Repeatability and Response Study of Absorptive Clearance Scans
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 发起方
- 入组人数
- 24
- 试验地点
- 1
- 主要终点
- absorptive clearance variability
研究概览
简要总结
The investigators are developing a new nuclear medicine imaging technique for measuring liquid absorption in the airways that can be applied to screen new medications being developed to treat cystic fibrosis (CF). The investigators believe that the absorption of the small molecule radiopharmaceutical Indium 111 diethylene triamine pentaacetic acid (In-DTPA) will indicate changes in liquid absorption in the airways and demonstrate whether new CF medications will be effective. In this study the investigators will determine whether the imaging technique will demonstrate similar results when it is repeated on different days. They will also determine how their results change when subjects utilize several common CF medications.
详细描述
Cystic Fibrosis (CF) is an autosomal recessive genetic disease, caused by mutations of the Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) that impairs ion transport at epithelial surfaces. This results in the accumulation of dehydrated secretions in the airways and chronic infection and inflammation in the lungs, leading to significant morbidity and mortality. The investigators understanding of CF pathogenesis has increased substantially and many new targeted therapies are being developed to treat this disease, however, the measurements of clinical efficacy used to evaluate these therapies require long trials to demonstrate an effect. New translational techniques are needed to assess changes in the most basic aspects of the disease and allow for the rapid screening of disease-altering therapies. The investigators have recently developed a novel aerosol-based imaging technique to measure liquid absorption in the airways - a central pathophysiological process related to CFTR dysfunction. The investigators propose that airway liquid hyper-absorption is a key link between cellular defects in ion and fluid transport and progressive airway dysfunction in CF. Thus The investigators technique may provide a measure of disease severity and rapid indication of therapeutic correction in advance of currently available outcome measures.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Basic Science
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •subjects 18 years old or older with a diagnosis of cystic fibrosis as determined by sweat test or genotype and clinical symptoms who are clinically stable as determined by a physician co-investigator
排除标准
- •one second forced expiratory volume (FEV1) <50% of predicted
- •nursing mother
- •positive urine pregnancy test or unwilling to test
- •cigarette smoker
- •unwilling to stop hypertonic saline therapy for 72 hours prior to each test day
- •are intolerant to hypertonic saline (response only)
- •are intolerant to any inhaled therapies (response only)
- •fail mannitol tolerance testing (response only)
- •have a history of excessive (uncontrollable) coughing after an osmotic stimulus (response only)
- •have a history of hemoptysis (response only)
研究组 & 干预措施
Repeatability
Subjects perform two sequential absorptive clearance scans (within 30 days) to determine the repeatability of the technique. Subjects also perform a third scan two years later so that longitudinal change can be measured.
干预措施: Absorptive clearance scan (Other)
Response
Subjects perform three different absorptive clearance scans. One is a baseline measurement while the other two measure absorptive clearance after an intervention (inhaled hypertonic saline, mannitol inhalation powder).
干预措施: Absorptive clearance scan (Other)
Response
Subjects perform three different absorptive clearance scans. One is a baseline measurement while the other two measure absorptive clearance after an intervention (inhaled hypertonic saline, mannitol inhalation powder).
干预措施: inhaled hypertonic saline (7%) (Drug)
Response
Subjects perform three different absorptive clearance scans. One is a baseline measurement while the other two measure absorptive clearance after an intervention (inhaled hypertonic saline, mannitol inhalation powder).
干预措施: mannitol inhalation powder (Drug)
结局指标
主要结局
absorptive clearance variability
时间窗: 30 days
The difference in absorptive clearance measured on two different study days in the same subjects as an indicator of measurement variability
absorptive clearance response
时间窗: 14 day
The change in absorptive clearance demonstrated in response to therapy when compared to baseline
次要结局
未报告次要终点
研究者
Tim Corcoran
PhD
University of Pittsburgh
