Cystic fibrosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - CFTR genotype compound/A455E or compound/R117H - Already had a rectal biopsy to produce an organoid - Males and females, aged 18 years or older on the date of informed consent - Signed informed consent form (ICF) Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 20 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - Severe acute exacerbation or pulmonary infection during last four weeks (needing intravenous treatment and/or systemic corticosteroids) - Known cardiovascular medical history like cardiac failure, arrhythmias, ischemic cardiac disease, long QT interval syndrome and hypertension - Known hyperthyroidism, thyrotoxicosis, galactose intolerance, lactase deficiency or glucose-galactose malabsorption - Haemoglobin A1C (HBA1C) > 45 mmol/mol - Use of oral B2-agonist one week prior to the start of the study (V1) - Use of: heart glycoside, high dose sympathomimetics, theophylline, thiazide diuretics or non-selective beta-blockers - Pregnancy or breastfeeding - Participation in another drug-investigating clinical study at the start - Inability to follow instructions of the investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: to evaluate the clinical effect of a long term treatment (8 weeks) with oral B2-agonists in CF patients with residual CFTR function;Secondary Objective: 1. Evaluate the correlations between individual B2-agonist-induced CFTR function in vitro (organoid-based measurements) and the long term clinical treatment effect (eg. lung function and airway resistance). 2. Assess the effect of the salbutamol concentration in the blood on CFTR function in the background of patient specific parameters. We will do this by examining the CFTR-stimulating potential of the patients’ blood in vitro (in the organoid model). ;Primary end point(s): Pulmonary function before and after treatment with salbutamol ;Timepoint(s) of evaluation of this end point: Before and after treatment with salbutamol | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): • Fraction exhaled Nitric Oxide (FeNO) and Nasal Nitric Oxide (nNO); • BMI (=weight (in Kg)/Length2 (in cm)); • Quality of life (measured with Cystic Fibrosis Questionnaire (CFQ)); • Bile salt measurements in plasma and the feces; • Elastase measurements in the feces; • SCC measurements; • Upper and lower airway microbial profiles (microbiome) (conventional culturing, high throughout pyrosequencing (16S rRNA) for bacterial diversity and relative abundance). • Correlation between individual salbutamol induced CFTR function in vitro (organoid-based measurements) and the in vivo treatment effect; • The CFTR stimulating ability of the concentration of salbutamol in the patient’s blood samples, examined by in vitro testing (in the organoid model);;Timepoint(s) of evaluation of this end point: Before and after treatment with salbutamol | — |
Countries
Netherlands
Contacts
UMC Utrecht