Clinical Trial to Demonstrate the Safety and Efficacy of DUOFAG®

2024-518307-22-01 Protocol DUO2022_01 Phase I and Phase II (Integrated) - First administration to humans Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites · Protocol DUO2022_01

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - First administration to humans
Status Authorised, recruitment pending
Participants planned 52
Countries 1
Sites 1

Surgical wound infection/dehiscence caused by S. aureus and/or P. aeruginosa colonization

The primary objective of the study is to demonstrate the safety of the product and the clinical and microbiological change within 10 weeks after the start of treatment or until healing.

Key facts

Sponsor
MB PHARMA s.r.o.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Skin and Connective Tissue Diseases [C17], Diseases [C] - Bacterial Infections and Mycoses [C01]
Decision date (initial)
2024-12-05
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-518307-22-01
EudraCT number
2022-002412-23
ClinicalTrials.gov
NCT06319235

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Safety, Efficacy

The primary objective of the study is to demonstrate the safety of the product and the clinical and microbiological change within 10 weeks after the start of treatment or until healing.

Secondary objectives 1

  1. To demonstrate the microbiological effect on the bacterial population in the wound.

Conditions and MedDRA coding

Surgical wound infection/dehiscence caused by S. aureus and/or P. aeruginosa colonization

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2024-518307-22-00 A prospective, randomized, double-blind, placebo-controlled Phase I/IIa Clinical Trial to demonstrate the safety and efficacy of DUOFAG® in bacterial infection treatment in patients with surgical wounds MB PHARMA s.r.o.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 9

  1. Patients with surgical wound infection and/or dehiscence
  2. Wound infected by S. aureus and/or P. aeruginosa according to wound swab.
  3. Wound in the groin or any other skin fold as per Investigator’s discretion.
  4. Signed Informed Consent Form, approved by the EC and CA
  5. The age between 18 and 75 years.
  6. Patients able and willing to comply with study procedures.
  7. There are no contraindications for planned concomitant medication.
  8. Persisting symptoms of bacterial infection < 3 weeks since the surgery.
  9. Women of childbearing potential must take highly effective contraceptive measures since the study start and one month after the treatment administration at a minimum.

Exclusion criteria 10

  1. History of an organ or bone marrow transplantation.
  2. Any autoimmune disease
  3. Uncompensated diabetes mellitus, confirmed by the concentration of HbA1c >60 mmol/mol (6%).
  4. Systematic immunosuppressive therapy.
  5. Malignancy treatment <1 year before the Baseline visit.
  6. COVID-19 infection <3 months before the Baseline visit, any signs of post-COVID syndrome.
  7. Pregnancy or planning to become pregnant during the study.
  8. Breastfeeding.
  9. Participation in another clinical study.
  10. Hypersensitivity to the IMP or placebo.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. For Cohort 1: The endpoint will be the frequency of all (local and systemic) reactions with suspected or confirmed relation to IMP.
  2. For pooled Cohorts 1 & 2: Time to commencement of healing. The commencement of healing is defined as the composite measure when both the following conditions must be true: the granulation process in the wound has started, as indicated by the score ≤ 2 in each of the 3 items A8 – A10 of the mLUMT scale, the S. aureus and/or P. aeruginosa infection has been eradicated, i.e., the swab sample is negative on both S. aureus and P. aeruginosa.

Secondary endpoints 3

  1. Safety endpoints: The frequency of the following symptoms following the IMP application will be evaluated: • local reactions (local rash onset, local sensations, worsening of local inflammatory signs, discharge) • systemic reactions (vital signs reactions, fever, rash, arthralgia, gastrointestinal symptoms).
  2. Microbiological endpoints: Change of the microbiological profile of the wound assessed by swab (maximum 8 assessment points).
  3. Clinical efficacy endpoints: mLUMT total score change since Baseline; Time since the start of the study treatment until the bacterial infection eradication – i. e. the swab sample is negative on S. aureus and/or P. aeruginosa; Time since the start of the study treatment until the granulation process in the wound has started, as indicated by the score ≤ 2 in all 3 items A8 – A10 of the mLUMT scale; Time since the start of the study treatment until the wound is closed as assessed by Investigator.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Duofag

PRD12683172 · Product

Active substance
Kayvirus Dsm 33474
Substance synonyms
Kayvirus MB403, MB403
Pharmaceutical form
CUTANEOUS SOLUTION
Route of administration
TOPICAL APPLICATION ON WOUND
Authorisation status
Not Authorised
MA holder
MB PHARMA S.R.O.
Paediatric formulation
No
Orphan designation
No

Placebo 1

Chlorid sodný B. Braun 0,9 % infuzní roztok

PRD563999 · Product

Active substance
Sodium Chloride
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
TOPICAL APPLICATION
Authorisation status
Authorised
ATC code
B05BB01 — ELECTROLYTES
Marketing authorisation
76/847/92-B/C
MA holder
B.BRAUN MELSUNGEN AG
MA country
Czech Republic
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Original product is distributed into the 20 ml vials with 15 ml of product (same as used for the test product) under sterile conditions.

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

MB PHARMA s.r.o.

2 Total trials
Commercial
Sponsor organisation
MB PHARMA s.r.o.
Address
Rubesova 72/9, Vinohrady Vinohrady
City
Prague
Postcode
120 00
Country
Czechia

Scientific contact point

Organisation
MB PHARMA s.r.o.
Contact name
Dana Stverakova

Public contact point

Organisation
MB PHARMA s.r.o.
Contact name
Dana Stverakova

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Czechia Authorised, recruitment pending 52 1
Rest of world 0

Investigational sites

Czechia

1 site · Authorised, recruitment pending
Fakultni Nemocnice U Sv Anny V Brne
II. chirurgická klinika, Pekarska 53, Stare Brno, Brno-Stred

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 7 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) DUO2022_01_Clinical trial protocol_01Aug2025_clean_publication 1
Recruitment arrangements (for publication) Investigator agreement_Staffa 10oct2023 1
Recruitment arrangements (for publication) Organizace naboru 1
Subject information and informed consent form (for publication) DUO2022_01-ICF Cohort II_V1 28May 2025_CLEAN 1
Subject information and informed consent form (for publication) DUO2022_01-ICF Cohort II_V1 28May 2025_TRACKED 1
Subject information and informed consent form (for publication) DUOFAG_ICF 1
Synopsis of the protocol (for publication) DUO2022_01_Protocol synopsis_01Aug2025_clean_publication 1

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-11-19 Czechia Acceptable
2024-12-02
2024-12-05
2 SUBSTANTIAL MODIFICATION SM-1 2025-05-29 Czechia Acceptable 2025-06-12
3 SUBSTANTIAL MODIFICATION SM-2 2025-08-01 Czechia Acceptable
2025-10-15
2025-10-15