Cystic Fibrosis
Conditions
Keywords
cystic fibrosis
Brief summary
The purpose of this study is to determine the medium term efficacy and safety profile of inhaled mannitol, on its own and also as an additional therapy to rhDNase (pulmozyme). In particular, we will assess the impact on: lung function; airway inflammation; sputum microbiology; exacerbations; quality of life; adverse events; exercise tolerance; total costs of hospital and community care; and cost-effectiveness.
Interventions
400mg BD for 12 weeks
combination
2.5mg daily for 2 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Known diagnosis of cystic fibrosis (sweat test or genotype) * Of either gender * Aged between 8 and 18 years * Have a baseline FEV1 of \<70% of the predicted normal value * Currently taking rhDNase for at least 4 weeks
Exclusion criteria
* Currently active asthma, uncontrolled hypertension, colonised with Burkholderia cepacia or MRSA * Listed for transplantation * Known intolerance to mannitol, rhDNase or bronchodilators
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| FEV1 after 12 weeks of each of the following treatment regimens: *mannitol only *rhDNase only *mannitol + rhDNase | 12 weeks |
Secondary
| Measure | Time frame |
|---|---|
| to assess whether the effects of mannitol are additive to rhDNase | 12 weeks |
| to demonstrate that mannitol does not cause deterioration in airway inflammation | 12 weeks |
| to compare mannitol to rhDNase on FVC | 12 weeks |
| to assess whether the effects of mannitol are beneficial to quality of life | 12 weeks |
| to assess whether mannitol, or mannitol + rhDNase are cost-effective compared to rhDNase alone | 12 weeks |
| to assess whether mannitol reduces the bacterial load in the lung | 12 weeks |
Countries
United Kingdom