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RecruitingPHASE3INTERVENTIONAL

Efficacy and Safety of Trimodulin (BT588) in Subjects With Severe Community-acquired Pneumonia (sCAP)

This study is looking at a new medicine called Trimodulin for adults who are very unwell in hospital with a serious lung infection, known as community-acquired pneumonia. These patients need help breathing from a machine (a ventilator). We want to find out if Trimodulin, given alongside regular hospital care, can help them get better and if it's safe. Half the patients will receive Trimodulin and half will get a dummy medicine (placebo), but neither the patient nor their doctors will know which one. This is a large study happening in many hospitals to understand how Trimodulin works in the body.

At a glance

Status
Recruiting
Phase
PHASE3
Sponsor
Biotest
Enrolment target
590
Start
09 Sep 2023
Estimated completion
31 Jul 2028

What is this study about?

This study is focused on a new treatment called Trimodulin for adults who have a very serious lung infection, or pneumonia, that they caught outside of hospital. When pneumonia is severe, it can make it very hard to breathe, and some patients need a machine (called a ventilator) to help them. This study aims to see if adding Trimodulin to the standard care given in hospitals can help these patients recover better and whether it is safe to use.

The researchers want to compare Trimodulin with a 'dummy' treatment, called a placebo. This helps them understand if any changes or improvements are actually due to Trimodulin itself. Patients will be randomly put into one of two groups: one group will receive Trimodulin, and the other will receive the placebo. Importantly, neither the patients, their families, nor their healthcare team will know who is getting which treatment. This is a common and important way to ensure the study results are fair and accurate.

Beyond just seeing if Trimodulin helps patients get better, the study will also look at how the medicine moves through the body (this is called pharmacokinetics) and what effects it has on the body (this is called pharmacodynamics). This information helps doctors understand the best way to use the medicine in the future.

Key takeaways

  • This study tests a new medicine, Trimodulin, for severe lung infection (pneumonia).
  • It's for adults on a breathing machine due to severe community-acquired pneumonia.
  • Patients get either Trimodulin or a dummy medicine for 5 days, plus usual care.
  • The study aims to see if Trimodulin helps patients recover and is safe.
  • Participation involves close monitoring for up to 90 days.
  • You can stop taking part at any time without affecting your medical treatment.

Who may be eligible?

This study is for adults, aged 18 or over, who are in hospital with a severe lung infection (community-acquired pneumonia). You would need to have signs of inflammation from blood tests and imaging scans (like X-rays) that confirm the pneumonia. Crucially, you must need a breathing machine (ventilator) to help you breathe due to the severity of your lung infection.

There are also some reasons why you might not be able to join. For example, if you are pregnant or breastfeeding, or if you have certain other serious health conditions, especially problems with your kidneys, liver, or heart that are already very severe. If you had a previous hospital stay very recently, or if your lung infection was caught in hospital rather than out in the community, you wouldn't be able to take part. Researchers also need to make sure you don't have certain blood conditions or are using specific medical equipment like ECMO.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Are you an adult (18 years or older) currently in hospital?
  2. Do you have a diagnosis of severe pneumonia caught outside of hospital?
  3. Are you currently needing a breathing machine (ventilator) to help you breathe?
  4. Are you pregnant or breastfeeding, or do you have severe kidney, liver, or heart disease?
Answer every question to see your result.

What does participation involve?

If you are eligible and agree to take part, you will receive either Trimodulin or a dummy medicine called a placebo. You'll get this medicine once a day for five days in a row, in addition to the usual care you receive in hospital. After these five days, doctors will closely watch your progress for about three to four weeks.

There will be follow-up calls or visits up to day 29, and possibly a final check-up around day 91 if you're still doing well. If you are still in hospital at day 29, your care will be followed up until you are discharged or up to day 90. Throughout the study, you'll have various check-ups and tests, which might include blood tests and physical examinations, to see how you're responding to the treatment and to monitor your general health. The total time for follow-up could be up to 90 days.

Potential risks and benefits

Potential benefits of taking part could include receiving a new investigational medicine that may help improve your severe pneumonia, although this is not guaranteed, and you might receive the dummy medicine. As with any medicine, Trimodulin may have side effects, and some discomfort might arise from extra blood tests or procedures. The medical team will carefully monitor you for any problems. You can withdraw from the study at any time, for any reason, without it affecting your medical care.

Locations (147)

Some site locations are approximate. We're improving this — please verify with the trial team before travelling.
  • Pulmonary Associates of Mobile, P.C.
    Verified postcode
    Mobile, United States· Withdrawn
  • University of California San Francisco-Fresno
    Verified postcode
    Fresno, United States· Recruiting
  • UC Davis Health
    Verified postcode
    Sacramento, United States· Withdrawn
  • Augusta University
    Verified postcode
    Augusta, United States· Withdrawn
  • Sparrow Clinical Research Institute
    Verified postcode
    Lansing, United States· Withdrawn
  • William Beaumont Hospital
    Verified postcode
    Royal Oak, United States· Withdrawn
  • University of Missouri Clinical Research Center
    Verified postcode
    Columbia, United States· Withdrawn
  • Hannibal Clinic
    Verified postcode
    Hannibal, United States· Withdrawn
  • Mercury Street Medical Group
    Verified postcode
    Butte, United States· Withdrawn
  • St. Michael's Medical Center
    Verified postcode
    Newark, United States· Withdrawn
  • Buffalo VA Medical Center
    Verified postcode
    Buffalo, United States· Withdrawn
  • Lenox Hill Hospital
    Verified postcode
    New York, United States· Recruiting

Common questions

What is community-acquired pneumonia?

It's a serious lung infection caught outside of a hospital, often making breathing very difficult and requiring hospital care.

What is a 'placebo'?

A placebo is a dummy medicine that looks just like the real medicine but contains no active ingredients. It helps researchers fairly test the new medicine.

Why don't we know if I'm getting the real medicine or the placebo?

Neither you nor your doctors knowing helps to prevent bias and ensures the study results are as accurate as possible.

How long will I be in the study if I take part?

You'll receive the study medicine for 5 days, and then your health will be followed for up to approximately 90 days.

Can I stop participating in the study at any time?

Yes, you can withdraw from the study at any point without it affecting your medical care or treatment.

How to find out more

Patrick Langohr

Always speak to your GP or specialist before deciding to take part in a study.

Interested in taking part?

Register your interest

Share your details and the research team for "Efficacy and Safety of Trimodulin (BT588) in Subjects With S…" will contact you if you may be eligible. Always speak to your GP before agreeing to take part.

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