Study of inhaled BX004 bacteriophage treatment for adults with cystic fibrosis who have chronic Pseudomonas aeruginosa lung infection
- Participants:Adults
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P6IHMA-2121908 is an investigational bacteriophage (phage) therapy. Bacteriophages are viruses that infect and kill specific bacteria. The substance is developed as a product named BX004 by BiomX Ltd.[1] In the product records it appears under several related names: IHMA-2121771-1, IHMA-2121771-2, IHMA-2121908-1, P37IHMA-2121908, and P6IHMA-2121908.[1] It has no marketing authorisation in these records, meaning it is not yet an approved medicine.[1] The substance is part of a fixed combination in one product record, indicating that BX004 contains more than one phage component.[1]
Bacteriophages such as P6IHMA-2121908 are viruses that recognise, infect and destroy specific bacterial cells. In this case the target is Pseudomonas aeruginosa, a bacterium that causes chronic lung infections in people with cystic fibrosis. The trial measured the change in Pseudomonas aeruginosa colony-forming units per gram of sputum (CFU/g), which is a way of counting how many live bacteria are present in the mucus coughed up from the lungs.[1] A reduction in this number would indicate that the phage therapy is reducing the bacterial burden in the lungs.
P6IHMA-2121908 is formulated as an inhalation solution and is given by inhalation.[1] In the trial, participants received 10 millilitres of BX004 by inhalation, which means the solution is turned into a fine mist and breathed into the lungs, typically using a nebuliser.[1]
One clinical trial is registered for P6IHMA-2121908: a Phase 2b randomised, double-blind, placebo-controlled study in cystic fibrosis patients with chronic Pseudomonas aeruginosa lung infection.[1] The trial enrolled 63 participants and has been completed.[1] Participants were randomised to receive either BX004 or a placebo, both given by inhalation.[1] The primary outcome was the change from baseline in Pseudomonas aeruginosa colony-forming units per gram of sputum at 8 weeks of treatment, which is the end of the treatment period.[1] The trial aimed to assess whether nebulised BX004 reduces the sputum Pseudomonas aeruginosa burden in people with cystic fibrosis who have a chronic lung infection.[1]
The registry records for this trial do not include a list of side effects. No supplementary sources with safety information were provided for this page.
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