Voriconazole study: treatment of chronic endobronchial Aspergillus infection with voriconazole in patients with cystic fibrosis

ISRCTN ISRCTN35866380
DOI https://doi.org/10.1186/ISRCTN35866380
Secondary identifying numbers NTR359
Submission date
19/12/2005
Registration date
19/12/2005
Last edited
16/09/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr H.A.W.M. Tiddens
Scientific

Erasmus Medical Center
Sophia Children’s Hospital Rotterdam
Department of Pediatric Pulmonology
Dr. Molewaterplein 60
Rotterdam
3015 GJ
Netherlands

Phone +31 (0)10 4636363
Email h.tiddens@erasmusmc.nl

Study information

Study designRandomised double blinded, placebo controlled, parallel group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific title
Study objectivesChronic infection with fungi seems to play an important role in the structural lung damage caused by inflammation. A correlation between Aspergillus specific IgG antibodies in the blood of cystic fibrosis (CF) patients and severity and extension of bronchiectasis was recently found in the CF-population treated at the Erasmus-MC.

Chronic infection with Aspergillus is seen in as much as 20% of CF patient of 5 years and older (Australian database, database CF-population Erasmus-MC/Sophia). These patients have positive sputum cultures for Aspergillus. The prevalence of chronic fungal infection seems to be increasing since the introduction of nebulised antibiotic treatment for Pseudomonas infection.

An effective treatment for chronic Aspergillus infection has not yet been found. The objective of this trial is to use voriconazole to treat patients with chronic endobronchial Aspergillus infection and CF.
Ethics approval(s)Ethics approval received from the local medical ethics committee
Health condition(s) or problem(s) studiedCystic fibrosis (CF), Aspergillus infection
InterventionVoriconazole versus placebo.

Analyses:
1. 7 x sputum culture
2. 7 x urine collection
3. 7 x blood sample
4. 7 x lung function
5. 1 x pregnancy test
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Voriconazole
Primary outcome measureIs treatment with voriconazole in CF patients with a chronic Aspergillus infection effective?
Secondary outcome measuresNot provided at time of registration
Overall study start date30/03/2005
Completion date31/12/2006

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexBoth
Target number of participants20
Key inclusion criteria1. Confirmed diagnosis of CF (documented by positive sweat test and/or by positive rectal current measurement, and/or genotype consistent with CF, two positive CF mutations, accompanied with two or more clinical features consistent with the CF phenotype)
2. At least three positive cultures for Aspergillus in the two years prior to the study
3. Positive galactomannan test at the start of the study
4. Older than 2 years of age
Key exclusion criteria1. Allergy to voriconazole
2. Use of drugs contraindicating use of voriconazole:
2.1. Terfanadine
2.2. Astemizol
2.3. Cisapride
2.4. Pimozide
2.5. Kinidine
2.6. Rifampicide
2.7. Carbamazepine
2.8. Phenobarbital
2.9. Ergotamine alkaloiden
2.10. Sirolimus
3. Use of liposomal amphotericine B
4. Use of high dose prednisone
5. Inability to produce sputum
6. Poor compliance
7. Pregnancy
Date of first enrolment30/03/2005
Date of final enrolment31/12/2006

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Erasmus Medical Center
Rotterdam
3015 GJ
Netherlands

Sponsor information

Erasmus Medical Centre (The Netherlands)
Hospital/treatment centre

Sophia Children's Hospital
Dr. Molewaterplein 60
Rotterdam
3015 GJ
Netherlands

Website http://www.erasmusmc.nl/content/englishindex.htm
ROR logo "ROR" https://ror.org/018906e22

Funders

Funder type

Industry

Pfizer (The Netherlands)
Government organisation / For-profit companies (industry)
Alternative name(s)
Pfizer Inc., Pfizer Consumer Healthcare, Davis, Charles Pfizer & Company, Warner-Lambert, King Pharmaceuticals, Wyeth Pharmaceuticals, Seagen
Location
United States of America

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