Cystic Fibrosis, deposition study, Tc-DTPA, SPECT-CT, Inhalation flow manoeuvre, aerosol, radioactivity, Pulmonary drug delivery, nebulizer, 3D imaging, Ineb, CF, longdepositie, tobramycine
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Clinical diagnosis of CF and a positive sweat test or two CF related mutations; 2. Adult patients aged 18 years and older; 3. Written informed consent; 4. Routine use of nebulized tobramycin; 5. Stable disease; 6. Patients must satisfy their medical examiner about their fitness to participate in the study; 7. Patients with no clinically significant abnormal serum biochemistry and haematology; 8. Female subjects with a negative pregnancy test, determined within 14 days of the start of the study and prior to each dosing phase.
Exclusion criteria
Exclusion criteria: 1. Pregnancy or lactation, women of childbearing potential must maintain effective contraception during the treatment period; 2. Acute exacerbation of pulmonary infection; 3. An FEV1 value which differs more than 10% from baseline value measured prior to the first dosing phase; 4. Use of any treatment within three days before the start of the study that may interfere with the effect to be studied; 5. Known impaired kidney function (serum creatinin > 177 umol/L corresponding with an estimated creatinin clearance < 60 ml/min.); 6. Patients receiving loop diuretics; 7. Intravenous use of tobramycin; 8. Treatment with any unregistered drug during the month prior to the administration of the investigational aerosol; 9. Current therapy or disease which may complicate the evaluation of the study protocol.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total lung deposition. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Location of deposition, defined as Penetration Index (PI); 2. Pharmacoketics: e.g.: systemic bioavailability of tobramycin after inhalation. | — |
Contacts
Central Hospital Pharmacy The Hague Escamplaan 900