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Hydroxychloroquine in Cystic Fibrosis

Primary Purpose

Cystic Fibrosis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
hydroxychloroquine
Sponsored by
Vanderbilt University
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cystic Fibrosis focused on measuring Cystic Fibrosis, Induced sputum, Lung inflammation

Eligibility Criteria

16 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Male or female between 16 years and 65 years of age. Confirmed diagnosis of CF based on the following criteria: i. positive sweat chloride 60 mEq/liter (by pilocarpine iontophoresis) and/or ii. a genotype with two identifiable mutations consistent with CF, and iii. accompanied by one or more clinical features consistent with the CF phenotype FEV1 50% predicted value (subjects 16- <18 years of age) or 40% predicted value (subjects 18 years of age) Clinically stable with no evidence of acute upper or lower respiratory tract infection or current pulmonary exacerbation within the 14 days prior to Visit 1 (Day 0) Ability to reproducibly perform spirometry and peak flow measurements Ability to understand and sign a written informed consent or assent and comply with the requirements of the study Exclusion Criteria: Use of an investigational agent within the 4-week period prior to Visit 1 Chronic daily use of ibuprofen or other NSAIDs, or systemic corticosteroids, or any oral diabetic or hypoglycemic agent within the 4 weeks prior to Visit 1 or acute usage within 72 hours prior to Visit 1 History of hypersensitivity to beta-agonists History of hypersensitivity to hydroxychloroquine or chloroquine Oxygen saturation < 92% on room air at Visit 1 Pregnant, breastfeeding, or unwilling to practice birth control during participation in the study History of hemoptysis 30 cc per episode during the 30 days prior to Visit 1 Significant history of hepatic, cardiovascular, renal, neurological, hematologic, or peptic ulcer disease

Sites / Locations

  • Vanderbilt University Medical Center

Outcomes

Primary Outcome Measures

Change in inflammatory mediators and exhaled breath condensate pH following 4 week administration of drug.

Secondary Outcome Measures

Full Information

First Posted
April 4, 2006
Last Updated
January 25, 2008
Sponsor
Vanderbilt University
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1. Study Identification

Unique Protocol Identification Number
NCT00311883
Brief Title
Hydroxychloroquine in Cystic Fibrosis
Official Title
Phase 1 Study of Hydroxychloroquine in Cystic Fibrosis
Study Type
Interventional

2. Study Status

Record Verification Date
January 2008
Overall Recruitment Status
Completed
Study Start Date
March 2006 (undefined)
Primary Completion Date
December 2007 (Actual)
Study Completion Date
December 2007 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Vanderbilt University

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Study levels of inflammatory mediators in induced sputum of patients with cystic fibrosis before and after a 4 week course of oral hydroxychloroquine.
Detailed Description
Open label study of effect of hydroxychloroquine on inflammation, bacterial burden and exhaled breath condensate pH in patients with cystic fibrosis. Patients with cystic fibrosis, 16 years or older and with pulmonary function tests with an FEV1 greater than 40% predicted will be eligible for enrollment. Enrolled subjects will undergo collection of exhaled breath condensate and sputum induction and collection following nebulized hypertonic saline, before and following a 4 week course of oral hydroxychloroquine at 200 mg a day. Inflammatory mediators, neutrophil counts, and bacterial density in sputum and exhaled breath condensate pH will be measure at entry and at the end of 4 weeks of oral drug. There will be no placebo group.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cystic Fibrosis
Keywords
Cystic Fibrosis, Induced sputum, Lung inflammation

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
hydroxychloroquine
Primary Outcome Measure Information:
Title
Change in inflammatory mediators and exhaled breath condensate pH following 4 week administration of drug.
Time Frame
28 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
16 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female between 16 years and 65 years of age. Confirmed diagnosis of CF based on the following criteria: i. positive sweat chloride 60 mEq/liter (by pilocarpine iontophoresis) and/or ii. a genotype with two identifiable mutations consistent with CF, and iii. accompanied by one or more clinical features consistent with the CF phenotype FEV1 50% predicted value (subjects 16- <18 years of age) or 40% predicted value (subjects 18 years of age) Clinically stable with no evidence of acute upper or lower respiratory tract infection or current pulmonary exacerbation within the 14 days prior to Visit 1 (Day 0) Ability to reproducibly perform spirometry and peak flow measurements Ability to understand and sign a written informed consent or assent and comply with the requirements of the study Exclusion Criteria: Use of an investigational agent within the 4-week period prior to Visit 1 Chronic daily use of ibuprofen or other NSAIDs, or systemic corticosteroids, or any oral diabetic or hypoglycemic agent within the 4 weeks prior to Visit 1 or acute usage within 72 hours prior to Visit 1 History of hypersensitivity to beta-agonists History of hypersensitivity to hydroxychloroquine or chloroquine Oxygen saturation < 92% on room air at Visit 1 Pregnant, breastfeeding, or unwilling to practice birth control during participation in the study History of hemoptysis 30 cc per episode during the 30 days prior to Visit 1 Significant history of hepatic, cardiovascular, renal, neurological, hematologic, or peptic ulcer disease
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bonnie S Slovis, MD
Organizational Affiliation
Vanderbilt University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Vanderbilt University Medical Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232
Country
United States

12. IPD Sharing Statement

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Hydroxychloroquine in Cystic Fibrosis

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