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Effect of Pioglitazone on Inflammation in Cystic Fibrosis
This study is currently recruiting participants.
Verified by University of Southern California, June 2008
First Received: July 17, 2008   No Changes Posted
Sponsor: University of Southern California
Information provided by: University of Southern California
ClinicalTrials.gov Identifier: NCT00719381
  Purpose

The purpose of this study is to determine the effect of pioglitazone on reducing airway inflammation in cystic fibrosis and characterize the amount and timecourse of pioglitazone elimination from the body.


Condition Intervention Phase
Cystic Fibrosis
Drug: Pioglitazone
Phase I

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Placebo Control, Single Group Assignment, Pharmacokinetics/Dynamics Study
Official Title: Effect of Pioglitazone on Sputum Biomarkers of Inflammation and Lung Epithelial Repair in Cystic Fibrosis

Resource links provided by NLM:


Further study details as provided by University of Southern California:

Primary Outcome Measures:
  • To determine the effect of pioglitazone on sputum biomarkers of lung inflammation and remodeling. [ Time Frame: 83 days ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To characterize the pharmacokinetics, pharmacodynamics and safety of pioglitazone in patients with cystic fibrosis. [ Time Frame: 83 days ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 24
Study Start Date: January 2008
Estimated Study Completion Date: June 2009
Estimated Primary Completion Date: June 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Active Comparator
Treatment of pioglitazone will consist of 15 mg once daily for 28 days followed by 30 mg once daily for 28 days (N=12)
Drug: Pioglitazone
Treatment of pioglitazone will consist of 15 mg once daily for 28 days followed by 30 mg once daily for 28 days (N=12)
2: No Intervention
Patients in this arm will receive no intervention

Detailed Description:

Progressive loss of lung function due to chronic infection and inflammation is the primary cause of morbidity and mortality in patients with CF. Current therapies directed at treatment of chronic P. aeruginosa infection (e.g. aerosolized tobramycin, azithromycin) provide short-term improvement in pulmonary function; however, persistence of the infection/inflammation causes the inevitable loss of lung function. PPARgamma is a nuclear transcription factor which is known to reduce activation of NFKB, a central mediator of airway inflammation in CF. Recent studies demonstrate that PPARgamma expression is reduced in patients with CF and may offer a potential therapeutic target to combat airway inflammation in CF. Pioglitazone is a thiazolidinedione whose principal pharmacological target it PPARgamma. The purpose of this pilot study is to determine the pharmacokinetics/pharmacodynamics of pioglitazone and effect on reducing airway inflammation in cystic fibrosis.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Age greater than 18 years
  • Clinically stable (FEV1 within 10% of baseline)
  • FEV1 > 40% predicted

Exclusion Criteria:

  • History of hypoglycemic events
  • Hepatic disease (AST, ALT > 2.5x ULN)
  • Renal disease (GFR < 60 ml/min - 1.73m2)
  • Currently receiving beta-blocker, oral corticosteroids, statin, angiotensin receptor blocker, trimethoprim-sulfamethoxazole, gemfibrozil, or rifampin therapies.
  • Allergy to thiazolidinediones
  • Pregnancy or attempting to conceive, breast feeding
  • Hematocrit < 30
  • Congestive heart failure
  • Pulmonary hypertension
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00719381

Contacts
Contact: Paul M Beringer, Pharm.D. 323-442-1402 beringer@usc.edu
Contact: Adupa Rao, M.D. 323-442-8522 aprao@usc.edu

Locations
United States, California
University of Southern California Recruiting
Los Angeles, California, United States, 90089
Contact: Adupa Rao, M.D.     323-442-8522     aprao@usc.edu    
Contact: Debbie Benitez, R.N.     323-442-8522     DEBBIEBenitez@tenethealth.org    
Sponsors and Collaborators
University of Southern California
Investigators
Principal Investigator: Paul M Beringer, Pharm.D. University of Southern California
  More Information

No publications provided

Responsible Party: University of Southern California School of Pharmacy ( Paul Beringer, Pharm.D. )
Study ID Numbers: HS-07-00308, IND #: 101989
Study First Received: July 17, 2008
Last Updated: July 17, 2008
ClinicalTrials.gov Identifier: NCT00719381     History of Changes
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Pioglitazone
Fibrosis
Physiological Effects of Drugs
Pharmacologic Actions
Inflammation
Digestive System Diseases
Pathologic Processes
Hypoglycemic Agents
Cystic Fibrosis
Respiratory Tract Diseases
Genetic Diseases, Inborn
Lung Diseases
Pancreatic Diseases
Infant, Newborn, Diseases

ClinicalTrials.gov processed this record on February 08, 2010