TRIAL: Treatment of Respiratory Infections with inhaled AntimicrobiaLs

Lead Research Organisation: University of Liverpool
Department Name: Material, Design & Manufacturing Eng

Abstract

The coronavirus disease (COVID-19) pandemic caused by the global spread of the severe acute respiratory syndrome-2 (SARS-CoV-2) virus has led to a staggering number of deaths worldwide and significantly increased burden on healthcare as nations have scrambled to find mitigation strategies. Viral infections such as SARS-CoV-2 can also predispose patients to bacterial co-infections. In fact, at least one in seven patients who have tested positive for COVID-19 have developed bacterial co-infections which have increased the severity and mortality of the disease. Since antiviral drugs have no effect on bacterial infections, these co-infections are treated with antibiotics. This surge in the use of antibiotic use during the COVID-19 pandemic has a detrimental effect in terms of driving the global growth of antibiotic resistance.

The goal of TRIAL is to design and test drug delivery vehicles tethered with antimicrobials to deliver the requisite therapeutic dose to tackle viral and bacterial infections in a controlled manner. The antimicrobials that are being developed in our laboratory have shown to have an effect on a wide range of respiratory viruses and bacterial pathogens. As we are using broad spectrum antimicrobials that are not antibiotics and we are therefore lowering the risk of developing antimicrobial resistance.

The technology being developed here is highly novel and will be revolutionary in the treatment of respiratory infections including that of COVID-19. We have brought together a group of world-class scientists, a clinician and an industrial partner with over 20 years' experience in their respective fields who will work to achieve the ambitious goals of the proposed work. The long term goal is the acceleration of bench to clinic impact followed by the commercialisation of the technology.

Publications

10 25 50
 
Description EPSRC Engineering in Net Zero UKRI Panel Member
Geographic Reach National 
Policy Influence Type Contribution to new or improved professional practice
URL https://www.ukri.org/events/epsrc-engineering-net-zero-showcase/
 
Description BBSRC International Partnership Award
Amount £10,500 (GBP)
Organisation Biotechnology and Biological Sciences Research Council (BBSRC) 
Sector Public
Country United Kingdom
Start 03/2023 
End 07/2023
 
Description Aerogen 
Organisation Aerogen
Country Ireland 
Sector Private 
PI Contribution We have developed antiviral material through current UKRI COVID19 Rapid Response funding. With this new collaboration we would like to develop this technology for an inhaled therapeutic application.
Collaborator Contribution Aerogen are a world leading medical device company specialising in Respiratory Drug Delivery. They will be an active collaborator on this project and will provide the vibrating mesh nebuliser and carry out testing as appropriate in their state of the art facilities.
Impact Grant will begin April 2022. This is a multidisciplinary consortium that includes the Antimicrobial Biomaterials Group, the Respiratory vaccines and infection immunology Group at LSTM, clinical collaboration from Aintree Hospital trust and industrial collaboration through Aerogen.
Start Year 2022
 
Description LSTM 
Organisation Liverpool School of Tropical Medicine
Country United Kingdom 
Sector Academic/University 
PI Contribution We have developed antiviral material through current UKRI COVID19 Rapid Response funding. With this new collaboration we would like to develop this technology for an inhaled therapeutic application.
Collaborator Contribution Professor Ferreira's group at LSTM have led the Oxford/Astra Zeneca Phase II/III clinical trials for the COVID vaccines and are world leading experts in the development of respiratory vaccines and infection immunology.
Impact We have been able to secure a £1.3 M EPSRC grant entitled TRIAL: Treatment of Respiratory Infections with inhaled AntimicrobiaLs. The grant is a collaboration by Prof. Raechelle D'Sa and Dr. Jenny Hanson at University of Liverpool and Prof. Daniela Ferreira, Dr. Elena Mitsi and Dr. Andrea Collins at LSTM. Dr. Andrea Collins is a clinician who is also associated with Aintree Hospital NHS trust.
Start Year 2022
 
Description Designing Antimicrobial Biomaterials and Therapeutics in the Era of the Superbug-Invited Talk 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact he BioFutures Symposium 2023 was hosted by Northumbria University with the ambition to perform world leading research in design-led innovation through biology-centred technology and engineering. BioFutures Symposium 2023, we would like to connect educators, researchers, design practitioners, industrialists and students from biology, engineering, environmental sciences, architecture, fashion, innovation design, computer sciences and social sciences, to showcase and discuss the potential for interdisciplinary collaboration. The invited talk sparked intred in the filed and follow up conversations.
Year(s) Of Engagement Activity 2023
URL https://www.northumbria.ac.uk/about-us/news-events/events/2023/07/biofutures-symposium-2023/
 
Description Pathways to Engineering 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Schools
Results and Impact The school of engineering hosted a Pathways to Engineering outreach day to present research and identify careers in Engineering. Between 50-60 high school students (year 11 students). We received feedback that, the topics brought new knowledge to the students, changed perspective and presented Engineering research in a new light.
Year(s) Of Engagement Activity 2024
 
Description School visit-Dovedale Primary School 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Schools
Results and Impact We went to Dovedale Primary School and carried out separate activities for the Year 6 (120 students) and Year 3 (120 students). We introduced them to the concepts of antimicrobial resistance through carefully designed age-appropriate presentations and targeted age-appropriate activities. We received feedback that both activities were well received and that the students were interested in Science as a career and engineering solutions to tackle future pandemics.
Year(s) Of Engagement Activity 2023
 
Description The potential of nitric oxide therapies for the treatment of healthcare associated infections-Antibiotic Resistance and Mechanisms Workshop 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact The Antibiotic Resistance and Mechanisms Workshop is an annual event held every Nov/December by the British Society for Antimicrobial Chemotherapy. This workshop offered members of the UK community researching mechanisms of antimicrobial resistance the opportunity to meet, to consolidate and extend the expertise held within individual laboratories in the United Kingdom.
Year(s) Of Engagement Activity 2023
URL https://bsac.org.uk/antibiotic-resistance-and-mechanisms-arm-workshop-for-researchers-2023/