Anti-pseudomonas IgY to Prevent Infections in Cystic Fibrosis

NCT ID: NCT00633191

Last Updated: 2016-09-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-11-30

Study Completion Date

2012-12-31

Brief Summary

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Hypothesis: Daily gargling with specific avian antibodies against Pseudomonas aeruginosa will prevent infections with this bacteria in patients with Cystic fibrosis (CF).

Detailed Description

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"Anti-pseudomonas IgY" is prepared from eggs of hens that have been vaccinated with Pseudomonas aeruginosa. The hens farm is under veterinary control according to Swedish rules. The drug is prepared with a water dilution method according to GMP standards (approved by Swedish MPA). Patients with CF who are intermittently but not chronically infected with P. aeruginosa get a short course of antibiotics to eradicate the bacteria. Thereafter they start to gargle with a solution of "anti-pseudomonas IgY" every night to prevent a new infection. Preliminary results have shown that it takes a significantly longer time to get a new infection and that the patients get fewer infections than control patients. In addition, results tentatively indicate that: patients have not got any new opportunistic bacteria or fungi (B. Cepacia, S. Maltophilia, A. Xylosoxidans, atypical Mycobacteria, Aspergillus Fumigatus); that use of antibiotics is greatly diminished; that the lung functions and nutritional conditions are maintained.

Conditions

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Cystic Fibrosis Infection Pseudomonas Aeruginosa

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Anti-pseudomonas IgY gargle

Intervention: Gargles with anti-pseudomonas IgY every night

Group Type EXPERIMENTAL

Anti-pseudomonas IgY gargle

Intervention Type DRUG

Gargle (solution), \> 5FKU, every night after toothbrushing, life-long

Interventions

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Anti-pseudomonas IgY gargle

Gargle (solution), \> 5FKU, every night after toothbrushing, life-long

Intervention Type DRUG

Other Intervention Names

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oral immunotherapy Yolk antiboidies

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of cystic fibrosis
* Colonized with Pseudomonas aeruginosa
* informed consent

Exclusion Criteria

* Egg allergy
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Immunsystem AB

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Annika Hollsing, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Uppsala Children“s University Hospital

Locations

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Cystic fibrosis centre,Children“s University Hospital

Uppsala, , Sweden

Site Status

Countries

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Sweden

References

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Carlander D, Kollberg H, Larsson A. Retention of specific yolk IgY in the human oral cavity. BioDrugs. 2002;16(6):433-7. doi: 10.2165/00063030-200216060-00004.

Reference Type BACKGROUND
PMID: 12463766 (View on PubMed)

Kollberg H, Carlander D, Olesen H, Wejaker PE, Johannesson M, Larsson A. Oral administration of specific yolk antibodies (IgY) may prevent Pseudomonas aeruginosa infections in patients with cystic fibrosis: a phase I feasibility study. Pediatr Pulmonol. 2003 Jun;35(6):433-40. doi: 10.1002/ppul.10290.

Reference Type BACKGROUND
PMID: 12746939 (View on PubMed)

Nilsson E, Kollberg H, Johannesson M, Wejaker PE, Carlander D, Larsson A. More than 10 years' continuous oral treatment with specific immunoglobulin Y for the prevention of Pseudomonas aeruginosa infections: a case report. J Med Food. 2007 Jun;10(2):375-8. doi: 10.1089/jmf.2006.214.

Reference Type BACKGROUND
PMID: 17651078 (View on PubMed)

Nilsson E, Larsson A, Olesen HV, Wejaker PE, Kollberg H. Good effect of IgY against Pseudomonas aeruginosa infections in cystic fibrosis patients. Pediatr Pulmonol. 2008 Sep;43(9):892-9. doi: 10.1002/ppul.20875.

Reference Type BACKGROUND
PMID: 18680179 (View on PubMed)

Nilsson E, Amini A, Wretlind B, Larsson A. Pseudomonas aeruginosa infections are prevented in cystic fibrosis patients by avian antibodies binding Pseudomonas aeruginosa flagellin. J Chromatogr B Analyt Technol Biomed Life Sci. 2007 Sep 1;856(1-2):75-80. doi: 10.1016/j.jchromb.2007.05.029. Epub 2007 Jun 2.

Reference Type BACKGROUND
PMID: 17581799 (View on PubMed)

Nilsson E, Hanrieder J, Bergquist J, Larsson A. Proteomic characterization of IgY preparations purified with a water dilution method. J Agric Food Chem. 2008 Dec 24;56(24):11638-42. doi: 10.1021/jf802626t.

Reference Type BACKGROUND
PMID: 19053374 (View on PubMed)

Nilsson E, Stalberg J, Larsson A. IgY stability in eggs stored at room temperature or at +4 degrees C. Br Poult Sci. 2012;53(1):42-6. doi: 10.1080/00071668.2011.646951.

Reference Type BACKGROUND
PMID: 22404803 (View on PubMed)

Hurley MN, Smith S, Forrester DL, Smyth AR. Antibiotic adjuvant therapy for pulmonary infection in cystic fibrosis. Cochrane Database Syst Rev. 2020 Jul 16;7(7):CD008037. doi: 10.1002/14651858.CD008037.pub4.

Reference Type DERIVED
PMID: 32671834 (View on PubMed)

Other Identifiers

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Pseud-IgY-1

Identifier Type: -

Identifier Source: org_study_id

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