Title

Safety, Pharmacokinetics and Efficacy of KBSA301 in Severe Pneumonia (S. Aureus)
A Randomized, Double-blind, Placebo-controlled, Single Ascending Dose Study to Assess the Safety, Pharmacokinetics, Efficacy and Pharmacodynamics of KBSA301 in Severe Pneumonia (S. Aureus)
  • Phase

    Phase 1/Phase 2
  • Study Type

    Interventional
  • Intervention/Treatment

    kbsa301 ...
  • Study Participants

    48
The objectives of this study are to assess the safety, tolerability, pharmacokinetics, pharmacodynamics and clinical outcome of patients who have severe pneumonia caused by Staphylococcus aureus (S. aureus) after a single intravenous administration of KBSA301 in addition of standard of care antibiotic treatment.
S. aureus is a leading cause of bloodstream, skin, soft tissue, and lower respiratory tract infections worldwide. The frequencies of both nosocomial and community-acquired S. aureus infections have increased steadily over the years and the treatment of these infections has become more challenging due to the emergence of multi-drug resistant strains (e.g. methicillin-resistant Staphylococcus aureus).

S. aureus has several virulence factors that contribute to the pathogenesis of the infection. Amongst them, alpha-toxin that is involved in the pathogenesis of pneumonia, as it leads to apoptosis and cell lysis, in particular lymphocytes, macrophages, alveolar epithelial cells, pulmonary endothelium, and thrombocytes.

In spite of preventive measures for S. aureus infections and current medical treatment (mostly antibiotic therapy, alone or in combination), there is a clear unmet medical need in the clinic for additional treatment options. Passive immunotherapy with monoclonal antibodies may improve treatment options for severe and life-threatening infections like those caused by S. aureus.
Study Started
May 31
2012
Primary Completion
May 31
2016
Study Completion
Sep 30
2016
Results Posted
Apr 08
2020
Last Update
Apr 24
2020

Drug KBSA301

KBSA301 administered as a single intravenous infusion at dose 1, 2, 3 and 4.

  • Other names: AR301

Drug Placebo

Placebo administered as a single intravenous infusion

  • Other names: Placebo KBSA301

KBSA301, a monoclonal antibody dose 1 Experimental

1 mg/kg KBSA301

KBSA301, a monoclonal antibody dose 2 Experimental

3 mg/kg KBSA301

KBSA301, a monoclonal antibody dose 3 Experimental

10 mg/kg KBSA301

KBSA301, a monoclonal antibody dose 4 Experimental

20 mg/kg KBSA301

Placebo Experimental

KBSA301-placebo

Criteria

Inclusion Criteria:

Adult male or female patients ≥ 18 years and ≤ 70 years of age
Severe pneumonia caused by S. aureus (either methicillin-resistant or methicillin-sensitive) managed in an ICU
APACHE II of ≤30 at the time of diagnosis
Identification of S. aureus
Written informed consent provided by the patient, the relatives or the designated trusted person and/or according to local guidelines

Exclusion Criteria:

Women of child bearing potential are excluded from the participation from the study unless they have a negative pregnancy test at baseline and during the course of the study. Postmenopausal women or females that have been surgically sterilized are allowed to participate.
Hypersensitivity to excipients or to any prescribed medication
Severe neutropenia, lymphoma or anticipated chemotherapy
Patients who have long-term tracheostomy
Current or recent investigational drug (within 30 days of enrollment, or 5 half-lives of the investigational compound, whichever is longer)
Presence of meningitis, endocarditis, or osteomyelitis
Acquired immune deficiency syndrome (AIDS) with cluster of differentiation 4 (CD4) count <200 cells/ml
Known bronchial obstruction or a history of post-obstructive pneumonia.
Active primary lung cancer or another malignancy metastatic to the lungs
Cystic fibrosis, known or suspected Pneumocystis jiroveci pneumonia, or known or suspected active tuberculosis
Immunosuppressive therapy
Liver function deficiency
Moribund clinical condition

Summary

KBSA301, a Monoclonal Antibody Dose 1

KBSA301, a Monoclonal Antibody Dose 2

KBSA301, a Monoclonal Antibody Dose 3

KBSA301, a Monoclonal Antibody Dose 4

Placebo

All Events

Event Type Organ System Event Term KBSA301, a Monoclonal Antibody Dose 1 KBSA301, a Monoclonal Antibody Dose 2 KBSA301, a Monoclonal Antibody Dose 3 KBSA301, a Monoclonal Antibody Dose 4 Placebo

Efficacy Endpoint: All-Cause Mortality by Day 28

A summary of the number (%) of patients who died on or before Day 28 (mITT population) is provided, by treatment group and overall.

KBSA301, a Monoclonal Antibody Dose 1

KBSA301, a Monoclonal Antibody Dose 2

KBSA301, a Monoclonal Antibody Dose 3

KBSA301, a Monoclonal Antibody Dose 4

Placebo

All Treatment Group

Efficacy: All-Cause Mortality (End Of Study [EOS])

A summary of the number (%) of patients who died on or before timepoints Day EOS (mITT population) is provided, by treatment group (overall) and placebo.

KBSA301, a Monoclonal Antibody Dose 1

KBSA301, a Monoclonal Antibody Dose 2

KBSA301, a Monoclonal Antibody Dose 3

KBSA301, a Monoclonal Antibody Dose 4

Placebo

Efficacy: All-Cause Mortality (Day 14)

A summary of the number (%) of patients who died on or before timepoints Day 14 visit (mITT population) is provided, by treatment group (overall) and placebo.

KBSA301, a Monoclonal Antibody Dose 1

KBSA301, a Monoclonal Antibody Dose 2

KBSA301, a Monoclonal Antibody Dose 3

KBSA301, a Monoclonal Antibody Dose 4

Placebo

Efficacy: All-Cause Mortality (Day 7)

A summary of the number (%) of patients who died on or before timepoints Day 7 visit (mITT population) is provided, by treatment group (overall) and placebo.

KBSA301, a Monoclonal Antibody Dose 1

KBSA301, a Monoclonal Antibody Dose 2

KBSA301, a Monoclonal Antibody Dose 3

KBSA301, a Monoclonal Antibody Dose 4

Placebo

Efficacy: All-Cause Mortality (Day 21)

A summary of the number (%) of patients who died on or before timepoints Day 21 visit (mITT population) is provided, by treatment group (overall) and placebo.

KBSA301, a Monoclonal Antibody Dose 1

KBSA301, a Monoclonal Antibody Dose 2

KBSA301, a Monoclonal Antibody Dose 3

KBSA301, a Monoclonal Antibody Dose 4

Placebo

Total

48
Participants

Age, Continuous

56.6
years (Mean)
Standard Deviation: 14.77

APACHE II Score

18.7
units on a scale (score) (Mean)
Standard Deviation: 4.48

BMI

29.0
kg/m^2 (Mean)
Standard Deviation: 6.32

CPIS Score

9.6
units on a scale (score) (Mean)
Standard Deviation: 1.58

Pa02/Fi02 Ratio

147.8
ratio (Mean)
Standard Deviation: 41.32

SOFA Score

6.9
units on a scale (score) (Mean)
Standard Deviation: 2.62

Age, Categorical

Race (NIH/OMB)

Region of Enrollment

Sex: Female, Male

Type of Pneumonia

Type of S. aureus Infection

Overall Study

KBSA301, a Monoclonal Antibody Dose 1

KBSA301, a Monoclonal Antibody Dose 2

KBSA301, a Monoclonal Antibody Dose 3

KBSA301, a Monoclonal Antibody Dose 4

Placebo

Drop/Withdrawal Reasons

KBSA301, a Monoclonal Antibody Dose 1

KBSA301, a Monoclonal Antibody Dose 2

KBSA301, a Monoclonal Antibody Dose 3

KBSA301, a Monoclonal Antibody Dose 4

Placebo