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N/A N=21 Basic Science

Absorptive Clearance in the Cystic Fibrosis Airway

Cystic Fibrosis

Enrolled (actual)
21
Serious AEs
0.0%
Results posted
Feb 2012
Primary outcome: Primary: Absorptive Clearance Rate — 42; 32 percentage of DTPA absoprtion per hour

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Technetium [Tc-99m] sulfur colloid and Indium [In-111] DTPA (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University of Pittsburgh
Primary completion
Apr 2008

Outcome Measures

OutcomeResultp-value
PRIMARY
Absorptive Clearance Rate
42; 32
SECONDARY
Mucociliary Clearance Rate
8; 7

Summary

The objective of this overall project is to develop a new aerosol-based technique for quantifying liquid absorption in the airways of subjects with cystic fibrosis(CF) that can be used to help develop new therapies. In CF, mutations in the CF gene result in dysfunction of the Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) ion channel on the cells that line the airway epithelium, causing improper fluxes of ions such as sodium, chloride, and bicarbonate. The so called "low volume" hypothesis of CF pathogenesis contends that abnormal absorption of ions from the airways causes excessive absorption of liquid, resulting in an airway surface liquid layer that is dehydrated and difficult to clear. Here we are measuring the absorption rate of a radiolabeled small molecule (DTPA) from the lungs of cystic fibrosis patients and healthy controls. We hypothesize that the molecule will absorb more quickly in cystic fibrosis patients. Further studies will be performed to determine if DTPA absorption is related to liquid absorption in the airways.

Eligibility Criteria

Inclusion Criteria

  • Cystic fibrosis subjects and healthy controls
  • Age ≥ 18 years
  • Diagnosis of cystic fibrosis as determined by sweat test or genotype and clinical symptoms (CF subjects)
  • Clinically stable as determined by the investigator (pulmonologist)

Exclusion Criteria

  • Reactive airways disease
  • Tobacco smokers (regular smoking within 6 months of enrollment)
  • Positive urine pregnancy test on the day of testing
  • FEV1p value of < 50%
  • SaO2 < 92%, or if they require supplemental oxygen.
  • Subjects performing other radioisotope studies within the last 2 weeks will be excluded.
  • Healthy subjects with any history of lung disease will be excluded.
  • Women currently breastfeeding
  • Subjects not willing to stop treatments with inhaled hypertonic saline for 48 hours in advance of the study.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00541190). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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