PREDICT Trial: PRospective Evaluation of NTM Disease In CysTic Fibrosis
Study Details
Study Description
Brief Summary
Isolation of nontuberculous mycobacteria (NTM) from the sputum of individuals with CF is an increasingly common finding, and the lack of an evidenced-based approach to the diagnosis of NTM disease has been identified as one of the greatest unmet needs within the CF community. Current evidence predicts that the prevalence of NTM will remain relatively high in the CF population. Approaches to NTM disease diagnosis differ widely between centers. This study is observational and follows current best practices. The study will help standardize the diagnosis and collect relevant data associated with the diagnosis of NTM disease to build a framework for future therapeutic trials.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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CF patients Male and female subjects with CF age 6 years and older who have a positive sputum culture for NTM. |
Outcome Measures
Primary Outcome Measures
- Proportion meeting the diagnosis of NTM disease [12 months intervals following study enrollment]
Secondary Outcome Measures
- Adherence to PREDICT protocol: number of respiratory cultures obtained per participant per year, withdrawals and major deviations from protocol [12 months intervals following study enrollment]
- Incidence and prevalence of NTM species/subspecies by geographical region [12 months intervals following study enrollment]
- Proportion of eligible NTM positive individuals with CF enrolling in PREDICT by site [12 months intervals following study enrollment]
- Proportion of PREDICT participants with NTM disease diagnosis who enroll in Part B PATIENCE [12 months intervals following study enrollment]
- Clinical parameters and outcomes (FEV1, growth parameters, CFQ-R) [12 months intervals following study enrollment]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Written informed consent (and assent when applicable) obtained from participant or participant's legal representative
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Enrolled in the CFF Patient Registry (CFF PR)
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Be willing and able to adhere to study procedures in the context of clinical care, and other protocol requirements
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Male or female participant ≥ 6 years of age at enrollment who are able to reliably expectorate sputum and/or willing to undergo sputum induction (if necessary)
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Diagnosis of CF consistent with the 2017 CFF Guidelines
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NTM positive for a species or sub-species in the 2 years prior to enrollment that has never been treated.
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Willing to discontinue chronic azithromycin use for the duration of the study
Exclusion Criteria:
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Prior or ongoing antibiotic treatment of the same NTM species or sub-species for which the patient is being considered for this study
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History of solid organ or hematological transplantation
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Has any other condition that, in the opinion of the Site Investigator/designee, would preclude informed consent or assent, make study participation unsafe, complicate interpretation of study outcome data, or otherwise interfere with achieving the study objectives
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | CFF Pediatric Program, University of Alabama | Birmingham | Alabama | United States | 35233 |
2 | Children's Hospital of Los Angeles | Los Angeles | California | United States | |
3 | University of California San Diego | San Diego | California | United States | |
4 | Children's Hospital Colorado | Aurora | Colorado | United States | 80045 |
5 | National Jewish Health | Denver | Colorado | United States | 80206 |
6 | University of Florida | Gainesville | Florida | United States | |
7 | Northwestern University | Chicago | Illinois | United States | |
8 | Tulane University | New Orleans | Louisiana | United States | |
9 | CFF Adult Program, Johns Hopkins University | Baltimore | Maryland | United States | 21205 |
10 | Boston Children's Hospital, Brigham & Women's Hospital | Boston | Massachusetts | United States | |
11 | CFF Pediatric Program University of Michigan | Ann Arbor | Michigan | United States | 48109 |
12 | Dartmouth Hitchcock Medical Center | Lebanon | New Hampshire | United States | |
13 | CFF Pediatric Program, Columbia University | New York | New York | United States | 10032 |
14 | CFF Adult Program, University of North Carolina at Chapel Hill | Chapel Hill | North Carolina | United States | 27517 |
15 | Nationwide Children's Hospital | Columbus | Ohio | United States | |
16 | University of Pittsburgh Medical Center | Pittsburgh | Pennsylvania | United States | |
17 | CFF Adult Program, The University of Texas Southwestern Medical Center at Dallas | Dallas | Texas | United States | 75390-8558 |
18 | University of Vermont Medical Center | Burlington | Vermont | United States | |
19 | CFF Pediatric Program Seattle Children's Hospital | Seattle | Washington | United States | 98105 |
20 | CFF Adult Program, University of Washington | Seattle | Washington | United States | 98195 |
Sponsors and Collaborators
- National Jewish Health
- Cystic Fibrosis Foundation
- Children's Hospital Colorado
Investigators
- Principal Investigator: Jerry A Nick, MD, National Jewish Health
- Principal Investigator: Stacey Martiniano, MD, Children's Hospital Colorado
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- NTM-OB-17 (PREDICT PART A)