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 |
Throughout this review, numbers treated refers to non-placebo-treated individuals for whom studies or treatments were completed.
Clinical improvement or better.
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.
It is not obvious what types of cases this percentage refers to, e.g., both acute and chronic or just acute.
NA, either not available or not applicable.
Endpoints of treatment of cystic fibrosis patients are sufficiently ambiguous that “NA,” not applicable, has been assigned despite arguably positive results.
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.
Plus 12 placebo controls.
Based on only single phage dosing in the course of a phase I/II clinical trial.
Phage therapy had some positive impact, but clearance did not occur until subsequent lactoferrin treatment was employed.
SBI, suppurative bacterial infections.
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.
Staphylococcal phage lysate.
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.”