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. 2017 Aug 25;5(4):10.1128/microbiolspec.bad-0003-2016. doi: 10.1128/microbiolspec.bad-0003-2016

TABLE 1.

Modern clinical or human experimental phage therapy (English-language literature)

Targets Comment Number treateda Substantial efficacy Authors Year Reference
Various Various treatments 62 47%b Łusiak-Szelachowska et al. 2017 142
S. aureus Diabetic foot ulcers 9 100% Fish et al. 2016 183
E. coli Diarrhea 79 0%c Sarker et al. 2016 114
S. aureus Eye treatment 1 100% Fadlallah et al. 2015 185
Various Various treatments >100 95%d Kutateladze 2015 186
P. aeruginosa, S. aureus Safety trial (topical dosing) 9 NAe Rose et al. 2014 116
E. coli, Proteus Safety trial (oral dosing) 15 NA McCallin et al. 2013 91
Various Various treatments 153 40% Międzybrodzki et al. 2012 102
E. coli Safety trial (oral dosing) 15 NA Sarker et al. 2012 113
P. aeruginosa Urinary tract infection 1 100% Khawaldeh et al. 2011 188
P. aeruginosa, S. aureus Cystic fibrosis patient 1 NAf Kvachadze et al. 2011 189
NA Cystic fibrosis patients NA NA Kutateladze and Adamia 2010 144
E. faecalis Chronic bacterial prostatitis 3 100% Letkiewicz et al. 2009 190
E. coli, P. aeruginosa, S. aureus Safety trial (topical dosing) 39 NAg Rhoads et al. 2009 117
P. aeruginosa Chronic otitis 12h 25%i Wright et al. 2009 118
NA Cystic fibrosis patient 1 NA Kutateladze and Adamia 2008 137
S. aureus Gastrointestinal colonization 1 100% Leszczyński et al. 2008 191
S. aureus Economics of methicillin-resistant S. aureus treatment 6 NA Międzybrodzki et al. 2007 206
P. aeruginosa Burn wound infection 1 100% Marza et al. 2006 192
Staphylococcus spp. Otitis media 1 0%j Weber-Dąbrowska et al. 2006 207
E. coli Safety trial (oral dosing) 15 NA Bruttin and Brüssow 2005 112
S. aureus Radiation burn and PhagoBioDerm 2 100% Jikia et al. 2005 193
S. aureus Hand-washing experiment NA NA O’Flaherty et al. 2005 68
Various Septicemia 94 85% Weber-Dąbrowska et al. 2003 208
Various Wounds, ulcerations, and PhagoBioDerm 96 70% Markoishvili et al. 2002 194
S. aureus Peripheral neutrophil functioning 37 73% Weber-Dąbrowska et al. 2002 209
Various Infections of cancer patients 20 100% Weber-Dąbrowska et al. 2001 210
Various Various treatments 1,307 96% Weber-Dąbrowska et al. 2000 187
Various Chronic SBIk of skin 31 74% Cisło et al. 1987 211
Various Determination of neutralizing antibody 57 77% Kucharewicz-Krukowska and Ślopek 1987 139
Various SBI 550 85%l Ślopek et al. 1987 181
Various SBI 56 88% Weber-Dąbrowska et al. 1987 182
Various SBI 370 85% Ślopek et al. 1985 178
Various SBI in children 114 89% Ślopek et al. 1985 179
Staphylococcus SBI 254 85% Ślopek et al. 1985 180
Various SBI 150 81% Ślopek et al. 1984 177
Various SBI 138 88% Ślopek et al. 1983 103
Various SBI 184 88% Ślopek et al. 1983 176
S. aureus (or other) Treatment of hidradenitis suppurativa with Staphage Lysatem 8 75–100%n Kress et al. 1981 212
a

Throughout this review, numbers treated refers to non-placebo-treated individuals for whom studies or treatments were completed.

b

Clinical improvement or better.

c

Relatively little effort in this trial appears to have been devoted to ensuring that sufficient numbers of phages of desired specificity would be present in the vicinity of target bacteria.

d

It is not obvious what types of cases this percentage refers to, e.g., both acute and chronic or just acute.

e

NA, either not available or not applicable.

f

Endpoints of treatment of cystic fibrosis patients are sufficiently ambiguous that “NA,” not applicable, has been assigned despite arguably positive results.

g

Phage choice in this trial was biased toward better phage in vitro characterization rather than toward ability to treat those strains of wound-infecting bacteria encountered.

h

Plus 12 placebo controls.

i

Based on only single phage dosing in the course of a phase I/II clinical trial.

j

Phage therapy had some positive impact, but clearance did not occur until subsequent lactoferrin treatment was employed.

k

SBI, suppurative bacterial infections.

l

This publication is an overview of previously published Ślopek et al. articles; here and in these others, results indicated as “++++” or “+++” are counted as “substantial efficacy” versus merely positive results; typically, these are treatments of chronic bacterial infections that had already been subject to antibiotic therapy, and in some cases (about one-quarter) antibiotic treatment also coincided with phage treatment.

m

Staphylococcal phage lysate.

n

This article is not necessarily looking at phage therapy in the sense of phages penetrating to and then directly killing target bacteria; i.e., efficacy instead may be a consequence of immune system stimulation. From the abstract: “Six of the 8 patients reported noticeable improvement in odor, consistency, and amount of drainage and considerable decreases in pain. Seven of the 8 patients reported improvement in the ability of lesions to drain spontaneously, and a decrease in the frequency of inflammatory nodules. All 8 patients reported that the inflammatory periods were definitely shorter.”