This is an Intermediate-Size Expanded Access, Open-Label Study for Use of Mino-LokTherapy (MLT) in Combination with Systemic Antibiotics in the Treatment of Central LineAssociated Bloodstream Infection. Mino-Lok may be made available for patients whootherwise do not qualify for the phase 3 clinical trial (NCT02901717 )
This is an Intermediate-Size Expanded Access, Open-Label Study for Use of Mino-Lok
Therapy (MLT) in Combination with Systemic Antibiotics in the Treatment of Central Line
Associated Bloodstream Infection.
Mino-Lok Therapy is being developed as an adjunctive therapy for the treatment of
catheter-related or central line associated bloodstream infection (CRBSI/CLABSI) in
combination with appropriate systemic antibiotic(s), to preserve central venous access
and to avoid the complications and morbidities associated with catheter removal and
reinsertion.
This is an expanded access program (EAP). This program is designed to provide access to
Mino-Lok. A physician must decide whether the potential benefit outweighs the risk of
receiving an investigational therapy.
To learn more about this study, please refer to this study by its ClinicalTrials.gov
identifier (NCT number): NCT02901717
Drug: Mino-Lok Therapy (MLT)
Standard of Care antibiotics appropriate for the infecting organism plus Mino-Lok therapy
to disinfect and save the catheter. Mino-Lok is made available through this expanded
access protocol to patients who otherwise do not qualify for the phase 3 clinical trial
(NCT02901717) Other Name: Standard of care antibiotics + Mino-Lok
Other Name: Standard of care plus MLT. MLT contains minocycline with EDTA and ethanol.
Inclusion Criteria:
1. Subject or a legally authorized representative must provide a signed informed
consent form;
2. The subject should be male or female at least 12 years of age. This product has not
been studied in a younger pediatric population;
3. Subject should have a bloodstream infection with no other apparent source other than
the CVC that meets one of the following criteria:
- A recognized single pathogen cultured from 1 or more blood cultures; OR
- A common skin contaminant cultured from 2 or more blood cultures drawn on the
same or consecutive calendar days from a subject with fever (>38.0 C), chills,
or hypotension (systolic blood pressure <90 mmHg); Note that these criteria are
based on the CDCs definition of CLABSI. Please consult the CDC website for
guidance at https://www.cdc.gov/nhsn/pdfs/pscmanual/4psc_clabscurrent.pdf.
4. Subjects for whom, in the Investigator's opinion, catheter retention is reasonable
or required;
5. This product has not been studied in women who are pregnant or lactating. It's
effect on sperm development has also not been studied. Please consider this with
female patients that are pregnant or who plan to become pregnant, or female patients
who are breastfeeding. Likewise, male patients should refrain from sperm donation
for 90 days following exposure to MLT. NOTE: Highly effective methods of
contraception include hormonal contraceptives, intrauterine device, double-barrier
method, partner sterility, or abstinence are strongly recommended.
Exclusion Criteria:
Subjects who meet any of the following criteria should not be exposed to MLT:
1. Subjects with hypersensitivity or allergy to tetracycline antibiotics or edetate
disodium;
2. Subjects taking disulfiram at the time of enrollment or who are expected to take
disulfiram at any time during treatment with study drug;
3. The benefit of MLT in subjects with prosthetic cardiac valves, vascular grafts,
pacers, automatic implantable cardioverter-defibrillator, or other non-removable
vascular foreign body should be evaluated prior to exposure. The Investigator should
be confident that these are not the source of infection;
4. The benefit of MLT in subjects with a deep-seated intravascular source of infection
(eg, endocarditis [as evidenced by vegetations on an echocardiogram or clinical
suspicion] or septic thrombosis) should be evaluated prior to exposure. The
Investigator should be confident that these are not the source of infection.
Phoenix VA Health Care System
Phoenix 5308655, Arizona 5551752, United States
Yale University School of Medicine
New Haven 4839366, Connecticut 4831725, United States
Georgetown University Hospital
Washington D.C. 4140963, District of Columbia 4138106, United States
University of Florida - Shands Hospital - Dialysis Center
Gainesville 4156404, Florida 4155751, United States
Edward Hines Jr. VA Hospital
Hines 4896005, Illinois 4896861, United States
AMG Oncology
Park Ridge 4905367, Illinois 4896861, United States
Lutheran Hospital
Park Ridge 4905367, Illinois 4896861, United States
Indiana Blood and Marrow Institute
Indianapolis 4259418, Indiana 4921868, United States
Ascension Via Christi Hospital
Wichita 4281730, Kansas 4273857, United States
University of Kentucky Medical Center
Lexington 4297983, Kentucky 6254925, United States
Anne Arundel Medical Center
Annapolis 4347242, Maryland 4361885, United States
Massachusetts General Hospital
Boston 4930956, Massachusetts 6254926, United States
St. Vincent Hospital
Worcester 4956184, Massachusetts 6254926, United States
Harper University Hospital
Detroit 4990729, Michigan 5001836, United States
Henry Ford Health Systems
Detroit 4990729, Michigan 5001836, United States
William Beaumont Hospital
Troy 5012639, Michigan 5001836, United States
VA Sierra Nevada Health Care Systems
Reno 5511077, Nevada 5509151, United States
Saint Michael's Medical Center
Newark 5101798, New Jersey 5101760, United States
University of New Mexico
Albuquerque 5454711, New Mexico 5481136, United States
Carolinas Medical Center
Charlotte 4460243, North Carolina 4482348, United States
East Carolina University
Greenville 4469160, North Carolina 4482348, United States
University of Cincinnati
Cincinnati 4508722, Ohio 5165418, United States
University Hospitals Cleveland Medical Center
Cleveland 5150529, Ohio 5165418, United States
Cleveland Clinic
Cleveland 5150529, Ohio 5165418, United States
University of Texas MD Anderson Cancer Center
Houston 4699066, Texas 4736286, United States
Salem VA Medical Center
Salem 4784112, Virginia 6254928, United States
Seattle Children's Hospital
Seattle 5809844, Washington 5815135, United States
VA Caribbean Healthcare System
San Juan 4568127, PR, Puerto Rico
Manati Medical Center
Manatí 4566137, Puerto Rico
Ponce Research Institute
Ponce 4566880, Puerto Rico
Alan Lader, Ph.D
908-967-6677
expandedaccess@citiuspharma.com