About this trial
This is a Phase 1/2, randomized, controlled, open-label, proof-of-concept study to evaluate the safety and tolerability, local and systemic PK profiles of TNP-2092 administered via IA injection on the basis of vancomycin IV and oral antibiotics therapy in participants with early (within 1 month of TKA) or acute hematogenous (within 3 weeks of infectious symptoms) PJI requiring or not requiring DAIR therapy after TKA, or requiring long-term antibiotic suppression therapy for PJI (including PJI occurring after various joint replacements and revision surgeries).
Eligibility criteria
Qualifiers
Early (within 1 month of TKA) or acute hematogenous (within 3 weeks of infectious symptoms) PJI requires or does not require DAIR therapy after TKA, or results of treatment for PJI (including PJI occurring after various joint replacements and revision surgeries) did not meet the clinical cure criteria and requiring long-term antibiotic suppression therapy as judged by investigators before enrollment.
Suspected or confirmed PJI was caused by a Gram-positive bacterial infection, including methicillin-resistant and ciprofloxacin-resistant Staphylococcus aureus and Staphylococcus epidermidis, as judged by the investigator.
Agree to be hospitalized for 2 weeks with local intra-articular injection.
18 years of age or older (of either sex) at the time of signing the informed consent form (ICF).
Disqualifiers
History of hypersensitivity or intolerance to any of the following agents: vancomycin or TNP-2092.
Definite PJI of Gram-negative infection, fungal infection, or Enterococcus infection, or Mycobacterium infection, or Gram-positive mixed Gram-negative and/or fungal infection.
Definite systemic infection (sepsis).
Expected survival less than 1 years.
Trial design
Treatments tested in this trial
- TNP-2092 for injection
- Vancomycin Hydrochloride for Injection (IA)
- Vancomycin Hydrochloride for Injection (IV)
- Oral antibiotics
- Background Treatment
Treatment groups
Sponsors and collaborators
TenNor Therapeutics Inc.
Lead sponsor
First Affiliated Hospital of Xinjiang Medical University
Collaborator