New antibody tackles stubborn biofilms in cystic fibrosis lungs
NCT ID NCT06159725
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a single dose of CMTX-101, an antibody designed to break up bacterial biofilms, in 43 adults with cystic fibrosis who have chronic lung infections with Pseudomonas aeruginosa. The goal was to see if adding CMTX-101 to standard inhaled antibiotics is safe and tolerable. The trial focused on safety and how the drug moves through the body, not yet on whether it improves lung function.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- CMTX-101 (a monoclonal antibody that disrupts bacterial biofilms)
- What this could lead to
- If it works, this could point toward a new way to make antibiotics more effective against stubborn lung infections in cystic fibrosis.
- What could go wrong
- This was a small, early-phase safety study (43 people), so it's too soon to know if it actually helps. The treatment is added to existing antibiotics, not a standalone cure.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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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43 people
The number who actually took part.
- Started
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Jun 2024
- Finished
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Nov 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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: 1. Adults ≥18 years of age at the time of screening. 2. If enrolled in the CFF Patient Registry, must provide registry information. 3. Confirmed CF diagnosis based on current CF Foundation (CFF)-sponsored guidelines. 4. For participants on modulator therapy, they must be on a stable dose of modulator therapy for at least 3 months. 5. Willing and capable of providing induced sputum for evaluation at defined study timepoints. 6. Positive P. aeruginosa growth of ≥104 CFU/gram from a sample of induced sputum at the screening visit. 7. FEV1 ≥50% (Part1) or ≥35% (Part 2) of predicted normal value at screening. 8. Currently receiving inhaled antibiotic therapy, either tobramycin or aztreonam alone, or as part of CAT. At least one 28-day cycle completed within 8 weeks prior to screening visit. 9. Women of childbearing potential (WOCBP) 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 study and for 4 months after the last infusion of study drug. A female participant is considered of childbearing potential unless postmenopausal or surgically sterilized and at least 3 months has passed since sterilization procedure. Female surgical sterilization procedures include tubal ligation, bilateral salpingectomy, hysterectomy, or bilateral oophorectomy. A female participant is considered postmenopausal if she has had spontaneous amenorrhea for at least 2 years with an appropriate clinical profile (e.g., age appropriate, history of vasomotor symptoms). • 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). 10. Male participants with a female partner must use a medically accepted contraceptive regimen during his participation in the study and for 4 months after study drug infusion. • Acceptable methods of contraception for male participants include condoms with spermicide, surgical sterilization of the participant (i.e., vasectomy) at least 26 weeks before screening, or sexual abstinence (i.e., refraining from heterosexual intercourse) if that is the preferred and usual lifestyle of the participant. \- Males with infertility documentation are not required to use contraception. 11. Male participants must agree to abstain from sperm donation through 4 months after study drug administration. 12. Capable of providing informed consent. 13. Capable and willing to complete all study visits and perform all procedures required by the protocol. Exclusion Criteria: 1. Body mass index (BMI) \<14 at screening and baseline. 2. Has a known history or evidence of human immunodeficiency virus (HIV) infection or chronic hepatitis B screening. 3. Tests positive for hepatitis C virus (HCV) RNA at screening. 4. Pulmonary exacerbation within 28 days of baseline. 5. Requirement for continuous (24 hour/day) oxygen supplementation; periodic use is permitted. 6. Participation in smoking or vaping activity in the last 6 months. 7. History of, or planned, organ transplantation. 8. Elevated liver function tests obtained at screening. 1. ALT \>5 × ULN or AST \>5 × ULN, or 2. Total bilirubin \>3 × ULN or Total bilirubin \>1.5 × ULN combined with either ALT \>3 × ULN or AST \>3 × ULN. ULN reflects local laboratory ranges. 9. Greater than 5 ml of hemoptysis on one occasion or \>30 mL of hemoptysis in a 24-hour period within 28 days of baseline. 10. Infection with other more pathogenic organisms such as Mycobacterium abscessus or Burkholderia spp., where the investigator feels that the participant either is not or will not remain clinically stable throughout the duration of the study. 11. 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. 12. Women who are pregnant, planning to become pregnant during the study period or for 4 months following last infusion of study drug, or breastfeeding. 13. Active treatment of any mycobacterial or fungal organisms ≤30 days prior to baseline visit. Chronic treatment for suppression of fungal populations is allowable. 14. Anticipated need to change chronic (either inhaled or oral) antibiotic regimens during the study period. Participants must agree to maintain their current chronic antibiotic regimen from the screening visit for the duration of the follow-up period (approximately 30 days). 15. Known allergy to any component of the study drug. 16. Participant with an estimated glomerular filtration rate \<60 mL/min/1.73 m2. 17. Any significant finding that, in the opinion of the investigator, would make it unsafe for the participant to participate in this study or would not be in the best interest of the participant. 18. Enrolled in an interventional clinical study within ≤60 days of the baseline visit, or participating in a clinical study while enrolled in this clinical study (inclusive of vaccine studies). 19. Currently or previously enrolled in this study.
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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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Boston Children's Hospital
Boston, Massachusetts, 02115, United States
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Central Florida Pulmonary Group, PA
Orlando, Florida, 32803, United States
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Cystic Fibrosis Institute
Northfield, Illinois, 60093, United States
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Johns Hopkins University
Baltimore, Maryland, 21287, United States
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Lenox Hill Hospital
New York, New York, 10075, United States
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Medical University of South Carolina
Charleston, South Carolina, 29425, United States
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National Jewish Health
Denver, Colorado, 80206, United States
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Nationwide Children's Hospital
Columbus, Ohio, 43205, United States
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New York Medical College
Hawthorne, New York, 10532, United States
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PennState Health
Hershey, Pennsylvania, 17003, United States
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Rainbow Babies and Children's Hospital/University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106, United States
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Seattle Children's Hospital
Seattle, Washington, 98105, United States
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St Luke's Sleep Medicine and Research Center
Boise, Idaho, 83702, United States
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Stanford University
Palo Alto, California, 94304, United States
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UPMC Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, 15224, United States
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University of Alabama, Birmingham
Birmingham, Alabama, 35294, United States
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University of California, San Francisco
San Franciso, California, 94143, United States
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University of Kansas
Kansas City, Kansas, 66160, United States
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University of Michigan
Ann Arbor, Michigan, 48109, United States
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University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
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University of Utah
Salt Lake City, Utah, 84132, United States
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Vanderbilt University
Nashville, Tennessee, 37235, United States
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Virginia Commonwealth University
Richmond, Virginia, 23219, United States
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