Nasal Mucin Oral Supplementation Treatment Respiratory Inflammation Using PUFA in Cystic Fibrosis (CF) Patients (NOSTRIL)
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Purpose
Background :
Cystic fibrosis (CF) patients are prone to recurrent pulmonary infection have different secreted mucin pattern from healthy subjects. Long chain polyunsaturated fatty acids have been shown to influence survival and MUC5B expression in mice model of chronic pulmonary infection.
Method :
To study the impact of LCPUFA n-3 on MUC5B expression (mRNA level by RT-PCR) collected in airway epithelial cells obtained by nasal brushing. The secondary aim is to assess : MUC1, MUC2, MUC4, MUC5AC, MUC7 expression (mRNA level) in airway epithelial cells obtained by nasal brushing; Lund-Kennedy score; TNK-alpha, IL-6, IL-8 in blood plasma. This study is a double parallel, controlled double blind, randomized clinical trial : LCPUFA n-3 (1 g/day) vs placebo for 6 weeks. 30 subjects will be included in this study. Primary and secondary study end point will be assessed two times: before randomization and after 60 days of treatment.
Statistical analysis :
Treatment group and placebo will be compared using U-Mann-Whitney, intention to treat and per protocol.
| Condition | Intervention |
|---|---|
|
Cystic Fibrosis Dietary Modification |
Other: polyunsaturated fatty acids n-3 Other: Poly Unsaturated Fatty Acid |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | Impact of Polyunsaturated Fatty Acids n-3 on Nasal Mucins Expression in Cystic Fibrosis Patients |
- Expression of Mucin "MUC5B" by measurement of messenger Ribo Nucleic Acid (mRNA) level in native airway epithelial cells obtained by nasal brushing [ Time Frame: baseline and 2 months ] [ Designated as safety issue: No ]
- Mucin MUC1, MUC2, MUC4, MUC5AC, MUC7 (mRNA level) in native airway epithelial cells obtained by nasal brushing. Lund-Kennedy score TNF-alpha, IL-6, IL-8 in plasma [ Time Frame: baseline and two months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 30 |
| Study Start Date: | September 2010 |
| Estimated Study Completion Date: | September 2013 |
| Estimated Primary Completion Date: | September 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1 PUFA n-3
Intervention : polyunsaturated fatty acids n-3
|
Other: Poly Unsaturated Fatty Acid
Poly Unsaturated Fatty Acid 1g/day
Other Name: PUFA
|
|
Placebo Comparator: 2 placebo
sun flower oil
|
Other: polyunsaturated fatty acids n-3
polyunsaturated fatty acids n-3 1 gram per day during two months
Other Name: PUFA
|
Detailed Description:
Primary Outcome Measure : Mucin MUC5B (mRNA level) in native airway epithelial cells obtained by nasal brushing
Secondary Outcome Measures : Mucin MUC1, MUC2, MUC4, MUC5AC, MUC7 (mRNA level) in native airway epithelial cells obtained by nasal brushing.
Lund-Kennedy score TNF-alpha, IL-6, IL-8 in plasma
Eligibility| Ages Eligible for Study: | 18 Years to 30 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria :
- Cystic fibrosis patient
- Aged 18 to 30 year
- No modification of long term therapy (Corticoids, antibiotics, pancreatic extract, antiacid) before 4 weeks before randomization
Exclusion Criteria:
- Awaiting transplantation
Contacts and Locations| France | |
| Dunkerque Hospital | Recruiting |
| Dunkerque, France | |
| Contact: Guy-André LOEUILLE, MD, PhD Guy-andre.loeuille@ch-dunkerque.fr | |
| Lens Hospital | Recruiting |
| Lens, France, 62300 | |
| Contact: Anne SARDET, MD, PhD asardet@ch-lens.fr | |
| Clinical Investigation center | Recruiting |
| Lille, France, 59037 | |
| Contact: Frédéric GOTTRAND, MD-PhD +33 3 20 44 68 91 frederic.gottrand@chru-lille.fr | |
| Contact: Laurent BEGHIN, PhD +33 3 20 44 68 91 laurent.beghin@chru-lille.fr | |
| Sub-Investigator: MORTUAIRE Geoffrey, MD | |
| Principal Investigator: | Frédéric GOTTRAND, MD, PhD | CHRU de Lille et Université Lille 2 |
More Information
No publications provided
| Responsible Party: | GOTTRAND Frédéric MD, PHD, CHRU de Lille |
| ClinicalTrials.gov Identifier: | NCT01329172 History of Changes |
| Other Study ID Numbers: | 2009-014869-43, A91238-14, 2008_47/0928 |
| Study First Received: | May 21, 2010 |
| Last Updated: | April 4, 2011 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |
Keywords provided by University Hospital, Lille:
|
PUFA Cystic Fibrosis Nasal brushing Mucins Mucin production |
Additional relevant MeSH terms:
|
Cystic Fibrosis Fibrosis Food Habits Pancreatic Diseases Digestive System Diseases Lung Diseases |
Respiratory Tract Diseases Genetic Diseases, Inborn Infant, Newborn, Diseases Pathologic Processes Habits |
ClinicalTrials.gov processed this record on May 16, 2013