Cystic Fibrosis
Conditions
Brief summary
Patients with Cystic Fibrosis have increased oxidative stress and impaired antioxidant systems. Under certain conditions, docosahexaenoic acid (DHA) intake may have a favorable role in reducing redox status. In this randomized, double-blind, cross-over study, DHA (Pro-Mind) and placebo (sunflower oil) capsules, will be given, daily to 10 patients, 5 mg/kg for 2 weeks then 10 mg/kg for the next 2 weeks. Biomarkers of lipid peroxidation and vitamin E levels will be measured. Plasma and platelet lipid compositions will be determined.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Male with confirmed diagnosis of Cystic Fibrosis with a sweat chloride \> 60 mmol/L and a pancreatic insufficiency. * Subjects will be aged between 6 and 18 years and be prepubescent, or aged between 18 and 30 years * Body weight \> 26 kg * Stable CF disease as judged by the investigator. * Subjects must have an Forced Expiratory Volume at one second \> 40 % of predicted normal for age, sex and height at the screening visit. * Subjects should not have enteral or parenteral nutrition. * No periodic IV lipidic emulsion administration. Subjects must not consume food supplements rich in OMEGA-3 on a regular basis.
Exclusion criteria
* Subjects with cirrhosis and portal hypertension. * Subjects with Cystic fibrosis related diabetes. * Concomitant participation in another clinical study. * Known allergy or intolerance to the active principle. * Subjects with major blood coagulation anomalies, patients under anticoagulants or aspirin (long term therapy). * Subjects on a transplant waiting list.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in 8-isoprostane level in urine. | Day 14 | Measured by urinalysis (Immunoassay). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in 11-dehydro-thromboxane B2 in urine. | Day 28 | Measured by urinalysis (Immunoassay). |
| Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] | Day 28 | Measured by vital signs |
| Change in percent predicted forced expiratory volume in 1 second | from baseline through Day 28 | Spirometry |
| Evaluation of the effect of DHA on specific biomarkers. | Day 28 | Gas chromatography, immunoassays, fluorimetry. (in plasma : lipids, vitamin E and in platelet : lipids, vitamin E, thromboxane B2, malondialdehyde). |