Evidence map›Paper›PMID 34209836›Full record

ReviewViruses2021

The Safety and Toxicity of Phage Therapy: A Review of Animal and Clinical Studies.

Dan Liu, Jonas D Van Belleghem, Christiaan R de Vries, Elizabeth Burgener, Qingquan Chen, Robert Manasherob, Jenny R Aronson, Derek F Amanatullah, Pranita D Tamma, Gina A Suh

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Viruses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06798168 (Bacteriophage Clinical Trial for Periprosthetic Joint Infection of Multidrug Resistant Pseudomonas Aeruginosa), which is not on this map. Cited by 170 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
170citing papers in PubMed, 1 pooled it
27.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06798168 availablenot on this map

Bacteriophage Clinical Trial for Periprosthetic Joint Infection of Multidrug Resistant Pseudomonas Aeruginosa

Typeexpanded_accessSponsorOttawa Hospital Research InstituteConditionsJoint InfectionArmsCombining bacteriophage therapy with antibiotics for a case with hip PJI
3 · Its place in the literature

Who cites it

170 citing papers in PubMed, 1 synthesis or guideline pooled it, 229 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Pharmacology of Bacteriophage Therapy in Children: A Re-Emerging Paradigm in Antibacterial Therapy.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2026
    Article
  7. Article
  8. Review
  9. One health (Amsterdam, Netherlands) · 2026
    Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

110 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Dan LiuDepartment of Burn, School of Medicine, Shanghai Jiao Tong University, Shanghai 200025, China.ORCID 0000-0001-8388-3512
Jonas D Van BelleghemDivision of Infectious Diseases and Geographic Medicine, Department of Medicine, School of Medicine, Stanford University, Stanford, CA 94305, USA.ORCID 0000-0003-0002-024X
Christiaan R de VriesDivision of Infectious Diseases and Geographic Medicine, Department of Medicine, School of Medicine, Stanford University, Stanford, CA 94305, USA.ORCID 0000-0002-4667-5973
Elizabeth BurgenerCenter for Excellence in Pulmonary Biology, Department of Pediatrics, Stanford University, Stanford, CA 94305, USA.
Qingquan ChenDivision of Infectious Diseases and Geographic Medicine, Department of Medicine, School of Medicine, Stanford University, Stanford, CA 94305, USA.
Robert ManasherobDepartment of Orthopaedic Surgery, School of Medicine, Stanford University, Stanford, CA 94305, USA.
Jenny R AronsonDivision of Infectious Diseases and Geographic Medicine, Department of Medicine, School of Medicine, Stanford University, Stanford, CA 94305, USA.
Derek F AmanatullahDepartment of Orthopaedic Surgery, School of Medicine, Stanford University, Stanford, CA 94305, USA.
Pranita D TammaDivision of Pediatric Infectious Diseases, Department of Pediatrics, School of Medicine, Johns Hopkins University, Baltimore, MD 21287, USA.
Gina A SuhDivision of Infectious Diseases, Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0001-7434-6897
Stanford University · USJohns Hopkins University · USMayo Clinic · USShanghai Jiao Tong University · CN

Funding

Institutional Career Development Core (KL2)KL2TR003143 · NCATS · STANFORD UNIVERSITY · PI ASCH, STEVEN M. · 2019 to 2023
$8.7M
EMERGING INFECTIOUS DISEASEST32AI007502 · NIAID · STANFORD UNIVERSITY · PI Prasanna Jagannathan, DAVID A. RELMAN · 1995 to 2026
$6.8M
Immunization against Pf bacteriophage in Pseudomonas aeruginosa infectionK08AI151089 · NIAID · STANFORD UNIVERSITY · PI DE VRIES, CHRISTIAAN ROBERT · 2021 to 2021
$162k
NCATS NIH HHS KL2 TR003143NIAID NIH HHS K08 AI151089NIAID NIH HHS T32 AI007502
6 · The paper itself

Abstract

Increasing rates of infection by antibiotic resistant bacteria have led to a resurgence of interest in bacteriophage (phage) therapy. Several phage therapy studies in animals and humans have been completed over the last two decades. We conducted a systematic review of safety and toxicity data associated with phage therapy in both animals and humans reported in English language publications from 2008-2021. Overall, 69 publications met our eligibility criteria including 20 animal studies, 35 clinical case reports or case series, and 14 clinical trials. After summarizing safety and toxicity data from these publications, we discuss potential approaches to optimize safety and toxicity monitoring with the therapeutic use of phage moving forward. In our systematic review of the literature, we found some adverse events associated with phage therapy, but serious events were extremely rare. Comprehensive and standardized reporting of potential toxicities associated with phage therapy has generally been lacking in the published literature. Structured safety and tolerability endpoints are necessary when phages are administered as anti-infective therapeutics.

Indexed as

Clinical Trials as TopicAnimalsBacterial InfectionsBacteriophagesDisease Models, AnimalHumansMicePhage Therapyanimal modelsclinical trialsimmune activationphage therapysafety and toxicity

Identifiers

PMID34209836
PMCPMC8310247
OpenAlexW3175417702

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.