Cystic Fibrosis
Conditions
Keywords
microbiome, lactobacilli, probiotics
Brief summary
With this study, the investigators first want to investigate the respiratory tract microbiome of cystic fibrosis patients. To achieve this, the investigators will collect longitudinal samples of saliva, throat and sputum and process these to determine the microbial composition and compare them over a timecourse of a year. Secondly, the investigators aim to study the influence of a topical microbiome therapy (throat spray) on the microbiome of the upper and lower respiratory tract in cystic fibrosis patients after administration for 6 weeks. Bacterial and cytokine profiles of salivary, throat and sputum samples will be monitored before, during and after intervention.
Interventions
Throat spray containing Lacticaseibacillus casei AMBR2
Sponsors
Study design
Eligibility
Inclusion criteria
* Cystic fibrosis patients * \>6 years for intervention part of the study
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Microbial composition of saliva, throat and sputum samples using 16S rRNA sequencing | Change of microbial composition over one year (observational) | — |
| Transfer of L. casei AMBR2 to the oropharyngeal cavity and lungs after administration of the throat spray | Transfer of probiotic over 6 weeks | qPCR |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in microbiome of the oropharyngeal region and lungs after administration of the throat spray | Baseline, 1 week, 2 weeks, 4 weeks, 6 weeks | 16S rRNA amplicon sequencing and shotgun sequencing |
| Influence on general health | Baseline, 1 week, 2 weeks, 4 weeks, 6 weeks | A clinical evaluation by a specialist will be performed at the different consultations to assess general and respiratory health. A certified questionnaire including questions about the quality of life will also be filled in during each consultation. |
| Changes in cytokine levels (e.g. IL-10, IL-4, IL-5, IL-13) in saliva, oropharynx and sputum samples, and cytokine and antibody levels in blood samples | Baseline, 1 week, 2 weeks, 4 weeks, 6 weeks | qPCR and/or ELISA |
Countries
Belgium