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Anti-Infective Completed with Results
Early Pseudomonas Infection Control (EPIC) (EPIC-001)
This study evaluated different treatment strategies for eradication of Pseudomonas aeruginosa in CF people with a new infection. One strategy was to treat participants with antibiotics only when Pseudomonas aeruginosa was isolated from respiratory cultures taken throughout the study (culture-based). A second strategy was to have participants take antibiotics regularly - every three months (cycled) over the 18 months of the study. In addition, within each strategy (culture-based or cycled) the antibiotics that were given included inhaled tobramycin either given with or without oral ciprofloxacin. Participants were randomized to one of these four treatment approaches.
Eligibility
See other primary eligibility criteria for more information.
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Age:
1 Years to 12 Years -
Mutation(s):
No Mutation Requirement -
FEV1% Predicted:
No FEV1 Limit
For more information about the results of this study and where it was conducted, visit ClinicalTrials.gov.
Other Primary Eligibility Criteria
To be eligible for this study, subjects must have early P. aeruginosa infection, defined as first isolation within 6 months prior to baseline or new isolation after at least a 2 year time frame with negative cultures.
Study Results
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What We Learned:
Study results show that there was no significant difference in the rate of pulmonary exacerbations between the treatment groups. Additionally, the frequency of adverse events was similar across groups.
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Primary Findings:
Effectiveness:
This study was conducted between December 2004 and July 2009. A total of 304 participants were randomized to one of the four treatment group and most participants completed the study (between three and eight participants withdrew in the 4 treatment groups). The primary objective was to investigate if cycled antimicrobial treatment (with or without ciprofloxacin) reduced the time to first pulmonary exacerbation requiring intravenous antibiotics or hospital admission compared to culture-based therapy. There were no differences in the exacerbation rates between cycled and culture-based groups or between inhaled tobramycin with ciprofloxacin vs. inhaled tobramycin without ciprofloxacin.
No significant differences were observed between the groups in the secondary endpoints of time to pulmonary exacerbation requiring any antibiotic usage (oral, IV or inhaled), weight gain, lung function or likelihood of P. aeruginosa positive respiratory cultures.
Safety:
Adverse events were similar across groups although respiratory events were more common in the groups assigned to receive oral ciprofloxacin.
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Citation:
Arch Pediatr Adolesc Med 2011;165(9):847-856
For current information about the overall development status of this drug, please check the Drug Development Pipeline.
Study Design
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Study Type: ?more info
Interventional -
Randomized Study: ?more info
Yes -
Placebo Controlled: ?more info
Yes -
Length of Participation:
18 months -
Number of Study Visits:
8
Additional Information
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Phase: ?more info
Phase Three -
Study Sponsor: ?more info
Ramsey, Bonnie -
Study Drugs:
Eligibility
See other primary eligibility criteria for more information.
-
Age:
1 Years to 12 Years -
Mutation(s):
No Mutation Requirement -
FEV1% Predicted:
No FEV1 Limit -
Pseudomonas Status:
Positive Respiratory Cultures Required
For more information about the results of this study and where it was conducted, visit ClinicalTrials.gov.
Other Primary Eligibility Criteria
To be eligible for this study, subjects must have early P. aeruginosa infection, defined as first isolation within 6 months prior to baseline or new isolation after at least a 2 year time frame with negative cultures.
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