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A trial to determine the efficacy of dry powder mannitol in improving lung function in subjects with Cystic Fibrosis aged six to seventeen years

A randomised, multicentre, double-blind, placebo-controlled, crossover trial determining the efficacy of dry powder mannitol in improving lung function in subjects with Cystic Fibrosis aged six to seventeen years

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON21839
Enrollment
160
Registered
2014-02-27
Start date
2013-06-21
Completion date
Unknown
Last updated
2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

cystic fibrosis, mucoviscidosis, taaislijm ziekte

Interventions

Study Drug = Mannitol 400mg/twice a day Placebo = non active Mannitol 400mg/twice a day, that means: the placebo consists of larger particles of Mannitol and therefore it is not inhaled into the lungs

Sponsors

Pharmaxis Ltd
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Personally provide, or have a legal guardian provide written informed consent to participate in the trial, according to local regulations; 2. rhDNase and maintenance antibiotic use is allowed but treatment must have been established at least 3 months prior to screening. The subject must remain on rhDNase and / or maintenance antibiotics for the duration of the trial. The subject must not commence treatment with rhDNase or maintenance antibiotics during the trial; 3. Have a confirmed diagnosis of cystic fibrosis (sweat test result ¡Ý 60 mEq/L chloride and/or genotyping showing two identifiable mutations consistent with a diagnosis of cystic fibrosis); 4. Be aged ¡Ý 6 years and < 18 years; 5. Have a percentage of predicted FEV1 of ¡Ý 30% and ¡Ü 90% at Screening (Visit 0). Percentage of predicted FEV1 will be calculated using Wang for children aged < 8 years, and using NHanes III for those ¡Ý 8 years; and 6. Be able to perform all the techniques necessary to measure lung function.

Exclusion criteria

Exclusion criteria: 1. Be using maintenance nebulised hypertonic saline; 2. Be considered ¡°terminally ill¡±; eligible for lung transplantation, or have received a lung transplant previously; 3. Require home oxygen or assisted ventilation; 4. Have had an episode of massive haemoptysis defined as acute bleeding ¡Ý 240 ml in a 24-hour period and/or recurrent bleeding ¡Ý100 ml/day over several days in the three-months prior to Screening (Visit 0); 5. Have a known intolerance to mannitol; 6. Be taking non-selective ¦Â blockers; 7. In the three months prior to Screening (Visit 0) have had a myocardial infarction; a cerebral vascular accident; major ocular, abdominal, chest or brain surgery; 8. Have a known cerebral, aortic or abdominal aneurysm; 9. Be currently participating in, or have participated in another investigative drug trial within four weeks of Screening (Visit 0); 10. Be pregnant or breastfeeding, or plan to become pregnant whilst in the trial; 11. For females of childbearing potential, be using an unreliable form of contraception (at the discretion of the investigator); 12. Have any concomitant medical, psychiatric, or social condition that, in the Investigator¡¯s opinion, would put the subject at significant risk, may confound the results or may significantly interfere with the subject¡¯s participation in the trial; or 13. Have a ¡°failed¡± or ¡°incomplete¡± mannitol tolerance test.

Design outcomes

Primary

MeasureTime frame
The absolute change from treatment periodbaseline to week 8 of each treatment period in percentage of predicted FEV1.

Secondary

MeasureTime frame
Change from treatment period baseline in percentage of predicted FVC t Change from treatment period baseline in percentage of predicted FEF25-75 (exploratory endpoint) Adverse events, vital signs and physical examination Treatment induced sputum weight

Contacts

Public ContactS. Saadatmand

Erasmus MC, Daniel den Hoed Clinic, Faculty of Medicine, Department of Surgical Oncology, Groene Hilledijk 301

s.saadatmand@erasmusmc.nl+31 (0)10 7041223

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)