Pulmonary Aspergillus disease in patients with cystic fibrosis Respiratory
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All patients will have taken part in study REC ref: 07/Q1403/70 between 2008-2011 (number = 129). Surviving patients who have not received a lung transplant or moved away from the unit since that time will be eligible for prospective reclassification of Aspergillus disease. All 129 patients will be followed up for retrospective data. 1. Cystic fibrosis patients > 18 years old, both male and female 2. Patients who have taken part in study REC ref: 07/Q1403/70 3. Patients eligible for reclassification of Aspergillus disease if not undergone lung transplantation or not moved away from area
Exclusion criteria
Exclusion criteria: 1. Non cystic fibrosis patients 2. Patients not involved in study REC reference number 07/Q1403/70 3. Patients who have undergone lung transplantation 4. Patients who have moved away from the area during follow-up time from original study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Diagnosis of Aspergillus phenotype by means of blood test for Aspergillus IgE, Aspergillus IgG, Total IgE and Galactomannan, along with a sputum sample for Aspergillus, both at baseline . This is compared to previous phenotype diagnosed in study REC ref: 07/Q1403/70 to establish if change in disease class has occurred 2. Comparison of survival outcomes between class 1-4 of Aspergillus disease (present day snapshot of the patient population), and rate of clinical decline (marked by FEV1 % predicted and BMI measurements taken yearly) | — |
Secondary
| Measure | Time frame |
|---|---|
| Aspergillus/fungal exposure at a patient's residence, determined by environmental sampling at baseline. This will supplement data collected as part of air quality surveys undertaken in the cystic fibrosis unit, both in inpatient and outpatient areas | — |
Countries
United Kingdom