Comparing antibiotic treatments for lung issues in cystic fibrosis
Official title: Standardizing Treatments for Pulmonary Exacerbations: A Platform for Evaluating Treatment Decisions to Improve Outcomes (STOP360) Aminoglycoside Study (AG Study)
Run by Seattle Children's Hospital · NCT05548283 · Data updated 2026-11-12
This study is testing whether a combination of two types of antibiotics can help people with cystic fibrosis recover better from lung problems than using just one type of antibiotic.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 6 Years and up |
| Sex | All |
| Enrollment | 730 (estimated) |
| Sponsor | Seattle Children's Hospital Academic / other |
| Locations | 60 sites (Birmingham, Alabama and 59 other locations) |
| Status | Recruiting |
| Started | April 23, 2023 |
| Main results expected | May 31, 2027 |
| Study ends | May 31, 2027 |
| Registry record updated | July 8, 2026 |
| Trial ID | NCT05548283 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include individuals aged 6 years and older with a confirmed diagnosis of cystic fibrosis experiencing a pulmonary exacerbation requiring intravenous antibiotic treatment.
✕Probably not a fit
Patients with renal impairment, a history of solid organ transplantation, or those who have recently received certain treatments may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study investigates the effectiveness of different antibiotic treatments for pulmonary exacerbations in patients with cystic fibrosis (CF). It aims to determine whether using a combination of aminoglycoside and beta-lactam antibiotics is more beneficial than using beta-lactams alone. The study will involve a randomized, open-label design with participants receiving either treatment for a planned 14-day course. The primary outcome will be measured by changes in lung function, specifically the Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1), from the start to the end of the treatment period.
Why it matters
Potential benefit: If successful, this study could lead to improved treatment protocols for pulmonary exacerbations in cystic fibrosis patients, enhancing their lung function and overall health.
How similar studies have gone: Previous studies have indicated the need for standardized treatment approaches in cystic fibrosis, suggesting that this study's focus on antibiotic comparison is both relevant and necessary.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * All genders ≥ 6 years of age at Visit 1 * Documentation of a CF diagnosis * Clinician intent to treat index CF PEx with a planned 14-day course of IV antimicrobials * At least one documented Pa positive culture within two years prior to Visit 1 Exclusion Criteria: * Participant is not pregnant * No known renal impairment or history of solid organ transplantation * No IV antimicrobial treatment, ICU admission, pneumothorax, or hemoptysis within 6 weeks prior to Visit 1 * No use of investigational therapies, new CF transmembrane conductance regulator (CFTR) modulators, or treatment for Nontuberculous mycobacteria (NTM) within 4 weeks prior to Visit 1 * No history of hypersensitivity, vestibular, or auditory toxicity with aminoglycosides * No more than one day of IV aminoglycosides administered for the current PEx treatment prior to Visit 1
Where it's running
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The Children's Hospital Alabama, University of Alabama at Birmingham
Birmingham, Alabama, United States Recruiting -
Tucson Cystic Fibrosis Center
Tucson, Arizona, United States Recruiting -
University of California San Diego
La Jolla, California, United States Recruiting -
Long Beach Memorial Medical Center
Long Beach, California, United States Recruiting -
CHOC Children's Hospital
Orange, California, United States Recruiting -
University of California at Davis Medical Center
Sacramento, California, United States Recruiting
Show 44 more locations
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University of Florida
Gainesville, Florida, United States Recruiting -
Joe DiMaggio Children's Hospital
Hollywood, Florida, United States Recruiting -
Nemours Children's Clinic
Jacksonville, Florida, United States Recruiting -
University of Miami
Miami, Florida, United States Recruiting -
All Children's Hospital
St. Petersburg, Florida, United States Recruiting -
Emory University
Atlanta, Georgia, United States Recruiting -
Saint Luke's Cystic Fibrosis Center of Idaho
Boise, Idaho, United States Recruiting -
Ann & Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, United States Recruiting -
Northwestern University
Chicago, Illinois, United States Recruiting -
OSF Saint Francis Medical Center
Peoria, Illinois, United States Recruiting -
Indiana University Medical Center
Indianapolis, Indiana, United States Recruiting -
Riley Hospital for Children
Indianapolis, Indiana, United States Recruiting -
University of Iowa
Iowa City, Iowa, United States Recruiting -
University of Kansas Medical Center
Kansas City, Kansas, United States Recruiting -
University of Louisville
Louisville, Kentucky, United States Recruiting -
Maine Medical Center
Portland, Maine, United States Recruiting -
John Hopkins Hospital
Baltimore, Maryland, United States Recruiting -
Boston Children's Hospital, Brigham & Women's Hospital
Boston, Massachusetts, United States Recruiting -
University of Massachusetts Memorial Health Care
Worcester, Massachusetts, United States Recruiting -
University of Michigan, Michigan Medicine
Ann Arbor, Michigan, United States Recruiting -
Helen DeVos Children's Hospital
Grand Rapids, Michigan, United States Recruiting -
SSM Health Cardinal Glennon Children's Hospital
St Louis, Missouri, United States Recruiting -
Washington University School of Medicine
St Louis, Missouri, United States Recruiting -
Billings Clinic
Billings, Montana, United States Recruiting -
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, United States Recruiting -
Morristown Medical Center
Morristown, New Jersey, United States Recruiting -
Rutgers - Robert Wood Johnson Medical School
New Brunswick, New Jersey, United States Recruiting -
Lenox Hill Hospital Cystic Fibrosis Center
New York, New York, United States Recruiting -
Children's Hospital of New York
New York, New York, United States Recruiting -
New York Medical College at Westchester Medical Center
Valhalla, New York, United States Recruiting -
Children's Hospital Medical Center of Akron
Akron, Ohio, United States Recruiting -
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States Recruiting -
University of Cincinnati Medical Center
Cincinnati, Ohio, United States Recruiting -
Rainbow Babies and Children's Hospital/University Hospitals Cleveland Medical Center
Cleveland, Ohio, United States Recruiting -
Nationwide Children's Hospital
Columbus, Ohio, United States Recruiting -
Dayton Children's Hospital
Dayton, Ohio, United States Recruiting -
Toledo Children's Hospital
Toledo, Ohio, United States Recruiting -
Oklahoma Cystic Fibrosis Center
Oklahoma City, Oklahoma, United States Recruiting -
Oregon Health Sciences University
Portland, Oregon, United States Recruiting -
University of Pennsylvania
Philadelphia, Pennsylvania, United States Recruiting -
Children's Hospital of Pittsburgh of UPMC
Pittsburgh, Pennsylvania, United States Recruiting -
Medical University of South Carolina
Charleston, South Carolina, United States Recruiting -
Vanderbilt Children's Hospital
Nashville, Tennessee, United States Recruiting -
University of Texas Southwestern / Children's Health
Dallas, Texas, United States Recruiting
+10 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Principal investigator: Patrick Flume, MD — Medical University of South Carolina
- Study coordinator: Rachael Buckingham, BS
- Email: Rachael.buckingham@seattlechildrens.org
- Phone: 206-884-7517
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.