Prevention of CF Exacerbation in Childhood: PREVEC Study
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Purpose
Pulmonary exacerbations of CF are an important cause for the experienced disability of patients, respiratory symptoms, and decreases in lung function, which require antibiotic therapy at home or in the hospital. Therefore, prevention of exacerbations in CF is important. In an earlier prospective study during one year, we have demonstrated that non-invasive inflammatory markers in exhaled breath (condensate) are able to predict clinical CF exacerbation before they are clinically manifest. The aim of the study is to assess the efficacy of an intervention directed towards prevention of clinical CF exacerbations by means of early recognition and early antibiotic treatment.
| Condition | Intervention |
|---|---|
|
Cystic Fibrosis Children Exhaled Breath Condensate Non-invasive Inflammatory Markers Volatile Organic Compounds |
Other: Diagnostic intervention without standard therapy Other: Diagnostic intervention with standard therapy |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Diagnostic |
| Official Title: | Prevention of CF Exacerbation in Childhood (PREVEC): Early Recognition of Inflammation by Non-invasive Biomarkers in Exhaled Breath (Condensate) |
- Number of exacerbations [ Time Frame: 2 years ] [ Designated as safety issue: No ]Definition of an exacerbation according to Treggiari MM et al.
- Lung function [ Time Frame: 2 years ] [ Designated as safety issue: No ]FEV1 % predicted value
- Quality of life [ Time Frame: 2 years ] [ Designated as safety issue: No ]Quality of life questionnaire
- Pulmonary imaging [ Time Frame: 2 years ] [ Designated as safety issue: No ]High resolution computed tomography (HRCT) scan
- Cost-effectiveness [ Time Frame: 2 years ] [ Designated as safety issue: No ]Incremental costs per exacerbation prevented
| Estimated Enrollment: | 100 |
| Study Start Date: | October 2011 |
| Estimated Study Completion Date: | March 2014 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Diagnostic intervention with standard therapy
Diagnostic assessments of non-invasive inflammatory markers in exhaled air and exhaled breath condensate in addition to symptoms/lung function to guide treatment (active intervention group) compared to usual care (guiding of treatment by symptoms and lung function only).
|
Other: Diagnostic intervention with standard therapy
Diagnostic intervention with standard therapy
|
| Diagnostic intervention without standard therapy |
Other: Diagnostic intervention without standard therapy
Diagnostic intervention without standard therapy
|
Eligibility| Ages Eligible for Study: | 5 Years to 18 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
CF disease is defined as the combination of:
- characteristic clinical features (persistent pulmonary symptoms, meconium ileus, failure to thrive, steatorrhoe);
- and/or abnormal sweat test (chloride > 60mM);
- and/or two CF mutations.
Exclusion Criteria:
Exclusion criteria are:
- cardiac abnormalities;
- mental retardation;
- no technical satisfactory performance of measurements;
- on the waiting list for lung transplantation;
- non-compliance with the home-assessments;
- patients with Burkholderia Cepacia;
- participation in another intervention trial.
Contacts and Locations| Contact: E Dompeling, PhD MD | +3143-3877248 | edward.dompeling@mumc.nl |
| Contact: D van Vliet, MSc | dillys.van.vliet@mumc.nl |
| Netherlands | |
| Academic Medical Centre | Not yet recruiting |
| Amsterdam, Netherlands | |
| Contact: WM van Aalderen, PhD MD w.m.vanaalderen@amc.uva.nl | |
| Maastricht University Medical Centre | Recruiting |
| Maastricht, Netherlands | |
| Contact: E Dompeling, PhD MD edward.dompeling@mumc.nl | |
| Contact: D van Vliet, MSc dillys.van.vliet@mumc.nl | |
| University Medical Centre | Not yet recruiting |
| Utrecht, Netherlands | |
| Contact: CK van der Ent, PhD MD k.vanderent@umcutrecht.nl | |
| Principal Investigator: | E Dompeling, PhD MD | Maastricht University Medical Centre |
More Information
No publications provided
| Responsible Party: | Maastricht University Medical Center |
| ClinicalTrials.gov Identifier: | NCT01241890 History of Changes |
| Other Study ID Numbers: | MEC 11-3-111 |
| Study First Received: | November 15, 2010 |
| Last Updated: | March 7, 2012 |
| Health Authority: | Netherlands: The Central Committee on Research Involving Human Subjects (CCMO) |
Keywords provided by Maastricht University Medical Center:
|
Cystic Fibrosis Children Exhaled Breath Condensate Non-invasive Inflammatory Markers Volatile Organic Compounds |
Additional relevant MeSH terms:
|
Cystic Fibrosis Fibrosis Pancreatic Diseases Digestive System Diseases Lung Diseases |
Respiratory Tract Diseases Genetic Diseases, Inborn Infant, Newborn, Diseases Pathologic Processes |
ClinicalTrials.gov processed this record on May 21, 2013