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PREDICT Trial: PRospective Evaluation of NTM Disease In CysTic Fibrosis

Conditions
Cystic Fibrosis
Registration Number
NCT02073409
Lead Sponsor
National Jewish Health
Brief Summary

Isolation of nontuberculous mycobacteria (NTM) from the sputum of individuals with CF is an increasingly common finding, and the lack of an evidenced-based approach to the diagnosis of NTM disease has been identified as one of the greatest unmet needs within the CF community. Current evidence predicts that the prevalence of NTM will remain relatively high in the CF population. Approaches to NTM disease diagnosis differ widely between centers. This study is observational and follows current best practices. The study will help standardize the diagnosis and collect relevant data associated with the diagnosis of NTM disease to build a framework for future therapeutic trials.

Detailed Description

Not available

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
200
Inclusion Criteria
  1. Written informed consent (and assent when applicable) obtained from participant or participant's legal representative
  2. Enrolled in the CFF Patient Registry (CFF PR)
  3. Be willing and able to adhere to study procedures in the context of clinical care, and other protocol requirements
  4. Male or female participant ≥ 6 years of age at enrollment
  5. Diagnosis of CF consistent with the 2017 CFF Guidelines
  6. NTM positive for a species or sub-species in the 2 years prior to enrollment that has never been treated.
  7. Willing to discontinue chronic azithromycin use for the duration of the study
Exclusion Criteria
  1. Prior or ongoing antibiotic treatment of the same NTM species or sub-species for which the patient is being considered for this study
  2. History of solid organ or hematological transplantation
  3. Has any other condition that, in the opinion of the Site Investigator/designee, would preclude informed consent or assent, make study participation unsafe, complicate interpretation of study outcome data, or otherwise interfere with achieving the study objectives

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Proportion meeting the diagnosis of NTM disease12 months intervals following study enrollment
Secondary Outcome Measures
NameTimeMethod
Adherence to PREDICT protocol: number of respiratory cultures obtained per participant per year, withdrawals and major deviations from protocol12 months intervals following study enrollment
Incidence and prevalence of NTM species/subspecies by geographical region12 months intervals following study enrollment
Clinical parameters and outcomes (FEV1, growth parameters, CFQ-R)12 months intervals following study enrollment
Proportion of PREDICT participants with NTM disease diagnosis who enroll in Part B PATIENCE12 months intervals following study enrollment
Proportion of eligible NTM positive individuals with CF enrolling in PREDICT by site12 months intervals following study enrollment

Trial Locations

Locations (19)

CFF Adult Program, The University of Texas Southwestern Medical Center at Dallas

🇺🇸

Dallas, Texas, United States

University of Vermont Medical Center

🇺🇸

Burlington, Vermont, United States

CFF Adult Program, University of Washington

🇺🇸

Seattle, Washington, United States

Boston Children's Hospital, Brigham & Women's Hospital

🇺🇸

Boston, Massachusetts, United States

CFF Pediatric Program, Columbia University

🇺🇸

New York, New York, United States

CFF Adult Program, University of North Carolina at Chapel Hill

🇺🇸

Chapel Hill, North Carolina, United States

Children's Hospital of Los Angeles

🇺🇸

Los Angeles, California, United States

Children's Hospital Colorado

🇺🇸

Aurora, Colorado, United States

CFF Pediatric Program University of Michigan

🇺🇸

Ann Arbor, Michigan, United States

CFF Adult Program, Johns Hopkins University

🇺🇸

Baltimore, Maryland, United States

Nationwide Children's Hospital

🇺🇸

Columbus, Ohio, United States

University of Pittsburgh Medical Center

🇺🇸

Pittsburgh, Pennsylvania, United States

Dartmouth Hitchcock Medical Center

🇺🇸

Lebanon, New Hampshire, United States

University of Florida

🇺🇸

Gainesville, Florida, United States

Northwestern University

🇺🇸

Chicago, Illinois, United States

CFF Pediatric Program Seattle Children's Hospital

🇺🇸

Seattle, Washington, United States

CFF Pediatric Program, University of Alabama

🇺🇸

Birmingham, Alabama, United States

University of California San Diego

🇺🇸

San Diego, California, United States

National Jewish Health

🇺🇸

Denver, Colorado, United States

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