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Continuous infusion antipseudomonalbeta-lactams for acute infective exacerbations in cystic fibrosis: a prospective randomised controlled trial

Phase 4
Recruiting
Conditions
Acute pulmonary exacerbation of cystic fibrosis
Infection - Studies of infection and infectious agents
Respiratory - Other respiratory disorders / diseases
Human Genetics and Inherited Disorders - Cystic fibrosis
Registration Number
ACTRN12612000945820
Lead Sponsor
Dr Anton Peleg
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
120
Inclusion Criteria

1) Patients greater than or equal to 18 years of age,
2) Pseudomonas aeruginosa isolated in sputum within the last 12 months,
3) has an acute infective exacerbation, defined by international standards 2 or more of the following in the last 2 weeks:
change sputum volume or colour,
increased cough,
increased dyspnoea,
increased malaise, fatigue or lethargy,
anorexia or weight loss,
decrease in pulmonary function by 10% or more, or
new radiographic changes

Exclusion Criteria

1) patients < 18 yrs of age,
2) patients that do not meet the criteria for an acute infective exacerbation,
3) previous enrolment in the study,
4) concurrent pulmonary embolism, significant haemoptysis, pneumothorax, or respiratory failure,
5) impaired renal function with an estimated creatinine clearance < 60 mls/min,
6) patients allergic to beta-lactam antibiotics,
7) aminoglycoside contra-indicated,
8) intravenous antibiotics in the last 2 weeks, prior to this admission,
9) received more than 24 hours of intravenous antibiotics in this admission,
10) previous lung transplantation,
11) pregnancy or lactation, or
12) inability to consent.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) respiratory symptom score[Day 0 to Day 14]
Secondary Outcome Measures
NameTimeMethod
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