Evaluation of the efficacy of treatment with autovaccines vs antibiotic treatment in subjects with hip or knee prosthesis infections.

2024-520226-10-00 Protocol VACAB-2022 Therapeutic confirmatory (Phase III) Authorised, recruiting

Start 17 Feb 2025 · Status Authorised, recruiting · 1 EU/EEA countries · 1 sites · Protocol VACAB-2022

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Authorised, recruiting
Participants planned 20
Countries 1
Sites 1

Patients with hip or knee infections

To study in patients with joint prosthesis infection with non-curative intent the clinical relevance of autovaccines administered through the sublingual mucosa in decreasing clinical symptoms and/or progression of infection.

Key facts

Sponsor
Instituto De Investigacion Marques De Valdecilla
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Bacterial Infections and Mycoses [C01]
Trial duration
17 Feb 2025 → ongoing
Decision date (initial)
2025-01-23
Transition trial
Yes
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-520226-10-00
EudraCT number
2022-004192-16

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety

To study in patients with joint prosthesis infection with non-curative intent the clinical relevance of autovaccines administered through the sublingual mucosa in decreasing clinical symptoms and/or progression of infection.

Secondary objectives 4

  1. To compare the efficacy of autovaccines against TAS in joint prosthesis infections with non-curative treatment intention
  2. To evaluate patient satisfaction and tolerance to treatment with oral autovaccines.
  3. To compare the side effects of autovaccines versus TAS.
  4. To study the impact of the different non-curative surgical approaches performed (acute IPA without replacement of mobile parts, chronic IPA with partial replacement of components...) prior to adjuvant medical treatment with autovaccines versus TAS

Conditions and MedDRA coding

Patients with hip or knee infections

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Patients over 18 years of age
  2. Carriers of hip or knee prosthesis, diagnosed with an active infection
  3. Without the possibility of curative treatment
  4. Patients who sign the informed consent form
  5. Monomicrobial infections

Exclusion criteria 5

  1. Patients with the possibility of curative treatment
  2. Patients under 18 years of age
  3. Polymicrobial infections
  4. Fungal or mycobacterial infections
  5. Patients with oral corticosteroids with doses higher than 5 mg/day in the three months prior to inclusion

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Clinical course: Presence of exudate, redness of the wound, pain, or other clinical signs of infection.

Secondary endpoints 1

  1. Safety assessment: local and systemic adverse events

Investigational products

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

Test 1

Sodium Chloride Solution 0.9%

SUB20079 · Substance

Active substance
Sodium Chloride Solution 0.9%
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
SUBLINGUAL USE
Max daily dose
300 U unit(s)
Max total dose
300 U unit(s)
Max treatment duration
9 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comparator 9

Amoxicillin Sodium

SCP10330863 · ATC

Active substance
Amoxicillin Sodium
Route of administration
ORAL USE
Max daily dose
3000 mg milligram(s)
Max total dose
1000 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
J01CA04 — AMOXICILLIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ambroxol Hydrochloride

SCP110321403 · ATC

Active substance
Ambroxol Hydrochloride
Substance synonyms
TRANS-4-[(2-AMINO-3,5-DIBROMOBENZYL) AMINO] CYCLOHEXANOL HYDROCHLORIDE
Route of administration
ORAL USE
Max daily dose
200 mg milligram(s)
Max total dose
100 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
J01AA02 — DOXYCYCLINE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Clindamycin Hydrochloride

SCP1004780 · ATC

Active substance
Clindamycin Hydrochloride
Route of administration
ORAL USE
Max daily dose
2400 mg milligram(s)
Max total dose
300 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
J01FF01 — CLINDAMYCIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Bromhexine Hydrochloride

SCP1166649 · ATC

Active substance
Bromhexine Hydrochloride
Route of administration
ORAL USE
Max daily dose
1600 mg milligram(s)
Max total dose
800 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
J01EE01 — SULFAMETHOXAZOLE AND TRIMETHOPRIM
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Metronidazole

SCP108791777 · ATC

Active substance
Metronidazole
Route of administration
ORAL USE
Max daily dose
1500 mg milligram(s)
Max total dose
500 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
P01AB01 — METRONIDAZOLE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ciprofloxacin Hydrochloride

SCP12479042 · ATC

Active substance
Ciprofloxacin Hydrochloride
Route of administration
ORAL USE
Max daily dose
1500 mg milligram(s)
Max total dose
750 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
J01MA02 — CIPROFLOXACIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Amoxicillin Sodium

SCP109545371 · ATC

Active substance
Amoxicillin Sodium
Route of administration
ORAL USE
Max daily dose
500 mg milligram(s)
Max total dose
1600 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
J01CR02 — AMOXICILLIN AND BETA-LACTAMASE INHIBITOR
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Linezolid

SCP13835914 · ATC

Active substance
Linezolid
Route of administration
ORAL USE
Max daily dose
1200 mg milligram(s)
Max total dose
600 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
J01XX08 — LINEZOLID
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Clotrimazole

SCP1086356 · ATC

Active substance
Clotrimazole
Route of administration
ORAL USE
Max daily dose
400 mg milligram(s)
Max total dose
200 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
J02AC01 — FLUCONAZOLE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Instituto De Investigacion Marques De Valdecilla

4 Total trials 2 Recruiting
Academic / Non-commercial
Sponsor organisation
Instituto De Investigacion Marques De Valdecilla
Address
Avenida Del Cardenal Herrera Oria S/n
City
Santander
Postcode
39011
Country
Spain

Scientific contact point

Organisation
Instituto De Investigacion Marques De Valdecilla
Contact name
mar garcia

Public contact point

Organisation
Instituto De Investigacion Marques De Valdecilla
Contact name
mar garcia

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Authorised, recruiting 20 1
Rest of world 0

Investigational sites

Spain

1 site · Authorised, recruiting
Hospital Universitario Marques De Valdecilla
disease infection, Avenida Valdecilla Sn, 39008, Santander

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2025-02-17

Results and documents

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

Documents 12 files

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

TypeTitleVersion
Protocol (for publication) D_1 Protocol_2024-520226-10-00 1
Recruitment arrangements (for publication) Doc1 1
Subject information and informed consent form (for publication) L1_SIS and ICF adults 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC Autovacuna 1
Summary of Product Characteristics (SmPC) (for publication) SmPC_amoxicilina-clavulanico 1
Summary of Product Characteristics (SmPC) (for publication) SmPC_amoxilicina 1
Summary of Product Characteristics (SmPC) (for publication) SmPC_ciprofloxacino 1
Summary of Product Characteristics (SmPC) (for publication) SmPC_clindamicina 1
Summary of Product Characteristics (SmPC) (for publication) SmPC_clotrimoxazol 1
Summary of Product Characteristics (SmPC) (for publication) SmPC_doxiciclina 1
Summary of Product Characteristics (SmPC) (for publication) SmPC_fluconazol 1
Summary of Product Characteristics (SmPC) (for publication) SmPC_metronidazol 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-01-17 Spain Acceptable
2025-01-23
2025-01-23