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CompletedNCT01486199Updated Sep 25, 2017Results posted

Imaging Airway Liquid Absorption in Cystic Fibrosis

An interventional study of Absorptive clearance scan in Cystic Fibrosis, sponsored by University of Pittsburgh. Completed at 1 site in United States. Open to participants aged 6 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-09-25.

Sponsored by University of Pittsburgh · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Non-randomized
Ages
6 Years and older
Sex
All
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Study summary

The investigators are developing a new nuclear medicine imaging technique for measuring liquid absorption in the airways that can be applied to screen new medications being developed to treat cystic fibrosis (CF). The investigators believe that the absorption of the small molecule radiopharmaceutical Indium 111-diethylenetriaminepentaacetic acid (In-DTPA) will indicate changes in liquid absorption in the airways and demonstrate whether new CF medications will be effective. In this study the investigators will further develop this technique through testing involving pediatric CF patients and healthy control subjects.

Read the detailed description

The investigators have recently developed a novel aerosol-based imaging technique to detect changes in liquid absorption in the airways - a central pathophysiological process known to be important in cystic fibrosis (CF) lung disease. This technique may provide a measure of disease severity and indication of therapeutic correction in advance of currently available outcome measures. It involves the simultaneous delivery of two radiopharmaceuticals by inhalation: one an absorbable small-molecule (Indium-111 labeled diethylenetriaminepentaacetic acid; In-DTPA) and the other a non-absorbable particle (Technetium 99m labeled sulfur colloid; Tc-SC). The overarching hypothesis is that In-DTPA absorption provides a quantifiable, non-invasive measurement of airway liquid absorption that (a) is sensitive to CF genotype, (b) uniquely identifies basic disease phenotype and predicts disease severity, and (c) is modulated by therapeutic interventions.

02

Conditions studied

  • Cystic Fibrosis

Keywords

  • cystic fibrosis
  • mucociliary clearance
  • airway surface liquid
  • nuclear medicine
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In context

Cystic Fibrosis

1,581 studies on the registry are indexed under Cystic Fibrosis; 190 are open to participants now.

This study's enrollment of 20 is below the median of 36 across 1,034 interventional studies indexed under Cystic Fibrosis.

Browse Cystic Fibrosis studies →

Lead sponsor

University of Pittsburgh is the lead sponsor of 1,385 studies on the registry; 167 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 4 (50%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
6 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Adult healthy control arm:

    • subjects 18 years old or older without a diagnosis of lung disease.
  • Pediatric CF arm:

    • subjects 6-14 years with a diagnosis of cystic fibrosis as determined by sweat test or genotype
    • subjects who are clinically stable as determined by the pediatrician co-investigator
    • subjects must have a previously demonstrated ability to perform reproducible pulmonary function testing based on previous clinical visits.
  • Females in all groups who are of child-bearing potential will need to have a negative urine pregnancy test.

Exclusion criteria

Exclusion Criteria:

  • Adult healthy control arm:

    • FEV1%p \< 80% of predicted
    • nursing mother
    • positive urine pregnancy test or unwilling to test
    • cigarette smoker (regular smoking within 6 months of study).
  • Pediatric CF arm:

    • FEV1%p \< 40% of predicted
    • nursing mother
    • positive urine pregnancy test for females of childbearing potential
    • unable or unwilling to comply with test procedure
    • cigarette smoker (regular smoking within 6 months of study).
    • Subjects unable to lie recumbent without moving for the 80 minute imaging period will be excluded.
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Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    CF pediatric

    In the pediatric arm 10 CF subjects ages 6-14 will perform absorptive clearance scans at baseline and at t=2 years.

    Other: Absorptive clearance scan

  • Experimental
    Controls adult

    In the adult control arm 10 healthy adult subjects will perform a single absorptive clearance scan.

    Other: Absorptive clearance scan

Interventions

  • OtherAbsorptive clearance scan

    Subjects will inhale a nebulized mixture of the radiopharmaceuticals Indium 111-DTPA and Technetium 99m-sulfur colloid.

06

What researchers measure

Primary outcomes

  1. Absorptive Clearance Rate

    Absorptive clearance rate measured 80 minutes after radiopharmaceutical inhalation. Absorptive clearance is the absorptive component of the clearance of Indium 111-diethylenetriaminepentaacetic acid (In-DTPA) from the lungs.

    Time frame: study day 1

  2. Mucociliary Clearance Rate

    Mucociliary clearance rate measured 80 minutes after radiopharmaceutical inhalation. Mucociliary clearance rate is the rate of clearance of Technetium sulfur colloid (Tc-SC) from the lungs.

    Time frame: study day 1

Secondary outcomes

  1. Absorptive Clearance Rate

    Absorptive Clearance Rate measured 80 minutes after radiopharmaceutical inhalation. Absorptive clearance is the absorptive component of the clearance of In-DTPA from the lungs.

    Time frame: t=2 years

  2. Mucociliary Clearance Rate

    Mucociliary clearance rate measured 80 minutes after radiopharmaceutical inhalation. Mucociliary clearance rate is the rate of clearance of Technetium sulfur colloid (Tc-SC) from the lungs.

    Time frame: t=2 years, measure made 80 minutes after radiopharmaceutical inhalation

07

Results

Posted Sep 25, 2017

Participant flow

Baseline Study Day
Participant flow — Baseline Study Day
MilestoneCF PediatricControls Adult
Started1010
Completed109
Not completed01
Two Year Period Between Study Days
Participant flow — Two Year Period Between Study Days
MilestoneCF PediatricControls Adult
Started100
Completed90
Not completed10
Withdrew: Physician decision10
Study Day at t= 2 Years
Participant flow — Study Day at t= 2 Years
MilestoneCF PediatricControls Adult
Started90
Completed90
Not completed00

Outcome measures

PrimaryAbsorptive Clearance Rate

Absorptive clearance rate measured 80 minutes after radiopharmaceutical inhalation. Absorptive clearance is the absorptive component of the clearance of Indium 111-diethylenetriaminepentaacetic acid (In-DTPA) from the lungs.

Time frame:
study day 1
Reported as:
Mean · percent cleared / 80 minutes
Absorptive Clearance Rate
percent cleared / 80 minutesCF PediatricControls Adult
Absorptive Clearance Rate34.0 ± 10.417.7 ± 6.9
Statistical analysis
  • CF Pediatric vs Controls Adult · t-test, 2 sided · p = 0.002
PrimaryMucociliary Clearance Rate

Mucociliary clearance rate measured 80 minutes after radiopharmaceutical inhalation. Mucociliary clearance rate is the rate of clearance of Technetium sulfur colloid (Tc-SC) from the lungs.

Time frame:
study day 1
Reported as:
Mean · percent cleared / 80 minutes
Mucociliary Clearance Rate
percent cleared / 80 minutesCF PediatricControls Adult
Mucociliary Clearance Rate22.8 ± 13.731.4 ± 13.1
Statistical analysis
  • CF Pediatric vs Controls Adult · t-test, 2 sided · p = 0.20
SecondaryAbsorptive Clearance Rate

Absorptive Clearance Rate measured 80 minutes after radiopharmaceutical inhalation. Absorptive clearance is the absorptive component of the clearance of In-DTPA from the lungs.

Time frame:
t=2 years
Reported as:
Mean · percent cleared / 80 min
Absorptive Clearance Rate
percent cleared / 80 minCF PediatricControls Adult
Absorptive Clearance Rate28.6 ± 9.9—
Statistical analysis
  • CF Pediatric · Wilcoxon (Mann-Whitney) · p = 0.24
SecondaryMucociliary Clearance Rate

Mucociliary clearance rate measured 80 minutes after radiopharmaceutical inhalation. Mucociliary clearance rate is the rate of clearance of Technetium sulfur colloid (Tc-SC) from the lungs.

Time frame:
t=2 years, measure made 80 minutes after radiopharmaceutical inhalation
Reported as:
Mean · percent cleared / 80 minutes
Mucociliary Clearance Rate
percent cleared / 80 minutesCF PediatricControls Adult
Mucociliary Clearance Rate22.0 ± 13.1—
Statistical analysis
  • CF Pediatric · Wilcoxon (Mann-Whitney) · p = 0.87

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
CF Pediatric—0/10 (0%)0/10 (0%)
Controls Adult—0/10 (0%)0/10 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)CF PediatricControls AdultTotal
Mean10.5 ± 1.531.2 ± 15.020.9 ± 14.9
Sex: Female, Male
Sex: Female, Male(Participants)CF PediatricControls AdultTotal
Female549
Male5611
08

Study locations

1 site
  • University of Pittsburgh
    Pittsburgh, Pennsylvania 15213, United States
09

References and documents

Publications

  • Locke LW, Myerburg MM, Weiner DJ, Markovetz MR, Parker RS, Muthukrishnan A, Weber L, Czachowski MR, Lacy RT, Pilewski JM, Corcoran TE. Pseudomonas infection and mucociliary and absorptive clearance in the cystic fibrosis lung. Eur Respir J. 2016 May;47(5):1392-401. doi: 10.1183/13993003.01880-2015. Epub 2016 Mar 23. PubMed 27009167 ↗
  • Locke LW, Myerburg MM, Markovetz MR, Parker RS, Weber L, Czachowski MR, Harding TJ, Brown SL, Nero JA, Pilewski JM, Corcoran TE. Quantitative imaging of airway liquid absorption in cystic fibrosis. Eur Respir J. 2014 Sep;44(3):675-84. doi: 10.1183/09031936.00220513. Epub 2014 Apr 17. PubMed 24743971 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 25, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01486199
Lead sponsor
University of Pittsburgh
Collaborators
National Institutes of Health (NIH), National Heart, Lung, and Blood Institute (NHLBI)
Responsible party
Tim Corcoran (Assistant Professor, University of Pittsburgh) — Principal investigator
First posted
Dec 6, 2011
Start date
Oct 2011
Primary completion
Oct 2014
Completion
Oct 2014
Results posted
Sep 25, 2017
Last update
Sep 25, 2017

Study contacts

Tim Corcoran, Ph.D.
principal investigator · University of Pittsburgh

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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