NCT05776004

Brief Summary

This is a placebo-controlled study to evaluate the addition of CAL02 to standard of care in treating hospitalized subjects diagnosed with severe community acquired bacterial pneumonia (SCABP) requiring critical care measures

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
276

participants targeted

Target at P75+ for phase_2

Timeline
4mo left

Started Jul 2023

Typical duration for phase_2

Geographic Reach
19 countries

90 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress89%
Jul 2023Sep 2026

First Submitted

Initial submission to the registry

February 14, 2023

Completed
1 month until next milestone

First Posted

Study publicly available on registry

March 20, 2023

Completed
4 months until next milestone

Study Start

First participant enrolled

July 22, 2023

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 10, 2026

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 7, 2026

Expected
Last Updated

January 28, 2026

Status Verified

January 1, 2026

Enrollment Period

2.6 years

First QC Date

February 14, 2023

Last Update Submit

January 26, 2026

Conditions

Keywords

Community-Acquired

Outcome Measures

Primary Outcomes (2)

  • Efficacy- clinical recovery

    To evaluate the effect of CAL02 administration on clinical recovery compared to placebo. The time (days) to clinical recovery will be measured, as defined by the day all disease severity criteria which led to SCABP diagnosis per protocol at randomization and any new severity criteria which occurred after randomization are resolved, and no repeat or additional severity criteria are met within 24 hours after clinical recovery.

    28 days

  • Incidence of Treatment-Emergent Adverse Events

    To evaluate the safety and tolerability of CAL02 versus placebo. The number of participants with treatment-emergent adverse events including IV infusion-related reactions, and the number of participants with study drug dosing interruptions and discontinuations will be measured.

    28 days

Secondary Outcomes (4)

  • Critical Care Management

    28 days

  • Hospital Stay

    28 days

  • Early Clinical Recovery

    5 days

  • Organ Failure Assessment Scores

    7 days

Study Arms (2)

CAL02 with Standard of Care

EXPERIMENTAL

CAL02 (a mixture of 2 liposomal components, both empty, unilamellar, liposomes) will be administered as 2, IV infusions, 24 - 26 hours apart in addition to Standard of Care therapy for SCABP, according to scientific guidelines. CAL02 infusions will be administered over a 1 -2 hour period.

Drug: CAL02

Placebo

PLACEBO COMPARATOR

Placebo will be administered as 2, IV infusions, 24 - 26 hours apart in addition to Standard of Care therapy for SCABP, according to scientific guidelines. Placebo will be prepared and administered following the same infusion protocol as CAL02. Placebo infusions will be administered over a 1 to 2 hour period.

Drug: Placebo

Interventions

CAL02DRUG

CAL02 consists of a mixture of 2 liposomes and is a non-biological bacterial virulence neutralizer.

CAL02 with Standard of Care

Physiological 0.9% sodium chloride solution for iv administration

Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • male or females older than 18 years old
  • Body Weight 40 - 140 kg;
  • clinical diagnosis of CABP diagnosed less than or equal to 48 hrs after hospital admission;
  • presence of at least one of the protocol defined SCABP severity criteria:
  • at least two clinical symptoms
  • at least 2 vital sign abnormalities
  • at least one finding of other clinical signs/laboratory abnormalities
  • radiographic evidence in support of pneumonia with likely bacterial origin
  • presence of at least one of the following severity criteria based on protocol defined SCABP:
  • respiratory failure requiring invasive mechanical ventilation support
  • respiratory failure requiring non-invasive positive pressure ventilation support
  • respiratory failure requiring high-flow oxygen
  • septic shock requiring treatment with vasopressors at therapeutic doses for at least 2 hours
  • requires critical care for management of SCABP
  • onset of severity criteria less than 48 hours from diagnosis of CABP or upon discussion with medical monitor
  • +1 more criteria

You may not qualify if:

  • subjects with ventilator-associated pneumonia, aspiration pneumonia, fungal pneumonia, viral pneumonia (viral coinfection may be exempted subject to discussion with medical monitor);
  • subjects more than 12 hours from the diagnosis of SCABP;
  • SOFA score greater than 12 points
  • subject received IV antibiotics for CABP/SCABP for more than 48 hours at the time of randomization if sensitivity supports appropriate empiric therapy chosen and administered
  • renal replacement therapy
  • known hypersensitivity to liposomal formulations
  • end-stage neuromuscular disorders, tracheostomy, known bronchial obstruction, post-operative aspiration pneumonia, cystic fibrosis, known or suspected pneumocystis jirovecii or tuberculosis pneumonia, post organ transplant, or primary or metastatic malignancy in the lungs
  • current or recent participation in an investigational study (within 30 days of screening or 5 half-lives of the investigational compound, whichever is longer)
  • known liver dysfunction, chronic liver disease with Child Pugh C or esophageal varices
  • moribund clinical conditions at the time of screening or time of the first study medication infusion
  • refractory septic shock at the time of randomization
  • subject has any medical disease or condition that, in the opinion of the investigator, compromises the subject's safety or compromises the interpretation of results
  • nursing and pregnant women
  • women of childbearing potential and non-surgically sterile males

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (90)

UCSF Hospital

Fresno, California, 93701, United States

Location

UF Health Shands Hospital

Gainesville, Florida, 32610, United States

Location

Northwestern Memorial Hospital

Chicago, Illinois, 60611, United States

Location

University of Nebraska Medical Center

Omaha, Nebraska, 68198, United States

Location

Wake Forest Baptist Health Hospital

Winston-Salem, North Carolina, 27157, United States

Location

Cleveland Clinic Fairview Hospital

Cleveland, Ohio, 44111, United States

Location

University of Texas Medical Branch

Galveston, Texas, 77555, United States

Location

Hospital Interzonal General de Agudo Dr Jose Pena

Bahía Blanca, Buenos Aires, Argentina

Location

Hospital Italiano de Buenos Aires

Ciudad Autonoma de Buenos Aires, Buenos Aires, C1199ABB, Argentina

Location

Hospital Misericordia Nuevo Siglo

Córdoba, Argentina

Location

Hospital Central

Mendoza, Argentina

Location

Clinique Universitaire Saint Luc

Brussels, Belgium

Location

Clinique Saint Pierre

Ottignies, Belgium

Location

Chu-Ucl-Namur

Yvoir, Belgium

Location

Hospital Mae de Deus

Porto Alegre, Rio Grande do Sul, 90880-480, Brazil

Location

Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto

São José do Rio Preto, São Paulo, 15090, Brazil

Location

Unidade de Pesquisa Clinica da Faculdade de Medicina de Botucatu

Botucatu, Brazil

Location

Hospital do Servidor Publico Estadual

São Paulo, Brazil

Location

Foothills Hospital Medical Centre

Calgary, Alberta, Canada

Location

Peter Lougheed Centre

Calgary, Alberta, Canada

Location

Rockyview General Hospital

Calgary, Alberta, Canada

Location

South Health Campus Hospital

Calgary, Alberta, Canada

Location

Saint Paul's Hospital

Vancouver, Canada

Location

Pontificia Universidad Catolica de Chile

Santiago, Chile

Location

Centro de Investigacion Clinica de la Costa SAS

Barranquilla, Colombia

Location

Fundacion Cardioinfantil - Instituto de Cardiologia

Bogotá, Colombia

Location

Krajska Zdravotni, a.s.

Teplice, Czechia

Location

Krajska Zdravotni, a.s.

Ústí nad Labem, Czechia

Location

Oblastní nemocnice Kolín, a.s., nemocnice Středočeského kraje

Zizkova, Czechia

Location

CHD Vendee

La Roche-sur-Yon, Vendee, France

Location

CHU Angers

Angers, France

Location

Centre Hospitalier Victor Dupouy

Argenteuil, France

Location

Hopital Nord Franche Comte

Belfort, France

Location

Hospital Fleyriat

Bourg-en-Bresse, France

Location

Centre Hospitalier de Dieppe

Dieppe, France

Location

Plateforme de Biologie Hospitalo-Universitaire

Dijon, France

Location

Hopital Raymond Poincare

Garches, France

Location

Pole Urgences Medecine Aigue CHU de Grenoble-Alpes

Grenoble, France

Location

Hospital Dupuytren

Limoges, France

Location

Centre Hospitalier de Melun-Senart

Melun, France

Location

CHU de Nantes

Nantes, France

Location

Hopitaux Universitaires de Strasbourg - Nouvel Hopital Civil

Strasbourg, France

Location

Centre Hospitalier Bretagne Atlantique

Vannes, France

Location

LTD Batumi Medical Center

Batumi, 6400, Georgia

Location

JSC Rustavi Central Hospital

Rustavi, 3700, Georgia

Location

LLC Aleksandre Aladashvili Clinic

Tbilisi, 0102, Georgia

Location

LTD Tbilisi Central Hospital

Tbilisi, 0159, Georgia

Location

LTD Simon Khechinashvili University Hospital

Tbilisi, 0179, Georgia

Location

The First Medical Center LTD

Tbilisi, 0180, Georgia

Location

LTD N5 Clinical Hospital

Tbilisi, 0197, Georgia

Location

Thoracic General Hospital

Athens, Greece

Location

University General Hospital Attikon

Athens, Greece

Location

University General Hospital

Heraklion, Greece

Location

Bekes Varmegyei Kozponti K6rhaz

Gyula, Hungary

Location

Szaboles-Szatmar-Bereg Varmegyei Oktatokorhaz

Nyíregyháza, Hungary

Location

Borsod-Abauj-Zemplen Varmegyei Kozponti Korhaz es Egyetemi Oktatov

Szentpeteri Kapu, Hungary

Location

Zala Varmegyei Szent Rafael Korbaz

Zalaegerszeg, Hungary

Location

Liepajas Regional Hospital

Liepāja, Latvia

Location

Pauls Stradins Clinical University Hospital

Riga, Latvia

Location

Vidzemes Hospital

Valmiera, Latvia

Location

Hospital Nacional III

Arequipa, Peru

Location

Clinica Ricardo Palma

Lima, Peru

Location

Clinica San Pablo-Sede Surco

Lima, Peru

Location

Hospital Nacional Edgardo Rebagliati

Lima, Peru

Location

Hospital de la Amistad

Piura, Peru

Location

Pius Brinzeu County Emergency Clinical Hospital

Timișoara, Judet Timis, Romania

Location

Elias University Emergency Hospital

Bucharest, Romania

Location

Fundeni Clinical Institute

Bucharest, Romania

Location

Cluj County Emergency Clinical Hospital

Cluj-Napoca, Romania

Location

Bihor County Emergency Clinical Hospital

Oradea, Romania

Location

University Clinical Centre of Serbia

Belgrade, Serbia

Location

Institute for Pulmonary Diseases

Kamenitz, Serbia

Location

University Clinical Centre

Kragujevac, Serbia

Location

University Clinical Centre

Niš, Serbia

Location

Univerzitna nemocnica

Martin, Slovakia

Location

Helen Joseph Academic Hospital

Johannesburg, Gauteng, South Africa

Location

FCRN Clinical Trial Centre

Vereeniging, Gauteng, 1935, South Africa

Location

Tygerberg Hospital

Cape Town, South Africa

Location

Ryexo Clinical Research

Pretoria, South Africa

Location

Dr JM Engelbrecht Trial Site

Somerset West, 7130, South Africa

Location

Hospital Universitari Vall d'Hebron

Barcelona, Spain

Location

Parc Tauli Hospital Universitari

Barcelona, Spain

Location

Hospital Clinico San Carlos

Madrid, Spain

Location

Hospital Universitario Infanta Leonor

Madrid, Spain

Location

C.H.U de Santiago de Compostela

Santiago de Compostela, Spain

Location

Hospital Universitario de Tarragona Joan XXIII

Tarragona, Spain

Location

Hospital Universitari Mutua Terrassa

Terrassa, Spain

Location

Hospital Universitario de Toledo

Toledo, Spain

Location

Hospital Universitario Dr Peset

Valencia, Spain

Location

Hospital Clínico Universitario de Valladolid

Valladolid, Spain

Location

MeSH Terms

Conditions

Pneumonia, Bacterial

Condition Hierarchy (Ancestors)

Bacterial InfectionsBacterial Infections and MycosesInfectionsPneumoniaRespiratory Tract InfectionsLung DiseasesRespiratory Tract Diseases

Study Officials

  • Valentin R Curt, MD

    Eagle Pharmaceuticals, Inc.

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Masking Details
Placebo-controlled
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Adaptive, randomized, double-blind, placebo-controlled study
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 14, 2023

First Posted

March 20, 2023

Study Start

July 22, 2023

Primary Completion

February 10, 2026

Study Completion (Estimated)

September 7, 2026

Last Updated

January 28, 2026

Record last verified: 2026-01

Locations