Actively Recruiting

Phase 3
Age: 18Years +
All Genders
ID06870409

A Randomized Placebo-Controlled Trial of Phage Therapy Plus Antibiotics in Patients With Infective Endocarditis

Led by University Clinical Hospital na V.V.Vinogradov (branch of RUDN university na Patrice Lumumba) · Updated on 2026-03-19

30

Participants Needed

1

Research Sites

52 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Infective endocarditis (IE) is a serious infection affecting the heart valves or endocardium, often caused by bacteria or fungi, with increasing cases mainly in high-income countries. The disease can be complicated and life-threatening, including risks during hospital treatment and afterward. Antibiotic resistance is a growing challenge in treating IE, prompting the need for new therapies like bacteriophage (phage) therapy, which uses viruses that specifically attack bacteria. This trial evaluates phage therapy combined with standard antibiotics compared to a placebo plus antibiotics in patients with IE. Participants receive either a bacteriophage cocktail targeting common bacteria causing IE or a placebo while continuing standard antibiotic treatment. The treatment is given early in the disease to help control infection and reduce resistance risks, potentially allowing earlier transition to outpatient care. Participants will be monitored for up to 8 weeks, with researchers tracking hospital stay length, embolic events, and survival rates. The study involves clinical evaluations, microbiological tests, and safety monitoring to assess how well the combined treatment controls infection. The trial is randomized and placebo-controlled to compare the effects of phage therapy alongside antibiotics in patients hospitalized with active IE.

CONDITIONS

Brief Title

Bacteriophages in Addition to Antibiotics for the Treatment of Patients With Infective Endocarditis

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Hospitalisation with active infective endocarditis or active infective endocarditis developed in hospital
  • Definite diagnosis of infective endocarditis according to modified Duke 2023 criteria or possible diagnosis managed as infective endocarditis
  • Informed consent to participate in the study
Not Eligible

You will not qualify if you...

  • Inactive (transferred) infective endocarditis
  • Non-bacterial thrombotic endocarditis
  • Active oncological diseases
  • Immunosuppressive therapy

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 8 weeks

Participants receive either a bacteriophage complex drug or placebo in addition to standard antibiotic therapy for infective endocarditis.

Regular visits during treatment period

Trial Site Locations

Total: 1 location

1

University Clinical Hospital named after V.V.Vinogradov (branch) of the Peoples' Friendship University of Russia named after Patrice Lumumba

Moscow, Russia

Actively Recruiting

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Research Team

Z

Zhanna Davidovna Kobalava, Head of Internal Disease Unit

E

Elizaveta Olegovna Kotova, MD in cardiology department

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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