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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02950883
Registration number
NCT02950883
Ethics application status
Date submitted
27/10/2016
Date registered
1/11/2016
Titles & IDs
Public title
Saline Hypertonic in Preschoolers + CT
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Scientific title
Saline Hypertonic in Preschoolers With Cystic Fibrosis and Lung Structure as Measured by Computed Tomography (CT)
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Secondary ID [1]
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SHIP002
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Universal Trial Number (UTN)
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Trial acronym
SHIP-CT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cystic Fibrosis
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Condition category
Condition code
Human Genetics and Inherited Disorders
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Cystic fibrosis
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Respiratory
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Other respiratory disorders / diseases
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Oral and Gastrointestinal
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Inflammatory and Immune System
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0
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Connective tissue diseases
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Inflammatory and Immune System
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0
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Active Treatment Group 7% Hypertonic Saline
Treatment: Drugs - Control Group 0.9% Isotonic Saline
Experimental: Active Treatment Group - 7% Hypertonic Saline administered via inhalation twice daily for 48 weeks
Active comparator: Control Group - 0.9% Isotonic Saline administered via inhalation twice daily for 48 weeks
Treatment: Drugs: Active Treatment Group 7% Hypertonic Saline
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-Salâ„¢, inhaled saline
Treatment: Drugs: Control Group 0.9% Isotonic Saline
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
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Chest CT
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Assessment method [1]
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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.
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Timepoint [1]
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48 weeks
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Secondary outcome [1]
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PRAGMA-CF Sub-scores
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Assessment method [1]
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i) 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.
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Timepoint [1]
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48 weeks
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Secondary outcome [2]
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Lung Clearance Index (LCI)
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Assessment method [2]
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The difference in LCI, measured by N2 MBW, from baseline to 48 weeks
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Timepoint [2]
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48 weeks
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Secondary outcome [3]
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Cross-sectional and longitudinal relationships
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Assessment method [3]
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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
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Timepoint [3]
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48 weeks
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Eligibility
Key inclusion criteria
1. 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:
1. A documented sweat chloride = 60 mEq/L by quantitative pilocarpine iontophoresis (QPIT)
2. A documented genotype with two disease-causing mutations in the CFTR gene
2. Informed consent by parent or legal guardian
3. Age = 36 months and =72 months at screening visit
4. Ability to comply with medication use, study visits and study procedures as judged by the site investigator
5. Ability to cooperate with chest CT at the enrollment visit as determined by the lung function technician
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Minimum age
3
Years
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Maximum age
5
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Chest CT within 8 months prior to the Screening visit
2. Acute intercurrent respiratory infection, defined as an increase in cough, wheezing, or respiratory rate with onset within 3 weeks preceding screening or enrollment visit
3. Acute wheezing at screening or enrollment visit
4. Oxygen saturation < 95% (<90% in centers located above 4000 feet elevation) at screening or enrollment visit
5. Other major organ dysfunction, excluding pancreatic dysfunction
6. Physical findings that would compromise the safety of the participant or the quality of the study data as determined by site investigator
7. Investigational drug use within 30 days prior to screening or enrollment visit
8. Treatment with inhaled HS at any concentration within 30 days prior to screening or enrollment visit
9. 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
10. Chronic lung disease not related to CF
11. Inability to tolerate first dose of study treatment at the enrollment visit
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
24/03/2015
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
25/06/2021
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Sample size
Target
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Accrual to date
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Final
116
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Royal Women's and Children Hospital - Adelaide
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Recruitment hospital [2]
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Lady Cilento Children's Hospital - Brisbane
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Recruitment hospital [3]
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Royal Children's Hospital - Melbourne
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Recruitment hospital [4]
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John Hunter Children's Hospital - Newcastle
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Recruitment hospital [5]
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Children's Hospital at Westmead - Sydney
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Recruitment hospital [6]
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Sydney Children's Hospital at Randwick - Sydney
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Recruitment hospital [7]
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Perth Children's Hospital - West Perth
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Recruitment postcode(s) [1]
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- Adelaide
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Recruitment postcode(s) [2]
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- Brisbane
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Recruitment postcode(s) [3]
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- Melbourne
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Recruitment postcode(s) [4]
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- Newcastle
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Recruitment postcode(s) [5]
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- Sydney
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Recruitment postcode(s) [6]
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- West Perth
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Colorado
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Country [2]
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United States of America
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State/province [2]
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Indiana
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United States of America
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Missouri
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North Carolina
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Oregon
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United States of America
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State/province [6]
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Pennsylvania
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Country [7]
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United States of America
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State/province [7]
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Washington
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Country [8]
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Belgium
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State/province [8]
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Brussels
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Belgium
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State/province [9]
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Leuven
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Country [10]
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Canada
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State/province [10]
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British Columbia
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Country [11]
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Canada
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State/province [11]
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Ontario
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Denmark
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Copenhagen
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France
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State/province [13]
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Lyon
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France
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Paris
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Italy
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State/province [15]
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Roma
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Italy
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Verona
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Country [17]
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Netherlands
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Rotterdam
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Country [18]
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Spain
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State/province [18]
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Barcelona
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Washington, the Collaborative Health Studies Coordinating Center
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Address
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Other collaborator category [1]
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Other
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Name [1]
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Cystic Fibrosis Foundation
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief 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.
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Trial website
https://clinicaltrials.gov/study/NCT02950883
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Trial related presentations / 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. 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. 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.
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Public notes
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Contacts
Principal investigator
Name
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Harm Tiddens, MD, PhD
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Address
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Erasmus Medical Centre, Rotterdam
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Fax
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Contact person for public queries
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Tiddens HAWM, Chen Y, Andrinopoulou ER, Davis SD, ...
[
More Details
]
Results not provided in
https://clinicaltrials.gov/study/NCT02950883