Cystic Fibrosis Clinical Trial
Official title:
Parameters to Assess Response to Intra-Venous Antibiotic Treatment for Pulmonary Exacerbations in Cystic Fibrosis
Cystic fibrosis (CF) is a multisystem disease characterized by viscid secretions in multiple
organ systems. Lung infection and damage account for most of the disease burden. Acute
changes in respiratory signs and symptoms termed Pulmonary Exacerbations require treatment
with intravenous antibiotics and hospital admission. These episodes cause substantial
disruption to people's lives and impact on lung function, quality of life and lifespan.
Current treatment regimes require improvement but further study is needed to identify who
might benefit from a different approach.
This observational study aims to assess if multi-dimensional measurements taken during
treatment correspond with later treatment response. This may allow us to personalise
treatment more effectively in the future and to better understand how individuals respond to
treatment.
Pulmonary Exacerbations in CF require treatment with intravenous (IV) antibiotics and
hospital admission for between 10-21 days. These episodes cause substantial disruption to
people's lives and impact on lung function, quality of life and lifespan.Robust evidence to
support current treatment approaches is lacking with awareness that current regimes could be
optimised.
As yet there is no model for predicting how patients with CF will respond to IV antibiotic
treatment- other than clinical judgement and lung function response.This is due to lack of
robust measures to identify clinical response at the time of treatment and safely predict
later clinical outcomes. The heterogeneity of the 21st Century CF population means a
multi-dimensional composite measure is needed. This study has therefore been designed to
provide an overall picture of people's response including clinical, biochemical and patient
related outcome measures. Using multi-dimensional assessment we hope the measures assessed in
this study will give a better picture of how people feel and how they respond to treatment.
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