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Trial registered on ANZCTR
Registration number
ACTRN12624001185550
Ethics application status
Approved
Date submitted
12/09/2024
Date registered
27/09/2024
Date last updated
27/09/2024
Date data sharing statement initially provided
27/09/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Pancreatic, nutritional and clinical outcomes in children 0-5 years with cystic fibrosis during the first 2 years of CFTR modulator therapy (PaNC): a multicentre study.
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Scientific title
Pancreatic, nutritional and clinical outcomes in children 0-5 years with cystic fibrosis during the first 2 years of CFTR modulator therapy (PaNC): a multicentre prospective observational study.
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Secondary ID [1]
311748
0
None
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Universal Trial Number (UTN)
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Trial acronym
PaNC
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cystic Fibrosis
333236
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Condition category
Condition code
Respiratory
329923
329923
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0
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Nutritional, pancreatic and clinical outcomes in children 0-5 years with cystic fibrosis during the first 2 years of elexacaftor/tezacaftor/ivacaftor (ETI) or ivacaftor (IVA) treatment.
Participant involvement: Written informed consent from the child’s legal parent/guardian will be obtained prior to enrolment in the PaNC study. The child's demographic and health-related data will be accessed by study investigators from data which is collected as part of routine CF care. Data sources will include electronic or paper medical records sources. The child and legal parent/guardian will be reviewed by CF clinic dietitians, as is part of routine CF care. The child's routine investigations, such as annual nutritional bloods and stool samples for faecal elastase, will be accessed for inclusion in the PaNC study.
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Intervention code [1]
328203
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Not applicable
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Comparator / control treatment
Comparisons will be made between data collected in this study and established literature on children 2-5 years of age who are not treated with ETI or IVA and are receiving established routine CF treatment, however control data for children 2-5 years of age who are not treated with ETI or IVA and are receiving established routine CF treatment will not be collected as part of study procedures.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
337689
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Growth (composite outcome)
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Assessment method [1]
337689
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Weight (kg) - infant scale or standing scale
Length/height (cm) - infant length scale or stadiometer
Weight-for-length and BMI (kg/m2) and corresponding z scores and percentiles - calculated using online tool 'PediTools'
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Timepoint [1]
337689
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Baseline (prior to commencing ETI/IVA therapy)
Every 3 months for the first two years of ETI/IVA therapy
2 years post commencement of ETI/IVA therapy
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Primary outcome [2]
339353
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Nutritional biomarkers (composite outcome)
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Assessment method [2]
339353
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Serum levels of vitamin A, D, E, B12, holoTC, ferritin, INR and CRP.
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Timepoint [2]
339353
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Baseline (prior to commencing ETI/IVA therapy)
1 months post commencement of ETI/IVA therapy
2 years post commencement of ETI/IVA therapy
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Secondary outcome [1]
432851
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Exocrine pancreatic function
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Assessment method [1]
432851
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Stool sample for faecal elastase (ug/g) test
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Timepoint [1]
432851
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Baseline (prior to commencing ETI/IVA therapy)
Every 6 months for the first two years of ETI/IVA therapy
2 years post commencement of ETI/IVA therapy
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Secondary outcome [2]
432852
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Medication burden (composite outcome)
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Assessment method [2]
432852
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Frequency, strength and dose of nutritional, pancreatic and gastrointestinal medications - review of medical records and/or routine question during CF clinic appointment.
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Timepoint [2]
432852
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Baseline (prior to commencing ETI/IVA therapy)
Every 3 months for the first two years of ETI/IVA therapy
2 years post commencement of ETI/IVA therapy
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Secondary outcome [3]
432855
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Oral or enteral nutrition support (composite outcome)
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Assessment method [3]
432855
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Description of frequency, volume and type of formula fortification, oral nutrition supplements and/or supplementary enteral nutrition - review of medical records and/or routine question during CF clinic appointment.
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Timepoint [3]
432855
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Baseline (prior to commencing ETI/IVA therapy)
Every 3 months for the first two years of ETI/IVA therapy
2 years post commencement of ETI/IVA therapy
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Secondary outcome [4]
439627
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Sweat chloride
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Assessment method [4]
439627
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Chloride sweat (mmol/L) test
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Timepoint [4]
439627
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Baseline (prior to commencing ETI/IVA therapy)
1 months post commencement of ETI/IVA therapy
2 years post commencement of ETI/IVA therapy
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Eligibility
Key inclusion criteria
Infants and children 4 months - 5 years of age with a confirmed diagnosis of CF (as diagnosed by standard criteria; sweat test greater than or equal to 60mEq/L and/or CFTR gene mutation analysis) who are eligible for the commencement of ETI or IVA. Infants and children will be eligible for the study regardless of their respiratory health or presence of comorbidities.
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Minimum age
4
Months
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Maximum age
5
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
Infants and children older than 5 years of age with a confirmed diagnosis of CF or infants and children 4 months - 5 years of age who are not eligible for the commencement of ETI or IVA.
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Study design
Purpose
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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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
30/09/2024
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Actual
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Date of last participant enrolment
Anticipated
30/03/2025
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Actual
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Date of last data collection
Anticipated
30/03/2027
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Actual
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Sample size
Target
160
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,WA,VIC
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Funding & Sponsors
Funding source category [1]
316080
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Hospital
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Name [1]
316080
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Monash Health
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Address [1]
316080
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Country [1]
316080
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Australia
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Primary sponsor type
Individual
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Name
Caitlin Miles (Chief Investigator/Coordinator), Monash Health
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Address
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Country
Australia
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Secondary sponsor category [1]
319749
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None
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Name [1]
319749
0
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Address [1]
319749
0
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Country [1]
319749
0
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Other collaborator category [1]
283205
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Hospital
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Name [1]
283205
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Monash Health
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Address [1]
283205
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Country [1]
283205
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Australia
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Other collaborator category [2]
283206
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University
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Name [2]
283206
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Monash University
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Address [2]
283206
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Country [2]
283206
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Australia
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Other collaborator category [3]
283207
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Hospital
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Name [3]
283207
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Royal Children's Hospital
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Address [3]
283207
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Country [3]
283207
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Australia
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Other collaborator category [4]
283208
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Hospital
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Name [4]
283208
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Queensland Children's Hospital and Health Service
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Address [4]
283208
0
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Country [4]
283208
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Australia
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Other collaborator category [5]
283209
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Hospital
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Name [5]
283209
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Sydney Children's Hospital Network
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Address [5]
283209
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Country [5]
283209
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Australia
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Other collaborator category [6]
283210
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Hospital
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Name [6]
283210
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John Hunter Children's Hospital
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Address [6]
283210
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Country [6]
283210
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Australia
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Other collaborator category [7]
283211
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Hospital
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Name [7]
283211
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The Women's and Children's Hospital
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Address [7]
283211
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Country [7]
283211
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Australia
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Other collaborator category [8]
283212
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Hospital
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Name [8]
283212
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Perth Children's Hospital
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Address [8]
283212
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Country [8]
283212
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
314899
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Monash Health Human Research Ethics Committee A
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Ethics committee address [1]
314899
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https://monashhealth.org/research/resources/resource-library/
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Ethics committee country [1]
314899
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Australia
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Date submitted for ethics approval [1]
314899
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07/03/2024
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Approval date [1]
314899
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04/04/2024
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Ethics approval number [1]
314899
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RES-24-0000-113A
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Summary
Brief summary
Hypothesis: Infants and young children 4 months to 5 years of age who are commenced on ETI or IVA will have improved and sustained growth and nutritional outcomes, exocrine pancreatic function and sweat chloride levels. Primary aim: To evaluate longitudinal patterns in growth and nutrition in children 4 months to 5 years of age with CF during the first 2 years of treatment with ETI or IVA. Secondary aim: To describe changes in pancreatic function, clinical outcomes and nutritional interventions in children 4 months to 5 years of age with CF during the first 2 years of treatment with ETI or IVA. Longitudinal, ‘real world’ studies are required to better understand the breadth and significance of CF exocrine pancreatic involvement in children with CF who are exposed to early CFTR correction as infants and children and to better understand the nutritional implications.
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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
133094
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Ms Caitlin Miles
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Address
133094
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Allied Health, Monash Children's Hospital, Level 2, 246 Clayton Road, Clayton VIC 3168
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Country
133094
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Australia
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Phone
133094
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+613 8572 3003
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Fax
133094
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Email
133094
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[email protected]
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Contact person for public queries
Name
133095
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Caitlin Miles
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Address
133095
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Allied Health, Monash Children's Hospital, Level 2, 246 Clayton Road, Clayton VIC 3168
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Country
133095
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Australia
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Phone
133095
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+613 8572 3003
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Fax
133095
0
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Email
133095
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[email protected]
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Contact person for scientific queries
Name
133096
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Caitlin Miles
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Address
133096
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Allied Health, Monash Children's Hospital, Level 2, 246 Clayton Road, Clayton VIC 3168
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Country
133096
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Australia
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Phone
133096
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+613 8572 3003
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Fax
133096
0
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Email
133096
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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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