Cystic Fibrosis (CF)
Conditions
Interventions
Test drug, dose and mode of administration:
7% Hypertonic Saline (HS).
In Australia this will be supplied in 10mL glass vials packed 5 vials per pack in plain white packaging, and manufactured by P
Sponsors
Erasmus Medical Center
Eligibility
Inclusion criteria
Inclusion criteria: 1. Diagnosis of CF as evidenced by one or more clinical feature consistent with the CF phenotype or positive CF newborn screen AND one or more of the following criteria: a) A documented sweat chloride ¡Ý 60 mEq/L by quantitative pilocarpine iontophoresis (QPIT) b) A documented genotype with two disease-causing mutations in the CFTR gene 2. Informed consent by parent or legal guardian 3. Age ¡Ý 36 months and ¡Ü72 months at Screening visit 4. Ability to comply with medication use, study visits and study procedures as judged by the site investigator 5. Ability to execute a technician controlled or spirometer controlled chest CT scan
Exclusion criteria
Exclusion criteria: 1. Chest CT within 8 months prior to the Screening visit 2. Acute intercurrent respiratory infection, defined as an increase in cough, wheezing, or respiratory rate with onset within 3 weeks preceding Screening or Enrolment visit 3. Acute wheezing at Screening or Enrollment visit 4. Oxygen saturation < 95% (<90% at centres above 4000 feet elevation) at Screening or Enrollment visit 5. Other major organ dysfunction, excluding pancreatic dysfunction 6. Physical findings that would compromise the safety of the participant or the quality of the study data as determined by site investigator 7. Investigational drug use within 30 days prior to Screening or Enrolment visit 8. Treatment with inhaled hypertonic saline at any concentration within 30 days prior to Screening or Enrolment visit 9. Start of any additional inhaled saline solution at any concentration, or other hydrating agent such as mannitol or mucolytic drug such as dornase alpha within 30 days prior or following the Screening or Enrollment visit 10. Chronic lung disease not related to CF 11. Inability to tolerate first dose of study treatment at the Enrolment visit
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The difference in PRAGMA-CF %Dis between HS and IS study arm at end of study (48 weeks), measured from standardized chest CT. | — |
Secondary
| Measure | Time frame |
|---|---|
| Longitudinal change in airway disease (%Dis), bronchiectasis (%Bx) and trapped air (%TA), as well as the proportion of patients with bronchiectasis progression, from baseline to end of study as established by PRAGMA-CF and Airway dimensions as measured using the AA method from chest CT • on expiratory or spontaneous breathing CTs • Longitudinal change in LCI, measured by N2 MBW, from baseline to 48 weeks between treatment arms. • Protocol-defined pulmonary exacerbation rate • Modified parent-reported CFQ-R for preschool children, a CF-specific measure of health related quality of life (excluding European sites). | — |
Contacts
Public ContactH.A.W.M. Tiddens
Erasmus Medical Center, Sophia Children’s Hospital Rotterdam, Department of Pediatric Pulmonology, Dr. Molewaterplein 60
Outcome results
None listed