Could viruses be the new weapon against tough lung infections in cystic fibrosis?
NCT ID NCT05453578
First seen Jun 27, 2026 · Last updated Jul 17, 2026 · Updated 2 times
Summary
This study tested a single dose of a special virus mixture (bacteriophages) given through a vein to adults with cystic fibrosis who have a chronic lung infection with Pseudomonas bacteria. The goal was to see if the treatment is safe and can reduce the amount of bacteria in the lungs. 72 participants were enrolled across multiple U.S. sites, and the study compared different doses against a placebo.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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73 people
The number who actually took part.
- Started
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Oct 2022
- Finished
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Apr 2025
- Lead sponsor
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A government research agency
The lead sponsor is the US National Institutes of Health.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Subjects must meet all the inclusion criteria to be eligible to participate in the study: 1. Adult (\>/= 18 years) at the time of screening. 2. Confirmed Cystic Fibrosis (CF) diagnosis based on a compatible clinical syndrome confirmed by either an abnormal sweat chloride testing or CFTR gene variations.\* \*Can be obtained from documentation in medical records; actual test results not necessary. 3. Likely able to produce at least 2 mL of sputum during a 30-minute sputum collection following a hypertonic saline treatment or other approach to increase sputum production.\*\* \*\*Determined by investigator or their designee judgement. Approaches for obtaining sputum may include, but are not limited to, inhaled hypertonic saline (e.g., 3%, 7%, or 10%), inhaled hypertonic bicarbonate, inhaled mannitol, or spontaneously expectorated sputum. The same approach is recommended, whenever possible, for all sputum collections for a given subject. 4. Pseudomonas aeruginosa (regardless of Colony Forming Units (CFU)/mL) isolated from a sputum, throat culture, or other respiratory specimen in the past 12 months. 5. Confirmed P. aeruginosa isolation from a sample of expectorated sputum at the Screening Visit. 6. Capable of providing informed consent. 7. Capable and willing to complete all study visits and perform all procedures required by the protocol. Exclusion Criteria: Subjects who meet any of the exclusion criteria will not be enrolled in the study: 1. Body weight \< 30 kg. 2. Forced Expiratory Volume in 1 second (FEV1) \< 20% of predicted value at screening, using the Hankinson equations. 3. Elevated Elevated liver function tests (LFTs) obtained at screening.\* \*a. Alanine aminotransferase (ALT) \> 5 x the upper limit of normal (ULN) or aspartate transaminase (AST) \> 5 x ULN or total bilirubin \> 3 x ULN, OR b. Total bilirubin \> 1.5 x ULN combined with either ALT \> 3 x ULN or AST \> 3 x ULN. ULN reflects local laboratory ranges. 4. Acute clinical illness requiring a new (oral, parenteral), or inhaled antibiotic(s) \</= 30 days prior to the baseline visit.\* \*Does not include chronic suppressive medications or cyclic dosing medications such as inhaled antibiotics. 5. Women who are pregnant, planning to become pregnant during the study period, or breastfeeding.\* \*Women of childbearing potential must have a negative serum beta-human chorionic gonadotropin test during screening and agree to use an effective method of contraception for the duration of the trial.\* \*A female is considered of childbearing potential unless postmenopausal, or surgically sterilized and at least 3 months has passed since sterilization procedure. 1. Female surgical sterilization procedures include tubal ligation, bilateral salpingectomy, hysterectomy, or bilateral oophorectomy. 2. Female is considered postmenopausal if she is \>45 years old and has gone at least 12 months without a spontaneous menstrual period without other known or suspected cause. 3. Effective methods of contraception include (a) abstinence, (b) partner vasectomy, (c) intrauterine devices, (d) hormonal implants (such as Implanon), or (e) other hormonal methods (birth control pills, injections, patches, vaginal rings). 6. Active treatment of any mycobacterial or fungal organisms \</=30 days prior to baseline. Chronic treatment for suppression of fungal populations is allowable. 7. Anticipated need to change chronic antibiotic regimens during the study period.\* \*Subjects on cyclic dosing medications such as inhaled antibiotics, must be able and express willingness to keep the therapies at the time of screening constant (either remain on the therapy or not remain on the therapy) for the duration of the follow-up period (approximately 30 days). Subjects on chronic suppressive antimicrobial therapy must be able and express willingness to stay on the therapies for the duration of their follow-up period. This includes chronic azithromycin therapy. 8. Known allergy to any component of the study product. 9. Any significant finding that, in the opinion of the investigator, would make it unsafe for the subject to participate in this study. 10. Enrolled in a clinical trial within \</=30 days of the baseline/dosing visit, or participating in a clinical trial while enrolled in this clinical trial (inclusive of vaccine trials). 11. Currently or previously enrolled in this trial.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Baylor College of Medicine
Houston, Texas, 77030-3411, United States
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Case Western Reserve University
Cleveland, Ohio, 44106, United States
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Duke University Medical Center
Durham, North Carolina, 27710, United States
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Emory University - Adult Cystic Fibrosis Program
Atlanta, Georgia, 30324, United States
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Johns Hopkins University
Baltimore, Maryland, 21205, United States
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Michigan Medicine
Ann Arbor, Michigan, 48109, United States
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Northwell Health
New Hyde Park, New York, 11050, United States
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Stanford University
Stanford, California, 94305, United States
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The University of Arizona - Banner University Medical Center Tucson Campus - Tucson
Tucson, Arizona, 85724-0001, United States
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University of California Davis Health
Sacramento, California, 95816, United States
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University of California Los Angeles Medical Center - Westwood Clinic
Los Angeles, California, 90095, United States
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University of California, San Diego
La Jolla, California, 92037, United States
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University of California, San Diego (UCSD) - Antiviral Research Center (AVRC)
La Jolla, California, 92121, United States
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University of Minnesota Medical Center
Minneapolis, Minnesota, 55455-0341, United States
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University of South Florida/Tampa General Hospital
Tampa, Florida, 22612, United States
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University of Texas Southwestern Medical Center
Dallas, Texas, 75390, United States
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University of Virginia
Charlottesville, Virginia, 22908, United States
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Vanderbilt University Medical Center
Nashville, Tennessee, 37232, United States
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Yale North Haven Medical Center- Winchester Center for Lung Disease
North Haven, Connecticut, 06473, United States
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