RecruitingPhase 4NCT05548283

Standardizing Treatments for Pulmonary Exacerbations - Aminoglycoside Study

Standardizing Treatments for Pulmonary Exacerbations: A Platform for Evaluating Treatment Decisions to Improve Outcomes (STOP360) Aminoglycoside Study (AG Study)


Sponsor

Chris Goss

Enrollment

730 participants

Start Date

Apr 23, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to look at pulmonary exacerbations in people with cystic fibrosis (CF) that need to be treated with antibiotics given through a tube inserted into a vein (intravenous or IV). A pulmonary exacerbation is a worsening of respiratory symptoms in people with CF that needs medical intervention. Both doctors and CF patients are trying to understand the best way to treat pulmonary exacerbations. This study is trying to answer the following questions about treating a pulmonary exacerbation: * Do participants have the same improvement in lung function and symptoms if they are treated with one type of antibiotic (called beta-lactams or β-lactams) versus taking two different types of antibiotics (tobramycin and β-lactams)? * Is taking one type of antibiotic just as good as taking two types?


Eligibility

Min Age: 6 Years

Inclusion Criteria4

  • All genders ≥ 6 years of age at Visit 1
  • Documentation of a CF diagnosis
  • Clinician intent to treat index CF PEx with a planned 14-day course of IV antimicrobials
  • At least one documented Pa positive culture within two years prior to Visit 1

Exclusion Criteria6

  • Participant is not pregnant
  • No known renal impairment or history of solid organ transplantation
  • No IV antimicrobial treatment, ICU admission, pneumothorax, or hemoptysis within 6 weeks prior to Visit 1
  • No use of investigational therapies, new CF transmembrane conductance regulator (CFTR) modulators, or treatment for Nontuberculous mycobacteria (NTM) within 4 weeks prior to Visit 1
  • No history of hypersensitivity, vestibular, or auditory toxicity with aminoglycosides
  • No more than one day of IV aminoglycosides administered for the current PEx treatment prior to Visit 1

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Interventions

DRUGBeta-lactam antibiotic

Intravenous (IV) β-lactam will be selected by the treating physician following standard of care. Treatment will last for 14 days (± 2 days).

DRUGAminoglycoside

Intravenous (IV) aminoglycoside will be selected by the treating physician following standard of care. Treatment will last for 14 days (± 2 days).


Locations(60)

The Children's Hospital Alabama, University of Alabama at Birmingham

Birmingham, Alabama, United States

Tucson Cystic Fibrosis Center

Tucson, Arizona, United States

University of California San Diego

La Jolla, California, United States

Long Beach Memorial Medical Center

Long Beach, California, United States

CHOC Children's Hospital

Orange, California, United States

University of California at Davis Medical Center

Sacramento, California, United States

Children's National Medical Center

Washington D.C., District of Columbia, United States

University of Florida

Gainesville, Florida, United States

Joe DiMaggio Children's Hospital

Hollywood, Florida, United States

Nemours Children's Clinic

Jacksonville, Florida, United States

University of Miami

Miami, Florida, United States

All Children's Hospital

St. Petersburg, Florida, United States

Emory University

Atlanta, Georgia, United States

Saint Luke's Cystic Fibrosis Center of Idaho

Boise, Idaho, United States

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, United States

Northwestern University

Chicago, Illinois, United States

OSF Saint Francis Medical Center

Peoria, Illinois, United States

Indiana University Medical Center

Indianapolis, Indiana, United States

Riley Hospital for Children

Indianapolis, Indiana, United States

University of Iowa

Iowa City, Iowa, United States

University of Kansas Medical Center

Kansas City, Kansas, United States

University of Louisville

Louisville, Kentucky, United States

Maine Medical Center

Portland, Maine, United States

John Hopkins Hospital

Baltimore, Maryland, United States

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

Boston, Massachusetts, United States

University of Massachusetts Memorial Health Care

Worcester, Massachusetts, United States

University of Michigan, Michigan Medicine

Ann Arbor, Michigan, United States

Helen DeVos Children's Hospital

Grand Rapids, Michigan, United States

SSM Health Cardinal Glennon Children's Hospital

St Louis, Missouri, United States

Washington University School of Medicine

St Louis, Missouri, United States

Billings Clinic

Billings, Montana, United States

Dartmouth Hitchcock Medical Center

Lebanon, New Hampshire, United States

Morristown Medical Center

Morristown, New Jersey, United States

Rutgers - Robert Wood Johnson Medical School

New Brunswick, New Jersey, United States

Lenox Hill Hospital Cystic Fibrosis Center

New York, New York, United States

Children's Hospital of New York

New York, New York, United States

New York Medical College at Westchester Medical Center

Valhalla, New York, United States

Children's Hospital Medical Center of Akron

Akron, Ohio, United States

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States

University of Cincinnati Medical Center

Cincinnati, Ohio, United States

Rainbow Babies and Children's Hospital/University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States

Nationwide Children's Hospital

Columbus, Ohio, United States

Dayton Children's Hospital

Dayton, Ohio, United States

Toledo Children's Hospital

Toledo, Ohio, United States

Oklahoma Cystic Fibrosis Center

Oklahoma City, Oklahoma, United States

Oregon Health Sciences University

Portland, Oregon, United States

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Children's Hospital of Pittsburgh of UPMC

Pittsburgh, Pennsylvania, United States

Medical University of South Carolina

Charleston, South Carolina, United States

Vanderbilt Children's Hospital

Nashville, Tennessee, United States

University of Texas Southwestern / Children's Health

Dallas, Texas, United States

University of Texas Southwestern

Dallas, Texas, United States

Cook Children's Medical Center

Fort Worth, Texas, United States

Virginia Commonwealth University

Richmond, Virginia, United States

Seattle Children's Hospital

Seattle, Washington, United States

University of Washington Medical Center

Seattle, Washington, United States

Providence Medical Group, Cystic Fibrosis Clinic

Spokane, Washington, United States

West Virginia University - Morgantown

Morgantown, West Virginia, United States

University of Wisconsin

Madison, Wisconsin, United States

University of Calgary Adult Cystic Fibrosis Clinic (Calgary, AB)

Calgary, Alberta, Canada

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