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Clinical Trials List

Protocol Number2014-PT029
Completed

2015-10-01 - 2017-07-31

Phase I/II

Terminated4

ICD-10 B95.6

Staphylococcus aureus as the cause of diseases classified elsewhere

A Phase I-II Study of the Safety and Efficacy of a True Human Antibody, 514G3, in Subjects Hospitalized With Bacteremia Due to Staphylococcus Aureus

  • Trial Applicant

    Clinipace Taiwan Co., Ltd

  • Sponsor

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2026/02/01

Investigators and Locations

Principal Investigator Chun-Hsing Liao Division of Infectious Disease

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator 曹世明 Division of Infectious Disease

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Completed

Principal Investigator Jen-Hsien Wang 未分科

Co-Principal Investigator

Audit

None

Principal Investigator Yen-Hsu Chen 未分科

Co-Principal Investigator

Audit

None

Principal Investigator Yen-Hsu Chen Division of Infectious Disease

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Completed

Principal Investigator Jen-Hsien Wang Division of Infectious Disease

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Condition/Disease

Staphylococcus Aureus bacteremia

Objectives

This study will evaluate the maximum safe dose of the true human monoclonal antibody, 514G3, in the treatment of patients with Staphylococcus Aureus bacteremia. Preliminary evidence of efficacy will be evaluated as well. Patients will receive 514G3 plus antibiotics or placebo plus antibiotics in approximately a 3 to 1 ratio.

Test Drug

514G3

Active Ingredient

514G3 antibody

Dosage Form

injection

Dosage

50mg/mL

Endpoints

Primary Outcome Measures :
Phase I: Determination of the Maximum Tolerated Dose [ Time Frame: 14 Days ]
The highest dose administered with no more than one dose limiting toxicity

Phase II: Safety and tolerability [ Time Frame: 28 days ]
The incidence of adverse events, serious adverse events, and laboratory abnormalities will be compared between the 514G3 arm and the placebo arm.


Secondary Outcome Measures :
Determination of the serum half-life of 514G3 [ Time Frame: 28 days ]
Serum levels of 514G3 will be measured at protocol specified timepoints to determine the half-life, and to ensure clearance of the antibody during the follow up period after dosing.

Duration of Fever [ Time Frame: 28 days ]
Length of hospitalization [ Time Frame: 28 days ]
Time to sterile culture from date of randomization [ Time Frame: 28 Days ]
The time to sterile culture is the interval in days from the first dose of study drug until 2 consecutive days of negative blood cultures has occurred. The difference in this interval will be compared between patients randomized to placebo and those who received the highest dose of 514G3

Incidence of Serious Adverse Events [ Time Frame: 28 days ]
Differences in the incidence of SAEs between the 514G3 and placebo arms will be compared.

Opsonophagocytosis Assay [ Time Frame: 14 days ]
Serum samples from patients will be assessed with an in vitro opsonophagocytosis assay which measures the ability of the serum to mediate uptake of staph aureus by white blood cells. Differences in the levels of activity will be compared between treatment and placebo

Inclution Criteria

Inclusion Criteria:

One or more blood cultures positive for staphylococcus aureus within 2 days of initiating treatment with 514G3.
Temperature ≥ 38.0°C
Age ≥18, male or female subjects.
Adequate renal function, defined by serum creatinine ≤ 2 times the upper limit of normal (ULN).
Adequate hepatic function
Adequate bone marrow function
For women of childbearing potential (WOCBP), a negative serum pregnancy test result at Screening.
Signed and dated institutional review board (IRB)/ Ethics Committee (EC)-approved informed consent before any protocol-specific screening procedures are performed.
Expected survival of at least 2 months.

Exclusion Criteria

Exclusion Criteria:

Polymicrobial bacteremia.
Known or suspected osteomyelitis or meningitis.
Patients that are being mechanically ventilated as a result of a pulmonary infection at the time of screening. Mechanical ventilation for other reasons, such as trauma, is acceptable.
Presence of any removable infection source (e.g., intravascular line, abscess, or prosthesis) that will not be removed or debrided within 3 days after randomization.
Definite or possible left-sided endocarditis, by Modified Duke Criteria, based on screening echocardiogram. Subjects with suspected right-sided endocarditis are permitted.
Need for emergent valve surgery at the time of screening, and/or the presence of decompensated heart failure or cardiogenic shock.
Dementia or altered mental status that would prohibit the understanding or rendering of informed consent.
Infection with human immunodeficiency virus (HIV) and a CD4 count <200 cells/mm3.
Subjects with history of hypersensitivity to compounds of similar chemical or biologic composition to 514G3 or any component of its formulations.
Women who are pregnant or breastfeeding.

The Estimated Number of Participants

  • Taiwan

    8 participants

  • Global

    36 participants