Status:

COMPLETED

A Phase 1b/2a Study of the Safety and Pharmacokinetics of Rhu-plasma Gelsolin in Hospitalized Subjects With CAP

Lead Sponsor:

BioAegis Therapeutics Inc.

Conditions:

Community-acquired Pneumonia

Eligibility:

All Genders

18+ years

Phase:

PHASE1

PHASE2

Brief Summary

A Phase 1b/2a, Double-blind, Placebo-controlled, Dose-escalation Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics of Recombinant Human Plasma gelsolin (rhu-pGSN) Added to Standard ...

Detailed Description

A total of 32 patients hospitalized with CAP will be randomized sequentially into 4 ascending dosing levels. Each dosing cohort will include 8 subjects randomized 3:1 rhu-pGSN:placebo (6 rhu-pGSN subj...

Eligibility Criteria

Inclusion

  • Informed consent obtained from subject
  • Domicile: home, assisted living, rehabilitation facility, or nursing home (as long as the prospective participant is capable of providing written informed consent)
  • Duration of infection precipitating hospitalization by history \<14 days
  • Planned or actual admission to hospital with a primary diagnosis of CAP within 24 hours of presentation to the hospital
  • Primary admitting diagnosis of pneumonia supported by a compatible clinical presentation with a documented infiltrate consistent with pneumonia on chest radiograph or CT, as assessed by the admitting emergency-department (ED), clinic, or ward physician or equivalent caregiver
  • Recommended (not mandatory) guidance/discretionary criteria defining patients with CAP:
  • At least 2 symptoms: difficulty breathing, cough, production of purulent sputum, chest pain
  • At least 2 vital sign abnormalities: fever, tachycardia, tachypnea
  • At least one finding of other clinical signs and laboratory abnormalities: hypoxemia, clinical evidence of pulmonary consolidation, an elevated total white blood cell (WBC) count or leukopenia
  • Chest imaging showing new (or presumed new or worsening) infiltrates
  • Receipt of antibiotic treatment prior to presentation does not exclude the patient

Exclusion

  • Pregnant or lactating women
  • Intubation, vasopressor support, or admission to the intensive care unit (ICU) directly from the ED/office (fluids for responsive hypotension is not a reason for exclusion)
  • Use of any investigational drug in the past 30 days
  • Hospitalization during the last 30 days
  • Residence within the last 30 days in long-term care facility where the patient remains persistently unable to participate in the routine activities of daily living
  • Active underlying cancer treated with systemic chemotherapy or radiation therapy during the last 30 days
  • Known or suspected immunosuppressive disease or therapy (including steroid use equivalent to prednisone ≥20 mg/day for \>7 days or known advanced human immunodeficiency virus (HIV) infection with CD4 count ≤200/mm3; specific testing for HIV status or CD4 count is not required but can be done at the discretion of the caregivers)
  • Active congestive heart failure, myocardial infarction, or pulmonary embolism; cardiopulmonary arrest in last 30 days
  • Weight \>100 kg
  • Otherwise unsuitable for study participation in the opinion of the investigator

Key Trial Info

Start Date :

August 28 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 2 2019

Estimated Enrollment :

33 Patients enrolled

Trial Details

Trial ID

NCT03466073

Start Date

August 28 2018

End Date

April 2 2019

Last Update

January 27 2020

Active Locations (8)

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Page 1 of 2 (8 locations)

1

Cairns Hospital

Cairns, Queensland, Australia, 4870

2

Box Hill Hospital

Box Hill, Victoria, Australia, 3128

3

Footscray Hospital

Footscray, Victoria, Australia, 3011

4

LTD Geo Hospitals, Mtskheta Multiprofile Medical Center

Mtskheta, Georgia, 3300