Overview

Early Methicillin-resistant Staphylococcus Aureus (MRSA) Therapy in Cystic Fibrosis (CF)

Status:
Terminated
Trial end date:
2015-05-01
Target enrollment:
Participant gender:
Summary
Purpose: There has been a recent, rapid increase in prevalence of Methicillin-resistant Staphylococcus aureus (MRSA) among patients with Cystic Fibrosis (22% across US CF centers in 2009). Some epidemiologic studies suggest possible worse outcomes, a recent analyses showing this with chronic but not intermittent MRSA. Given the chronic difficult to treat lung infections in CF it is unclear how the onset of MRSA should be approached. This randomized, controlled, interventional study seeks to determine if an early eradication protocol is effective for eradication of MRSA and will provide an opportunity to obtain data regarding early clinical impact of new isolation of MRSA. Participants: Cystic fibrosis patients with new isolation of MRSA from their respiratory culture on a routine clinic visit. Procedures (methods): Randomized, open-label, multi-center study comparing use of an eradication protocol to an observational group who receives the current standard of care i.e. treatment for MRSA only with pulmonary exacerbations.
Phase:
Phase 2
Details
Lead Sponsor:
University of North Carolina, Chapel Hill
Collaborators:
Baylor College of Medicine
CF Therapeutics Development Network Coordinating Center
Children's Hospital Medical Center, Cincinnati
Cook Children's Medical Center
Seattle Children's Hospital
St. Louis Children's Hospital
University of Alabama at Birmingham
University of Colorado, Denver
University of Florida
University of Michigan
University of Texas Southwestern Medical Center
University of Washington
Washington University School of Medicine
Treatments:
Chlorhexidine
Chlorhexidine gluconate
Minocycline
Mupirocin
Rifampin
Sulfamethoxazole
Trimethoprim