Cystic Fibrosis Clinical Trial
Official title:
Randomized, Placebo-controlled, Double-blinded Study to Investigate the Efficacy and Safety of a 24-week Inhalation Treatment With Glutathione in Cystic Fibrosis Patients
The majority of cystic fibrosis (CF) patients die from a progressive pulmonary
disease.Airway inflammation plays a major role for the pathogenesis of CF lung disease, and
ultimately leads to lung destruction. The release of oxidants during the inflammation
process leads to a chronic imbalance of oxidants and antioxidants and may be a central
component leading to irreversible lung damage in CF patients. The antioxidant glutathione,
which is a naturally occurring tripeptide, is depleted in the extracellular epithelial
lining fluid of the CF lung. The elevation of reduced level to normal and also the
augmentation of glutathione concentrations above the normal level, as observed in smokers
and during defence of Pseudomonas infection, may be desirable to avoid lung damage. Data
from pilot studies in humans and animals have indicated that the glutathione concentrations
in epithelial lining fluid can be elevated by aerosol application.
The main objective of this trial is to evaluate the effect of a 24-week treatment with
inhaled glutathione compared with control inhalations (normal saline) on pulmonary function
in adult and pediatric CF patients. Secondary objectives are to determine the effects of
inhaled glutathione on inflammatory variables, glutathione levels and free elastase in
induced sputum and to evaluate the safety and tolerability of the 24-week treatment with
inhaled GSH.
There is considerable hope within the CF community that the addition of anti-oxidative
therapy to an already comprehensive program for treating the lungs will decrease morbidity
and improve the quality of life for patients with CF.
n/a
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
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