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Cystic FibrosisPhase 2/3SHIP-CTNCT02950883

Saline Hypertonic in Preschoolers + CT

A Phase 2/3 study testing Active Treatment Group 7% Hypertonic Saline in people with Cystic Fibrosis, run by University of Washington, the Collaborative Health Studies Coordinating Center at 25 sites in 9 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to assess whether inhalation of 7% hypertonic saline (HS) twice daily for 48 weeks reduces structural lung disease as assessed by computed tomography (CT) in comparison with inhalation of 0.9% isotonic saline (IS) in preschool children (ages 3 to 6) with cystic fibrosis. Read more about this study

Who is it for?
Ages 3 to 5 years
Conditions the study is for
Cystic Fibrosis
What is being tested?
Active Treatment Group 7% Hypertonic Saline
Could I receive a placebo?
No, everyone receives an active treatment
How many people
116 participants
Where
25 sitesin 9 countries
Study dates
24 Mar 2015to 25 Jun 2021
Phase
Phase 2/3
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 3 to 5 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Diagnosis of CF as evidenced by one or more clinical features consistent with the CF phenotype or positive CF newborn screen AND one or more of the following criteria:
  • A documented sweat chloride ≥ 60 mEq/L by quantitative pilocarpine iontophoresis (QPIT)
  • A documented genotype with two disease-causing mutations in the CFTR gene
  • Informed consent by parent or legal guardian
  • Age ≥ 36 months and ≤72 months at screening visit
  • Ability to comply with medication use, study visits and study procedures as judged by the site investigator
  • Ability to cooperate with chest CT at the enrollment visit as determined by the lung function technician

Who cannot join

  • Chest CT within 8 months prior to the Screening visit
  • Acute intercurrent respiratory infection, defined as an increase in cough, wheezing, or respiratory rate with onset within 3 weeks preceding screening or enrollment visit
  • Acute wheezing at screening or enrollment visit
  • Oxygen saturation < 95% (<90% in centers located above 4000 feet elevation) at screening or enrollment visit
  • Other major organ dysfunction, excluding pancreatic dysfunction
  • Physical findings that would compromise the safety of the participant or the quality of the study data as determined by site investigator
Show all 11Show fewer
  • Investigational drug use within 30 days prior to screening or enrollment visit
  • Treatment with inhaled HS at any concentration within 30 days prior to screening or enrollment visit
  • Initiation (i.e. new prescription) of any inhaled hydrating agent such as mannitol or mucolytic agents such as dornase alpha within 30 days prior to the screening or enrollment visit
  • Chronic lung disease not related to CF
  • Inability to tolerate first dose of study treatment at the enrollment visit

Trial locations and contacts

25 sites in 9 countries.

25 sites in 9 countries

United States7 sites
  • Children's Hospital of Colorado

    Aurora, Colorado, 80045

  • University of North Carolina at Chapel Hill

    Chapel Hill, North Carolina, 27599

  • Riley Hospital for Children

    Indianapolis, Indiana, 46202

  • Children's Hospital of Pittsburgh of UPMC

    Pittsburgh, Pennsylvania, 15224

  • Oregon Health Sciences University

    Portland, Oregon, 97239

  • Seattle Children's Hospital

    Seattle, Washington, 98105

  • Washington University School of Medicine

    St Louis, Missouri, 63110

Other trials in United States

Australia7 sites
  • Royal Women's and Children Hospital

    Adelaide

  • Lady Cilento Children's Hospital

    Brisbane

  • Royal Children's Hospital

    Melbourne

  • John Hunter Children's Hospital

    Newcastle

  • Children's Hospital at Westmead

    Sydney

  • Sydney Children's Hospital at Randwick

    Sydney

  • Perth Children's Hospital

    West Perth

Other trials in Australia

Belgium2 sites
  • Universitair Ziekenhuis Children's Hospital

    Brussels

  • UZ Leuven - Gasthuisberg Ziekenhuis

    Leuven

Other trials in Belgium

Canada2 sites
  • Hospital for Sick Kids

    Toronto, Ontario, M5G1X8

  • British Columbia Children's Hospital

    Vancouver, British Columbia, V6H3V4

Other trials in Canada

France2 sites
  • Hospice Civils de Lyon

    Lyon

  • Hospital Robert Debre

    Paris

Other trials in France

Italy2 sites
  • Bambini Gesu Children's Hospital

    Roma, 00165

  • Ospedale Civile Maggiore

    Verona, 37126

Other trials in Italy

Denmark1 site
  • Copenhagen University Hospital Rigshospitalet

    Copenhagen

Other trials in Denmark

Netherlands1 site
  • Sophia Children's Hospital at Erasmus Medical Centre

    Rotterdam

Other trials in Netherlands

Spain1 site
  • Hospital Universitari Vall d'Hebron

    Barcelona

Other trials in Spain

About this study

Official title: Saline Hypertonic in Preschoolers With Cystic Fibrosis and Lung Structure as Measured by Computed Tomography (CT)

The purpose of this study is to assess whether inhalation of 7% hypertonic saline (HS) twice daily for 48 weeks reduces structural lung disease as assessed by computed tomography (CT) in comparison with inhalation of 0.9% isotonic saline (IS) in preschool children (ages 3 to 6) with cystic fibrosis.

Read the detailed description

Several observational studies have shown that cystic fibrosis (CF) patients less than or equal to 6 years of age have clinically silent airway damage. There is growing interest in early initiation of therapies to prevent or delay the progression of this lung disease in CF. In SHIP-CT, the investigators will evaluate treatment effects of HS relative to IS on measures of structural lung disease obtained from chest CT using a novel scoring system sensitive to early lung changes, the Perth-Rotterdam Annotated Grid Morphometric Analysis method for CF (PRAGMA-CF), that quantifies the volume percentage of diseased airways (%Dis), bronchiectasis (%Bx), and trapped air (%TA). As a secondary evaluation of structural airway damage, the investigators will use an image analysis system to measure airway dimensions relative to adjacent arteries (AA-system). Longitudinal changes in CT measures will also be compared to changes in lung function measured by the lung clearance index (LCI) obtained by N2 Multiple Breath Washout (MBW) and to clinical outcomes.

The primary hypothesis is that HS will reduce structural lung disease as assessed by the PRAGMA-CF computed tomography score relative to IS during the 48-week treatment period among preschool children with CF.

SHIP-CT is a parallel study to SHIP001 (ClinicalTrials.gov Identifier NCT02378467). The primary hypothesis of SHIP001, which runs in North America, is that compared to IS, HS will improve the LCI, a measure of ventilation heterogeneity, during the 48-week treatment period among preschool children with CF. The SHIP-CT study (SHIP002) will use a nearly identical study design as the SHIP001 study, with similar eligibility criteria and treatment arms, to determine whether HS reduces structural lung disease as measured by chest computed tomography (CT), in addition to stabilizing or improving functional outcomes as measured by LCI.

This is a multicenter, randomized, double-blind, controlled, parallel group trial assessing structural lung disease in children with CF ages 3 to 5 at enrollment. Participants will be randomized 1:1 to receive 7% hypertonic saline (treatment arm) vs. 0.9% isotonic saline (control arm) administered twice daily via jet nebulizer for 48 weeks. Study visits will occur at screening, enrollment, and at Weeks 12, 24, 36, and 48. Parents or the legal guardian will be contacted at Weeks 1, 4 and 8 to document changes in health status, adverse events, concomitant medications/treatments, and encourage study treatment compliance. Parents or the legal guardian will also be contacted approximately every 6 weeks between visit 3, 4, 5, and 6 to address individual issues or concerns related to study treatment or study participation, and to document changes in health status, medications and treatments.

Total duration of participant participation will be up to 53 weeks. As enrollment will occur over approximately 18 months, total duration of the study is expected to be up to 30 months (18 months enrollment plus 12 months for the last participants to complete study participation).

Conditions
Cystic Fibrosis
Being tested
Active Treatment Group 7% Hypertonic Saline, Control Group 0.9% Isotonic Saline
Keywords
Cystic Fibrosis, Hypertonic Saline, Inhaled Saline, Digestive System Diseases, Genetic Diseases, Inborn, Lung Diseases, Pancreatic Diseases, Pathologic Processes, Respiratory Tract Diseases, Computed Tomography (CT)
Medical subject headings
Cystic Fibrosis, Digestive System Diseases, Genetic Diseases, Inborn, Lung Diseases, Pancreatic Diseases, Pathologic Processes, Respiratory Tract Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Active Treatment Group 7% Hypertonic SalineDrug

    Drug: 7% Hypertonic Saline (HS) 4 mL of HS will be administered via inhalation twice daily for 48 weeks. The delivery system is a PARI Sprint Junior nebulizer with a PARI Baby face mask or mouthpiece driven by a PARI compressor (PARI Vios® Pro in USA, PARI BOY SX in Australia and Europe).

    Other Names:

    Hyper-Sal™, inhaled saline

  • Control Group 0.9% Isotonic SalineDrug

    Drug: 0.9% Isotonic Saline (IS) 4 mL of IS will be administered via inhalation twice daily for 48 weeks The delivery system is the same as that for the test product.

    Other Names: Normal saline

Study groups in NCT02950883
Study groupRoleWhat they receive
Active Treatment GroupExperimental7% Hypertonic Saline administered via inhalation twice daily for 48 weeks
Receives: Drug: Active Treatment Group 7% Hypertonic Saline
Control GroupActive comparator0.9% Isotonic Saline administered via inhalation twice daily for 48 weeks
Receives: Drug: Control Group 0.9% Isotonic Saline

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Chest CT

    The difference in PRAGMA-CF %Dis between HS and IS study arm at end of study (48 weeks), adjusted for baseline, measured from standardized chest CT.

    Measured: 48 weeks

Secondary outcomes (3)
  1. PRAGMA-CF Sub-scores

    1. The difference in PRAGMA-CF sub-scores, %Bx (the volume proportion of the lung with bronchiectasis) and %TA (the volume proportion of the lung with trapped air), between the baseline CT and the 48 week CT. ii) The absolute number of airways, airway dimensions and AA ratios from TLC CTs, acquired at the 48-week visit.

    Measured: 48 weeks

  2. Lung Clearance Index (LCI)

    The difference in LCI, measured by N2 MBW, from baseline to 48 weeks

    Measured: 48 weeks

  3. Cross-sectional and longitudinal relationships

    Cross-sectional and longitudinal relationships between primary and secondary PRAGMA-CF outcomes (%Dis, %Bx and %TA) and MBW outcomes (LCI), airway dimensions and PRAGMA-CF and MBW outcomes, as well as CFQ-R scores and PRAGMA-CF and MBW

    Measured: 48 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Nov 2016 (estimated)
  2. Study start24 Mar 2015
  3. Primary completion15 Dec 2020
  4. Study completion25 Jun 2021

Resources

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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
116 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02950883
Sponsor's protocol ID
SHIP002
Acronym
SHIP-CT
Status last verified
Mar 2024
First submitted
27 Oct 2016
Last updated
12 Mar 2024
Results posted
No
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Rosenow T, Oudraad MC, Murray CP, Turkovic L, Kuo W, de Bruijne M, Ranganathan SC, Tiddens HA, Stick SM; Australian Respiratory Early Surveillance Team for Cystic Fibrosis (AREST CF). PRAGMA-CF. A Quantitative Structural Lung Disease Computed Tomography Outcome in Young Children with Cystic Fibrosis. Am J Respir Crit Care Med. 2015 May 15;191(10):1158-65. doi: 10.1164/rccm.201501-0061OC.

    PubMed 25756857
  • Ramsey KA, Rosenow T, Turkovic L, Skoric B, Banton G, Adams AM, Simpson SJ, Murray C, Ranganathan SC, Stick SM, Hall GL; AREST CF. Lung Clearance Index and Structural Lung Disease on Computed Tomography in Early Cystic Fibrosis. Am J Respir Crit Care Med. 2016 Jan 1;193(1):60-7. doi: 10.1164/rccm.201507-1409OC.

    PubMed 26359952
  • Tiddens HAWM, Chen Y, Andrinopoulou ER, Davis SD, Rosenfeld M, Ratjen F, Kronmal RA, Hinckley Stukovsky KD, Dasiewicz A, Stick SM; SHIP-CT Study Group. The effect of inhaled hypertonic saline on lung structure in children aged 3-6 years with cystic fibrosis (SHIP-CT): a multicentre, randomised, double-blind, controlled trial. Lancet Respir Med. 2022 Jul;10(7):669-678. doi: 10.1016/S2213-2600(21)00546-4. Epub 2022 Mar 11.

    PubMed 35286860

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Active Treatment Group 7% Hypertonic Saline in people with Cystic Fibrosis, run by University of Washington, the Collaborative Health Studies Coordinating Center at 25 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 11 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 12 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in United States, Australia, Belgium, Canada, France 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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?

Chest CT (time frame: 48 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02950883, which also lists 3 linked publications.

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 12 Mar 2024.

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