Cystic Fibrosis Clinical Trial
Official title:
Inhaled Sodium Pyruvate for the Treatment of Cystic Fibrosis. A Phase I, Double Blind, Placebo Controlled, Safety Study.
The primary objective of this study is to assess the safety of inhaled sodium pyruvate in people with Cystic Fibrosis (CF). Further, to determine whether inhaled sodium pyruvate will improve lung function, as determined by FEV1, or reduce inflammatory markers in induced sputum of people with CF.
Cystic fibrosis (CF) is a disease that causes airway blockage and infection that damages the
lung. The lungs of CF patients are frequently loaded with inflammatory cells, damaging
proteins and oxidants. Oxidants are molecules that contain oxygen and are capable of
disrupting cells and tissue. The CF protein is involved in the transport of the important
antioxidant glutathione (GSH). Antioxidants are molecules that block oxidants and render
them inactive. The absence of this protection in the airways makes them prone to damage from
oxidants. Sodium pyruvate is part of the body's natural anti-oxidant defense system. Sodium
pyruvate reacts directly with oxygen radicals to neutralize them and increases cellular
levels of glutathione.
The purpose of this study is to investigate the safety and tolerability of 3 different
single dose levels of sodium pyruvate administered via a nebulizer to persons with CF lung
disease.
This will be a phase I study with 3 stages. In the first stage subjects will receive one of
3 possible doses of the active drug only once. In the second stage subjects will receive 2
doses of the active drug 12 hours apart. In the third stage subjects will receive either
active drug or placebo every 12 hours for 4 weeks.
For stage 1 subjects will come to the University of Minnesota's General Clinical Research
Center (GCRC) for a screening visit. They will return to the GCRC 1 to 7 days later for a
baseline assessment that will be followed by study drug administration. The subject will be
observed for 4 hours and safety parameters will be obtained.
For stage 2 subjects will come to the GCRC for a screening visit. They will return to the
GCRC 1 to 7 days later for a baseline assessment that will be followed by study drug
administration. Safety parameters will be obtained for the following 4 hours. 12 hours after
the first dose was given the subject will receive a second dose and safety parameters will
again be obtained over the next 4 hours.
For stage 3 subjects will come to the GCRC for a screening visit. They will return to the
GCRC 1 to 7 days later for a baseline assessment that will be followed by study drug
administration. Safety parameters will be obtained for the following 4 hours. The subject
will be sent home to continue on study drug every 12 hours for the following 4 weeks. The
subject will be asked to return to the GCRC once a week for safety assessments.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Treatment
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