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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01270074
Registration number
NCT01270074
Ethics application status
Date submitted
23/12/2010
Date registered
5/01/2011
Titles & IDs
Public title
Prevention of Bronchiectasis in Infants With Cystic Fibrosis
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Scientific title
A Phase 3 Multi-centre Randomised Placebo-controlled Study of Azithromycin in the Primary Prevention of Radiologically-defined Bronchiectasis in Infants With Cystic Fibrosis.
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Secondary ID [1]
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STICK10K0
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Secondary ID [2]
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AZI001
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Universal Trial Number (UTN)
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Trial acronym
COMBATCF
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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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Bronchiectasis
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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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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 - Azithromycin
Treatment: Drugs - Placebo control
Experimental: azithromycin liquid preparation - azithromycin will be given at a dose of 10mg/kg given three times per week from three months of age to three years of age
Active comparator: inert liquid preparation - inert liquid preparation will be given three times per week from three months of age to three years of age
Treatment: Drugs: Azithromycin
azithromycin will be given as a liquid preparation at a dose of 10 mg/kg three times per week from three months of age until three years of age
Treatment: Drugs: Placebo control
inert liquid preparation will be given three times per week from three months of age to three years of age
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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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Proportion of children with radiologically-defined bronchiectasis
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Assessment method [1]
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bronchiectasis will be determined from a low dose volumetric chest computed tomography scan performed at 3 years of age
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Timepoint [1]
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at three years of age
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Primary outcome [2]
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The proportion of lung tissue affected by disease
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Assessment method [2]
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Percentage of diseased lung will be determined from a low dose volumetric chest computed tomography scan performed at 3 years of age
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Timepoint [2]
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at three years of age
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Secondary outcome [1]
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extent and severity of bronchiectasis
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Assessment method [1]
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bronchiectasis will be determined from a low dose volumetric chest computed tomography scan performed at 3 years of age
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Timepoint [1]
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at three years of age
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Secondary outcome [2]
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CF-related quality of life
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Assessment method [2]
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Quality of life questionnaire to be measured at 3 years
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Timepoint [2]
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at three years of age
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Secondary outcome [3]
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time to first pulmonary exacerbation
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Assessment method [3]
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pulmonary exacerbation will be defined using a standardized instrument
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Timepoint [3]
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over the first three years of life
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Secondary outcome [4]
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proportion of participants experiencing a pulmonary exacerbation
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Assessment method [4]
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pulmonary exacerbation will be defined using a standardized instrument
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Timepoint [4]
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over the first three years of life
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Secondary outcome [5]
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body mass index
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Assessment method [5]
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body mass index will be calcualted from hieight and weight measurements taken at 3 years of age.
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Timepoint [5]
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at three years of age
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Secondary outcome [6]
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Proportion of participants growing Pseudomonas aeruginosa in bronchoalveolar lavage
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Assessment method [6]
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bronchoalveolar lavage will be performed at 3 months, 1 year and 3 years of age
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Timepoint [6]
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over the first three years of life
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Secondary outcome [7]
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age of acquisition of Pseudomonas aeruginosa
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Assessment method [7]
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Timepoint [7]
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over the first three years of life
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Secondary outcome [8]
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Emergence of macrolide-resistant Staphylococcus aureus, small colony variant Staphylococcal aureus and non-tuberculous mycobacterium
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Assessment method [8]
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Timepoint [8]
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over the first three years of life
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Secondary outcome [9]
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Volume of trapped gas at age 3 years
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Assessment method [9]
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air trapping will be determined from a low dose volumetric chest computed tomography scan performed at 3 years of age
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Timepoint [9]
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at 3 years
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Eligibility
Key inclusion criteria
1. Children of either sex with a diagnosis of CF following detection via New Born Screening (NBS) for cystic fibrosis
2. Participants who, in the opinion of the Investigator, are able to comply with the protocol for its duration
3. Written informed consent signed and dated by parent/legal guardian according to local regulations
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Minimum age
6
Weeks
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Maximum age
6
Months
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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. Born <30 weeks gestation
2. Prolonged mechanical ventilation in the first 3 months of life
3. Participation in another randomized controlled trial within the 3 months preceding inclusion in this study
4. A significant medical disease or condition other than CF that is likely to interfere with the child's ability to complete the entire protocol
5. Previous major surgery except for meconium ileus
6. Macrolide hypersensitivity
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Study design
Purpose of the study
Prevention
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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 3
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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
1/04/2012
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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
1/03/2021
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Sample size
Target
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Accrual to date
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Final
130
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC,WA
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Recruitment hospital [1]
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Sydney Children's Hospital - Sydney
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Recruitment hospital [2]
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Westmead Children's Hospital - Sydney
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Recruitment hospital [3]
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Queensland Children's Hospital - Brisbane
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Recruitment hospital [4]
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Mater Children's Hospital - Brisbane
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Recruitment hospital [5]
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Royal Children's Hospital - Brisbane
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Recruitment hospital [6]
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Women's and Children's Hospital - Adelaide
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Recruitment hospital [7]
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Monash Medical Centre - Melbourne
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Recruitment hospital [8]
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Royal Children's Hospital - Melbourne
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Recruitment hospital [9]
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Perth Children's Hospital - Perth
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Recruitment postcode(s) [1]
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- Sydney
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Recruitment postcode(s) [2]
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4101 - Brisbane
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Recruitment postcode(s) [3]
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- Brisbane
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Recruitment postcode(s) [4]
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- Adelaide
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Recruitment postcode(s) [5]
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- Melbourne
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Recruitment postcode(s) [6]
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6009 - Perth
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Funding & Sponsors
Primary sponsor type
Other
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Name
The University of Queensland
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Telethon Kids Institute
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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 general aim of this project is to conduct a randomized, double-blind, placebo-controlled clinical trial of azithromycin to determine whether treatment from infancy is safe and will prevent the onset of bronchiectasis. One hundred and thirty infants will be recruited from CF clinics in Australia and New Zealand and treated from 3 months to three years of age. The primary outcome will be the proportion with radiologically-defined bronchiectasis at 3 years of age. Safety and mechanistic evaluations will also be undertaken.
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Trial website
https://clinicaltrials.gov/study/NCT01270074
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Trial related presentations / publications
Douglas TA, Brennan S, Gard S, Berry L, Gangell C, Stick SM, Clements BS, Sly PD. Acquisition and eradication of P. aeruginosa in young children with cystic fibrosis. Eur Respir J. 2009 Feb;33(2):305-11. doi: 10.1183/09031936.00043108. Epub 2008 Nov 14. Sly PD, Brennan S, Gangell C, de Klerk N, Murray C, Mott L, Stick SM, Robinson PJ, Robertson CF, Ranganathan SC; Australian Respiratory Early Surveillance Team for Cystic Fibrosis (AREST-CF). Lung disease at diagnosis in infants with cystic fibrosis detected by newborn screening. Am J Respir Crit Care Med. 2009 Jul 15;180(2):146-52. doi: 10.1164/rccm.200901-0069OC. Epub 2009 Apr 16. Stick SM, Brennan S, Murray C, Douglas T, von Ungern-Sternberg BS, Garratt LW, Gangell CL, De Klerk N, Linnane B, Ranganathan S, Robinson P, Robertson C, Sly PD; Australian Respiratory Early Surveillance Team for Cystic Fibrosis (AREST CF). Bronchiectasis in infants and preschool children diagnosed with cystic fibrosis after newborn screening. J Pediatr. 2009 Nov;155(5):623-8.e1. doi: 10.1016/j.jpeds.2009.05.005. Epub 2009 Jul 19. Stick SM, Foti A, Ware RS, Tiddens HAWM, Clements BS, Armstrong DS, Selvadurai H, Tai A, Cooper PJ, Byrnes CA, Belessis Y, Wainwright C, Jaffe A, Robinson P, Saiman L, Sly PD; COMBAT CF Study Group. The effect of azithromycin on structural lung disease in infants with cystic fibrosis (COMBAT CF): a phase 3, randomised, double-blind, placebo-controlled clinical trial. Lancet Respir Med. 2022 Aug;10(8):776-784. doi: 10.1016/S2213-2600(22)00165-5. Epub 2022 Jun 2.
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Public notes
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Contacts
Principal investigator
Name
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Peter D Sly, MMBS MD DSc
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Address
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The University of Queensland
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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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)?
Yes
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What data in particular will be shared?
Supporting document/s available: Study protocol, Clinical study report (CSR)
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01270074