Phage Therapy: Towards a Successful Clinical Trial
- PMID: 33227949
- PMCID: PMC7699228
- DOI: 10.3390/antibiotics9110827
Phage Therapy: Towards a Successful Clinical Trial
Abstract
While phage therapy carried out as compassionate use (experimental therapy) has recently flourished, providing numerous case reports of supposedly healed patients, clinical trials aiming to formally prove their value in accord with current regulatory requirements have failed. In light of the current issue of increasing antibiotic resistance, the need for a final say regarding the place of phage therapy in modern medicine is evident. We analyze the possible factors that may favor success or lead to the failure of phage therapy: quality of phage preparations, their titer and dosage, as well as external factors that could also contribute to the outcome of phage therapy. Hopefully, better control of these factors may eventually bring about long-awaited positive results.
Keywords: antibiotic resistance; clinical trial; phage therapy.
Conflict of interest statement
A. Górski, R. Międzybrodzki and J. Borysowski are co-inventors of patents owned by the Hirszfeld Institute of Immunology and Experimental Therapy.
Similar articles
-
Phage Therapy: Combating Infections with Potential for Evolving from Merely a Treatment for Complications to Targeting Diseases.Front Microbiol. 2016 Sep 26;7:1515. doi: 10.3389/fmicb.2016.01515. eCollection 2016. Front Microbiol. 2016. PMID: 27725811 Free PMC article. Review.
-
Phage Therapy in the Postantibiotic Era.Clin Microbiol Rev. 2019 Jan 16;32(2):e00066-18. doi: 10.1128/CMR.00066-18. Print 2019 Apr. Clin Microbiol Rev. 2019. PMID: 30651225 Free PMC article. Review.
-
Exploring the whole standard operating procedure for phage therapy in clinical practice.J Transl Med. 2019 Nov 14;17(1):373. doi: 10.1186/s12967-019-2120-z. J Transl Med. 2019. PMID: 31727099 Free PMC article. Review.
-
Phage Therapy: A Renewed Approach to Combat Antibiotic-Resistant Bacteria.Cell Host Microbe. 2019 Feb 13;25(2):219-232. doi: 10.1016/j.chom.2019.01.014. Cell Host Microbe. 2019. PMID: 30763536 Review.
-
Bacteriophage Therapy: Clinical Trials and Regulatory Hurdles.Front Cell Infect Microbiol. 2018 Oct 23;8:376. doi: 10.3389/fcimb.2018.00376. eCollection 2018. Front Cell Infect Microbiol. 2018. PMID: 30406049 Free PMC article. Review.
Cited by
-
The Age of Phage: Friend or Foe in the New Dawn of Therapeutic and Biocontrol Applications?Pharmaceuticals (Basel). 2021 Feb 28;14(3):199. doi: 10.3390/ph14030199. Pharmaceuticals (Basel). 2021. PMID: 33670836 Free PMC article. Review.
-
The promising role of bacteriophage therapy in managing total hip and knee arthroplasty related periprosthetic joint infection, a systematic review.J Exp Orthop. 2023 Feb 14;10(1):18. doi: 10.1186/s40634-023-00586-z. J Exp Orthop. 2023. PMID: 36786898 Free PMC article. Review.
-
How Good are Bacteriophages as an Alternative Therapy to Mitigate Biofilms of Nosocomial Infections.Infect Drug Resist. 2022 Feb 17;15:503-532. doi: 10.2147/IDR.S348700. eCollection 2022. Infect Drug Resist. 2022. PMID: 35210792 Free PMC article. Review.
-
Novel Phage-Derived Depolymerase with Activity against Proteus mirabilis Biofilms.Microorganisms. 2021 Oct 19;9(10):2172. doi: 10.3390/microorganisms9102172. Microorganisms. 2021. PMID: 34683494 Free PMC article.
-
The Biotechnological Application of Bacteriophages: What to Do and Where to Go in the Middle of the Post-Antibiotic Era.Microorganisms. 2023 Sep 13;11(9):2311. doi: 10.3390/microorganisms11092311. Microorganisms. 2023. PMID: 37764155 Free PMC article. Review.
References
-
- Leitner L., Ujmajuridze A., Chanishvili N., Goderdzishvili M., Chkonia I., Rigvava S., Chkhotua A., Changashvili G., McCallin S., Schneider M.P., et al. Intravesical bacteriophages for treating urinary tract infections in patients undergoing transurethral resection of the prostate: A randomised, placebo-controlled, double-blind clinical trial. Lancet Infect. Dis. 2020:1473. doi: 10.1016/S1473-3099(20)30330-3. - DOI - PubMed
-
- Alam Sarker S., Sultana S., Reuteler G., Moine D., Descombes P., Charton F., Bourdin G., McCallin S., Ngom-Bru C., Neville T., et al. Oral Phage Therapy of Acute Bacterial Diarrhea With Two Coliphage Preparations: A Randomized Trial in Children From Bangladesh. EBioMedicine. 2016;4:124–137. doi: 10.1016/j.ebiom.2015.12.023. - DOI - PMC - PubMed
-
- Jault P., Leclerc T., Jennes S., Pirnay J.-P., Que Y.-A., Resch G., Rousseau A.F., Ravat F., Carsin H., Le Floch R., et al. Efficacy and tolerability of a cocktail of bacteriophages to treat burn wounds infected by Pseudomonas aeruginosa (PhagoBurn): A randomised, controlled, double-blind phase 1/2 trial. Lancet Infect. Dis. 2019;19:35–45. doi: 10.1016/S1473-3099(18)30482-1. - DOI - PubMed
LinkOut - more resources
Full Text Sources
Other Literature Sources