OBJECTIVES:
I. Determine the effect of different doses of ibuprofen on neutrophil (polymorphonuclear leukocyte; PMN) delivery to a mucosal surface (the oral mucosa) in patients with cystic fibrosis and healthy controls.
II. Determine the duration of effect (and possible rebound effect) of ibuprofen on PMN delivery to a mucosal surface in these patients.
PROTOCOL OUTLINE:
This is an open label study. Patients are randomized into 5 arms, each consisting of 10 healthy volunteers and 5 patients with cystic fibrosis, based on the amount of ibuprofen received during the treatment period.
The study period lasts for at least 15 days and consists of 3 periods: baseline (days 1-3), treatment (days 3-12), and recovery (days 13-15 or longer). During the treatment period patients receive ibuprofen orally every 12 hours (except for a control arm that receives no ibuprofen).
PROTOCOL ENTRY CRITERIA:
--Disease Characteristics--
Confirmed diagnosis of cystic fibrosis (CF) based on: Sweat chloride greater than 60 mEq/L AND Typical pulmonary and/or gastrointestinal manifestation of CF OR Healthy volunteers
--Prior/Concurrent Therapy--
At least 30 days since medications with anti-neutrophil or anti-inflammatory effect (e.g., aspirin, nonsteroidal anti-inflammatory drugs [NSAIDs], corticosteroids, macrolide antibiotics)
--Patient Characteristics--
Age: Patients with cystic fibrosis (CF): 5 and over; Healthy volunteers: 18 and over
Hematopoietic: No significant history of hematologic disease
Hepatic: No significant history of hepatic disease
Renal: No significant history of renal disease
Cardiovascular: No significant history of cardiovascular disease
Pulmonary: See Disease Characteristics
Neurologic: No significant history of neurologic disease
Other: Not pregnant; No significant history of peptic ulcer disease; Patients with CF free of any acute illness within 14 days; No prior hypersensitivity to any NSAID