Clinical Trial to Demonstrate the Safety and Efficacy of DUOFAG®

2025-522752-45-00 Protocol DUO2025_01 Phase II and Phase III (Integrated) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 2 sites · Protocol DUO2025_01

Overview

Sponsor-declared trial summary

Phase Phase II and Phase III (Integrated)
Status Authorised, recruitment pending
Participants planned 100
Countries 1
Sites 2

Complicated skin wounds (wounds healing per secundam via granulation tissue) - either as a complication of healing of acute wounds (infected surgical or traumatic wounds) or chronic wounds, in both cases infected with S. aureus and/or P. aeruginosa.

To demonstrate safety and efficiency of IMP – reduction of presence or to achieve complete eradication of S. aureus and/or P. aeruginosa during 14 days of IMP application, evaluated by the wound swab and stamp examination.

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] - Bacterial Infections and Mycoses [C01], Diseases [C] - Skin and Connective Tissue Diseases [C17]
Decision date (initial)
2026-02-09
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Therapy, Safety

To demonstrate safety and efficiency of IMP – reduction of presence or to achieve complete eradication of S. aureus and/or P. aeruginosa during 14 days of IMP application, evaluated by the wound swab and stamp examination.

Secondary objectives 2

  1. To evaluate changes in the skin wound status during 6-week period after the commencement of IMP application or until the wound is completely healed.
  2. To assess subject compliance with home administration of IMP.

Conditions and MedDRA coding

Complicated skin wounds (wounds healing per secundam via granulation tissue) - either as a complication of healing of acute wounds (infected surgical or traumatic wounds) or chronic wounds, in both cases infected with S. aureus and/or P. aeruginosa.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 7

  1. Subject with acute wound (surgical site or traumatic wound) infection and/or subject with complicated wound (chronic wound or complication of acute wound) infection
  2. A wound infected with S. aureus and/or P. aeruginosa as determined by a wound swab
  3. Strain isolated from wound swab is susceptible to IMP (as assessed by local laboratory)
  4. Subject aged 18 to 80 years
  5. No contraindications to the planned medication
  6. Subject has provided written Informed consent and is willing and able to comply with the trial requirements
  7. A man or woman who can no longer conceive a child (at menopause or after removal of the uterus and/or ovaries) or a woman who has a negative pregnancy test at the first visit and agrees to use an effective method of contraception

Exclusion criteria 11

  1. Condition after organ or bone marrow transplantation
  2. Wound infection with an epidemiologically serious bacterial strain other than S. aureus or P. aeruginosa
  3. Malignancy treatment <1 year prior to the Baseline visit
  4. Pregnant women or women planning to become pregnant during the clinical trial
  5. Women who are breastfeeding
  6. Hypersensitivity to the IMP or placebo component
  7. Subject with acute or chronic renal failure requiring dialysis
  8. Subject undergoing immunosuppressive therapy (excluding conventional doses of corticosteroids)
  9. Subject is incarcerated, mentally incompetent, or abusing drugs or alcohol
  10. Subject is participating in another clinical trial evaluating a drug or medical device that has not completed evaluation of the primary endpoints
  11. Subject has other comorbidities or pathologies that, in the opinion of the Investigator, preclude the subject from participating in the clinical trial

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 3

  1. Safety: frequency of all serious (local and systemic) adverse reactions and events (see description in the relevant chapter) suspected or confirmed to be related to IMP administration during the IMP administration phase (0-14 days)
  2. Efficiency (1): presence of S. aureus and/or P. aeruginosa colonies on wound swabs over the period of IMP application
  3. Efficiency (2): number of S. aureus and/or P. aeruginosa colonies on wound swabs over the period of IMP application

Secondary endpoints 5

  1. Occurrence and frequency of all (local and systemic) adverse reactions during the treatment and follow-up phase with a suspected or confirmed relatedness to IMP administration
  2. Change in mLUMT score during the treatment and follow-up phase
  3. Time from the start of IMP administration to the point of bacterial infection eradication - negative swab for S. aureus and/or P. aeruginosa
  4. Time from the start of IMP administration until complete wound healing (if this occurs during treatment or follow-up phase)
  5. Evaluation of possible differences in efficacy in inpatient and outpatient settings

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
Max daily dose
50000000000 PFU plaque forming unit
Max total dose
700000000000 PFU plaque forming unit
Max treatment duration
2 Week(s)
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 ON WOUND
Max daily dose
1 ml millilitre(s)
Max total dose
15 ml millilitre(s)
Max treatment duration
2 Week(s)
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 · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Czechia Authorised, recruitment pending 100 2
Rest of world 0

Investigational sites

Czechia

2 sites · Authorised, recruitment pending
Fakultni Nemocnice U Sv Anny V Brne
I. ortopedická klinika, Pekarska 53, Stare Brno, Brno-Stred
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 15 files

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

TypeTitleVersion
Protocol (for publication) DUO2025_01_Clinical trial protocol_v 1_17Jun2025_publication 1
Protocol (for publication) DUOFAG II_Clinical trial protocol_V 1 1_15Dec2025_clean_publication 1.1
Protocol (for publication) DUOFAG II_Clinical trial protocol_V 1 2_22Jan2026_clean_publication 1.2
Protocol (for publication) DUOFAG II_Clinical trial protocol_V 1 3_02Feb2026_clean_publication 1.3
Recruitment arrangements (for publication) DUO2025_01_Site 01_Recruitment Arrangements_Staffa 18Jun2025 1
Recruitment arrangements (for publication) DUO2025_01_Site02_Recruitment Arrangements_Mahdal 18Jun2025 1
Subject information and informed consent form (for publication) DUO2025_01_Informace o ochrane osobnich udaju GDPR_v 1_18Sep2025 CZ_template 1
Subject information and informed consent form (for publication) DUO2025_01_Informace pro pacienta a informovany souhlas_v 1_18Sep2025 CZ_template 1
Subject information and informed consent form (for publication) DUO2025_01_Karticka pacienta_v 1 CZ_11Jul2025 1
Subject information and informed consent form (for publication) DUO2025_01_Navod k pouziti_v 1 CZ_11Jul2025 1
Subject information and informed consent form (for publication) DUO2025_01_Zaznamovy arch_v 1 CZ_11Jul2025 1
Synopsis of the protocol (for publication) DUO2025_01_Protocol Synopsis_v 1 1_CZ_15Dec2025_clean_publication 1.1
Synopsis of the protocol (for publication) DUO2025_01_Protocol Synopsis_v 1 2_CZ_22Jan2026_clean_publication 1.2
Synopsis of the protocol (for publication) DUO2025_01_Protocol Synopsis_v 1 3_CZ_02Feb2026_clean_publication 1.3
Synopsis of the protocol (for publication) DUO2025_01_Protocol Synopsis_v 1 CZ_17Jun2025_publication 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-10-06 Czechia Acceptable with conditions
2026-02-09
2026-02-09