Cystic Fibrosis Related Bone Disease: the Role of CFTR
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 79
- 试验地点
- 1
- 主要终点
- Bone Microarchitecture and Strength Measures of the Radius and Tibia
研究概览
简要总结
The purpose of this study is to determine whether ivacaftor, a recently FDA-approved CFTR potentiator, improves bone micro-architecture and strength in patients with cystic fibrosis with at least one G551D CFTR mutation.
详细描述
Ivacaftor, a CFTR potentiator, has recently been FDA approved for the treatment of cystic fibrosis in patients with at least one G551D CFTR mutation. Given the possible role of CFTR in bone, we hypothesize that this medication may also improve bone health in CF patients. The purpose of this study is to test this hypothesis using high resolution peripheral quantitative computed tomography, a research tool that measures bone micro-architecture and volumetric bone density and has the ability to detect small changes in bone that might otherwise be missed with standard bone imaging techniques such as bone density testing.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 6 Years 至 75 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age 6 to 75 years old
- •Established diagnosis of CF with at least one abnormal G551D-CFTR allele
- •Eligibility for and intent to start treatment with ivacaftor or started treatment with ivacaftor within previous 6 months
排除标准
- •Psychiatric or mental incapacity that would preclude subject from assenting to study participation
- •Current pregnancy
- •History of organ transplantation
- •History of Burkholderia dolosa infection
- •Subjects will be grouped by gender, age and race to match subjects in Cohort 1 within two years. Pubertal subjects will be matched by Tanner stage.
- •Inclusion Criteria:
- •Age 6 to 75 years old
- •Established diagnosis of CF
- •Exclusion Criteria:
- •Psychiatric or mental incapacity that would preclude subject from assenting to study participation
- •Current pregnancy
- •History of organ transplantation
- •History of Burkholderia dolosa infection
- •Subjects will be grouped by gender, age and race to match subjects in Cohort 2 within two years. Pubertal subjects will be matched by Tanner stage.
- •Inclusion criteria:
- •Age 6 to 75 years old
- •Clinically stable, deemed able to complete the screening, baseline, and scheduled study visits.
- •Exclusion criteria:
- •History of significant cardiac, renal, pulmonary, hepatic, or malignant disease, current alcohol or illicit drug abuse, or major psychiatric disorder
- •Current diagnoses known to affect bone metabolism, including cystic fibrosis, osteoporosis, amenorrhea >3 months (in menstruating women who are not taking oral contraceptives or have an IUD), hyperthyroidism, diabetes, hyperparathyroidism, Paget's disease, kidney stones, chronic inflammatory diseases, malabsorptive disorders, malnutrition, prolonged immobility, and skeletal dysplasias
- •History of a non-digital fracture in the previous 6 months, history of one pathologic fracture, or greater than four total lifetime non-digital fractures
- •Cumulative lifetime use of oral glucocorticoids for greater than 2 months
- •Current or prior use of medications known to affect bone metabolism including hormone replacement therapy, anti-estrogens, bisphosphonates, calcitonin, fluoride, lithium, suppressive doses of levothyroxine, or anticonvulsants.
- •Pregnancy
- •BMI less than 18.5 or greater than 30 kg/m2 in subjects 18 years and older, or BMI less than 5th or greater than 95th percentile in subjects under the age of 18 years.
- •Any medical or psychiatric condition or situation that would compromise subject safety, informed consent/assent, treatment compliance, follow-up measurements, or data quality
结局指标
主要结局
Bone Microarchitecture and Strength Measures of the Radius and Tibia
时间窗: Baseline and 24 months
Change in cortical volumetric bone mineral density at the radius
次要结局
- Bone Turnover Markers(Baseline and 24 months)
- Areal Bone Mineral Density as Measured by DXA(Baseline and 24 months)
研究者
Melissa Susan Putman
Assistant Professor
Massachusetts General Hospital