Phase 1b/2a, Where Patients Are Chosen Randomly to Test the Safety of SNIPR001 and to Assess How Well the Study Drug is Tolerated, How it is Absorbed in the Body and Its Initial Effectiveness in Patients With Certain Types of Blood Cancer

Eligibility Criteria

• 1. Male or female ≥18 years of age at the time of consent.
• 2. Patient is able and willing to provide written informed consent prior to any study-related procedure.
• 3. Confirmed diagnosis of any hematologic malignancy.
• 4. Planned to undergo an allogeneic hematopoietic stem cell transplant.
• 5. Patient is scheduled to receive fluoroquinolone (levofloxacin) prophylaxis.
• 6. Colonized with FQR E. coli (patients will be pre-screened for the presence of at least 1 FQR E. coli colony \[cultured from a perianal swab\] performed at the local hospital lab, qualitative assessment +/-).
• 7. Female patients must be of non-childbearing potential (surgically sterile or menopausal for at least 1 year) or agree to use a highly effective contraception method, per local standard, while receiving treatment with SNIPR001 and for 28 days after the last dose of SNIPR001. Male patients must utilize highly effective contraceptive precautions for the duration of SNIPR001 dosing and for 28 days after the last dose of SNIPR001.
• 8. Female patients of childbearing potential must have a negative serum pregnancy test at Screening and a negative serum or urine test on Day -2 prior to SNIPR001 dosing.
• 9. Are willing to comply with all scheduled visits, laboratory tests, and other study procedures, including drinking the study medications, in the opinion of the Investigator.
• 1. Use of any treatment (approved or investigational product) considered to interact with the study drug, or which might impact the outcome of the study within 14 days (or 5 half-lives of the approved or investigational product, whichever is greater) prior to the first administration of study drug, as judged by the Investigator. Patients enrolled in any other clinical trials are excluded from participation.
• 2. Use or planned use of any antibiotics with intrinsic activity against E. coli in the gut (e.g., beta-lactam antibiotics) between Pre-Screening and end of study, with the exception of TMP-SMX and levofloxacin.
• 3. Have known hypersensitivity or allergy to any component of SNIPR001, levofloxacin and/or Alka-Seltzer Gold treatment.
• 4. Unwilling or unable to comply with the requirements of this Protocol, including providing stool samples.
• 5. Female patients who are pregnant or lactating.