Study With Phage for CF Subjects With Pseudomonas Lung Infection

This study is testing a treatment called BX004, which is a type of bacteriophage (a virus that infects bacteria), for adults with cystic fibrosis (CF) who have chronic Pseudomonas aeruginosa (PsA) lung infections. The main goal is to see if 8 weeks of taking BX004 twice a day, in addition to your usual CF care, can reduce the amount of PsA in your sputum (mucus coughed up from the lungs) compared to a placebo (an inactive substance). To join, you must be at least 18 years old, have CF with chronic PsA infection, and have stable lung disease. The study will also look at how BX004 affects lung function, quality of life, and safety.

Study design
This is a randomized, double-blind, placebo-controlled study, meaning participants will be randomly assigned to receive either BX004 or a placebo, and neither you nor your doctors will know which you are receiving. The study plans to enroll 63 participants.
What's involved
Participants will receive the study treatment twice daily for 8 weeks and will need to provide sputum samples.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for safety for 6 months after their last dose of the study treatment.

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NCT06998043

Study With Phage for CF Subjects With Pseudomonas Lung Infection

Recruiting
PHASE2Ages 18+InterventionalTreatment
BiomX Ltd
~63 participants
Updated 2025-07-22 on ClinicalTrials.gov
What's tested:BX004Placebo

At a glance

Recruiting sites
9 of 14 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in sputum Pseudomonas aeruginosa (PsA) burden at 8 weeks (EOT)
Measured over 8 weeks
Chronic Pseudomonas Aeruginosa Infection
Cystic Fibrosis (CF)
14 sites across 10 states
Florida3
California2
New York2
Alabama1
Alaska1
Arkansas1
Colorado1
New Jersey1
  • Urania Rappo, MD · STUDY_DIRECTOR · BiomX, Inc.

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Eligibility criteria

Inclusion

Cystic fibrosis patients with chronic Pseudomonas aeruginosa pulmonary infection receiving standard of care inhaled antibiotics (cycling or continuous regimen) or no inhaled antibiotics
Age ≥ 18 years
FEV1 40%-80% predicted
Clinically stable lung disease
Willing and able to provide adequate sputum samples, using any method (spontaneously expectorated, induced, from home or clinic) at designated study visits.

Exclusion

Known hypersensitivity to bacteriophages or excipients in the formulation.
Receipt of prior bacteriophage therapy within the 6 months prior to Screening or Day 1
Detection of Burkholderia cenocepacia from respiratory tract within 1 year prior to Screening or from Screening culture
Currently receiving systemic treatment for allergic bronchopulmonary aspergillosis
Currently receiving treatment for active infection with non-tuberculous mycobacteria or prior detection of Mycobacterium abscessus in 12 months prior to Screening
History of severe neutropenia
History of lung transplant
History of solid organ transplant
Acquired or primary immunodeficiency syndrome
Initiation or change in type of CFTR modulator less than 3 months prior to Screening
Pregnant or breastfeeding female
  • Change in sputum Pseudomonas aeruginosa (PsA) burden at 8 weeks (EOT)8 weeks

    Change from baseline in PsA colony-forming units (CFU) per g of sputum