Nasal Inhalation of Tobramycin in Patients With Cystic Fibrosis and Pseudomonas Aeruginosa Colonization

NCT ID: NCT00774072

Last Updated: 2014-12-04

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

PHASE2

Total Enrollment

9 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-10-31

Study Completion Date

2010-11-30

Brief Summary

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The purpose of this study is to determine whether the nasal inhalation of Gernebcin® is effective to decrease the Pseudomonas aeruginosa bacterial count in the nasal lavage fluid.

Detailed Description

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Conditions

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Cystic Fibrosis Pseudomonas Aeruginosa

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Tobramycin 80 mg

applied once daily via Pari Sinus nebulizer

Group Type ACTIVE_COMPARATOR

Tobramycin (Gernebcin®)

Intervention Type DRUG

1 ml / day in each nostril

isotonic saline

applied once daily via Pari Sinus nebulizer

Group Type PLACEBO_COMPARATOR

Tobramycin (Gernebcin®)

Intervention Type DRUG

1 ml / day in each nostril

Interventions

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Tobramycin (Gernebcin®)

1 ml / day in each nostril

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* subject has a confirmed diagnosis of cystic fibrosis
* detection of P. aeruginosa in nasal lavage (culture) with chronic P.a. colonization of the lung (from day -28)
* informed consent of the patients or parents
* subject is older than 7 years
* subject is able to comply with the inhalation procedures and nasal lavage procedures scheduled in the protocol
* women of childbearing potential are only included into the study, if they are using an effective method of birth control during the protocol

Exclusion Criteria

* subject has a critical condition defined as: FEV1 \< 30% and / or SaO2 \< 93% without O2-substitution; need of O2-substitution
* subject had an ENT surgery within 3 months prior to study
* subject shows signs of nasal bleeding
* subject has an ear drum perforation
* subject had an acute rhinosinusitis or a pulmonary exacerbation at study entry with need of additional systemic antibiotic therapy against pseudomonas aerug.
* subject is unlikely to comply with the procedures scheduled in the protocol
* subject has a known allergic reaction to the medication
* subject is pregnant or breastfeeding
* subject participates in another clinical trial within 30 days prior to study entry or 30 days after end of the study.
* systemic (oral or intravenous) antibiotic treatment against P.a. 14 days prior to the inclusion and during the study
* if serum level of tobramycin is above 2 mg/l one hour after inhalation, subject has to withdraw the participation in the study.
* progressed renal insufficiency
* severe damage of the N. acusticus
* dizziness (potential damage of. N. vestibularis)
Minimum Eligible Age

8 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Jena

OTHER

Sponsor Role lead

Responsible Party

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PD Dr. Jochen G. Mainz

Head, CF Center

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jochen Mainz, M.D.

Role: STUDY_CHAIR

University of Jena, Children's hospital

Locations

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Universitäts-Kinderklinik

Tübingen, Baden-Würtemberg, Germany

Site Status

Mukoviszidosezentrum der Friedrich-Schiller-Universität

Jena, Thuringia, Germany

Site Status

Countries

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Germany

References

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Mainz JG, Arnold C. Authors' reply. Drug Des Devel Ther. 2014;8:1136-7. No abstract available.

Reference Type BACKGROUND
PMID: 25199217 (View on PubMed)

Mainz JG, Michl R, Pfister W, Beck JF. Cystic fibrosis upper airways primary colonization with Pseudomonas aeruginosa: eradicated by sinonasal antibiotic inhalation. Am J Respir Crit Care Med. 2011 Nov 1;184(9):1089-90. doi: 10.1164/ajrccm.184.9.1089. No abstract available.

Reference Type BACKGROUND
PMID: 22045752 (View on PubMed)

Mainz JG, Schadlich K, Schien C, Michl R, Schelhorn-Neise P, Koitschev A, Koitschev C, Keller PM, Riethmuller J, Wiedemann B, Beck JF. Sinonasal inhalation of tobramycin vibrating aerosol in cystic fibrosis patients with upper airway Pseudomonas aeruginosa colonization: results of a randomized, double-blind, placebo-controlled pilot study. Drug Des Devel Ther. 2014 Feb 10;8:209-17. doi: 10.2147/DDDT.S54064. eCollection 2014.

Reference Type RESULT
PMID: 24596456 (View on PubMed)

Other Identifiers

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tobra nasal CF pilot

Identifier Type: -

Identifier Source: org_study_id