cured | The number of infected burns or infected wounds getting a clinical improvement will be described and compared between treatment groups. | 7 days |
| CHU Sart-Tilman | Not yet recruiting | Liège | Belgium |
|
| Hôpital d'instruction des armées Percy | Recruiting | Clamart | 92141 | France |
|
| Centre hospitalier ST Joseph et St Luc | Not yet recruiting | Lyon | F-69365 | France |
|
| Centre Hospitalier Universitaire Vaudois | Not yet recruiting | Lausanne | CH-1011 | Switzerland |
|
| ID | Term |
|---|---|
| D014946 | Wound Infection |
| ID | Term |
|---|---|
| D007239 | Infections |
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