Status:

UNKNOWN

Improving P. Aeruginosa Detection With Breath-based Diagnostics (IMPACT-Breath)

Lead Sponsor:

University of British Columbia

Collaborating Sponsors:

Arizona State University

Children's Hospital Colorado

Conditions:

Cystic Fibrosis

Eligibility:

All Genders

3+ years

Brief Summary

The study is a breath biomarker validation study. It is anticipated that 300 patients with cystic fibrosis (CF) from 5 clinical sites in the USA will be enrolled. The study is funded by the US NIH and...

Detailed Description

AIM 1: Refine and validate volatile biomarkers in the breath of adult and pediatric CF patients for detecting established P. aeruginosa lung infections. For each expectorating subject (n ≥ 288; 5 cent...

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • Aim 1, Cross-Sectional
  • IInclusion Criteria:
  • Male or female, ages 8 years and older
  • Diagnosis of CF based on sweat chloride ≥ 60 mmol/L and/or 2 known CF mutations
  • @ BC Children's Hospital only- Non-expectorators are eligible if having a clinically indicated OP swab.
  • FEV1 ≥ 30% predicted for spontaneous expectorators or FEV1 ≥ 40% predicted for subjects undergoing sputum induction
  • Either P. aeruginosa (Pa) negative or chronically infected with P. aeruginosa (Pa positive) as defined below:
  • a. P. aeruginosa negative: must meet one of the following criteria: i: No growth of Pa in previous 12 months and ≥ 4 consecutive Pa-negative cultures, OR ii: No history of Pa positive airway cultures (sputum, OP, Bronchoalveolar lavage) b. P. aeruginosa positive i: Over 50% of cultures positive and at least 2 cultures positive for Pa in previous 18 months
  • Willing to participate in and comply with the study procedures and willingness of the subject, parent or legally authorized representative to provide written informed consent.
  • Exclusion criteria:
  • Age \< 8 years
  • Intermittently infected with Pa
  • FEV1 \< 30%
  • History of lung transplant
  • Presence of a condition or abnormality that in the opinion of the Principal Investigator would compromise the safety of the subject or the quality of the data.
  • Aim 2, Longitudinal
  • Inclusion Criteria, Expectorating Cohort (n=48):
  • Male or female, ages 8-16 years
  • Diagnosis of CF based on sweat chloride ≥ 60 mmol/L and/or 2 known CF mutations
  • @ BC Children's Hospital only- Non-expectorators are eligible if having a clinically indicated OP swab.
  • FEV1 ≥ 30% predicted for spontaneous expectorators or FEV1 ≥ 40% predicted for subjects undergoing sputum induction
  • P. aeruginosa negative, based on one of the following criteria:
  • No growth of Pa in previous 12 months and ≥ 4 consecutive Pa-negative cultures
  • No history of Pa positive airway cultures (sputum, OP, bronchoalveolar lavage)
  • Willing to participate in and comply with the study procedures and willingness of the subject, parent or legally authorized representative to provide written informed consent.
  • Exclusion criteria:
  • Age \< 8 years
  • Intermittently or chronically infected with Pa
  • Unable to expectorate sputum or undergo sputum induction
  • FEV1 \< 30%
  • History of lung transplant
  • Presence of a condition or abnormality that in the opinion of the Principal Investigator would compromise the safety of the subject or the quality of the data.
  • Inclusion Criteria, Non-Expectorating Cohort (n=10):
  • Male or female, ages 3-8 years
  • Diagnosis of CF based on sweat chloride ≥ 60 mmol/L and/or 2 known CF mutations 3. FEV1 ≥ 30%
  • 4\. Unable to expectorate sputum 5. P. aeruginosa negative, based on one of the following criteria:
  • No growth of Pa in previous 12 months and ≥ 4 consecutive Pa-negative cultures
  • No history of Pa positive airway cultures (sputum, OP, bronchoalveolar lavage) 6. Willing to participate in and comply with the study procedures and willingness of the subject, parent or legally authorized representative to provide written informed consent.
  • Exclusion criteria:
  • Age \< 3 years
  • Intermittently or chronically infected with Pa
  • FEV1 \< 30%
  • History of lung transplant
  • Presence of a condition or abnormality that in the opinion of the Principal Investigator would compromise the safety of the subject or the quality of the data.

Exclusion

    Key Trial Info

    Start Date :

    May 3 2019

    Trial Type :

    OBSERVATIONAL

    Allocation :

    ESTIMATED

    End Date :

    December 31 2024

    Estimated Enrollment :

    300 Patients enrolled

    Trial Details

    Trial ID

    NCT04735952

    Start Date

    May 3 2019

    End Date

    December 31 2024

    Last Update

    December 5 2023

    Active Locations (7)

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    Page 1 of 2 (7 locations)

    1

    Phoenix Children's Hospital

    Phoenix, Arizona, United States, 85016

    2

    Children's Hospital Colorado

    Aurora, Colorado, United States, 80045

    3

    National Jewish Health

    Denver, Colorado, United States, 80206

    4

    Dartmouth-Hitchcock Medical Center

    Lebanon, New Hampshire, United States, 03756