ClinicalTrials.gg
TerminatedNCT05177107DANCEUpdated Aug 19, 2025

Bacteriophage Therapy in Patients With Diabetic Foot Osteomyelitis

A Phase 2 interventional study of Bacteriophage Therapy and Placebo in Osteomyelitis and Diabetic Foot Osteomyelitis, sponsored by Adaptive Phage Therapeutics, Inc.. Terminated at 15 sites in United States. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2025-08-19.

Sponsored by Adaptive Phage Therapeutics, Inc. · Phase 2, Interventional, and Treatment

Why this study was terminated
Study reached minimum enrollment threshold

From the registry’s dates

  • Primary completion was Jan 2025, 1 year 9 months ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
41
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

This is a phase 2b randomized trial designed to evaluate bacteriophage therapy in subjects with diabetic foot osteomyelitis.

Read the detailed description

This study will evaluate the safety and efficacy of bacteriophage therapy in subjects with diabetic foot osteomyelitis (DFO). Enrolled subjects will have osteomyelitis infections due to Staph aureus. This study will include eligible subjects who have undergone or are planning to undergo surgical debridement of DFO.

02

Conditions studied

  • Osteomyelitis
  • Diabetic Foot Osteomyelitis

Keywords

  • Diabetes
  • Osteomyelitis
  • Foot Infection
  • Phage Treatment
  • Bacteriophage
  • Phage
  • Bone Infection
03

In context

Osteomyelitis

105 studies on the registry are indexed under Osteomyelitis; 30 are open to participants now.

This study's enrollment of 41 is below the median of 74 across 60 interventional studies indexed under Osteomyelitis.

Browse Osteomyelitis studies →

Lead sponsor

Adaptive Phage Therapeutics, Inc. is the lead sponsor of 6 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female ≥18 to \<85 years of age.
  • Ongoing diagnosis of diabetes.
  • Have undergone or are scheduled to undergo surgical debridement for DFO as part of SoC, with the associated bone culture positive for S. aureus
  • Availability of at least 1 matching phage for S. aureus cultured from the bone culture
  • Receiving SoC treatment for DFO, including antibiotics after debridement and before randomization
  • Meet defined study ulcer requirements as defined in the protocol
  • Adequate circulation to the affected extremity demonstrated within 3 months prior to randomization and no revascularization procedure anticipated
  • History of compliance with prior appointments and treatments in the investigator's opinion and willingness to receive and comply with SOC antimicrobial and clinical treatments for the study ulcer, including offloading

Exclusion criteria

Exclusion Criteria:

  • Healing of the ulcer by more than 30% between screening and randomization.
  • Treated with hyperbaric oxygen or cellular/tissue products with 30 days of screening
  • Suspicion of neoplasm associated with the study ulcer or any non-study diabetic ulcer independent of result.
  • Presence of any cellulitis not localized to the study ulcer.
  • Indwelling hardware at the site of the DFO.
  • Body weight \<50 kg.
  • Presence of above ankle ulcer, with >50% above medial malleolus
  • \< 7g/dL
  • Abnormal liver function tests
  • History of underlying liver disease at screening or within last 3 months
  • Positive test for -1 and /or HIV-2
  • Any other or severe disease that in the judgment of the investigator makes the patient unfit for the study or likely to withdraw prematurely from the study, or that could jeopardize the safety of the patient or confound the results of the study.
  • Known allergy to phage products.
  • Pregnant and/or breastfeeding.
  • at screening in the judgment of the investigator.
  • Taking any systemic or topical antibacterial antibiotic within 2 weeks prior to the start of study treatment, for a condition other than Diabetic Foot Infection and DFO.
  • Taking any antiviral medication within 2 weeks prior to the start of study treatment and up through the last administration of study treatment.
  • Taking and/or receiving any therapies for the study ulcer that are not considered to be SOC.
  • More than 30 days has elapsed between screening and randomization (start of treatment)
  • Participating in another clinical trial within 4 weeks prior to screening.
  • Inability to obtain or provide or adhere to the protocol in the judgment of the investigator.
  • Once approximately 30% of subjects are enrolled with DFO involving digits, additional subjects will be excluded.
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
41 participants (actual)

Study arms

  • Experimental
    Group 1: Phage Therapy

    Bacteriophage therapy will be personalized for each patient dependent on phage susceptibility testing

    Biological: Bacteriophage Therapy

  • Placebo comparator
    Group 2: Placebo

    Placebo (normal saline) will be administered using the same schedule and techniques as for Group 1 (phage therapy).

    Other: Placebo

Interventions

  • BiologicalBacteriophage Therapy

    Bacteriophage therapy will be personalized for each patient dependent on phage susceptibility testing

  • OtherPlacebo

    Placebo (normal saline)

06

What researchers measure

Primary outcomes

  1. Percent area reduction of study ulcer through Week 13

    Percent area reduction of the study ulcer surface area from baseline through Week 13

    Time frame: Baseline through Week 13

Secondary outcomes

  1. Complete healing of the study ulcer

    Time to complete healing of the ulcer at any time point during the study

    Time frame: Baseline through Week 13

  2. Time to 85% reduction of C-reactive protein (CRP)

    Time to 85% reduction of CRP at any time point during the study

    Time frame: Baseline through Week 13

  3. Microbiological eradication of the target pathogen

    Percentage of patients with microbiological eradication of the target pathogen at each time point during the study.

    Time frame: baseline through Week 13

Other outcomes

  1. Treatment-emergent AEs due to phage therapy

    Number and percent of treatment-emergent Adverse Events

    Time frame: baseline through Week 12

07

Study locations

15 sites
  • Southern Arizona VA Health Care System
    Tuscon, Arizona 85723, United States
  • NorthBay Healthcare
    Fairfield, California 94534, United States
  • Harbor Hospital / UCLA
    Torrance, California 90502, United States
  • Rocky Mountain VA
    Aurora, Colorado 80045, United States
  • Holy Cross Health
    Fort Lauderdale, Florida 33308, United States
  • Infectious Disease Consultants od the Treasure Coast
    Sebastian, Florida 32958, United States
  • Podiatry 1st / Gateway Clinical Trials
    O'Fallon, Illinois 62269, United States
  • Foot & Ankle Center of Illinois
    Springfield, Illinois 62704, United States
  • Henry Ford Health
    Detroit, Michigan 48202, United States
  • Holy Name Medical Center
    Teaneck, New Jersey 07666, United States
  • CurAlta Foot and Ankle
    Westwood, New Jersey 07675, United States
  • Futuro Clinical Trials, LLC
    McAllen, Texas 78501, United States
  • Bio X Cell Research LLC
    San Antonio, Texas 78224, United States
  • Foot and Ankle Specialists of the Mid-Atlantic
    Salem, Virginia 24153, United States
  • Salem VA
    Salem, Virginia 24153, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2021 to primary completion in Jan 2025, 38 months.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 9, 2021
First posted
Jan 4, 2022
StartActual
Nov 24, 2021
Primary completionActual
Jan 30, 2025
CompletionActual
May 30, 2025
Last update
Aug 19, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05177107
Lead sponsor
Adaptive Phage Therapeutics, Inc.
Responsible party
Sponsor
First posted
Jan 4, 2022
Start date
Nov 24, 2021
Primary completion
Jan 30, 2025
Completion
May 30, 2025
Last update
Aug 19, 2025

Study contacts

Nitsan Halevy, MD
principal investigator · Medical Director

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

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