ClinicalTrials.gg
CompletedNCT03489629STAR-TERUpdated Sep 15, 2026Results posted

STaph Aureus Resistance-Treat Early and Repeat (STAR-TER)

A Phase 2 interventional study of Trimethoprim Sulfamethoxazole (TMP/SMX) and Minocycline in Cystic Fibrosis, sponsored by University of North Carolina, Chapel Hill. Completed at 9 sites in United States. Open to participants aged 2 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-09-15.

Sponsored by University of North Carolina, Chapel Hill · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
49
Allocation
Not applicable
Ages
2 Years to 45 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 20 studies in Cystic Fibrosis by University of North Carolina, Chapel Hill — 2 open to participants now, 4 under way, none of them phase 3. Cystic Fibrosis · University of North Carolina, Chapel Hill.

Enrollment
Largest of 13
49 · median 16
Started
2018
with 1 other
Phase 2
3 of 20
none open now
Registered
15th of 20
by date

Among the 20 studies in Cystic Fibrosis by University of North Carolina, Chapel Hill, this one has the largest enrollment of the 13 interventional ones that give a count, is one of 2 that started in 2018, is one of 3 in phase 2, and was the 15th registered.

Cystic Fibrosis

1,621 studies on the registry are indexed under Cystic Fibrosis; 201 are open to participants now.

Browse Cystic Fibrosis studies →

Open to participants now

2 of the 20 studies in Cystic Fibrosis by University of North Carolina, Chapel Hill are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

Where they have run

Who these studies take

Of the 156 Cystic Fibrosis studies recruiting now, 95 (61%) set no upper age limit and 45 (29%) stop at 75 or younger; 86 take children under 18; 41 take healthy volunteers.

This study: 2 Years to 45 Years · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 20 studies in Cystic Fibrosis by University of North Carolina, Chapel Hill, or all of them as a file.
02

Study summary

To evaluate the micro-biologic efficacy and safety of a streamlined treatment for early onset methicillin-resistant staphylococcus aureus (MRSA) in patients with cystic fibrosis.

Read the detailed description

This is an open-label, multi-center interventional trial in Cystic Fibrosis (CF) patients with new MRSA isolated from the respiratory tract (oropharyngeal (OP) = OP swab, sputum, or bronchoscopy) at a clinical encounter.

Forty-two subjects with new MRSA infection will be enrolled and will receive two weeks of oral trimethoprim-sulfamethoxazole (TMP-SMX) or minocycline depending on age, allergies and antibiotic resistance of prior isolate for 14 days, and nasal mupirocin for 5 days. Subjects old enough to do so will use oral disinfectant gurgle (0.12% chlorhexidine gluconate oral rinse) for 14 days. The primary endpoint will be the proportion of positive MRSA respiratory cultures at Day 28 and this will be compared to our prior STAR-Too results.

Subjects will then have a 14 day wash-out period (i.e., no TMP-SMX or minocycline from Day 14 to Day 28) and all participants will repeat the treatment protocol from Day 29 to Day 42. Repeat cultures will be done at day 56 ± 7 days, most likely combined with their next clinic visit. Results of Day 56 cultures will be an exploratory, secondary outcome.

A subsequent visit will be 3 months later with their routine clinic appointment. Any interim clinic visits will be used to obtain repeat cultures and clinical data.

Assessment of MRSA culture status will be by OP swab for all subjects, with additional sputum in those who expectorate.

Total duration of an individual subject's participation will be six months. Total duration of the study is expected to be 42 months, which includes data analyses and publication.

Due to COVID 19 restrictions, a study amendment was filed in March 2020 for subjects currently active subjects that allowed remote study visit for V3 and V4. Cultures were collected at home and mailed to the Core Study lab, clinical case forms and surveys were completed via video visits. These changes were approved by each study site that this was relevant to i.e. 4 study sites had subjects active at that time.

03

Conditions studied

  • Cystic Fibrosis

Keywords

  • Methicillin-resistant Staphylococcus aureus (MRSA)
  • Early infection
  • Treatment
  • Forced Expiratory Volume in 1 Second (FEV1)
04

Who can participate

Ages eligible
2 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Male or female ≥ 2 and ≤ 45 years of age at the Screening Visit.
  2. Documentation of a CF diagnosis as evidenced by one or more clinical features consistent with the CF phenotype and one or more of the following criteria:

    1. sweat chloride ≥ 60 milliequivalents/liter by quantitative pilocarpine iontophoresis test (QPIT)
    2. two well-characterized mutations in the cystic fibrosis transmembrane conductive regulator (CFTR) gene
    3. abnormal nasal potential difference(NPD) (change in NPD in response to a low chloride solution and isoproteronol of less than -5 mV)
  3. First OR early MRSA colonization defined as:

    1. First MRSA colonization: first documented isolation of MRSA from respiratory tract occurred ≤ 6 months prior to screening
    2. Early MRSA colonization: MRSA was previously isolated from the respiratory tract ≤ 2 times over the past 3.5 years, but this was followed by at least 1 year of documented negative cultures for MRSA
  4. MRSA is available to the central laboratory - either the incident MRSA isolate from the clinic visit or the subject is MRSA positive at the screening visit
  5. Clinically stable with no significant changes in health status within the 14 days prior to screening
  6. Written (and assent when applicable) obtained from subject or subject's legal representative and ability for subject to comply with the requirements of the study

Exclusion criteria

Exclusion Criteria:

  1. Received antibiotics with activity against MRSA within 28 days prior to screening
  2. Use of an agent within 28 days prior to screening
  3. For subjects ≥ 6 years of age: at screening \< 25% of predicted for age based on the Wang (males \< 18 years, females \< 16 years) or Hankinson (males ≥ 18 years, females ≥ 16 years) standardized equations
  4. MRSA from the screening culture or the most recent clinical care visit within 6 months prior to screening resistant to TMP/SMX
  5. History of intolerance to topical chlorhexidine or mupirocin
  6. History of intolerance to both TMP/SMX and minocycline
  7. \< 8 years of age and allergic or intolerant to TMP/SMX
  8. ≥ 8 years of age and allergic or intolerant to TMP/SMX and MRSA isolate (from screening or clinical care visit)is resistant to minocycline
  9. For females of child bearing potential: pregnant, breastfeeding, or unwilling to use barrier through Day 42 of the study
  10. Subjects with history of abnormal renal function will need screening labs showing normal function Abnormal renal function is defined as estimated \<50 mL/min using the:

    1. Bedside Schwartz Equation for subjects \<18 years of age, and
    2. Levey (GFR) Equation for subjects ≥ 18 years of age.
  11. Subjects with a history of abnormal liver function will need to have screening labs showing normal transaminases. Liver dysfunction is defined as ≥3x (ULN), of serum (AST) or serum alanine transaminase (ALT) or abnormal synthetic function
  12. History of solid organ or hematological transplantation
  13. Presence of a condition or abnormality that in the opinion of the Investigator would compromise the safety of the patient or the quality of the data.
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
49 participants (actual)

Study arms

  • Experimental
    Treatment

    Subjects are treated with one oral antibiotic, one topical antibiotic, an oral rinse, and instructed to use environmental decontamination techniques. Trimethoprim Sulfamethoxazole (TMP/SMX) is the primary oral antibiotic to be used. Subjects with allergy or intolerance to TMP\_SMX will use minocycline as an alternative antibiotic. Topical antibiotics are nasal Mupirocin, and the oral rinse/gurgle with 0.12% chlorhexidine gluconate.

    Drug: Trimethoprim Sulfamethoxazole (TMP/SMX) · Drug: Minocycline · Drug: Mupirocin · Drug: Chlorhexidine Gluconate · Behavioral: Environmental Decontamination

Interventions

  • DrugTrimethoprim Sulfamethoxazole (TMP/SMX)

    Dosing if \< 40 kg: 8 mg/kg trimethoprim/40 mg/kg trimethoprim sulfamethoxazole given twice daily for 14 days during Days 1-14 and Days 29-42. Dosing is ≥ 40 kg: 320 mg/1600 mg twice daily for 14 days during Days 1-14 and Days 29-42.

    Also known as: Septra, Bactrim

  • If a subject has an allergy to or intolerance to TMP/SMX, they may be treated with minocycline provided they are 8 years of age or older. Dosing if \< 50 kg: 2 mg/kg orally twice daily for 14 days during Days 1-14 and Days 29-42. Dosing if ≥ 50 kg: 100 mg twice daily for 14 days during Days 1-14 and Days 29-42.

    Also known as: Cleeravue-M, Dynacin, Minocin, Solodyn, Vectrin

  • 1 gram 2% nasal ointment generously applied to each nostril using a cotton swab twice daily for 5 days during Days 1-5 and Days 29-33.

    Also known as: Bactroban, Centany

  • For subjects able to swish without swallowing, 0.12% chlorhexidine gluconate oral rinse will be used twice daily for 14 days during Days 1-14 and Days 29-42.

    Also known as: Dyna-Hex

  • BehavioralEnvironmental Decontamination

    Subjects will be instructed to wipe down all high touch surfaces and medical equipment with surface disinfection wipes daily during Days 1-21 and Days 29-49. Subjects will also be instructed to wash all linens and towels in hot water once weekly during weeks 1-3 and weeks 5-7.

    Also known as: Sani-Cloth wipes

06

What researchers measure

Primary outcomes

  1. Proportion of STAR-TER Participants With a Positive MRSA Culture at Day 28 vs. Observational Arm of Historic STAR-Too Trial

    Descriptive summary with corresponding 95% confidence interval.

    Time frame: Day 28

Secondary outcomes

  1. Proportion With a Protocol-defined Pulmonary Exacerbation Between Baseline and Day 28 Treated With Antibiotics Active Against MRSA

    Pulmonary exacerbation is defined as having 1 of the major criteria or 2 minor signs/symptoms and fulfillment of symptom duration. Major criteria: 1. Absolute decrease in FEV1 of ≥ 10% from Visit 1 (Baseline), unresponsive to albuterol (in participants able to reproducibly perform spirometry) 2. Oxygen saturation \<90% on room air or absolute decrease of ≥ 5% from Visit 1 3. New lobar infiltrate(s) or atelectasis on chest radiograph 4. Hemoptysis (more than streaks on more than one occasion in past week) Minor signs/symptoms: 1. Increased work of breathing or respiratory rate 2. New or increased adventitial sounds on lung exam 3. Weight loss ≥5% of body weight or decrease across 1 major percentile in weight percentile for age in past 6 months 4. Increased cough 5. Decreased exercise tolerance or level of activity 6. Increased chest congestion or change in sputum Signs/symptoms duration: initial symptom must have occurred for at least 5 days.

    Time frame: Period ranging from start of Baseline and continuing through Day 28

  2. Proportion With a Protocol-defined Pulmonary Exacerbation Between Baseline and Day 28 Treated With Any Oral, Inhaled, or IV Antibiotics Regardless of Potential Activity Against MRSA

    Pulmonary exacerbation is defined as having 1 of the major criteria or 2 of the minor signs/symptoms and fulfillment of symptom duration. Major criteria: 1. Absolute decrease in FEV1 of ≥ 10% from Visit 1 (Baseline), unresponsive to albuterol (in participants able to reproducibly perform spirometry) 2. Oxygen saturation \<90% on room air or absolute decrease of ≥ 5% from Visit 1 3. New lobar infiltrate(s) or atelectasis on chest radiograph 4. Hemoptysis (more than streaks on more than one occasion in past week) Minor signs/symptoms: 1. Increased work of breathing or respiratory rate 2. New or increased adventitial sounds on lung exam 3. Weight loss ≥5% of body weight or decrease across 1 major percentile in weight percentile for age in past 6 months 4. Increased cough 5. Decreased exercise tolerance or level of activity 6. Increased chest congestion or change in sputum Signs/symptoms duration: initial symptom must have occurred for at least 5 days.

    Time frame: Period ranging from start of Baseline and continuing through Day 28

  3. Proportion of Subjects Treated With Oral, Inhaled, or IV Antibiotics Over the Six-month Study

    Proportion treated with any oral, inhaled, or IV antibiotics over the six-month study

    Time frame: Period ranging from start of Baseline and continuing through Month 6

  4. Time to Protocol-defined Pulmonary Exacerbation Over the Six-month Study

    Pulmonary exacerbation is defined as having 1 of the major criteria or 2 of the minor signs/symptoms and fulfillment of symptom duration. Major criteria: 1. Absolute decrease in FEV1 of ≥ 10% from Visit 1 (Baseline), unresponsive to albuterol (in participants able to reproducibly perform spirometry) 2. Oxygen saturation \<90% on room air or absolute decrease of ≥ 5% from Visit 1 3. New lobar infiltrate(s) or atelectasis on chest radiograph 4. Hemoptysis (more than streaks on more than one occasion in past week) Minor signs/symptoms: 1. Increased work of breathing or respiratory rate 2. New or increased adventitial sounds on lung exam 3. Weight loss ≥5% of body weight or decrease across 1 major percentile in weight percentile for age in past 6 months 4. Increased cough 5. Decreased exercise tolerance or level of activity 6. Increased chest congestion or change in sputum Signs/symptoms duration: initial symptom must have occurred for at least 5 days.

    Time frame: Period ranging from start of Baseline and continuing through Month 6

  5. Number of Protocol-defined Pulmonary Exacerbations Across All Participants Over the Six-month Study

    Pulmonary exacerbation defined as having 1 of the major criteria or 2 of the minor signs/symptoms. Pulmonary exacerbations recorded as number of exacerbations across all participants. Major criteria: 1. Absolute decrease in FEV1 ≥10% from Visit 1, unresponsive to albuterol (in participants able to perform spirometry) 2. Oxygen saturation \<90% on room air or absolute decrease of ≥ 5% from Visit 1 3. New lobar infiltrate(s) or atelectasis on chest radiograph 4. Hemoptysis (more than streaks on more than one occasion in past week) Minor signs/symptoms: 1. Increased work of breathing or respiratory rate 2. New or increased adventitial sounds on lung exam 3. Weight loss ≥5% of body weight or decrease across 1 major percentile in weight percentile for age in past 6 months 4. Increased cough 5. Decreased exercise tolerance or level of activity 6. Increased chest congestion or change in sputum Signs/symptoms duration: initial symptom must have occurred for at least 5 days.

    Time frame: Period ranging from start of Baseline and continuing through Month 6

  6. Proportion With a Negative Culture for MRSA at Day 56

    MRSA Culture Status

    Time frame: Day 56

  7. Proportion With >80% Compliance for Study Drug During the First 28 Days

    Compliance refers to the amount of prescribed medication consumed based on diary data.

    Time frame: Day 28

07

Results

Posted Sep 15, 2026

Participant flow

Participant flow — Overall Study
MilestoneTreatmentHistorical Controls - STAR-Too Trial Observational Arm
Started4221
Visit 2 evaluable for primary endpoint3619
Visit 4 final follow up3117
Completed3617
Not completed64

Outcome measures

PrimaryProportion of STAR-TER Participants With a Positive MRSA Culture at Day 28 vs. Observational Arm of Historic STAR-Too Trial

Descriptive summary with corresponding 95% confidence interval.

Time frame:
Day 28
Reported as:
Number · proportion of participants
Proportion of STAR-TER Participants With a Positive MRSA Culture at Day 28 vs. Observational Arm of Historic STAR-Too Trial
proportion of participantsTreatmentHistorical Controls - STAR-Too Trial Observational Arm
Proportion of STAR-TER Participants With a Positive MRSA Culture at Day 28 vs. Observational Arm of Historic STAR-Too Trial0.89 (0.74 to 0.97)0.74 (0.19 to 0.75)
SecondaryProportion With a Protocol-defined Pulmonary Exacerbation Between Baseline and Day 28 Treated With Antibiotics Active Against MRSA

Pulmonary exacerbation is defined as having 1 of the major criteria or 2 minor signs/symptoms and fulfillment of symptom duration. Major criteria: 1. Absolute decrease in FEV1 of ≥ 10% from Visit 1 (Baseline), unresponsive to albuterol (in participants able to reproducibly perform spirometry) 2. Oxygen saturation \<90% on room air or absolute decrease of ≥ 5% from Visit 1 3. New lobar infiltrate(s) or atelectasis on chest radiograph 4. Hemoptysis (more than streaks on more than one occasion in past week) Minor signs/symptoms: 1. Increased work of breathing or respiratory rate 2. New or increased adventitial sounds on lung exam 3. Weight loss ≥5% of body weight or decrease across 1 major percentile in weight percentile for age in past 6 months 4. Increased cough 5. Decreased exercise tolerance or level of activity 6. Increased chest congestion or change in sputum Signs/symptoms duration: initial symptom must have occurred for at least 5 days.

Time frame:
Period ranging from start of Baseline and continuing through Day 28
Reported as:
Number · proportion of participants
Proportion With a Protocol-defined Pulmonary Exacerbation Between Baseline and Day 28 Treated With Antibiotics Active Against MRSA
proportion of participantsTreatmentHistorical Controls - STAR-Too Trial Observational Arm
Proportion With a Protocol-defined Pulmonary Exacerbation Between Baseline and Day 28 Treated With Antibiotics Active Against MRSA0.030.29
SecondaryProportion With a Protocol-defined Pulmonary Exacerbation Between Baseline and Day 28 Treated With Any Oral, Inhaled, or IV Antibiotics Regardless of Potential Activity Against MRSA

Pulmonary exacerbation is defined as having 1 of the major criteria or 2 of the minor signs/symptoms and fulfillment of symptom duration. Major criteria: 1. Absolute decrease in FEV1 of ≥ 10% from Visit 1 (Baseline), unresponsive to albuterol (in participants able to reproducibly perform spirometry) 2. Oxygen saturation \<90% on room air or absolute decrease of ≥ 5% from Visit 1 3. New lobar infiltrate(s) or atelectasis on chest radiograph 4. Hemoptysis (more than streaks on more than one occasion in past week) Minor signs/symptoms: 1. Increased work of breathing or respiratory rate 2. New or increased adventitial sounds on lung exam 3. Weight loss ≥5% of body weight or decrease across 1 major percentile in weight percentile for age in past 6 months 4. Increased cough 5. Decreased exercise tolerance or level of activity 6. Increased chest congestion or change in sputum Signs/symptoms duration: initial symptom must have occurred for at least 5 days.

Time frame:
Period ranging from start of Baseline and continuing through Day 28
Reported as:
Number · proportion of participants
Proportion With a Protocol-defined Pulmonary Exacerbation Between Baseline and Day 28 Treated With Any Oral, Inhaled, or IV Antibiotics Regardless of Potential Activity Against MRSA
proportion of participantsTreatmentHistorical Controls - STAR-Too Trial Observational Arm
Proportion With a Protocol-defined Pulmonary Exacerbation Between Baseline and Day 28 Treated With Any Oral, Inhaled, or IV Antibiotics Regardless of Potential Activity Against MRSA0.030.68
SecondaryProportion of Subjects Treated With Oral, Inhaled, or IV Antibiotics Over the Six-month Study

Proportion treated with any oral, inhaled, or IV antibiotics over the six-month study

Time frame:
Period ranging from start of Baseline and continuing through Month 6
Reported as:
Number · proportion of participants
Proportion of Subjects Treated With Oral, Inhaled, or IV Antibiotics Over the Six-month Study
proportion of participantsTreatmentHistorical Controls - STAR-Too Trial Observational Arm
Proportion of Subjects Treated With Oral, Inhaled, or IV Antibiotics Over the Six-month Study0.280.68
SecondaryTime to Protocol-defined Pulmonary Exacerbation Over the Six-month Study

Pulmonary exacerbation is defined as having 1 of the major criteria or 2 of the minor signs/symptoms and fulfillment of symptom duration. Major criteria: 1. Absolute decrease in FEV1 of ≥ 10% from Visit 1 (Baseline), unresponsive to albuterol (in participants able to reproducibly perform spirometry) 2. Oxygen saturation \<90% on room air or absolute decrease of ≥ 5% from Visit 1 3. New lobar infiltrate(s) or atelectasis on chest radiograph 4. Hemoptysis (more than streaks on more than one occasion in past week) Minor signs/symptoms: 1. Increased work of breathing or respiratory rate 2. New or increased adventitial sounds on lung exam 3. Weight loss ≥5% of body weight or decrease across 1 major percentile in weight percentile for age in past 6 months 4. Increased cough 5. Decreased exercise tolerance or level of activity 6. Increased chest congestion or change in sputum Signs/symptoms duration: initial symptom must have occurred for at least 5 days.

Time frame:
Period ranging from start of Baseline and continuing through Month 6
Reported as:
Mean · days
Time to Protocol-defined Pulmonary Exacerbation Over the Six-month Study
daysTreatmentHistorical Controls - STAR-Too Trial Observational Arm
Time to Protocol-defined Pulmonary Exacerbation Over the Six-month StudyNA ± NA96.8 ± 69.8
SecondaryNumber of Protocol-defined Pulmonary Exacerbations Across All Participants Over the Six-month Study

Pulmonary exacerbation defined as having 1 of the major criteria or 2 of the minor signs/symptoms. Pulmonary exacerbations recorded as number of exacerbations across all participants. Major criteria: 1. Absolute decrease in FEV1 ≥10% from Visit 1, unresponsive to albuterol (in participants able to perform spirometry) 2. Oxygen saturation \<90% on room air or absolute decrease of ≥ 5% from Visit 1 3. New lobar infiltrate(s) or atelectasis on chest radiograph 4. Hemoptysis (more than streaks on more than one occasion in past week) Minor signs/symptoms: 1. Increased work of breathing or respiratory rate 2. New or increased adventitial sounds on lung exam 3. Weight loss ≥5% of body weight or decrease across 1 major percentile in weight percentile for age in past 6 months 4. Increased cough 5. Decreased exercise tolerance or level of activity 6. Increased chest congestion or change in sputum Signs/symptoms duration: initial symptom must have occurred for at least 5 days.

Time frame:
Period ranging from start of Baseline and continuing through Month 6
Reported as:
Number · exacerbations
Number of Protocol-defined Pulmonary Exacerbations Across All Participants Over the Six-month Study
exacerbationsTreatmentHistorical Controls - STAR-Too Trial Observational Arm
Number of Protocol-defined Pulmonary Exacerbations Across All Participants Over the Six-month Study113
SecondaryProportion With a Negative Culture for MRSA at Day 56

MRSA Culture Status

Time frame:
Day 56
Reported as:
Number · proportion of participants
Proportion With a Negative Culture for MRSA at Day 56
proportion of participantsTreatmentHistorical Controls - STAR-Too Trial Observational Arm
Proportion With a Negative Culture for MRSA at Day 560.35—
SecondaryProportion With >80% Compliance for Study Drug During the First 28 Days

Compliance refers to the amount of prescribed medication consumed based on diary data.

Time frame:
Day 28
Reported as:
Number · proportion of participants
Proportion With >80% Compliance for Study Drug During the First 28 Days
proportion of participantsTreatmentHistorical Controls - STAR-Too Trial Observational Arm
Proportion With >80% Compliance for Study Drug During the First 28 Days0.73—

Adverse events

Collected over For the active STAR-TER trial participants, adverse events were collected from the time signing informed consent at Visit 1 until the participant completed the study or withdrew, a total of up to 6 months. Retrospective data reported for STAR-Too Trial was reported from the time of signing informed consent at Visit 1 until the participant completed the study or withdrew, a total of up to 6 months.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment0/36 (0%)3/36 (8.3%)12/42 (28.6%)
Historical Controls - STAR-Too Trial Observational Arm0/21 (0%)1/21 (4.8%)13/21 (61.9%)
Most frequent serious events
Most frequent serious events
EventTreatmentHistorical Controls - STAR-Too Trial Observational Arm
CoughRespiratory, thoracic and mediastinal disorders0/361/21
Pulmonary exacerbationRespiratory, thoracic and mediastinal disorders1/360/21
Drug-induced immune thrombocytopeniaBlood and lymphatic system disorders1/360/21
ConstipationGastrointestinal disorders1/360/21
PancreatitisGastrointestinal disorders1/360/21
Most frequent other events
Showing 10 of 17
Most frequent other events
EventTreatmentHistorical Controls - STAR-Too Trial Observational Arm
CoughRespiratory, thoracic and mediastinal disorders4/429/21
RhinorrhoeaRespiratory, thoracic and mediastinal disorders1/423/21
RashSkin and subcutaneous tissue disorders5/420/21
infectionInfections and infestations5/420/21
NauseaGastrointestinal disorders2/422/21
Weight decreasedInvestigations0/422/21
Decreased appetiteMetabolism and nutrition disorders1/422/21
VomitingGastrointestinal disorders1/421/21
PyrexiaGeneral disorders0/421/21
Nasal (sinus) congestionRespiratory, thoracic and mediastinal disorders2/421/21

Baseline characteristics

Data are not reported for six of the forty-two Treatment participants who did not reach the primary endpoint (Visit 2).

Age, Categorical
Age, Categorical(Participants)TreatmentHistorical Controls - STAR-Too Trial Observational ArmTotal
<=18 years312051
Between 18 and 65 years516
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)TreatmentHistorical Controls - STAR-Too Trial Observational ArmTotal
Female211031
Male151126
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)TreatmentHistorical Controls - STAR-Too Trial Observational ArmTotal
Hispanic or Latino426
Not Hispanic or Latino301949
Unknown or Not Reported202
Race (NIH/OMB)
Race (NIH/OMB)(Participants)TreatmentHistorical Controls - STAR-Too Trial Observational ArmTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American112
White321951
More than one race213
Unknown or Not Reported101
Region of Enrollment
Region of Enrollment(Participants)TreatmentHistorical Controls - STAR-Too Trial Observational ArmTotal
United States362157
08

Study locations

9 sites
  • National Jewish Health
    Denver, Colorado 80206, United States
  • Indiana University
    Indianapolis, Indiana 46202, United States
  • University of Michigan Health System
    Ann Arbor, Michigan 48109, United States
  • St. Louis Children's Hospital
    St Louis, Missouri 63110, United States
  • N.C. Memorial Hospital and N.C. Children's Hospital
    Chapel Hill, North Carolina 27599, United States
  • University of Texas Southwestern Medical Center
    Dallas, Texas 75390, United States
  • Cook Children's Medical Center
    Fort Worth, Texas 76104, United States
  • Texas Children's Hospital, Baylor College of Medicine
    Houston, Texas 77030, United States
  • University of Washington Medical Center and Seattle Children's
    Seattle, Washington 98195, United States
09

References and documents

Publications

  • Muhlebach MS, Beckett V, Popowitch E, Miller MB, Baines A, Mayer-Hamblett N, Zemanick ET, Hoover WC, VanDalfsen JM, Campbell P, Goss CH; STAR-too study team. Microbiological efficacy of early MRSA treatment in cystic fibrosis in a randomised controlled trial. Thorax. 2017 Apr;72(4):318-326. doi: 10.1136/thoraxjnl-2016-208949. Epub 2016 Nov 15. PubMed 27852955 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2018 to primary completion in Sep 2025, 89 months.

Results were first posted in Sep 2026, 11 months after primary completion.

Of 57 phase 2 interventional studies under Cystic Fibrosis, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 34. This study's 89 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 29, 2018
First posted
Apr 5, 2018
StartActual
Apr 3, 2018
Primary completionActual
Sep 30, 2025
CompletionActual
Jan 31, 2026
Results first posted
Sep 15, 2026
Last update
Sep 15, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03489629
Collaborators
University of Washington, Cook Children's Medical Center, Indiana University, University of Michigan, University of Texas Southwestern Medical Center, St. Louis Children's Hospital
Responsible party
Sponsor
First posted
Apr 5, 2018
Start date
Apr 3, 2018
Primary completion
Sep 30, 2025
Completion
Jan 31, 2026
Results posted
Sep 15, 2026
Last update
Sep 15, 2026

Study contacts

Marianne Muhlebach, MD
principal investigator · University of North Carolina, Chapel Hill

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drugs tested here: Minocycline · Mupirocin · Chlorhexidine gluconate

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