Efficacy Study of IgY (Antibody Against Pseudomonas) in Cystic Fibrosis Patients (PsAer-IgY)
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Purpose
The purpose of this study is to prolong the time to reinfection with Pseudomonas aeruginosa after successfully treated acute or intermittent infection.
| Condition | Intervention | Phase |
|---|---|---|
|
Cystic Fibrosis |
Drug: IgY Drug: Placebo |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Prevention |
| Official Title: | Phase III Study to Evaluate Clinical Efficacy and Safety of Avian Polyclonal Anti-Pseudomonas Antibodies (IgY) in Prevention of Recurrence of Pseudomonas Aeruginosa Infection in Cystic Fibrosis Patients |
- Time from start of treatment (=Day 0) to the first recurrence of PA (Pseudomonas aeruginosa) in the sputum or throat cough swab or endolaryngeal suction [ Time Frame: max. 24 months ] [ Designated as safety issue: No ]
- • Change in FEV 1.0 from day 0 to each visit [ Time Frame: max. 24 months ] [ Designated as safety issue: No ]
- • Change in BMI from day 0 to each visit [ Time Frame: max. 24 months ] [ Designated as safety issue: No ]
- • Number of exacerbations [ Time Frame: max. 24 months ] [ Designated as safety issue: No ]
- • Number of days of illness in hospital and at home, i.e. out of school or work [ Time Frame: max. 24 months ] [ Designated as safety issue: No ]
- • Control of use of antibiotics, especially anti-pseudomonas antibiotics -measured as days with antibiotic treatment [ Time Frame: max. 24 months ] [ Designated as safety issue: No ]
- • Change in values of serologic tests for PA precipitins from day 0 to each visit (if applicable) [ Time Frame: max. 24 months ] [ Designated as safety issue: No ]
- • Good tolerability and comparable number and quality of adverse events like placebo group [ Time Frame: max. 24 months ] [ Designated as safety issue: Yes ]
- • Sputum or throat cough swab or endolaryngeal suction cultures for bacteria and fungi [ Time Frame: max. 24 months ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 180 |
| Study Start Date: | October 2011 |
| Estimated Primary Completion Date: | September 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: IgY, gargling solution
Avian polyclonal anti-pseudomonas antibodies (IgY), 70 ml gargling solution contains 50 mg IgY with an activity against PA, once daily
|
Drug: IgY
Avian polyclonal anti-pseudomonas antibodies (IgY)
|
|
Placebo Comparator: Placebo, gargling solution
70 ml gargling solution without antibodies, once daily
|
Drug: Placebo
Placebo, 70 ml gargling solution, once daily
|
Detailed Description:
This is a double -blind, placebo controlled study in which the investigational drug and the reference placebo group are gargled and swallowed. 70 ml IgY/ placebo solution is gargled every night for two minutes (for maximal 24 months) The design will include the recruitment of 144 patients randomized in two groups (72 per treatment group) In order to compensate for dropouts (i.e. patients dropping out prior to 24 months without having an event) the total sample size is planned to be approximately 180 (i.e. ~20 % dropout rate).
During the two years of treatment, subjects will be examined at the clinic every 3 months regarding safety and efficacy of the medication.
For more information please see www.impactt.eu
Eligibility| Ages Eligible for Study: | 5 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- CF patients diagnosed according to specific clinical features and either a positive sweat chloride in double proofs or presence of disease-associated CFTR mutations in both alleles
- Males and females 5 years of age and above (being able to gargle)
- CF patients having a FEV1 value between 50% and 130% of predicted value (according to Knudson formula)
- CF patients who have had one to several sputum or throat cough swabs or endolaryngeal suction cultures positive for PA within the last three years and for whom PA has been successfully eradicated.
- Sputum / throat cough swab/ endolaryngeal suction culture negative for PA and other gram-negative bacteria on study entry.
- Patients and/ or their legal representative who are willing and able to give informed consent/ assent to participate in the study after thorough information
- Subjects of child bearing potential and who are sexually active must meet the contraception requirements (i.e. oral or injectable contraceptives, intrauterine devices, double-barrier method, contraceptive patch, male partner sterilization or condoms).
Exclusion Criteria:
- Microbiologic or serologic evidence of chronic infection with PA. Definition of chronic PA infection: Three cultures (sputum or throat cough swabs or endolaryngeal suction) have been positive for PA for 6 consecutive months (at least 3 cultures have to be taken) or more, .
- Patients, who have positive sputum culture or throat cough swab or endolaryngeal suction culture for gram-negative bacteria, such as PA, S. maltophilia, B. cepacia, A. xylosoxidans (eradication before entry in study is possible), Patients, who have positive sputum culture or throat cough swab or endolaryngeal suction culture for atypical Mycobacteria and / or Aspergillus fumigates, associated with clinical symptoms that may necessitate specific treatment.
- History of allergy/hypersensitivity to hens' egg proteins (including medication allergy) that is deemed relevant to the trial by the investigator. "Relevance" in this context refers to any increased risk of hypersensitivity reaction to trial medication.
- Patient with a known relevant substance abuse, including alcohol or drug abuse.
- Start of a new concomitant or chronic medication for CF within 4 weeks before inclusion.
- Clinically relevant diseases or medical conditions other than CF or CF-related conditions that, in the opinion of the investigator, would compromise the safety of the patient or the quality of the data. This includes, but is not limited to, significant hematological, hepatic, renal, cardiovascular, and neurological diseases (diabetic patients may participate if their disease is under good control prior to inclusion).
- Participation in another study with an investigational drug within one month or 6 half-lives (whichever is greater) preceding the inclusion.
- The patient is an employee of the investigator or the institution with direct involvement in the trial or other trials under the direction of the investigator or their members.
- Patients who are pregnant cannot be included into the study. This will be tested at inclusion visit with a urine pregnancy test (in female patients older than 10 years with secondary sexual characteristics)
Contacts and Locations| Contact: Jutta Bend, Dr. | +49 (0)228 ext 9878047 | jbend@muko.info |
| Belgium | |
| Hôpital Universitaire Erasme, Service de Pneumologie | Recruiting |
| Brussels, Belgium | |
| Contact: Christiane Knoop, Prof. Dr. | |
| Principal Investigator: Christiane Knoop, Prof. Dr. | |
| Clinic of Pediatric Respiratory Diseases, Infectious Diseases and Travel Clinic | Recruiting |
| Brussels, Belgium, 1090 | |
| Contact: Anne Malfroot, Prof. Dr. | |
| Principal Investigator: Anne Malfroot, Prof. Dr. | |
| University Hospital Leuven, Kindergeneeskunde | Recruiting |
| Leuven, Belgium, 3000 | |
| Contact: Christiane De Boeck, Prof. | |
| Principal Investigator: Christiane De Boeck, Prof. | |
| Germany | |
| Luisenhospital Aachen | Recruiting |
| Aachen, Germany, 52064 | |
| Contact: Dirk Steffen | |
| Principal Investigator: Dirk Steffen, Dr. | |
| Charité, Christiane Herzog Zentrum | Recruiting |
| Berlin, Germany, 13353 | |
| Contact: Doris Staab, Dr. | |
| Principal Investigator: Doris Staab, Dr. | |
| Klinikum der Ruhr Universität Bochum | Recruiting |
| Bochum, Germany, 44791 | |
| Contact: Manfred Ballmann, Prof. Dr. | |
| Principal Investigator: Manfred Ballmann, Prof. Dr. | |
| University Dresden | Recruiting |
| Dresden, Germany, 01307 | |
| Contact: Jutta Hammermann, Dr. | |
| Principal Investigator: Jutta Hammermann, Dr. | |
| Universitätsklinikum Düsseldorf | Recruiting |
| Düsseldorf, Germany, 40225 | |
| Contact: Antje Schuster, Prof. Dr. | |
| Principal Investigator: Antje Schuster, Prof. Dr. | |
| Universitätsklinikum Essen | Recruiting |
| Essen, Germany, 45122 | |
| Contact: Uwe Mellies, Dr. | |
| Principal Investigator: Uwe Mellies, Dr. | |
| Klinikum der Johann-Wolfgang- Goethe Universität Frankfurt | Recruiting |
| Frankfurt, Germany | |
| Contact: Wolfgang Gleiber, Dr. | |
| Principal Investigator: Wolfgang Gleiber, Dr. | |
| Universitätsklinikum Freiburg, Zentrum für Kinder- und Jugendmedizin | Recruiting |
| Freiburg, Germany, 79106 | |
| Contact: Andrea Heinzmann, Prof. Dr. | |
| Principal Investigator: Andrea Heinzmann, Prof. Dr. | |
| Universitätsklinikum Gießen und Marburg GmbH | Recruiting |
| Gießen, Germany, 35392 | |
| Contact: Lutz Nährlich, Dr. | |
| Principal Investigator: Lutz Nährlich, Dr. | |
| Kinderärztliche Gemeinschaftspraxis Dres. Heuer, Runge & Sextro | Recruiting |
| Hamburg, Germany, 22763 | |
| Contact: Hans-Eberhard Heuer | |
| Principal Investigator: Hans-Eberhard Heuer, Dr. | |
| MH Hannover (children) | Recruiting |
| Hannover, Germany, 30625 | |
| Contact: Sibylle Junge, Dr. | |
| Principal Investigator: Sibylle Junge, Dr. | |
| MH Hannover (adults) | Recruiting |
| Hannover, Germany, 30625 | |
| Contact: Tobias Welte, Prof. Dr. | |
| Principal Investigator: Tobias Welte, Prof. Dr. | |
| Universitätsklinik Jena, Mukoviszidosezentrum | Recruiting |
| Jena, Germany, 07740 | |
| Contact: Jochen Mainz, Dr. | |
| Principal Investigator: Jochen Mainz, Dr. | |
| Städtisches Krankenhaus Kiel GmbH | Recruiting |
| Kiel, Germany, 24116 | |
| Contact: Andreas Claaß | |
| Principal Investigator: Andreas Claaß, PD Dr. | |
| Universitätsklinik Köln | Recruiting |
| Köln, Germany, 50924 | |
| Contact: Silke van Koningsbruggen-Rietschel, Dr. | |
| Principal Investigator: Silke van Koningsbruggen-Rietschel, Dr. | |
| Universitätsklinikum Mainz | Recruiting |
| Mainz, Germany, 55131 | |
| Contact: Krystyna Poplawska, Dr. | |
| Principal Investigator: Krystyna Poplawska, Dr. | |
| Universitätsklinik Tübingen | Recruiting |
| Tübingen, Germany, 72076 | |
| Contact: Joachim Riethmüller, Dr. | |
| Principal Investigator: Joachim Riethmüller, Dr. | |
| Ireland | |
| Cork University Hospital | Not yet recruiting |
| Cork, Ireland | |
| Principal Investigator: Muireann Ni Chroinin, Dr. | |
| Our Lady´s Children´s Hospital | Not yet recruiting |
| Dublin, Ireland, 12 | |
| Principal Investigator: Des Cox, Dr. | |
| Tallagh Hospital | Not yet recruiting |
| Dublin, Ireland, 24 | |
| Principal Investigator: Basil Elnazir, Dr. | |
| Mid-Western Regional Hospital | Recruiting |
| Limerick, Ireland | |
| Contact: Barry Linnane, Dr. | |
| Principal Investigator: Barry Linnane, Dr. | |
| Italy | |
| Centro Regionale Toscano di Riferimento per la Fibrosi Cistica | Recruiting |
| Firenze, Italy, 50139 | |
| Contact: Cesare Braggion, Dr. | |
| Principal Investigator: Cesare Braggion, Dr. | |
| Istituto Ospedale Giannina Gaslini | Recruiting |
| Genova, Italy, 16100 | |
| Contact: Laura Minicucci, Dr. | |
| Principal Investigator: Laura Minicucci, Dr. | |
| Centro Regionale Fibrosi Cisica Lazio | Recruiting |
| Roma, Italy, 00161 | |
| Contact: Serena Quattrucci, Dr. | |
| Principal Investigator: Serena Quattrucci, Dr. | |
| Azienda Ospedaliera Universitaria Integrata di Verona | Recruiting |
| Verona, Italy, 37126 | |
| Contact: Barouk Assael, Prof. Dr.. | |
| Principal Investigator: Barouk Assael, Prof. Dr. | |
| Sweden | |
| Karolinska University Hospital, Huddinge - CF-Centre | Recruiting |
| Stockholm, Sweden, 141 86 | |
| Contact: Ferenc Karpati | |
| Principal Investigator: Ferenc Karpati, MD | |
| Uppsala University Childrens Hospital, Akademiska sjukhuset, CF center | Recruiting |
| Uppsala, Sweden, 75185 | |
| Contact: Annika Ericsson Hollsing, Dr. Dr. | |
| Principal Investigator: Annika Ericsson Hollsing, Dr. Dr. | |
| Principal Investigator: | Antje Schuster, Prof. Dr. | Universitätsklinikum Düsseldorf |
More Information
Additional Information:
No publications provided
| Responsible Party: | Mukoviszidose Institut gGmbH |
| ClinicalTrials.gov Identifier: | NCT01455675 History of Changes |
| Other Study ID Numbers: | PsAer-IgY |
| Study First Received: | October 18, 2011 |
| Last Updated: | May 29, 2013 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by Mukoviszidose Institut gGmbH:
|
cystic fibrosis |
Additional relevant MeSH terms:
|
Cystic Fibrosis Fibrosis Pseudomonas Infections Pancreatic Diseases Digestive System Diseases Lung Diseases Respiratory Tract Diseases Genetic Diseases, Inborn Infant, Newborn, Diseases |
Pathologic Processes Gram-Negative Bacterial Infections Bacterial Infections Antibodies Immunoglobulins Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on June 17, 2013