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A Study of the Safety and Efficacy of Tobramycin for Inhalation in Young Children With Cystic Fibrosis

Primary Purpose

Cystic Fibrosis

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Tobramycin for Inhalation
Sponsored by
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cystic Fibrosis focused on measuring Cystic Fibrosis

Eligibility Criteria

6 Months - 5 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Age at least 6 months and less than 6 years Diagnosis of cystic fibrosis with 2 clinical features consistent with CF and confirmed by either sweat chloride >= 60 mEq/L (by quantitative pilocarpine iontophoresis) or by genotype with 2 identifiable mutations consistent with CF. One throat or sputum microbiology culture positive for Pseudomonas aeruginosa (Pa) within 2 weeks to 12 months prior to screening. Informed consent by parent or legal guardian. Exclusion Criteria: History of adverse reaction to anesthesia or sedation. History of aminoglycoside hypersensitivity. History of unresolved anemia (hematocrit < 30%) or thrombocytopenia (platelet count < 100,000/mm3). History of hemoptysis with 30 days prior to screening. History of abnormal renal function (serum creatinine > 1.5 times the upper limit of normal for age). History of clinically documented chronic hearing loss. Administration of any investigational drug within 30 days prior to screening.

Sites / Locations

  • Stanford University/Lucille Packard Children's Health Services at Stanford
  • The Children's Hospital
  • Johns Hopkins Hospital
  • Children's Hospital
  • University of North Carolina - Chapel Hill
  • Children's Hospital Medical Center
  • Rainbow Babies and Children's Hospital
  • Baylor College of Medicine
  • Children's Hospital and Regional Medical Center

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
September 11, 2000
Last Updated
March 1, 2010
Sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborators
National Center for Research Resources (NCRR)
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1. Study Identification

Unique Protocol Identification Number
NCT00006280
Brief Title
A Study of the Safety and Efficacy of Tobramycin for Inhalation in Young Children With Cystic Fibrosis
Official Title
A Phase II Multicenter Randomized Trial of Tobramycin for Inhalation in Young Children With Cystic Fibrosis
Study Type
Interventional

2. Study Status

Record Verification Date
March 2010
Overall Recruitment Status
Completed
Study Start Date
February 2000 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
February 2002 (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborators
National Center for Research Resources (NCRR)

4. Oversight

5. Study Description

Brief Summary
This study's primary goals are to test the safety and effectiveness of Tobramycin for Inhalation (TOBIr) in cystic fibrosis (CF) patients who are between 6 months and 6 years of age. This drug is an antibiotic that is inhaled into the lungs by the patient. It has already been studied and approved by the FDA for treatment of CF patients 6 years and older. Lung fluid will be examined for bacteria before and after the 28-day treatment. The amount of bacteria before and after treatment will be compared. This will indicate whether the antibiotic was effective in killing bacteria in the lungs. Once treatment begins, patients will be monitored every 2 weeks throughout the study (5 exams in 56 days). Half of the patients will receive TOBIr, half will receive a placebo (a substance that looks like TOBIr but contains no medication).

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Masking
Double
Allocation
Randomized
Enrollment
98 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Tobramycin for Inhalation

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Months
Maximum Age & Unit of Time
5 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age at least 6 months and less than 6 years Diagnosis of cystic fibrosis with 2 clinical features consistent with CF and confirmed by either sweat chloride >= 60 mEq/L (by quantitative pilocarpine iontophoresis) or by genotype with 2 identifiable mutations consistent with CF. One throat or sputum microbiology culture positive for Pseudomonas aeruginosa (Pa) within 2 weeks to 12 months prior to screening. Informed consent by parent or legal guardian. Exclusion Criteria: History of adverse reaction to anesthesia or sedation. History of aminoglycoside hypersensitivity. History of unresolved anemia (hematocrit < 30%) or thrombocytopenia (platelet count < 100,000/mm3). History of hemoptysis with 30 days prior to screening. History of abnormal renal function (serum creatinine > 1.5 times the upper limit of normal for age). History of clinically documented chronic hearing loss. Administration of any investigational drug within 30 days prior to screening.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jeffrey Wagener, M.D.
Organizational Affiliation
The Children's Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Richard Moss, M.D.
Organizational Affiliation
Stanford University/Lucille Packard Children's Health Services at Stanford
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Robert Wilmott, M.D.
Organizational Affiliation
Children's Hospital & Medical Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Michael Konstan, M.D.
Organizational Affiliation
Rainbow Babies and Children's Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Pamela Zeitlin, M.D., Ph.D.
Organizational Affiliation
Johns Hopkins University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
David Waltz, M.D.
Organizational Affiliation
Children's Hospital Medical Center, Cincinnati
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
George Retsch-Bogart, M.D.
Organizational Affiliation
University of North Carolina, Chapel Hill
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Peter Hiatt, M.D.
Organizational Affiliation
Baylor College of Medicine
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Ronald Gibson, M.D., Ph.D.
Organizational Affiliation
Children's Hospital Regional Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Stanford University/Lucille Packard Children's Health Services at Stanford
City
Palo Alto
State/Province
California
ZIP/Postal Code
94304
Country
United States
Facility Name
The Children's Hospital
City
Denver
State/Province
Colorado
ZIP/Postal Code
80218
Country
United States
Facility Name
Johns Hopkins Hospital
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21287
Country
United States
Facility Name
Children's Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
University of North Carolina - Chapel Hill
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27599
Country
United States
Facility Name
Children's Hospital Medical Center
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45229
Country
United States
Facility Name
Rainbow Babies and Children's Hospital
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106
Country
United States
Facility Name
Baylor College of Medicine
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Children's Hospital and Regional Medical Center
City
Seattle
State/Province
Washington
ZIP/Postal Code
98105
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
9878641
Citation
Ramsey BW, Pepe MS, Quan JM, Otto KL, Montgomery AB, Williams-Warren J, Vasiljev-K M, Borowitz D, Bowman CM, Marshall BC, Marshall S, Smith AL. Intermittent administration of inhaled tobramycin in patients with cystic fibrosis. Cystic Fibrosis Inhaled Tobramycin Study Group. N Engl J Med. 1999 Jan 7;340(1):23-30. doi: 10.1056/NEJM199901073400104.
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A Study of the Safety and Efficacy of Tobramycin for Inhalation in Young Children With Cystic Fibrosis

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