CAL02: CAL02 consists of a mixture of 2 liposomes and is a non-biological bacterial virulence neutralizer.
Placebo: Physiological 0.9% sodium chloride solution for iv administration
Study summary
This is a placebo-controlled study to evaluate the addition of CAL02 to standard of care in treating hospitalized subjects diagnosed with severe community acquired bacterial pneumonia (SCABP) requiring critical care measures
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* male or females older than 18 years old
* Body Weight 40 - 140 kg;
* clinical diagnosis of CABP diagnosed less than or equal to 48 hrs after hospital admission;
* presence of at least one of the protocol defined SCABP severity criteria:
* at least two clinical symptoms
* at least 2 vital sign abnormalities
* at least one finding of other clinical signs/laboratory abnormalities
* radiographic evidence in support of pneumonia with likely bacterial origin
* presence of at least one of the following severity criteria based on protocol defined SCABP:
* respiratory failure requiring invasive mechanical ventilation support
* respiratory failure requiring non-invasive positive pressure ventilation support
* respiratory failure requiring high-flow oxygen
* septic shock requiring treatment with vasopressors at therapeutic doses for at least 2 hours
* requires critical care for management of SCABP
* onset of severity criteria less than 48 hours from diagnosis of CABP or upon discussion with medical monitor
* written informed consent before any study-specific assessment is performed
Exclusion Criteria: Subjects in the hospital who meet any of the following criteria at screening and before study drug administration:
* subjects with ventilator-associated pneumonia, aspiration pneumonia, fungal pneumonia, viral pneumonia (viral coinfection may be exempted subject to discussion with medical monitor);
* subjects more than 12 hours from the diagnosis of SCABP;
* SOFA score greater than 12 points
* subject received IV antibiotics for CABP/SCABP for more than 48 hours at the time of randomization if sensitivity supports appropriate empiric therapy chosen and administered
* renal replacement therapy
* known hypersensitivity to liposomal formulations
* end-stage neuromuscular disorders, tracheostomy, known bronchial obstruction, post-operative aspiration pneumonia, cystic fibrosis, known or suspected pneumocystis jirovecii or tuberculosis pneumonia, post organ transplant, or primary or metastatic malignancy in the lungs
* current or recent participation in an investigational study (within 30 days of screening or 5 half-lives of the investigational compound, whichever is longer)
* known liver dysfunction, chronic liver disease with Child Pugh C or esophageal varices
* moribund clinical conditions at the time of screening or time of the first study medication infusion
* refractory septic shock at the time of randomization
* subject has any medical disease or condition that, in the opinion of the investigator, compromises the subject's safety or compromises the interpretation of results
* nursing and pregnant women
* women of childbearing potential and non-surgically sterile males
Primary outcome measure(s)
Efficacy- clinical recovery — 28 days To evaluate the effect of CAL02 administration on clinical recovery compared to placebo. The time (days) to clinical recovery will be measured, as defined by the day all disease severity criteria which led to SCABP diagnosis per protocol at randomization and any new severity criteria which occurred after randomization are resolved, and no repeat or additional severity criteria are met within 24 hours after clinical recovery.
Incidence of Treatment-Emergent Adverse Events — 28 days To evaluate the safety and tolerability of CAL02 versus placebo. The number of participants with treatment-emergent adverse events including IV infusion-related reactions, and the number of participants with study drug dosing interruptions and discontinuations will be measured.
Trial sites (90)
Facility
City
Region
Status
UCSF Hospital
Fresno
California
UF Health Shands Hospital
Gainesville
Florida
Northwestern Memorial Hospital
Chicago
Illinois
University of Nebraska Medical Center
Omaha
Nebraska
Wake Forest Baptist Health Hospital
Winston-Salem
North Carolina
Cleveland Clinic Fairview Hospital
Cleveland
Ohio
University of Texas Medical Branch
Galveston
Texas
Hospital Interzonal General de Agudo Dr Jose Pena
Bahía Blanca
Buenos Aires
Hospital Italiano de Buenos Aires
Ciudad Autonoma de Buenos Aires
Buenos Aires
Hospital Misericordia Nuevo Siglo
Córdoba
Argentina
Hospital Central
Mendoza
Argentina
Clinique Universitaire Saint Luc
Brussels
Belgium
Clinique Saint Pierre
Ottignies
Belgium
Chu-Ucl-Namur
Yvoir
Belgium
Hospital Mae de Deus
Porto Alegre
Rio Grande do Sul
Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto
São José do Rio Preto
São Paulo
Unidade de Pesquisa Clinica da Faculdade de Medicina de Botucatu
Botucatu
Brazil
Hospital do Servidor Publico Estadual
São Paulo
Brazil
Foothills Hospital Medical Centre
Calgary
Alberta
Peter Lougheed Centre
Calgary
Alberta
Rockyview General Hospital
Calgary
Alberta
South Health Campus Hospital
Calgary
Alberta
Saint Paul's Hospital
Vancouver
Canada
Pontificia Universidad Catolica de Chile
Santiago
Chile
Centro de Investigacion Clinica de la Costa SAS
Barranquilla
Colombia
Fundacion Cardioinfantil - Instituto de Cardiologia
Bogotá
Colombia
Krajska Zdravotni, a.s.
Teplice
Czechia
Krajska Zdravotni, a.s.
Ústí nad Labem
Czechia
Oblastní nemocnice Kolín, a.s., nemocnice Středočeského kraje
Zizkova
Czechia
CHD Vendee
La Roche-sur-Yon
Vendee
CHU Angers
Angers
France
Centre Hospitalier Victor Dupouy
Argenteuil
France
Hopital Nord Franche Comte
Belfort
France
Hospital Fleyriat
Bourg-en-Bresse
France
Centre Hospitalier de Dieppe
Dieppe
France
Plateforme de Biologie Hospitalo-Universitaire
Dijon
France
Hopital Raymond Poincare
Garches
France
Pole Urgences Medecine Aigue CHU de Grenoble-Alpes
Grenoble
France
Hospital Dupuytren
Limoges
France
Centre Hospitalier de Melun-Senart
Melun
France
+ 50 more sites — see the full list on the official registry below.
Official registry record
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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