E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
ventilator associated pneumonia (VAP) caused by serotype O11 Pseudomonas aeruginosa |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10065153 |
E.1.2 | Term | Ventilator associated pneumonia |
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E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To assess the safety, tolerability and repeated dose pharmacokinetics of three separate infusions of KBPA-101 every third day. |
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E.2.2 | Secondary objectives of the trial |
1. To determine the most appropriate dosing schedule to maintain the trough plasma concentration of KBPA-101 above the supposed clinically and microbiologically effective level during the treatment period. 2. To determine the most appropriate dose and schedule of KBPA-101 for subsequent Phase II efficacy studies in pseudomonal VAP, as judged by the plasma concentration of KBPA-101. 3. To seek possible evidence of therapeutic efficacy of KBPA-101 given in addition to standard care for VAP including the most appropriate choice of antibiotics according to local bacterial prevalence. 4. To correlate apparent clinical benefit with plasma concentrations of KBPA-101. 5. To identify the most appropriate assessment methodology to be used in subsequent larger trials. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Male or female ≥ 18 years of age 2. Female patients sterilised, hysterectomised, post-menopausal, or negative pregnancy test at screening evaluation 3. Patient mechanically ventilated for at least 48 hours and clinical diagnosis (including a new or progressive infiltrate) of ventilator associated pneumonia (VAP), including recurrent VAP, with modified clinical pulmonary infection score (CPIS) higher than 3 points 4. Greater of equal to 6x105 CFU/mL of P. aeruginosa in quantification of mini-BAL tested with Roche-PCR-kit,and confirmed diagnosis of P. aeruginosa serotype O11 VAP tested in mini-BAL with Kenta-PCR-Kit or microbiologically confirmed diagnosis of P. aeruginosa serotype O11 VAP tested in miniBAL or BAL with conventional microbiology (equal or greater to 1x104 CFU/mL) 5. Patient is expected to survive longer than 72 hours 6. Written informed consent provided by relatives or the designated trusted person |
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E.4 | Principal exclusion criteria |
1. Use of any investigational drug within 30 days preceding the first dose of AERUMAB 11, or planned use during the study and safety follow-up periods 2. Existence of any surgical or medical condition that might render the patient unduly susceptible to possible toxicity from the monoclonal antibody, including septic shock (defined as hypotension, i.e. a systolic blood pressure < 90 mmHg, or a MAP < 60 mmHg, or a reduction of 40 mmHg in the systolic blood pressure from baseline, despite adequate fluid resuscitation) with or without multiple organ dysfunction syndrome (MODS), and presence of clinically relevant disseminated intravascular coagulation (overt DIC, as defined by a score of 5 or more using the scoring system proposed by the Scientific Subcommittee on Disseminated Intravascular Coagulation (DIC) of the ISTH) 3. Patients with a known hereditary complement deficiency associated with systemic lupus erythematosus (SLE), paroxysmal nocturnal hemoglobinuria (PNH), hereditary angioedema (HAE), membranoproliferative glomerulonephritis, collagen vascular disease, autoimmune hepatitis, primary biliary cirrhosis, scleroderma, or recurrent Neisserial infections 4. Confirmed Human Immunodeficiency Virus (HIV) infection 5. Transplant patients and/or sSimultaneous treatment with systemic immuno-suppressive drugs (prednisone or prednisolone allowed) 6. Patients with a known liver function deficiency, e.g. associated with liver cirrhosis (Child Pugh B or C) or acute hepatitis 7. Administration of poly- or mono-immunoglobulins within the three months preceding the first dose of study drug or planned administration during the study period 8. Neutropenic patients (absolute neutrophil count < 1000 cells per microlitre) |
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E.5 End points |
E.5.1 | Primary end point(s) |
To assess the safety, tolerability and repeated dose pharmacokinetics of three separate infusions of KBPA-101 every third day. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Information not present in EudraCT |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | Information not present in EudraCT |
E.6.9 | Dose response | Information not present in EudraCT |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | Information not present in EudraCT |
E.6.12 | Pharmacoeconomic | Information not present in EudraCT |
E.6.13 | Others | Information not present in EudraCT |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | Information not present in EudraCT |
E.7.4 | Therapeutic use (Phase IV) | Information not present in EudraCT |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 2 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 8 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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provided in protocol, Day 30 or if premature withdrawal |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 6 |