Cystic FibrosisPhase 3PsAer-IgYNCT01455675
Efficacy Study of IgY (Antibody Against Pseudomonas) in Cystic Fibrosis Patients
A Phase 3 study testing IgY in people with Cystic Fibrosis, run by Mukoviszidose Institut gGmbH at 42 sites in 9 countries.
Trial summary
The purpose of this study is to prolong the time to reinfection with Pseudomonas aeruginosa after successfully treated acute or intermittent infection. Read more about this study
- Who is it for?
- Ages 5 years and older
- Conditions the study is for
- Cystic Fibrosis
- What is being tested?
- IgY
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 164 participants
- Where
- 42 sitesin 9 countries
- Study dates
- Oct 2011to 27 Jun 2017
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 5 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- CF patients diagnosed according to specific clinical features and either a positive sweat chloride in double proofs or presence of disease-associated CFTR mutations in both alleles
- Males and females 5 years of age and above (being able to gargle)
- CF patients having a FEV1 value between 50% and 130% of predicted value (according to Knudson formula)
- CF patients who have had one to several sputum or throat cough swabs or endolaryngeal suction cultures positive for PA within the last three years and for whom PA has been successfully eradicated.
- Sputum / throat cough swab/ endolaryngeal suction culture negative for PA and other gram-negative bacteria on study entry.
- Patients and/ or their legal representative who are willing and able to give informed consent/ assent to participate in the study after thorough information
- Subjects of child bearing potential and who are sexually active must meet the contraception requirements (i.e. oral or injectable contraceptives, intrauterine devices, double-barrier method, contraceptive patch, male partner sterilization or condoms).
Who cannot join
- Microbiologic or serologic evidence of chronic infection with PA. Definition of chronic PA infection: Three cultures (sputum or throat cough swabs or endolaryngeal suction) have been positive for PA for 6 consecutive months (at least 3 cultures have to be taken) or more, .
- Patients, who have positive sputum culture or throat cough swab or endolaryngeal suction culture for gram-negative bacteria, such as PA, S. maltophilia, B. cepacia, A. xylosoxidans (eradication before entry in study is possible), Patients, who have positive sputum culture or throat cough swab or endolaryngeal suction culture for atypical Mycobacteria and / or Aspergillus fumigates, associated with clinical symptoms that may necessitate specific treatment.
- History of allergy/hypersensitivity to hens' egg proteins (including medication allergy) that is deemed relevant to the trial by the investigator. "Relevance" in this context refers to any increased risk of hypersensitivity reaction to trial medication.
- Patient with a known relevant substance abuse, including alcohol or drug abuse.
- Start of a new concomitant or chronic medication for CF within 4 weeks before inclusion.
- Clinically relevant diseases or medical conditions other than CF or CF-related conditions that, in the opinion of the investigator, would compromise the safety of the patient or the quality of the data. This includes, but is not limited to, significant hematological, hepatic, renal, cardiovascular, and neurological diseases (diabetic patients may participate if their disease is under good control prior to inclusion).
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- Participation in another study with an investigational drug within one month or 6 half-lives (whichever is greater) preceding the inclusion.
- The patient is an employee of the investigator or the institution with direct involvement in the trial or other trials under the direction of the investigator or their members.
- Patients who are pregnant cannot be included into the study. This will be tested at inclusion visit with a urine pregnancy test (in female patients older than 10 years with secondary sexual characteristics)
Trial locations and contacts
42 sites in 9 countries.
42 sites in 9 countries
Germany16 sites
Charité, Christiane Herzog Zentrum
Berlin, 13353
Klinikum der Ruhr Universität Bochum
Bochum, 44791
Universitätsklinik Köln
Cologne, 50924
University Dresden
Dresden, 01307
Universitätsklinikum Düsseldorf
Düsseldorf, 40225
Universitätsklinikum Essen
Essen, 45122
Klinikum der Johann-Wolfgang- Goethe Universität Frankfurt
Frankfurt
Universitätsklinikum Freiburg, Zentrum für Kinder- und Jugendmedizin
Freiburg im Breisgau, 79106
Universitätsklinikum Gießen und Marburg GmbH
Giessen, 35392
MH Hannover (adults)
Hanover, 30625
MH Hannover (children)
Hanover, 30625
Universitätsklinik Jena, Mukoviszidosezentrum
Jena, 07740
Städtisches Krankenhaus Kiel GmbH
Kiel, 24116
Universitätsklinikum Mainz
Mainz, 55131
Universitätsklinik Tübingen
Tübingen, 72076
Universitäts-Kinderklinik Würzburg
Würzburg, 97080
Poland5 sites
Szpital Dzieciecy Polanki im. Macieja Plazynskiego w Gdansku sp Z o.o. Poradnia Leczenia
Gdansk, 80-308
Centrum Medyczne Karpacz Spólka Akcyjna
Karpacz, 58-540
Wojewódzki Szpital Specjalistyczny im. M.Kopernika Ośrodek Pediatryczny im. dr J.Korczaka
Lodz, 90-329
NZOZ Sanatorium Cassia Villa Medica
Rabka-Zdrój, 34-700
Instytut Matki i Dziecka Zaklad Mukowiscydozy
Warsaw, 01-211
Ireland4 sites
Cork University Hospital
Cork
Our Lady´s Children´s Hospital
Dublin, 12
Tallagh Hospital
Dublin, 24
Mid-Western Regional Hospital
Limerick
Italy4 sites
Centro Regionale Toscano di Riferimento per la Fibrosi Cistica
Florence, 50139
Istituto Ospedale Giannina Gaslini
Genova, 16100
Centro Regionale Fibrosi Cisica Lazio
Roma, 00161
Azienda Ospedaliera Universitaria Integrata di Verona
Verona, 37126
Spain4 sites
Hospital Universitario Cruces Neumologia, Pediatric pulmonology
Barakaldo (Vizcaya), 48903
Passeig Vall d´Hebron 119
Barcelona, 08035
Hospital Infantil la Paz Sección de Neumologia Pediátrica
Madrid, 28046
Hospital Materno-Infantil Servicio de Pediatria
Málaga, 29011
Belgium3 sites
Clinic of Pediatric Respiratory Diseases, Infectious Diseases and Travel Clinic
Brussels, 1090
Hôpital Universitaire Erasme, Service de Pneumologie
Brussels
University Hospital Leuven, Kindergeneeskunde
Leuven, 3000
Austria2 sites
Medizinische Universität Innsbruck Department für Kinderheilkunde, Päd III CF Zentrum
Innsbruck, 6020
(SALK) Universitätsklink für Kinder- und Jugendheilkunde, Ambulanz für Allergien und Lungenerkrankungen
Salzburg, 5020
Hungary2 sites
Heim Pal Hospital for Children
Budapest, 1089
Országos Korányi TBC és Pulm. Intézet, XIX. J fsz. Kronikus-CF care
Budapest, 1121
Sweden2 sites
Karolinska University Hospital, Huddinge - CF-Centre
Stockholm, 141 86
Uppsala University Childrens Hospital, Akademiska sjukhuset, CF center
Uppsala, 75185
About this study
Official title: Phase III Study to Evaluate Clinical Efficacy and Safety of Avian Polyclonal Anti-Pseudomonas Antibodies (IgY) in Prevention of Recurrence of Pseudomonas Aeruginosa Infection in Cystic Fibrosis Patients
The purpose of this study is to prolong the time to reinfection with Pseudomonas aeruginosa after successfully treated acute or intermittent infection.
Read the detailed description
This is a double -blind, placebo controlled study in which the investigational drug and the reference placebo group are gargled and swallowed. 70 ml IgY/ placebo solution is gargled every night for two minutes (for maximal 24 months) The design will include the recruitment of 144 patients randomized in two groups (72 per treatment group) In order to compensate for dropouts (i.e. patients dropping out prior to 24 months without having an event) the total sample size was planned to be approximately 180 (i.e. ~20 % dropout rate). After the actual drop-out rate has been low throughout the study, only 144 plus approx. 10% potential drop-outs were included into the study.
During the two years of treatment, subjects will be examined at the clinic every 3 months regarding safety and efficacy of the medication.
For more information please see www.impactt.eu The IMPACTT Project is funded by EU within the Framework 7 Program. PsAer-IgY Studies is part of IMPACTT Project (Workpackage 2).
- Conditions
- Cystic Fibrosis
- Being tested
- IgY, Placebo
- Keywords
- cystic fibrosis
- Medical subject headings
- Cystic Fibrosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
IgYDrug
Also called PsAer-IgY
Avian polyclonal anti-pseudomonas antibodies (IgY)
PlaceboDrug
Placebo, 70 ml gargling solution, once daily
| Study group | Role | What they receive |
|---|---|---|
| IgY, gargling solution | Experimental | Avian polyclonal anti-pseudomonas antibodies (IgY), 70 ml gargling solution contains 50 mg IgY with an activity against PA, once daily Receives: Drug: IgY |
| Placebo, gargling solution | Placebo comparator | 70 ml gargling solution without antibodies, once daily Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time from start of treatment (=Day 0) to the first recurrence of PA (Pseudomonas aeruginosa) in the sputum or throat cough swab or endolaryngeal suction
Measured: max. 24 months
Secondary outcomes (8)
• Change in FEV 1.0 from day 0 to each visit
Measured: max. 24 months
• Change in BMI from day 0 to each visit
Measured: max. 24 months
• Number of exacerbations
Measured: max. 24 months
• Number of days of illness in hospital and at home, i.e. out of school or work
Measured: max. 24 months
• Control of use of antibiotics, especially anti-pseudomonas antibiotics -measured as days with antibiotic treatment
Measured: max. 24 months
• Change in values of serologic tests for PA precipitins from day 0 to each visit (if applicable)
Measured: max. 24 months
• Good tolerability and comparable number and quality of adverse events like placebo group
Measured: max. 24 months
• Sputum or throat cough swab or endolaryngeal suction cultures for bacteria and fungi
Measured: max. 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Oct 2011 (estimated)
- Study startOct 2011
- Primary completion27 Jun 2017
- Study completion27 Jun 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Cystic FibrosisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 164 participants (actual)
Sponsor and investigators
- Lead sponsor
- Mukoviszidose Institut gGmbH
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Antje Schuster, Prof. Dr., Principal investigator, University Düsseldorf
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01455675
- Sponsor's protocol ID
- PsAer-IgY
- Acronym
- PsAer-IgY
- Status last verified
- Jul 2017
- First submitted
- 18 Oct 2011
- Last updated
- 6 Jul 2017
- Results posted
- No
- Data monitoring committee
- Yes
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 6 Jul 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase III Study to Evaluate Clinical Efficacy and Safety of Avian Polyclonal Anti-Pseudomonas Antibodies (IgY) in Prevention of Recurrence of Pseudomonas Aeruginosa Infection in Cystic Fibrosis Patients
- ClinicalTrials.gov ID
- NCT01455675
- Acronym / sponsor ID
- PsAer-IgY / PsAer-IgY
- Conditions
- Cystic Fibrosis
- Keywords
- cystic fibrosis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 164 participants (actual)
- Lead sponsor
- Mukoviszidose Institut gGmbHUniversity, hospital or other
- Study start
- Oct 2011
- Primary completion
- 27 Jun 2017 (actual)
- Study completion
- 27 Jun 2017 (actual)
- First posted
- 20 Oct 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to prolong the time to reinfection with Pseudomonas aeruginosa after successfully treated acute or intermittent infection.
Detailed description
This is a double -blind, placebo controlled study in which the investigational drug and the reference placebo group are gargled and swallowed. 70 ml IgY/ placebo solution is gargled every night for two minutes (for maximal 24 months) The design will include the recruitment of 144 patients randomized in two groups (72 per treatment group) In order to compensate for dropouts (i.e. patients dropping out prior to 24 months without having an event) the total sample size was planned to be approximately 180 (i.e. ~20 % dropout rate). After the actual drop-out rate has been low throughout the study, only 144 plus approx. 10% potential drop-outs were included into the study.
During the two years of treatment, subjects will be examined at the clinic every 3 months regarding safety and efficacy of the medication.
For more information please see www.impactt.eu The IMPACTT Project is funded by EU within the Framework 7 Program. PsAer-IgY Studies is part of IMPACTT Project (Workpackage 2).
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| IgY, gargling solution | Experimental | Drug: IgYAvian polyclonal anti-pseudomonas antibodies (IgY), 70 ml gargling solution contains 50 mg IgY with an activity against PA, once daily |
| Placebo, gargling solution | Placebo comparator | Drug: Placebo70 ml gargling solution without antibodies, once daily |
Who may qualify
- Ages
- 5 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (7 listed)
- CF patients diagnosed according to specific clinical features and either a positive sweat chloride in double proofs or presence of disease-associated CFTR mutations in both alleles
- Males and females 5 years of age and above (being able to gargle)
- CF patients having a FEV1 value between 50% and 130% of predicted value (according to Knudson formula)
- CF patients who have had one to several sputum or throat cough swabs or endolaryngeal suction cultures positive for PA within the last three years and for whom PA has been successfully eradicated.
- Sputum / throat cough swab/ endolaryngeal suction culture negative for PA and other gram-negative bacteria on study entry.
Key exclusion criteria (9 listed)
- Microbiologic or serologic evidence of chronic infection with PA. Definition of chronic PA infection: Three cultures (sputum or throat cough swabs or endolaryngeal suction) have been positive for PA for 6 consecutive months (at least 3 cultures have to be taken) or more, .
- Patients, who have positive sputum culture or throat cough swab or endolaryngeal suction culture for gram-negative bacteria, such as PA, S. maltophilia, B. cepacia, A. xylosoxidans (eradication before entry in study is possible), Patients, who have positive sputum culture or throat cough swab or endolaryngeal suction culture for atypical Mycobacteria and / or Aspergillus fumigates, associated with clinical symptoms that may necessitate specific treatment.
- History of allergy/hypersensitivity to hens' egg proteins (including medication allergy) that is deemed relevant to the trial by the investigator. "Relevance" in this context refers to any increased risk of hypersensitivity reaction to trial medication.
- Patient with a known relevant substance abuse, including alcohol or drug abuse.
- Start of a new concomitant or chronic medication for CF within 4 weeks before inclusion.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| IgYAlso: PsAer-IgYAvian polyclonal anti-pseudomonas antibodies (IgY) | Drug | IgY, gargling solution |
| PlaceboPlacebo, 70 ml gargling solution, once daily | Drug | Placebo, gargling solution |
Primary outcome
Time from start of treatment (=Day 0) to the first recurrence of PA (Pseudomonas aeruginosa) in the sputum or throat cough swab or endolaryngeal suction
Time frame: max. 24 months
8 secondary outcomes
• Change in FEV 1.0 from day 0 to each visit
Time frame: max. 24 months
• Change in BMI from day 0 to each visit
Time frame: max. 24 months
• Number of exacerbations
Time frame: max. 24 months
• Number of days of illness in hospital and at home, i.e. out of school or work
Time frame: max. 24 months
• Control of use of antibiotics, especially anti-pseudomonas antibiotics -measured as days with antibiotic treatment
Time frame: max. 24 months
• Change in values of serologic tests for PA precipitins from day 0 to each visit (if applicable)
Time frame: max. 24 months
• Good tolerability and comparable number and quality of adverse events like placebo group
Time frame: max. 24 months
• Sputum or throat cough swab or endolaryngeal suction cultures for bacteria and fungi
Time frame: max. 24 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Jul 2017.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Antje Schuster, Prof. Dr. principal investigator
University Düsseldorf
42 sites in 9 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing IgY in people with Cystic Fibrosis, run by Mukoviszidose Institut gGmbH at 42 sites in 9 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 6 Jul 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 42 sites in Germany, Poland, Ireland, Italy, Spain and 4 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Time from start of treatment (=Day 0) to the first recurrence of PA (Pseudomonas aeruginosa) in the sputum or throat cough swab or endolaryngeal suction (time frame: max. 24 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jul 2017.