Cystic Fibrosis Clinical Trial
Official title:
Infant Study of Inhaled Saline in Cystic Fibrosis
The purpose of this study is to assess whether 7% hypertonic saline (HS) is an effective and safe therapy in infants and young children with CF.
A growing body of evidence supports the importance of intervention in Cystic Fibrosis (CF)
lung disease during infancy and early childhood, in order to potentially delay or prevent
irreversible lung disease. Yet, aside from antimicrobial therapies, the CF community has no
clinical trial evidence base with which to guide pulmonary therapies in children <6 years of
age. Hypertonic Saline (HS) is the most attractive chronic maintenance therapy to investigate
in these young children because it addresses defective mucociliary clearance, an early step
in the cascade of events leading to CF lung disease that is expected to be abnormal prior to
the onset of airway infection and inflammation.
This study is a randomized, parallel group, controlled trial to assess the efficacy and
safety of 7% HS inhaled twice daily for 48 weeks among young children with CF 4 to < 60
months of age at enrollment. The primary hypothesis is that, compared to isotonic saline
(IS), HS will decrease the number of protocol-defined pulmonary exacerbations during the 48
week treatment period. The results of the proposed trial may for the first time provide
evidence for early initiation of HS, which, by improving mucociliary clearance, may delay or
hinder the cycle of infection and inflammation responsible for progressive airway damage in
CF lung disease.
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