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Cystic Fibrosis patients attending with infective exacerbations will be enrolled into the study. The trial is a double blinded, randomised trial with patients randomised to 10,14 or 21 days of antibiotic therapy, comprising of tobramycin and either ceftazidime or meropenem.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 10 days | Active Comparator |
| |
| 14 days | Active Comparator |
| |
| 21 days | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ceftazidime | Drug | Ceftazidime 2g TDS IV |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Treatment failure at completion of antibiotic course | 21 days | |
| Time to next exacerbation | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Spirometry | up to 21 days | |
| Change in inflammatory markers | up to 21 days | |
| Change in sputum bacteriology |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Andrew Jones, MB BChir MRCP | Contact | 02073518940 | andrew.jones1@imperial.ac.uk |
| Name | Affiliation | Role |
|---|---|---|
| Margaret Hodson, MD FRCP DA | Imperial College London | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Cystic Fibrosis, Royal Brompton Hospital | London | Sw3 6NP | United Kingdom |
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| ID | Term |
|---|---|
| D003550 | Cystic Fibrosis |
| ID | Term |
|---|---|
| D010182 | Pancreatic Diseases |
| D004066 | Digestive System Diseases |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D002442 | Ceftazidime |
| D014031 | Tobramycin |
| D000077731 | Meropenem |
| ID | Term |
|---|---|
| D002509 | Cephaloridine |
| D002511 | Cephalosporins |
| D047090 | beta-Lactams |
| D007769 | Lactams |
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| Tobramycin |
| Drug |
Tobramycin 7mg/kg/day OD IV |
|
| Meropenem | Drug | Meropenem 2g TDS IV |
|
| up to 21 days |
| Adverse effects of study antibiotics | Up to 21 days |
| Quality of life scores | Up to 21 days |
| Change in nutritional status | up to 21 days |
| D030342 |
| Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D007232 | Infant, Newborn, Diseases |
| D000577 |
| Amides |
| D009930 | Organic Chemicals |
| D013843 | Thiazines |
| D013457 | Sulfur Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D009328 | Nebramycin |
| D007612 | Kanamycin |
| D000617 | Aminoglycosides |
| D006027 | Glycosides |
| D002241 | Carbohydrates |
| D013845 | Thienamycins |
| D015780 | Carbapenems |