Purpose

This is an Intermediate-Size Expanded Access, Open-Label Study for Use of Mino-Lok Therapy (MLT) in Combination with Systemic Antibiotics in the Treatment of Central Line Associated Bloodstream Infection. Mino-Lok may be made available for patients who otherwise do not qualify for the phase 3 clinical trial (NCT02901717 )

Condition

Eligibility

Eligible Ages
Over 12 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  1. Subject or a legally authorized representative must provide a signed informed consent form; 2. The subject should be male or female at least 12 years of age. This product has not been studied in a younger pediatric population; 3. Subject should have a bloodstream infection with no other apparent source other than the CVC that meets one of the following criteria: - A recognized single pathogen cultured from 1 or more blood cultures; OR - A common skin contaminant cultured from 2 or more blood cultures drawn on the same or consecutive calendar days from a subject with fever (>38.0 C), chills, or hypotension (systolic blood pressure <90 mmHg); Note that these criteria are based on the CDCs definition of CLABSI. Please consult the CDC website for guidance at https://www.cdc.gov/nhsn/pdfs/pscmanual/4psc_clabscurrent.pdf. 4. Subjects for whom, in the Investigator's opinion, catheter retention is reasonable or required; 5. This product has not been studied in women who are pregnant or lactating. It's effect on sperm development has also not been studied. Please consider this with female patients that are pregnant or who plan to become pregnant, or female patients who are breastfeeding. Likewise, male patients should refrain from sperm donation for 90 days following exposure to MLT. NOTE: Highly effective methods of contraception include hormonal contraceptives, intrauterine device, double-barrier method, partner sterility, or abstinence are strongly recommended.

Exclusion Criteria

Subjects who meet any of the following criteria should not be exposed to MLT: 1. Subjects with hypersensitivity or allergy to tetracycline antibiotics or edetate disodium; 2. Subjects taking disulfiram at the time of enrollment or who are expected to take disulfiram at any time during treatment with study drug; 3. The benefit of MLT in subjects with prosthetic cardiac valves, vascular grafts, pacers, automatic implantable cardioverter-defibrillator, or other non-removable vascular foreign body should be evaluated prior to exposure. The Investigator should be confident that these are not the source of infection; 4. The benefit of MLT in subjects with a deep-seated intravascular source of infection (eg, endocarditis [as evidenced by vegetations on an echocardiogram or clinical suspicion] or septic thrombosis) should be evaluated prior to exposure. The Investigator should be confident that these are not the source of infection.

Study Design

Phase
Study Type
Expanded Access

Recruiting Locations

Phoenix VA Health Care System
Phoenix, Arizona 85012

Yale University School of Medicine
New Haven, Connecticut 06510

Georgetown University Hospital
Washington D.C., District of Columbia 20007

University of Florida - Shands Hospital - Dialysis Center
Gainesville, Florida 32608

Edward Hines Jr. VA Hospital
Hines, Illinois 60141

AMG Oncology
Park Ridge, Illinois 60068

Lutheran Hospital
Park Ridge, Illinois 60068

Indiana Blood and Marrow Institute
Indianapolis, Indiana 46237

Ascension Via Christi Hospital
Wichita, Kansas 67214

University of Kentucky Medical Center
Lexington, Kentucky 40536

Anne Arundel Medical Center
Annapolis, Maryland 21401

Massachusetts General Hospital
Boston, Massachusetts 02114

St. Vincent Hospital
Worcester, Massachusetts 01608

Harper University Hospital
Detroit, Michigan 48201

Henry Ford Health Systems
Detroit, Michigan 48202

William Beaumont Hospital
Troy, Michigan 48083

VA Sierra Nevada Health Care Systems
Reno, Nevada 89502

Saint Michael's Medical Center
Newark, New Jersey 07102

University of New Mexico
Albuquerque, New Mexico 87106

Carolinas Medical Center
Charlotte, North Carolina 28203

East Carolina University
Greenville, North Carolina 27858

University of Cincinnati
Cincinnati, Ohio 45219

University Hospitals Cleveland Medical Center
Cleveland, Ohio 44106

Cleveland Clinic
Cleveland, Ohio 44195

University of Texas MD Anderson Cancer Center
Houston, Texas 77030

Salem VA Medical Center
Salem, Virginia 24153

Seattle Children's Hospital
Seattle, Washington 98105

VA Caribbean Healthcare System
San Juan, PR, Puerto Rico 00921

Manati Medical Center
Manatí, Puerto Rico

Ponce Research Institute
Ponce, Puerto Rico

More Details

Status
Available
Sponsor
Leonard-Meron Biosciences, Inc.

Study Contact

Alan Lader, Ph.D
908-967-6677
expandedaccess@citiuspharma.com

Detailed Description

This is an Intermediate-Size Expanded Access, Open-Label Study for Use of Mino-Lok Therapy (MLT) in Combination with Systemic Antibiotics in the Treatment of Central Line Associated Bloodstream Infection. Mino-Lok Therapy is being developed as an adjunctive therapy for the treatment of catheter-related or central line associated bloodstream infection (CRBSI/CLABSI) in combination with appropriate systemic antibiotic(s), to preserve central venous access and to avoid the complications and morbidities associated with catheter removal and reinsertion. This is an expanded access program (EAP). This program is designed to provide access to Mino-Lok. A physician must decide whether the potential benefit outweighs the risk of receiving an investigational therapy. To learn more about this study, please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02901717

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.