Treatment of Metabolic Alkalosis in Acute Exacerbations of Cystic Fibrosis
Salt Replacement for Metabolic Alkalosis in Acute Exacerbations of Cystic Fibrosis
1 other identifier
interventional
40
1 country
1
Brief Summary
Adult cystic fibrosis (CF) patients admitted with an acute infection complicated by acid-base disturbance and decreased ventilation will be studied. They will receive salt replacement to correct the acid-base disturbance and possibly their ventilation. Assessment of symptoms (questionnaire), acid-base and electrolyte status (blood and urine tests) ventilation (overnight oxygen and carbon dioxide monitoring non-invasively) and sleep-wake pattern (actigraphy) will be carried out. Study hypothesis: Acute volume and electrolyte replacement corrects hypochloremic hypovolemic metabolic alkalosis and compensatory hypoventilation/ hypercapnia in acute exacerbations of cystic fibrosis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Feb 2004
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2004
CompletedFirst Submitted
Initial submission to the registry
September 12, 2005
CompletedFirst Posted
Study publicly available on registry
September 14, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2006
CompletedSeptember 14, 2005
September 1, 2005
September 12, 2005
September 12, 2005
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
Primary outcome measures: (Day1, D4, D10)
•PaCO2 (performed at same time of day as admission ABG's)
•Acid-base status (Stinebaugh and Austin, ABG's)
•Serum chloride
•Overnight oximetry (% night SpO2<90%) and PtcCO2 (rise in CO2 overnight)
Secondary Outcomes (9)
Secondary outcome measures: (Day1, D4, D10)
•Serum albumin, sodium
•Body mass index (BMI)
•Spirometry (D1, D10)
•Headache scale
- +4 more secondary outcomes
Interventions
Eligibility Criteria
You may qualify if:
- Adult cystic fibrosis patient
- Admission with acute exacerbation (criteria- fall in FEV1 \> 10% from best in last 12/12, change in sputum volume and colour, new pulmonary infiltrate)
- PaCO2 \> 45 mmHg on admission
- Primary metabolic alkalosis (acid-base diagram of Stinebaugh and Austin)
- Serum chloride (Cl) ≤ 98 mmol/L
- Serum albumin (alb) ≤ 25 mmol/L
You may not qualify if:
- Concurrent diuretic therapy Concurrent glucocorticoid therapy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Bayside Healthlead
- National Health and Medical Research Council, Australiacollaborator
- Monash Universitycollaborator
- Cystic Fibrosis Federation Australiacollaborator
Study Sites (1)
The Alfred
Melbourne, Victoria, 3181, Australia
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Matthew T Naughton, MBBS, MD
The Alfred
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
Study Record Dates
First Submitted
September 12, 2005
First Posted
September 14, 2005
Study Start
February 1, 2004
Study Completion
February 1, 2006
Last Updated
September 14, 2005
Record last verified: 2005-09