Evidence map›Paper›PMID 36851802›Full record

ArticleViruses2023

Phage Therapy in Germany-Update 2023.

Christian Willy, Joachim J Bugert, Annika Y Classen, Li Deng, Anja Düchting, Justus Gross, Jens A Hammerl, Imke H E Korf, Christian Kühn, Simone Lieberknecht-Jouy and 10 more

Open access · goldAbstract read
In one paragraph

Article in Viruses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
10.4field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 42 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. [Potential of bacteriophage therapy in Germany: evidence and clinical relevance].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025
    Review
  13. [Phage therapy in Germany-Update 2025].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025
    Review
  14. Article
  15. Article
  16. Review
  17. Systematic bacteriophage selection for the lysis of multipleFrontiers in cellular and infection microbiology · 2025
    Article
  18. Bacteriophages againstFrontiers in bioengineering and biotechnology · 2025
    Review
  19. Bacteriophage therapy- a refurbished age-old potential strategy to treat antibiotic and multidrug resistant bacterial infections in future.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2024
    Article
  20. Review
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

20 authors at 16 institutions in 1 country.

Christian WillyDepartment Trauma & Orthopedic Surgery, Septic & Reconstructive Surgery, Research and Treatment Center Septic Defect Wounds, Federal Armed Forces of Germany, Military Academic Hospital Berlin, Scharnhorststr. 13, 10115 Berlin, Germany.ORCID 0000-0002-9604-3384
Joachim J BugertBundeswehr Institute of Microbiology, Neuherbergstr. 11, 80937 Munich, Germany.
Annika Y ClassenDepartment I for Internal Medicine, Faculty of Medicine and University Hospital of Cologne, Kerpener Str. 62, 50937 Cologne, Germany.ORCID 0000-0003-2905-5139
Li DengInstitute of Virology, Helmholtz Centre Munich-German Research Centre for Environmental Health, Ingolstädter Landstr. 1, 85764 Neuherberg, Germany.ORCID 0000-0003-0225-0663
Anja DüchtingUnit for Pharmaceutical Biotechnology, Federal Institute for Drugs and Medical Devices (BfArM), Quality Inspections, 53175 Bonn, Germany.
Justus GrossDepartment of General, Visceral, Thoracic, Vascular and Transplant Surgery, University Medical Centre Rostock, 18057 Rostock, Germany.ORCID 0000-0002-3281-7512
Jens A HammerlDivision Diagnostics, Pathogen Characterisation, Parasites in Food, Department Biological Safety, German Federal Institute for Risk Assessment (BfR), 12277 Berlin, Germany.ORCID 0000-0002-6930-4358
Imke H E KorfDepartment of Pharmaceutical Biotechnology, Fraunhofer Institute for Toxicology and Experimental Medicine (ITEM), 38124 Braunschweig, Germany.ORCID 0000-0001-6073-9307
Christian KühnDepartment of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, 30625 Hannover, Germany.
Simone Lieberknecht-JouyDepartment of Internal Medicine, Infectious Diseases, University Hospital Frankfurt, Goethe University Frankfurt, 60596 Frankfurt am Main, Germany.
Christine RohdeDepartment Bioresources for Bioeconomy and Health Research, Leibniz Institute, DSMZ-German Collection of Microorganisms and Cell Cultures GmbH, 38124 Braunschweig, Germany.
Markus RuppDepartment of Trauma Surgery, University Hospital Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany.
Maria J G T VehreschildGerman Center for Infection Research (DZIF), Partner Site Bonn-Cologne, 50931 Cologne, Germany.
Kilian VogelePhysics-Department and ZNN, Physics of Synthetic Biological Systems-E14, Technische Universität München, 85748 Garching, Germany.ORCID 0000-0003-0643-5622
Sarah WieneckeDepartment of Pharmaceutical Biotechnology, Fraunhofer Institute for Toxicology and Experimental Medicine (ITEM), 38124 Braunschweig, Germany.
Martin WitzenrathDepartment of Infectious Diseases, Respiratory Medicine and Critical Care, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany.ORCID 0000-0002-9787-5633
Silvia WürstleDepartment of Internal Medicine II, University Hospital Rechts der Isar, School of Medicine, Technical University of Munich, 81675 Munich, Germany.ORCID 0000-0003-0787-3894
Holger ZiehrDepartment of Pharmaceutical Biotechnology, Fraunhofer Institute for Toxicology and Experimental Medicine (ITEM), 38124 Braunschweig, Germany.
Karin MoellingMax Planck Institute for Molecular Genetics, Ihnestr. 63-73, 14195 Berlin, Germany.ORCID 0000-0003-3265-8408
Felix BroeckerIdorsia (Berlin) Pharmaceuticals GmbH, Magnusstr. 11, 12489 Berlin, Germany.
Fraunhofer Institute for Toxicology and Experimental Medicine · DEGoethe University Frankfurt · DEBundeswehrkrankenhaus · DECharité - Universitätsmedizin Berlin · DEFederal Institute for Drugs and Medical Devices · DEFederal Institute for Risk Assessment · DEGerman Center for Infection Research · DEHelmholtz Zentrum München · DELeibniz Institute DSMZ – German Collection of Microorganisms and Cell Cultures · DEMax Planck Institute for Molecular Genetics · DEMedizinische Hochschule Hannover · DETechnical University of Munich · DETUM Klinikum · DEUniversität der Bundeswehr München · DEUniversity Hospital Regensburg · DEUniversity of Rostock · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bacteriophage therapy holds promise in addressing the antibiotic-resistance crisis, globally and in Germany. Here, we provide an overview of the current situation (2023) of applied phage therapy and supporting research in Germany. The authors, an interdisciplinary group working on patient-focused bacteriophage research, addressed phage production, phage banks, susceptibility testing, clinical application, ongoing translational research, the regulatory situation, and the network structure in Germany. They identified critical shortcomings including the lack of clinical trials, a paucity of appropriate regulation and a shortage of phages for clinical use. Phage therapy is currently being applied to a limited number of patients as individual treatment trials. There is presently only one site in Germany for large-scale good-manufacturing-practice (GMP) phage production, and one clinic carrying out permission-free production of medicinal products. Several phage banks exist, but due to varying institutional policies, exchange among them is limited. The number of phage research projects has remarkably increased in recent years, some of which are part of structured networks. There is a demand for the expansion of production capacities with defined quality standards, a structured registry of all treated patients and clear therapeutic guidelines. Furthermore, the medical field is still poorly informed about phage therapy. The current status of non-approval, however, may also be regarded as advantageous, as insufficiently restricted use of phage therapy without adequate scientific evidence for effectiveness and safety must be prevented. In close coordination with the regulatory authorities, it seems sensible to first allow some centers to treat patients following the Belgian model. There is an urgent need for targeted networking and funding, particularly of translational research, to help advance the clinical application of phages.

Indexed as

BacteriophagesPhage TherapyCommerceGermanyHumansRegistriesantimicrobial resistanceGermanyphage therapyregulatory framework

Identifiers

PMID36851802
PMCPMC9960545
OpenAlexW4321459569

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.