Respiratory infections with Pseudomonas aeruginosa in children with Cystic Fibrosis; early surveillance and prevention

ISRCTN ISRCTN11604593
DOI https://doi.org/10.1186/ISRCTN11604593
Secondary identifying numbers NTR64
Submission date
12/09/2005
Registration date
12/09/2005
Last edited
20/09/2010
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

Dr G.A. Tramper-Stranders
Scientific

Wilhelmina Kinderziekenhuis
KH.01.419.0
Postbus 85090
Utrecht
3508 AB
Netherlands

Phone +31 (0)30 2504000
Email g.tramper@umcutrecht.nl

Study information

Study designMulticentre, randomised, double blinded, placebo controlled, parallel group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typePrevention
Scientific title
Study acronymPOPeye-study
Study objectivesOur hypothesis is that the initial infection with P. aeruginosa occurs at earlier age than previously reported and that prophylactic treatment of P. aeruginosa-negative CF-patients will either prevent or delay the first acquisition of P.aeruginosa or eradicate the organism before the onset of persistent colonization and accompanying pulmonary inflammatory response.

Please note that as of 12/09/2008, the sources of funding field was updated. The anticipated end date of this trial was also updated. The previous anticipated end date was 01/11/2008.
Ethics approval(s)Ethics approval received from the local medical ethics committee
Health condition(s) or problem(s) studiedPulmonary P. aeruginosa infection, cystic fibrosis
InterventionCiprofloxacin 10 mg/kg orally (po) or matching placebo twice daily (bid) and colistin 1 MIU inhalation or matching placebo bid. Three-monthly courses of three weeks, total study duration 3 years.
Intervention typeOther
Primary outcome measureEarly P. aeruginosa colonisation as confirmed by:
1. Persistence of P. aeruginosa in sputum or oropharygeal swab culture in two consecutive samples, taken greater than 3 days apart
2. P. aeruginosa in one oropharyngeal swab or sputum culture with pulmonary exacerbation
Secondary outcome measuresMicrobiological:
1. Age at first positive culture
2. Time to P. aeruginosa colonisation
3. Respiratory pathogens in culture
4. Resistance pattern of respiratory pathogens

Serological:
5. Seroconversion for anti-pseudomonal antibodies

Clinical:
6. Adverse events
7. Clinical parameters (lung function, body weight and chest radiograph scores, inflammation parameters)
8. Number of pulmonal exacerbations
9. Antimicrobial agent use
Overall study start date01/07/2005
Completion date01/03/2009

Eligibility

Participant type(s)Patient
Age groupChild
Upper age limit18 Years
SexBoth
Target number of participants100
Key inclusion criteria1. CF diagnosis as confirmed by sweat chloride test and/or genotyping
2. Aged less than 18 years old
3. No evidence of P. aeruginosa in cultures taken in period 2004 - 2005
4. Antibody titer less than 1:1250 for three antigens of P. aeruginosa
5. No regular treatment against P. aeruginosa
6. Informed consent
Key exclusion criteria1. Aged greater than 18 years
2. P. aeruginosa in cultures after 2003
3. Participating in another trial
Date of first enrolment01/07/2005
Date of final enrolment01/03/2009

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Wilhelmina Kinderziekenhuis
Utrecht
3508 AB
Netherlands

Sponsor information

University Medical Center Utrecht (UMCU) (The Netherlands)
Hospital/treatment centre

Heidelberglaan 100
Utrecht
3584 CX
Netherlands

Website http://www.umcutrecht.nl/zorg/
ROR logo "ROR" https://ror.org/0575yy874

Funders

Funder type

Research organisation

Added 12/09/2008:

No information available

Initial funding was from the investigator for one year (Netherlands)

No information available

Dutch Cystic Fibrosis Foundation (Netherlands)

No information available

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 01/10/2010 Yes No