Standardizing Treatments for Pulmonary Exacerbations - Aminoglycoside Study

Study Purpose

The purpose of this study is to look at pulmonary exacerbations in people with cystic fibrosis (CF) that need to be treated with antibiotics given through a tube inserted into a vein (intravenous or IV). A pulmonary exacerbation is a worsening of respiratory symptoms in people with CF that needs medical intervention. Both doctors and CF patients are trying to understand the best way to treat pulmonary exacerbations. This study is trying to answer the following questions about treating a pulmonary exacerbation: - Do participants have the same improvement in lung function and symptoms if they are treated with one type of antibiotic (called beta-lactams or β-lactams) versus taking two different types of antibiotics (tobramycin and β-lactams)? - Is taking one type of antibiotic just as good as taking two types?

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 6 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - All genders ≥ 6 years of age at Visit 1.
  • - Documentation of a CF diagnosis.
  • - Clinician intent to treat index CF PEx with a planned 14-day course of IV antimicrobials.
  • - At least one documented Pa positive culture within two years prior to Visit 1.

Exclusion Criteria:

  • - Participant is not pregnant.
  • - No known renal impairment or history of solid organ transplantation.
  • - No IV antimicrobial treatment, ICU admission, pneumothorax, or hemoptysis within 6 weeks prior to Visit 1.
  • - No use of investigational therapies, new CF transmembrane conductance regulator (CFTR) modulators, or treatment for Nontuberculous mycobacteria (NTM) within 4 weeks prior to Visit 1.
  • - No history of hypersensitivity, vestibular, or auditory toxicity with aminoglycosides.
- No more than one day of IV aminoglycosides administered for the current PEx treatment prior to Visit 1

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT05548283
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 4
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Chris Goss
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Patrick Flume, MD
Principal Investigator Affiliation Medical University of South Carolina
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other
Overall Status Recruiting
Countries Canada, United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Cystic Fibrosis, Cystic Fibrosis Pulmonary Exacerbation
Additional Details

Cystic Fibrosis Foundation (CFF) treatment guidelines for the management of pulmonary exacerbations (PEx) identified evidence gaps in current clinical best practices. The STOP program offers a platform for the conduct of controlled trials to develop the evidence base in order to define clinical best practices. The interventional Aminoglycoside Study (AG Study) will be a prospective, multi-center, parallel group, randomized (1:1 ratio), open-label, superiority study of intravenous aminoglycoside and β-lactams versus intravenous β-lactams only. Randomization will occur at Visit 1. The primary objective of this platform trial is to evaluate the efficacy and safety of differing treatments in CF PEx during a planned 14 day course of IV antimicrobials. Primary efficacy will be evaluated as the difference in mean Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) changes from Visit 1 to Visit 2 (Day 28 ± 2 days) between intervention arms.

Arms & Interventions

Arms

Other: β-lactam Only (Non-AG)

Participants randomized to this arm will be prescribed a standard of care intravenous (IV) β-lactam as selected by their treating physician. Treatment must not include an IV aminoglycoside.

Other: β-lactam and Aminoglycoside (AG)

Participants randomized to this arm will be prescribed a standard of care intravenous (IV) β-lactam and aminoglycoside selected by their treating physician.

Interventions

Drug: - Beta-lactam antibiotic

Intravenous (IV) β-lactam will be selected by the treating physician following standard of care. Treatment will last for 14 days (± 2 days).

Drug: - Aminoglycoside

Intravenous (IV) aminoglycoside will be selected by the treating physician following standard of care. Treatment will last for 14 days (± 2 days).

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

Birmingham, Alabama

Status

Recruiting

Address

The Children's Hospital Alabama, University of Alabama at Birmingham

Birmingham, Alabama, 35233

Site Contact

Heather Hathorne

hyhathorne@uabmc.edu

206-884-7517

Tucson Cystic Fibrosis Center, Tucson, Arizona

Status

Recruiting

Address

Tucson Cystic Fibrosis Center

Tucson, Arizona, 85724

Site Contact

Elizabeth Ryan

elizabethryan@email.arizona.edu

206-884-7517

University of California San Diego, La Jolla, California

Status

Recruiting

Address

University of California San Diego

La Jolla, California, 92093

Site Contact

Jenna Mielke,

jmielke@health.ucsd.edu

206-884-7517

Long Beach Memorial Medical Center, Long Beach, California

Status

Recruiting

Address

Long Beach Memorial Medical Center

Long Beach, California, 90806

Site Contact

Marylee Melendrez

mmelendrez@memorialcare.org

206-884-7517

CHOC Children's Hospital, Orange, California

Status

Recruiting

Address

CHOC Children's Hospital

Orange, California, 92868

Site Contact

Lila Klein

Lila.klein@choc.org

206-884-7517

Sacramento, California

Status

Not yet recruiting

Address

University of California at Davis Medical Center

Sacramento, California, 95817

Site Contact

Daniel Diaz-Vigil

ddiazvigil@ucdavis.edu

206-884-7517

Children's National Medical Center, Washington, District of Columbia

Status

Not yet recruiting

Address

Children's National Medical Center

Washington, District of Columbia, 20010

Site Contact

Jack Serio

jserio@childrensnational.org

206-884-7517

University of Florida, Gainesville, Florida

Status

Recruiting

Address

University of Florida

Gainesville, Florida, 32610

Site Contact

Melissa Lingis

melissa.lingis@peds.ufl.edu

206-884-7517

Joe DiMaggio Children's Hospital, Hollywood, Florida

Status

Recruiting

Address

Joe DiMaggio Children's Hospital

Hollywood, Florida, 33021

Site Contact

Norma (Jean) Barton

nbarton@mhs.net

206-884-7517

Nemours Children's Clinic, Jacksonville, Florida

Status

Recruiting

Address

Nemours Children's Clinic

Jacksonville, Florida, 32207

Site Contact

Jennifer (Jenn) Gafford

Jennifer.gafford@nemours.org

206-884-7517

University of Miami, Miami, Florida

Status

Not yet recruiting

Address

University of Miami

Miami, Florida, 33136

Site Contact

Ylber Whitaker

yiw2@miami.edu

206-884-7517

All Children's Hospital, Saint Petersburg, Florida

Status

Recruiting

Address

All Children's Hospital

Saint Petersburg, Florida, 33701

Site Contact

Diana Hodge

dhodge6@jhmi.edu

206-884-7517

Emory University, Atlanta, Georgia

Status

Recruiting

Address

Emory University

Atlanta, Georgia, 30327

Site Contact

Ashleigh Streby

ashleigh.streby@emory.edu

206-884-7517

Boise, Idaho

Status

Recruiting

Address

Saint Luke's Cystic Fibrosis Center of Idaho

Boise, Idaho, 83702

Site Contact

Lejla Godusevic

godusevl@slhs.org

206-884-7517

Chicago, Illinois

Status

Recruiting

Address

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, 60611

Site Contact

Yung Hsuan (Irene) Wu

yhwu@luriechildrens.org

206-884-7517

Northwestern University, Chicago, Illinois

Status

Not yet recruiting

Address

Northwestern University

Chicago, Illinois, 60611

Site Contact

Rachel Nelson

rachel.nelson@northwestern.edu

206-884-7517

OSF Saint Francis Medical Center, Peoria, Illinois

Status

Recruiting

Address

OSF Saint Francis Medical Center

Peoria, Illinois, 61637

Site Contact

Ashley Scott

Ashley.Scott@osfhealthcare.org

206-884-7517

Indiana University Medical Center, Indianapolis, Indiana

Status

Recruiting

Address

Indiana University Medical Center

Indianapolis, Indiana, 46202

Site Contact

Lisa Bendy

lbendy@iu.edu

206-884-7517

Riley Hospital for Children, Indianapolis, Indiana

Status

Recruiting

Address

Riley Hospital for Children

Indianapolis, Indiana, 46202

Site Contact

Lisa Bendy

lbendy@iupui.edu

206-884-7517

University of Iowa, Iowa City, Iowa

Status

Recruiting

Address

University of Iowa

Iowa City, Iowa, 52242

Site Contact

Mary Teresi

mary-teresi@uiowa.edu

206-884-7517

University of Kansas Medical Center, Kansas City, Kansas

Status

Recruiting

Address

University of Kansas Medical Center

Kansas City, Kansas, 66160

Site Contact

Lawrence Scott

lscott2@kumc.edu

206-884-7517

University of Louisville, Louisville, Kentucky

Status

Recruiting

Address

University of Louisville

Louisville, Kentucky, 40202

Site Contact

Melissa Thomas

mcthom12@louisville.edu

206-884-7517

Maine Medical Center, Portland, Maine

Status

Recruiting

Address

Maine Medical Center

Portland, Maine, 04102

Site Contact

Harmony Renna

Harmony.Renna@mainehealth.org

206-884-7517

John Hopkins Hospital, Baltimore, Maryland

Status

Recruiting

Address

John Hopkins Hospital

Baltimore, Maryland, 21205

Site Contact

Jeanne Pinto

jpinto4@jh.edu

206-884-7517

Boston, Massachusetts

Status

Recruiting

Address

Boston Children's Hospital, Brigham & Women's Hospital

Boston, Massachusetts, 02115

Worcester, Massachusetts

Status

Recruiting

Address

University of Massachusetts Memorial Health Care

Worcester, Massachusetts, 01655

Site Contact

Jaclyn Longtine

Jaclyn.Longtine@umassmed.edu

206-884-7517

Ann Arbor, Michigan

Status

Recruiting

Address

University of Michigan, Michigan Medicine

Ann Arbor, Michigan, 48109

Site Contact

Dawn Kruse

dmkruse@med.umich.edu

206-884-7517

Helen DeVos Children's Hospital, Grand Rapids, Michigan

Status

Recruiting

Address

Helen DeVos Children's Hospital

Grand Rapids, Michigan, 49546

Site Contact

Andrew James

andrew.james@corewellhealth.org

206-884-7517

Saint Louis, Missouri

Status

Recruiting

Address

SSM Health Cardinal Glennon Children's Hospital

Saint Louis, Missouri, 63104

Site Contact

Freda Branch

freda.branch@health.slu.edu

206-884-7517

Washington University School of Medicine, Saint Louis, Missouri

Status

Recruiting

Address

Washington University School of Medicine

Saint Louis, Missouri, 63110

Site Contact

Irma Bauer

irmabauer@wustl.edu

206-884-7517

Billings Clinic, Billings, Montana

Status

Recruiting

Address

Billings Clinic

Billings, Montana, 59101

Site Contact

Jerimiah Lysinger

JLysinger@billingsclinic.org

206-884-7517

Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire

Status

Recruiting

Address

Dartmouth Hitchcock Medical Center

Lebanon, New Hampshire, 03756

Site Contact

Barbara A Rodgers

Barbara.A.Rodgers@hitchcock.org

206-884-7517

Morristown Medical Center, Morristown, New Jersey

Status

Recruiting

Address

Morristown Medical Center

Morristown, New Jersey, 07960

Site Contact

Debra Connolly

Debra.Connolly@atlantichealth.org

206-884-7517

New Brunswick, New Jersey

Status

Recruiting

Address

Rutgers - Robert Wood Johnson Medical School

New Brunswick, New Jersey, 08903

Site Contact

Sheila Redding, Sheila

sr1238@rwjms.rutgers.edu

206-884-7517

New York, New York

Status

Recruiting

Address

Lenox Hill Hospital Cystic Fibrosis Center

New York, New York, 10003

Site Contact

Teresa Demarco

Tdemarco3@northwell.edu

206-884-7517

Children's Hospital of New York, New York, New York

Status

Recruiting

Address

Children's Hospital of New York

New York, New York, 10032

Site Contact

Hossein Sadeghi

HS762@cumc.Columbia.edu

206-884-7517

Valhalla, New York

Status

Recruiting

Address

New York Medical College at Westchester Medical Center

Valhalla, New York, 10595

Site Contact

Zachary Messer

Zachary_Messer@nymc.edu

206-884-7517

Akron, Ohio

Status

Recruiting

Address

Children's Hospital Medical Center of Akron

Akron, Ohio, 44308

Site Contact

Michelle Parrish

MParrish@akronchildrens.org

206-884-7517

Cincinnati, Ohio

Status

Recruiting

Address

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, 45229

Site Contact

Kelly Thornton

Kelly.Thornton@cchmc.org

206-884-7517

University of Cincinnati Medical Center, Cincinnati, Ohio

Status

Not yet recruiting

Address

University of Cincinnati Medical Center

Cincinnati, Ohio, 45267

Site Contact

Nicole Hummel

Nicole.Hummel@UCHealth.com

206-884-7517

Cleveland, Ohio

Status

Recruiting

Address

Rainbow Babies and Children's Hospital/University Hospitals Cleveland Medical Center

Cleveland, Ohio, 44146

Site Contact

Primary RC & Participant Contact General Contact

RainbowCFResearch@UHhospitals.org

206-884-7517

Nationwide Children's Hospital, Columbus, Ohio

Status

Recruiting

Address

Nationwide Children's Hospital

Columbus, Ohio, 43205

Dayton Children's Hospital, Dayton, Ohio

Status

Recruiting

Address

Dayton Children's Hospital

Dayton, Ohio, 45404

Toledo Children's Hospital, Toledo, Ohio

Status

Recruiting

Address

Toledo Children's Hospital

Toledo, Ohio, 43606

Site Contact

Kelly Hoot

kelly.hoot@promedica.org

206-884-7517

Oklahoma Cystic Fibrosis Center, Oklahoma City, Oklahoma

Status

Recruiting

Address

Oklahoma Cystic Fibrosis Center

Oklahoma City, Oklahoma, 73104

Site Contact

CF Center Participant Contact

cfresearchteam@ouhsc.edu

206-884-7517

Oregon Health Sciences University, Portland, Oregon

Status

Recruiting

Address

Oregon Health Sciences University

Portland, Oregon, 97239

Site Contact

Jenna Bucher

bucherj@ohsu.edu

206-884-7517

University of Pennsylvania, Philadelphia, Pennsylvania

Status

Recruiting

Address

University of Pennsylvania

Philadelphia, Pennsylvania, 19104

Pittsburgh, Pennsylvania

Status

Recruiting

Address

Children's Hospital of Pittsburgh of UPMC

Pittsburgh, Pennsylvania, 15224

Site Contact

Elizabeth Hartigan

elizabeth.hartigan@chp.edu

206-884-7517

Medical University of South Carolina, Charleston, South Carolina

Status

Recruiting

Address

Medical University of South Carolina

Charleston, South Carolina, 29425

Site Contact

Ashley Warden

jonesash@musc.edu

206-884-7517

Vanderbilt Children's Hospital, Nashville, Tennessee

Status

Not yet recruiting

Address

Vanderbilt Children's Hospital

Nashville, Tennessee, 37232

Site Contact

Brijesh Patel

brijesh.patel@vumc.org

206-884-7517

Dallas, Texas

Status

Recruiting

Address

University of Texas Southwestern / Children's Health

Dallas, Texas, 75207

Site Contact

Mary Klosterman

Mary.Klosterman@UTSouthwestern.edu

206-884-7517

University of Texas Southwestern, Dallas, Texas

Status

Recruiting

Address

University of Texas Southwestern

Dallas, Texas, 75390

Site Contact

Ashley Keller

Ashley.Keller@UTSouthwestern.edu

206-884-7517

Cook Children's Medical Center, Fort Worth, Texas

Status

Recruiting

Address

Cook Children's Medical Center

Fort Worth, Texas, 76104

Site Contact

Jill Finto

jill.finto@cookchildrens.org

206-884-7517

Virginia Commonwealth University, Richmond, Virginia

Status

Recruiting

Address

Virginia Commonwealth University

Richmond, Virginia, 23219

Site Contact

Akilah Pierre-Louis

akilah.pierrelouis1@vcuhealth.org

206-884-7517

Seattle Children's Hospital, Seattle, Washington

Status

Recruiting

Address

Seattle Children's Hospital

Seattle, Washington, 98105

Site Contact

Sharon McNamara

sharon.mcnamara@seattlechildrens.org

206-884-7517

University of Washington Medical Center, Seattle, Washington

Status

Recruiting

Address

University of Washington Medical Center

Seattle, Washington, 98195

Site Contact

Lauren Bartlett

lrejman@uw.edu

206-884-7517

Spokane, Washington

Status

Recruiting

Address

Providence Medical Group, Cystic Fibrosis Clinic

Spokane, Washington, 99204

Site Contact

Joan Milton

joan.milton@providence.org

206-884-7517

West Virginia University - Morgantown, Morgantown, West Virginia

Status

Recruiting

Address

West Virginia University - Morgantown

Morgantown, West Virginia, 26507

Site Contact

Tammy Clark

tclark@hsc.wvu.edu

206-884-7517

University of Wisconsin, Madison, Wisconsin

Status

Recruiting

Address

University of Wisconsin

Madison, Wisconsin, 53792

Site Contact

Melanie Nelson

mnelson@pediatrics.wisc.edu

206-884-7517

International Sites

Calgary, Alberta, Canada

Status

Recruiting

Address

University of Calgary Adult Cystic Fibrosis Clinic (Calgary, AB)

Calgary, Alberta, T2N4N1

Toronto, Ontario, Canada

Status

Not yet recruiting

Address

CF Centre Hospital for Sick Children (Toronto, ON)

Toronto, Ontario, M5G1X8

Site Contact

Stephanie Jeanneret-Manning

stephanie.jeanneretmanning@sickkids.ca

206-884-7517

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