Evidence map›Paper›PMID 40301561›Full record

ArticleNature medicine2025

Personalized inhaled bacteriophage therapy for treatment of multidrug-resistant Pseudomonas aeruginosa in cystic fibrosis.

Benjamin K Chan, Gail L Stanley, Kaitlyn E Kortright, Albert C Vill, Mrinalini Modak, Isabel M Ott, Ying Sun, Silvia Würstle, Casey N Grun, Barbara I Kazmierczak and 17 more

Registry-linked trialAbstract read
In one paragraph

Article in Nature medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07619924 (Randomized Controlled Study on the Safety and Efficacy of Phage Cocktail in the Treatment of Multidrug-Resistant Bacterial Skin Infections), which is not on this map. Cited by 78 papers.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed
–field-weighted citation impact
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.

NCT07619924 early_phase1enrolling by invitationnot on this map

Randomized Controlled Study on the Safety and Efficacy of Phage Cocktail in the Treatment of Multidrug-Resistant Bacterial Skin Infections

TypeinterventionalSponsorFirst Affiliated Hospital Xi'an Jiaotong UniversityRan2025 to 2028Enrolled150ConditionsPhage Therapy, Bacteriophage Therapy, Skin and Soft Tissue InfectionsArmsBacteriophage Treatment, Placebo treatment using 0.9% normal saline
3 · Its place in the literature

Who cites it

78 citing papers in PubMed.

  1. High resolution cryo-EM structure of theJournal of structural biology: X · 2026
    Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Variable phage susceptibility ofbioRxiv : the preprint server for biology · 2026
    Article
  8. Vancomycin and phage COP-80B combination therapy for Staphylococcus epidermidis periprosthetic joint infections: a preclinical mouse study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  9. Article
  10. Review
  11. Phage as a prospective arsenal against superbugs.Molecular biology reports · 2026
    Review
  12. Review
  13. Review
  14. Article
  15. Review
  16. From screening to treatment:Microbiology spectrum · 2026
    Article
  17. Giving Antibiotics a Second Chance: Evolutionary Trade-Offs and Phage-Driven Restoration of Antibiotic Susceptibility.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  18. Article
  19. Review
  20. Article

18 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

27 authors.

Benjamin K Chan *Department of Ecology and Evolutionary Biology, Yale University, New Haven, CT, USA.
Gail L Stanley *Center for Phage Biology and Therapy, Yale University, New Haven, CT, USA.
Kaitlyn E Kortright *Department of Ecology and Evolutionary Biology, Yale University, New Haven, CT, USA.
Albert C VillDepartment of Ecology and Evolutionary Biology, Yale University, New Haven, CT, USA.
Mrinalini ModakDepartment of Medicine, Division of Pulmonary and Critical Care, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Isabel M OttDepartment of Ecology and Evolutionary Biology, Yale University, New Haven, CT, USA.
Ying SunCenter for Phage Biology and Therapy, Yale University, New Haven, CT, USA.
Silvia WürstleCenter for Phage Biology and Therapy, Yale University, New Haven, CT, USA.ORCID http://orcid.org/0000-0003-0787-3894
Casey N GrunDepartment of Internal Medicine, Section of Infectious Diseases, Yale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-4563-6358
Barbara I KazmierczakDepartment of Internal Medicine, Section of Infectious Diseases, Yale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-8162-803X
Govindarajan RajagopalanCenter for Phage Biology and Therapy, Yale University, New Haven, CT, USA.
Zachary M HarrisDepartment of Internal Medicine, Section of Pulmonary, Critical Care, and Sleep Medicine, Yale School of Medicine, New Haven, CT, USA.
Clemente J BrittoDepartment of Internal Medicine, Section of Pulmonary, Critical Care, and Sleep Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-1979-1151
Jill StewartDepartment of Internal Medicine, Section of Pulmonary, Critical Care, and Sleep Medicine, Yale School of Medicine, New Haven, CT, USA.
Jaideep S TalwalkarDepartment of Internal Medicine, Section General Internal Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0003-2471-8159
Casey R AppellDepartment of Kinesiology & Sports Management, Texas Tech University, Lubbock, TX, USA.
Nauman ChaudaryDepartment of Medicine, Division of Pulmonary Disease and Critical Care Medicine, Virginia Commonwealth University, Richmond, VA, USA.
Sugeet K JagpalDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Raksha JainDepartment of Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Adaobi KanuDepartment of Pediatrics, Texas Tech University Health Sciences Center School of Medicine, Lubbock, TX, USA.
Bradley S QuonFaculty of Medicine, Centre for Heart Lung Innovation, The University of British Columbia, Vancouver, British Columbia, Canada.
John M ReynoldsDepartment of Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine, Duke University School of Medicine, Durham, NC, USA.
Charlotte C TenebackDepartment of Medicine, Division of Pulmonary Disease and Critical Care Medicine, University of Vermont Larner College of Medicine, Burlington, VT, USA.
Quynh-Anh MaiCenter for Phage Biology and Therapy, Yale University, New Haven, CT, USA.
Veronika ShabanovaCenter for Phage Biology and Therapy, Yale University, New Haven, CT, USA.
Paul E TurnerDepartment of Ecology and Evolutionary Biology, Yale University, New Haven, CT, USA.
Jonathan L KoffCenter for Phage Biology and Therapy, Yale University, New Haven, CT, USA. jon.koff@yale.edu.ORCID http://orcid.org/0000-0003-3240-3173

Funding

Cystic Fibrosis Foundation (CF Foundation) KOFF19Y5Cystic Fibrosis Foundation (CF Foundation) STANLE20D0Cystic Fibrosis Foundation (CF Foundation) TURNER19P0U.S. Department of Health & Human Services | NIH | Office of Extramural Research, National Institutes of Health (OER) STANLEY OYPU4195
6 · The paper itself

Abstract

Bacteriophage (phage) therapy, which uses lytic viruses as antimicrobials, is a potential strategy to address the antimicrobial resistance crisis. Cystic fibrosis, a disease complicated by recurrent Pseudomonas aeruginosa pulmonary infections, is an example of the clinical impact of antimicrobial resistance. Here, using a personalized phage therapy strategy that selects phages for a predicted evolutionary trade-off, nine adults with cystic fibrosis (eight women and one man) of median age 32 (range 22-46) years were treated with phages on a compassionate basis because their clinical course was complicated by multidrug-resistant or pan-drug-resistant Pseudomonas that was refractory to prior courses of standard antibiotics. The individuals received a nebulized cocktail or single-phage therapy without adverse events. Five to 18 days after phage therapy, sputum Pseudomonas decreased by a median of 10

Indexed as

Cystic FibrosisDrug Resistance, Multiple, BacterialPhage TherapyPseudomonas aeruginosaPseudomonas InfectionsAdministration, InhalationAdultAnti-Bacterial AgentsBacteriophagesFemaleHumansMaleMiddle AgedPrecision MedicineSputumYoung AdultAnti-Bacterial Agents

Identifiers

PMID40301561
PMCPMC12092284

What OpenQuestion holds

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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.