Case Studies

RECCE® 327 and R327G

RECCE®327 and R327G are experimental compounds not market approved for use in humans; safety and efficacy are to be determined by present clinical studies. The result shown below must be considered anecdotal; however are presented within continuous disclosure obligations and are not part of any present clinical trials. 

Overview

Recce Pharmaceuticals is pleased to update upon Therapeutic Goods Administration (TGA) Special Access Scheme (SAS) Category A utilisation of RECCE® 327 Gel (R327G) by a qualified medical practitioner across patients suffering antibiotic-resistant Gram-positive and Gram-negative
bacterial infections.
Patients have been treated pursuant to the SAS-Category A; a notification pathway that can be accessed by health practitioners on behalf of a prescribing medical practitioner for patients who are seriously ill with a condition from which death is reasonably likely to occur within a matter of months, or from which premature death is reasonably likely to occur in the absence of early treatment, and does not constitute a clinical trial.
Highlights

Patient A-E

Patient X

Patient A
70–75-year-old male, puncture wound from metal spike injury. Unresponsive to all prior antibiotics, infection spreading and preparing for surgical intervention.

Day 0

Pre-treatment infection

Day 0

First Recce Gel Application

Day 0

Gel Applied Complete

After 24 hrs

Post Treatment

After 30 days

Post Treatment
72-year-old male, with type 2 diabetes, unresponsive to all prior antibiotics. Peripheral Vascular disease and neuropathy.

Pre-treatment

Pre-treatment infection

Day 7

Recce Treatment

Day 10

Recce Treatment

Day 14

Recce Treatment

51-year-old female with a significant wound infection post ankle infusion surgery. Diagnosed with arthritis on her right ankle due to talar avascular necrosis (death of bone tissue due to a lack of blood supply).

Pre-treatment

Pre-treatment wound swab

Day 7

Recce Treatment

Day 14

Recce Treatment

Day 21

Recce Treatment
51-year-old male, involved in a motor bike accident in 2017, was required to have an amputation above the knee. In 2018, the patient received an osseointegration (bone ingrowth metal implant). Recurrent infection on the left femoral (thigh). Not responding to oral and intravenous antibiotics.

Day 0

Pre-treatment infection

Day 3

Recce Treatment

Day 7

Recce Treatment
84-year-old male with osteomyelitis (serious infection of the bone) on his left big great toe, not responding to antibiotics.

Day 0

Pre-treatment infection

Day 3

Recce Treatment

Day 7

Recce Treatment
The Unwanted ‘guest’
The problem

A 59-year-old male (Patient X*) had been suffering from sinusitis infections all of their adult life. Over time, it had advanced to a multidrug-resistant, Gram-negative Pseudomonas aeruginosa (P. aeruginosa) infection in their upper nasal eustachian tube.

The challenge
This infection was unresponsive to previous surgeries and all attempted antibiotic treatments including: ciproflaxin (negative side effects), Septrim Forte (twice daily), Doxylin and last-resort peripherally inserted central catheter (PICC Line) methods of administration in some instances.
The solution

Clinical samples of RECCE® 327 (R327) were released under strict medical oversight having been determined to meet Therapeutic Goods Administration (TGA) Special Access Scheme Category A (SAS-A) criteria, including: ‘seriously ill, where death is reasonably likely to occur within a matter of months, or from which premature death is reasonably likely to occur in the absence of early treatment. Patient X dosed according to a strict, dose-escalating protocol applying 5-10 drops per 20 millilitres of R327 in saline solution, three times a day into the infected area.

 

Using a rubber bulb, Patient X pushed the mixture up into both the left and right nasal passages, toward the ears. Upon applying R327 in the infected area, Patient X noted a minor stinging sensation as the solution reached the area of infection in both nasal passages, subsiding after approximately three minutes.

Within 90 minutes , Patient X recorded their sinuses began to feel clearer, less inflamed and reported less discharge. As Patient X continued their dosing program, the stinging sensation subsided over time.

Over a three-day period of applying R327 topically via spray to the infected areas in the sinus , Patient X reported a substantial reduction in infected discharge, cessation of sweating and a return to normal sleeping patterns with no side effects. Post-dosing program, blood samples were taken and tested. These samples showed no detectable signs of P. aeruginosa infection and no abnormalities .

Not long after the dosing program, the patient reported feeling a return of the initial infection. Following a sinus biopsy, an opportunistic ‘common bacterium’ had taken residence where the P. aeruginosa was previously. Having advanced from a life-threating infection status, it was agreed that the new, unrelated bacterial infection was early in its growth. A course of Septrim Forte cleared the opportunistic bacteria and the initial drug resistant P. aeruginosa remained undetected.

About RECCE® 327

RECCE® 327 (R327) is a synthetic anti-infective developed for the treatment of serious and potentially life-threatening infections due to
Gram-positive and Gram-negative bacteria, including the full suite of ESKAPE pathogens, even in their superbug forms. R327’s novel
mechanism of action (MOA) is designed to safely enter the body, identify and treat an infection, and exit – with the potential to overcome
antimicrobial resistance.

R327, as an IV therapy, is being studied in a broad range of bacterial infections.

Preclinical studies have demonstrated R327’s ability to rapidly and irreversibly shut down bacterial cellular energy ATP production, disrupting important functions within the bacteria, leading to:

 

This multi-layered MOA uniquely allows it to kill bacteria and keep on killing with repeated use, a challenge of all existing antibiotics.