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WithdrawnNCT05329168ERASEUpdated Jun 30, 2022

ERAdicate S. Aureus in Patients With Bacteremia and Endocarditis

A Phase 2 interventional study of Tonabacase (LSVT-1701) in Bacteremia Due to Staphylococcus Aureus, Left Sided Infective Endocarditis (Disorder) and Right Sided Infective Endocarditis (Disorder), sponsored by Lysovant. Withdrawn at 1 site in United States. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2022-06-30.

Sponsored by Lysovant · Phase 2, Interventional, and Treatment

Why this study was withdrawn
business decision before FPFV; not related to any safety concerns
Phase
Phase 2
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
18 Years to 90 Years
Sex
All
01

Study summary

This study evaluates safety and tolerability of endolysin-derived LSVT-1701 (tonabacase) as an add-on to standard of care (SOC) antibiotic therapy for the treatment of patients with complicated Staphylococcus aureus bacteremia (SAB), including left- and right-sided infective endocarditis (IE).

02

Conditions studied

  • Bacteremia Due to Staphylococcus Aureus
  • Left Sided Infective Endocarditis (Disorder)
  • Right Sided Infective Endocarditis (Disorder)
  • Endocarditis Infective

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Keywords

  • Staphylococcus aureus bacteremia
  • left-sided endocarditis
  • right-sided endocarditis
  • SAB
03

In context

Endocarditis

173 studies on the registry are indexed under Endocarditis; 57 are open to participants now.

Browse Endocarditis studies →

Lead sponsor

This is the only study on the registry with Lysovant as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 90 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

  • Age of 18 to 90 years
  • Index blood culture collection within 96 hours prior to enrollment positive for S. aureus
  • Experienced at least one sign or symptom related to SAB within past 96 hours prior to enrollment
  • Known or suspected left- and/or right-sided endocarditis by modified Duke criteria and/or known or suspected complicated SAB
  • Required duration of SOC antibiotic therapy ≤ 42 days

Exclusion criteria

Exclusion Criteria:

  • Previous receipt of LSVT-1701 or CF-301 (exebacase)
  • Known to kanamycin or other aminoglycosides
  • Treatment with any potentially effective (anti-S. aureus) systemic antibiotic for > 96 hours within 7 days before enrollment. Exception: Persistent S. aureus bacteremia after 96 hours of prior appropriate systemic antistaphylococcal antibiotic, and/or resistance to the prior systemic antibiotic
  • Treatment with dalbavancin or oritavancin within the previous 90 days
  • Known or suspected brain abscess or meningitis
  • Community acquired pneumonia, nosocomial pneumonia because of pathogens other than S. aureus, or known polymicrobial bacteremia
  • Presence of an intravascular infection source or extravascular material that cannot be removed within 96 hours after enrollment
Terms in these criteria, in plain language(1)

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Sequential ascending-dose cohort

    Sequential ascending-dose cohort

    Drug: Tonabacase (LSVT-1701)

Interventions

  • DrugTonabacase (LSVT-1701)

    4.5 or 6.0 mg/kg IV once daily for 4 days

06

What researchers measure

Primary outcomes

  1. Incidence of treatment-emergent adverse events coded per the Medical Dictionary of Regulatory Activities (MedDRA) v.24.0 [norm]

    Time frame: Up to Day 90±14

  2. Incidence of Grade 3 or Grade 4 toxicity according to modified DAIDS criteria version 2.1

    Time frame: Up to 14±4 days after end of SOC antibiotic therapy (up to Day 42)

  3. Changes in 12-lead electrocardiogram (ECG)

    Time frame: Day 1 and Day 2

Secondary outcomes

  1. Maximum plasma concentration (Cmax) of LSVT-1701

    Time frame: Day 4

  2. Area under the concentration-time curve (AUC) of LSVT-1701

    Time frame: Day 4

  3. Overall clinical response

    Overall clinical response is defined as survival, resolution or improvement of attributable signs and symptoms, no new attributable signs and symptoms, no new foci of S. aureus infection, no change in antibiotics due to non-response, and no further surgery or medical intervention to treat S. aureus.

    Time frame: Day 7, Day 14, after end of SOC antibiotic therapy (up to Day 42), and at test of cure (TOC; 14 days after the EOT)

  4. Microbiological response rate

    Time frame: Days 3, 5, 7, 14, and up to Day 90

Other outcomes

  1. Overall clinical response in patients with left-sided endocarditis

    Overall clinical response is defined as survival, resolution or improvement of attributable signs and symptoms, no new attributable signs and symptoms, no new foci of S. aureus infection, no change in antibiotics due to non-response, and no further surgery or medical intervention to treat S. aureus.

    Time frame: Up to Day 14

  2. Overall clinical response in patients with right-sided endocarditis

    Overall clinical response is defined as survival, resolution or improvement of attributable signs and symptoms, no new attributable signs and symptoms, no new foci of S. aureus infection, no change in antibiotics due to non-response, and no further surgery or medical intervention to treat S. aureus.

    Time frame: Up to Day 14

  3. All-cause mortality

    Time frame: Day 14 and Day 28

  4. Mortality attributable to SAB

    Time frame: Day 14 and Day 28

07

Study locations

1 site
  • Lsvt-1701-2001
    Butte, Montana 59701, 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

Start is estimated for May 2022; primary completion for Aug 2023, 15 months later.

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

Registered
Mar 23, 2022
First posted
Apr 14, 2022
StartEst.
May 1, 2022
Primary completionEst.
Aug 17, 2023
CompletionEst.
Nov 1, 2023
Last update
Jun 30, 2022
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 Jun 30, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05329168
Lead sponsor
Lysovant
Responsible party
Sponsor
First posted
Apr 14, 2022
Start date
May 1, 2022 (estimated)
Primary completion
Aug 17, 2023 (estimated)
Completion
Nov 1, 2023 (estimated)
Last update
Jun 30, 2022

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 withdrawn, as verified in Jun 2022. You cannot join it, but the record below documents what was studied.

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