ISRCTN ISRCTN19620809
DOI https://doi.org/10.1186/ISRCTN19620809
EudraCT/CTIS number 2008-001769-27
Secondary identifying numbers 7857
Submission date
12/05/2010
Registration date
12/05/2010
Last edited
04/10/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mrs Amanda Harris
Scientific

University of Southampton Clinical Trials Unit, MP131
Tremona Road
Southampton
SO16 6YD
United Kingdom

Study information

Study designSingle-centre randomised interventional treatment trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleRandomised controlled trial to assess the benefits of early use ciprofloxacin versus placebo in children with cystic fibrosis to minimise the risks of chronic infection with pseudomonas aeruginosa
Study acronymPREPAC
Study objectivesRandomised controlled trial to assess the benefits of early use of ciprofloxacin in children with cystic fibrosis to minimise the risks of chronic infection with pseudomonas aeruginosa.

More details can be found here: http://public.ukcrn.org.uk/Search/StudyDetail.aspx?StudyID=7857
Ethics approval(s)Southampton and South West Hampshire LREC B, August 2008, ref: 08/H0504/110
Health condition(s) or problem(s) studiedTopic: Medicines for Children Research Network; Subtopic: All Diagnoses; Disease: All Diseases
InterventionStudy participants randomised to receive active study medication or placebo at times of onset of viral respiratory tract infections:
1. Active arm: ciprofloxacin suspension 30 mg/kg/day for patients aged 2 - 5 years and 40 mg/kg/day (maximum 1,500 mg/24 hours) in those aged 5 - 14 years in a twice daily dose for 14 days
2. Control arm: placebo (ciprofloxacin diluent without added drug) for 14 days

Follow up length: 32 months
Study entry: single randomisation only
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Ciprofloxacin
Primary outcome measurePseudomonas infection, accrual of all study data at end of 32-month trial period.
Secondary outcome measures1. Time to first detection of pseudomonas at routine 2-monthly clinic visits using both conventional and molecular biological specimens
2. Number of infective exacerbations needing hospital admission/intravenous treatment
3. Cost-benefit analysis of health care resource utilisation as a result of use of ciprofloxacin
4. Difference in symptom diary recording of lower respiratory symptoms
5. Conventional and molecular microbiological data will also be explored to determine the relationship between specific viral infections and the occurrence of P. aeruginosa at the time of acute viral infection
6. Differences in serum enzyme-linked immunosorbent assay (ELISA) assays for pseudomonas between the beginning and end of the study
Overall study start date01/12/2009
Completion date31/12/2012

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit2 Years
Upper age limit14 Years
SexBoth
Target number of participantsPlanned sample size: 45; UK sample size: 45
Key inclusion criteria1. Confirmed diagnosis of cystic fibrosis and attending the regional CF service for care exclusively at Southampton or at Southampton and Winchester or Poole General Hospitals
2. Aged 2 - 14 years, either sex
3. Negative ELISA serology for P. aeruginosa at study entry
4. Not chronically infected with pseudomonas aeruginosa
Key exclusion criteria1. Positive pseudomonas serology on ELISA testing
2. Any other evidence suggesting chronic P. aeruginosa infection
3. Chronic infection with any other gram negative CF pathogen
4. Past history of allergic reaction or any other significant adverse reaction to previous treatment with oral ciprofloxacin
5. Ongoing participation any other clinical trial at time of study entry
6. Parents or guardians unwilling to give informed consent for study inclusion
7. Patients who have a recognised indication for other antibiotics
8. Immunosuppressive/immunomodulatory therapy
9. Significant immunocompromise (e.g., human immunodeficiency virus [HIV] infection)
10. Advanced malignancy
11. Burns
12. Children not likely to survive the time period of the intervention
13. Patients who have undergone organ transplantation (including bone marrow transplantation)
14. Patients undergoing plasma exchange or whole blood exchange transfusion
15. Treatment with an investigational drug or device within the last 30 days prior to enrolment
16. Immediate families of investigators or site personnel directly affiliated with the study. Immediate family is defined as child or sibling, whether biological or legally adopted.
Date of first enrolment01/12/2009
Date of final enrolment31/12/2012

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

University of Southampton Clinical Trials Unit, MP131
Southampton
SO16 6YD
United Kingdom

Sponsor information

Southampton University Hospitals NHS Trust (UK)
Not defined

Tremona Road
Southampton
SO16 6YD
United Kingdom

Website http://www.soton.ac.uk/
ROR logo "ROR" https://ror.org/0485axj58

Funders

Funder type

Charity

Sparks (UK)
Private sector organisation / Other non-profit organizations
Alternative name(s)
Sparks Charity
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/12/2015 Yes No

Editorial Notes

04/10/2017: Publication reference added