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. Author manuscript; available in PMC: 2022 Dec 1.
Published in final edited form as: J Hepatol. 2021 Aug 24;75(6):1465–1475. doi: 10.1016/j.jhep.2021.08.003

Table 1:

Overview of recent studies of phage-related treatment in gastrointestinal diseases (English literature only)

Type of study Phage (target) Dose and method Subject Result and conclusion Reference
Clinical trial Phage T4 (E. coli) 105 PFU/ml, dose A, 103 PFU/ml, dose B, Oral administration 15 healthy individuals Safe, but E. coli abundance not changed Bruttin [62]
Clinical trial T4-like Phages (E. coli) 3×109 PFU/ml, dose A, 3×107 PFU/ml, dose B, Oral administration 15 healthy individuals Safe, gut microbiota profile not affected Sarker [63]
Clinical trial Commercial phage cocktail ColiProteus (E. coli) 20ml for adults, 10ml for children, and 10-fold dilution Oral administration 5 healthy adults, 10 healthy children Overall safe, with occasional reported side effect independent of dosage McCallin [110]
Clinical trial T4-like Phages or ColiProteus (E. coli) 108 or 106 PFU for older children (T4-like phages), 107 or 105 PFU for younger children (T4-like phages), 5×108 or 109 PFU for all (ColiProteus),
Oral administration
20 older children, 20 younger children Both cocktails are safe Sarker [65]
Clinical trial T4-like Phages or ColiProteus (E. coli) 3.6×108 PFU (T4-like phages), 1.4×109 PFU (ColiProteus), Oral administration 120 children with diarrhea Safe, but lack of efficacy Sarker [111]
Clinical case report Phage cocktail (A. baumannii) 5×109 PFU Intracavitary and Intravenous 68-year-old male with necrotizing pancreatitis complicated by pancreatic pseudocyst Patient completely recovered Schooley [67]
Clinical trial Phage cocktail PreforPro (E. coli) One 15mg capsule, Oral administration 32 healthy individuals with mild to moderate gastrointestinal distress Safe and tolerable, but no difference from placebo Gindin [112]
Clinical trial Phage cocktail PreforPro (E. coli), together with probiotics Bifidobacterium animalis subspecies lactis strain BL04 One 15mg capsule, Oral administration 68 healthy individuals with mild to moderate gastrointestinal distress Safe and tolerable, but no compelling evidence of efficacy Grubb [113]
Preclinical study Phage cocktail (adherent-invasive E. coli) 3×107 PFU Oral administration Wild-type mice colonized with 108 CFU of adherent-invasive E. coli, Dextran sodium sulfate-induced colitis Fecal E. coli level decreased, dextran sodium sulfate-induced colitis ameliorated Galtier [70]
Preclinical study Phage cocktail (E. faecalis) 1010 PFU Oral administration Gnotobiotic mice colonized with stool samples from cytolysin-positive patients with alcoholic hepatitis, Ethanol-induced liver disease Fecal E. faecalis level decreased, ethanol-induced liver disease ameliorated Duan [87]