Cystic Fibrosis
Conditions
Keywords
respiratory and intestinal microbiome, antibiotic therapy, cftr modifier, diversity
Brief summary
Respiratory und intestinal microbiome will bei analyzed during a period of 6 months. In a retrospective analysis it will be looked for correlations between microbiome and cf therapy (e.g. inhaled and systemic antibiotics, cftr modifiers, proton pump Inhibitors, enzymes, nutritional habits), clinical status and self reported outcome.
Detailed description
DNA will be isolated from sputum, throat swabs and stool samples and used for the generation of microbial profiles. Both bacterial and fungal profiles will be analyzed by next generation sequencing. Clinical outcome parameters (lung function test, weight, calprotectin, elastase, blood parameters, self reported outcome) will be recorded and analyzed along with medication.
Interventions
microbial profiling by next generation sequencing
Sponsors
Study design
Eligibility
Inclusion criteria
* subject has confirmed diagnosis of cystic fibrosis (sweat chloride \>60mmol/l and/or 2 mutations in the cftr gene known to cause cystic fibrosis) * subject is able to perform informed consent
Exclusion criteria
* inability to give informed consent * antibiotic therapy in the last 4 weeks prior to study start (exception: long term azithromycin therapy, long term antistaphylococcal therapy, long term inhaled antibiotics)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| respiratory microbiome | 24 weeks | abundance \[operational taxonomic units\] |
| intestinal microbiome | 24 weeks | abundance \[operational taxonomic units\] |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Forced Exspiratory Volume FEV1 [%pred] | 24 weeks | performed by bodyplethmograph |
| weight (kg) | 24 weeks | for children, height (cm) is also recorded |
| Quality of life [score] | 24 weeks | Cystic Fibrosis Questionnaire Revised CFQ-R \[score 0-100, higher scores indicating better Quality of Life\] |
Countries
Germany