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514G3 plus standard antibiotic treatment

Phase 1

Staphylococcus Aureus Bacteremia | Monoclonal antibody | Infectious Disease |XBiotech Inc.|Last Updated: Feb 9, 2026

Success Probability

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment52

FDA Designations

No designations recorded

Clinical trial landscape

514G3 plus standard antibiotic treatment · 1 trial · 1 indication

Phase 1 1
NCT02357966Safety & Efficacy of True Human Antibody, 514G3, in Staphylococcus Aureus Bacteremia Hospitalized Subjects.Staphylococcus Aureus Bacteremia
COMPLETED52 Analytics
PHASE1COMPLETED
Safety & Efficacy of True Human Antibody, 514G3, in Staphylococcus Aureus Bacteremia Hospitalized Subjects.
Staphylococcus Aureus BacteremiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants Who Experienced Dose-limiting Toxicities
Pre-dose at Day 0 through Day 14. After day 14, samples are collected every other day including discharge, up to 30 days maximum

Dose limiting Toxicity are defined as any Grade 3 or greater AE which is probably or definitely related to 514G3 occurring during the FU period after dosing. This measure determines and assesses the maximum tolerated dose (MTD) through participants who experienced DLT at different dose levels.

Number of Participants Who Experienced the Adverse Events
Adverse events occurring between day 0 and day 30 or hospital discharge whichever is shorter

A summary of SAEs and other non-serious AEs, regardless of causality

Secondary Endpoints

Time to Clearance of Bacteremia (Time to Sterile Culture From Date of Randomization)
Pre-dose at Day 0 through Day 14. After day 14, samples are collected every other day including discharge, up to 30 days maximum
Steady State Maximum Concentration of 514G3
Pre-dose at Day 0 through Day 14. After day 14, samples are collected every other day including discharge, up to 30 days maximum
Length of Hospitalization (Duration of Hospitalization Stay After Randomization)
Pre-dose at Day 0 through Day 14. After day 14, samples are collected every other day including discharge, up to 30 days maximum
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Phase IEXPERIMENTALA phase I of the trial is a dose escalation study intended to assess the possible toxicity and to determine the recommended phase 2 dose (RP2D) of the study drug (514G3). Randomized subjects were administered the study drug at 3 dose levels i.e. 2 mg/kg, 10 mg/kg, and 40 mg/kg or placebo.
Phase IIEXPERIMENTALA phase 2 of the trial is a dose expansion study designed to assess the preliminary efficacy. Eligible subjects are randomized (2:1) and received a single dose of 40 mg/kg study drug (514G3) with standard IV treatment versus placebo with standard IV treatment.

Interventions

NameTypeDescription
514G3 (2 mg/kg) plus standard IV antibiotic treatmentBIOLOGICAL -
514G3 (10 mg/kg) plus standard IV antibiotic treatmentBIOLOGICAL -
514G3 (40 mg/kg) plus standard IV antibiotic treatmentBIOLOGICAL -
Placebo plus standard IV antibiotic treatmentOTHERSterile isotonic formulation buffered at pH 6.2 - 6.5 plus standard IV antibiotic treatment
514G3 (40 mg/kg) plus standard IV antibiotic treatment: Phase IIBIOLOGICALA single dose of 514G3 plus standard IV antibiotic therapy
Placebo plus standard IV antibiotic treatment: Phase IIOTHERA single dose of placebo plus standard IV antibiotic therapy
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: 1. One or more blood cultures positive for staphylococcus aureus within 2 days of initiating treatment with 514G3. 2. Temperature ≥ 38.0°C 3. Age ≥18, male or female subjects. 4. Adequate renal function, defined by serum creatinine ≤ 2 times the upper limit of normal (ULN). 5. A...

Countries:United States
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Frequently asked questions about 514G3 plus standard antibiotic treatment

What is 514G3 plus standard antibiotic treatment?

514G3 plus standard antibiotic treatment is an investigational monoclonal antibody therapy given alongside standard intravenous antibiotics to treat Staphylococcus aureus bacteremia, a bloodstream infection. It was studied in hospitalized adults aged 18 and older. The antibody component is designed to be given as an add-on to conventional antibiotic care rather than as a replacement for it.

What is 514G3 plus standard antibiotic treatment used for?

It is being studied for Staphylococcus aureus bacteremia, a serious bloodstream infection caused by Staphylococcus aureus bacteria. The treatment combines the monoclonal antibody 514G3 with standard intravenous antibiotics in hospitalized patients. The goal of adding the antibody is to support the body's response to the infection alongside conventional antibiotic therapy.

Who makes 514G3 plus standard antibiotic treatment?

514G3 is developed by XBiotech Inc., which trades on the Nasdaq under the ticker XBIT. The company sponsored the clinical research evaluating the antibody in combination with standard intravenous antibiotics for Staphylococcus aureus bacteremia. XBiotech is a clinical-stage biopharmaceutical company focused on antibody therapeutics.

What phase is 514G3 plus standard antibiotic treatment in?

514G3 plus standard antibiotic treatment has been studied in a Phase 1 clinical trial. It is an investigational therapy and is not approved by the FDA. The Phase 1 program has been completed, and no trials of this combination are currently listed as active.

What clinical trials is 514G3 plus standard antibiotic treatment in?

The combination was evaluated in one completed Phase 1 trial, NCT02357966, titled Safety & Efficacy of True Human Antibody, 514G3, in Staphylococcus Aureus Bacteremia Hospitalized Subjects. The trial enrolled 52 participants in the United States, was randomized, double blind, and controlled, and included adults aged 18 years and older of all sexes.