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Trial registered on ANZCTR
Registration number
ACTRN12612000146897
Ethics application status
Approved
Date submitted
1/02/2012
Date registered
1/02/2012
Date last updated
1/02/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of withdrawal of oral iron supplementation on airway microbiology and outcomes in people with Cystic Fibrosis
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Scientific title
The effect of withdrawal of oral iron supplementation on airway microbiology and outcomes in people with Cystic Fibrosis
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Secondary ID [1]
279816
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None
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Universal Trial Number (UTN)
None
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cystic Fibrosis
285700
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Respiratory tract infection
285728
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Condition category
Condition code
Respiratory
285883
285883
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0
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Other respiratory disorders / diseases
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Human Genetics and Inherited Disorders
285911
285911
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0
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Cystic fibrosis
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Infection
285912
285912
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0
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Studies of infection and infectious agents
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients currently prescribed oral iron supplementation who are revealed to no longer be iron deficient will have their oral iron supplements stoped, this process may be done without a need to taper.
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Intervention code [1]
284136
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Prevention
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Comparator / control treatment
Nil - Patients baseline data prior to withdrawal of iron supplementation will be compared to their longitudinal data following withdrawal of iron supplements
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Systemic and Sputum Iron Content
Tools: Blood assessment of total iron, ferritin, soluble transferrin receptors, and transferrin saturations will be measured by ELISA floowing local pathology laboratory standard practices.
Sputum iron concentration will be measured by Inductively coupled plasma mass spectrometry (ICP-MS)
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Assessment method [1]
286379
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Timepoint [1]
286379
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0, 12, 24, 36, and 52 Weeks
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Secondary outcome [1]
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Sputum Microbiology
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Assessment method [1]
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Timepoint [1]
295733
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0, 12, 24, 36, and 52 Weeks
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Secondary outcome [2]
295734
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Exacerbation Frequency
Tools: Recording of number of courses of antibiotics, total number of days of antibiotic treatment, Number of hopsital admissions
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Assessment method [2]
295734
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Timepoint [2]
295734
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52 Weeks
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Secondary outcome [3]
295735
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Daily Symptom Score
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Assessment method [3]
295735
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Timepoint [3]
295735
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0, 12, 24, 36, and 52 Weeks
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Secondary outcome [4]
295736
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Lung Function
Tests used: FEV1, FVC, MMEF
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Assessment method [4]
295736
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Timepoint [4]
295736
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0, 12, 24, 36, and 52 Weeks
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Eligibility
Key inclusion criteria
Diagnosis of Cystic Fibrosis
Aged Greater Than 18 years Old
Competant to give written informed consent
Able to Complete written questionnaires in the English Language
Currently taking oral iron supllementation but with normal iron stores as indicated by a soluble transferrin receptor / Log ferritin ration of less than 1.54
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Minimum age
18
Years
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Maximum age
70
Years
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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
Pregnancy
Current History of Malignancy
Severe Symptomatic anaemia which in the opinion of the treating physicians requires ongoing iron supplementation
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Patients will be recruited by face to face contact at the time of a hospital outpatient or inpatient consultation.
There is no random allocation of treatment
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
N/A
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
13/02/2012
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Actual
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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
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
284597
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Charities/Societies/Foundations
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Name [1]
284597
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The Prince Charles Hospital Research Foundation
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Address [1]
284597
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The Prince Charles Hospital
Rode Road
Chermside
Brisbane
Queensland
4032
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Country [1]
284597
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Australia
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Funding source category [2]
284607
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Hospital
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Name [2]
284607
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The Royal Hobart Hospital Research Fellowship
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Address [2]
284607
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The Royal Hobart Hospital
48 Liverpool Street
Hobart,
Tasmania
7000
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Country [2]
284607
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Australia
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Primary sponsor type
Individual
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Name
Dr Daniel Smith
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Address
Department of Thoracic Medicine
The Prince Charles Hospital
Rode Road
Chermside
Brisbane
Queensland
4032
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Country
Australia
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Secondary sponsor category [1]
283514
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None
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Name [1]
283514
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N/A
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Address [1]
283514
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N/A
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Country [1]
283514
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
286581
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The Prince Charles Human Research and Ethics Committee
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Ethics committee address [1]
286581
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The Prince Charles Hospital Rode Road Chermside Brisbane Queensland 4032
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Ethics committee country [1]
286581
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Australia
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Date submitted for ethics approval [1]
286581
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Approval date [1]
286581
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03/05/2011
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Ethics approval number [1]
286581
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HREC/11QPCH/36
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Summary
Brief summary
The study is an open study examining the effects of withdrawal of oral iron supplements in patients with the genetic condition Cystic Fibrosis (CF). In CF it is believed that unusually high levels of iron can be found in respiratory tract, and that the presence of iron within the airways may promote bacterial infection. In this study we explore how withdrawal of iron supplements may effect airway iron content and microbiology. As well as assessing the effect on systemic iron stores, lung function, and disease related symptoms. This study will be conducted by the staff of the Adult Cystic Fibrosis Centre located at The Prince Charles Hospital, Brisbane, Australia. All patients who meet the inclusion criteria will be invited to participate. Subjects will provide written informed consent prior to participation. If patients decide to withdraw from the study at any point this will not have any impact on their ongoing care.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
33696
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Address
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Country
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Phone
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Fax
33696
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Email
33696
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Contact person for public queries
Name
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Dr Daniel Smith
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Address
16943
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Department of Thoracic Medicine
The Prince Charles Hospital
Rode Road
Brisbane
Queensland
4032
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Country
16943
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Australia
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Phone
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+61 7 31394000
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Fax
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+61 7 31395630
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Email
16943
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[email protected]
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Contact person for scientific queries
Name
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Dr Daniel Smith
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Address
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Department of Thoracic Medicine
The Prince Charles Hospital
Rode Road
Brisbane
Queensland
4032
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Country
7871
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Australia
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Phone
7871
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+61 7 31394000
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Fax
7871
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+61 7 31395630
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Email
7871
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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