CleanUP IPF for the Pulmonary Trials Cooperative



Status:Recruiting
Conditions:Pulmonary
Therapuetic Areas:Pulmonary / Respiratory Diseases
Healthy:No
Age Range:40 - Any
Updated:1/23/2019
Start Date:March 22, 2017
End Date:July 2019
Contact:Fernando Martinez, MD, MS
Email:fjm2003@med.cornell.edu
Phone:212-746-6420

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Study of Clinical Efficacy of Antimicrobial Therapy Strategy Using Pragmatic Design in Idiopathic Pulmonary Fibrosis

The purpose of this study is to compare the effect of standard care, versus standard of care
plus antimicrobial therapy (co-trimoxazole or doxycycline), on clinical outcomes in patients
diagnosed with idiopathic pulmonary fibrosis (IPF).

This is a randomized, un-blinded, phase III, multi-center clinical trial of an antimicrobial
therapy strategy in idiopathic pulmonary fibrosis patients. Our overall hypothesis is that
reducing harmful microbial impact with antimicrobial therapy will reduce the risk of
non-elective, respiratory hospitalization or death in patients with Idiopathic Pulmonary
Fibrosis (IPF).

Subjects will be randomized 1:1 to either receive a prescription drug voucher for oral
antimicrobial therapy in the form of one double strength 160 milligrams (mg)
trimethoprim/800mg sulfamethoxazole (double strength co-trimoxazole) twice daily plus folic
acid 5 mg daily OR doxycycline 100mg once daily if weight < 50 kilograms (kg) or 100mg twice
daily if weight > 50 kg. Patients randomized to receive antimicrobial therapy will be given
co-trimoxazole unless they have an allergy, contraindication to co-trimoxazole, renal
insufficiency (glomerular filtration rate (GFR) < 30 milliliters (ml)), are hyperkalemic
(potassium > 5 milliequivalents(mEq)/liter(L)), or are concomitantly taking an angiotensin
converting enzyme inhibitor (ACEI), angiotensin receptor blocker (ARB), or potassium sparing
diuretic in which case they will receive doxycycline.

Participation in this study will be between 12 months and 36 months depending on time of
enrollment.

Inclusion Criteria:

1. ≥ 40 years of age

2. Diagnosed with idiopathic pulmonary fibrosis (IPF) by enrolling investigator

3. Signed informed consent

Exclusion Criteria:

1. Received antimicrobial therapy in the past 30 days

2. Contraindicated for antibiotic therapy, including but not exclusive to:

1. Allergy or intolerance to both tetracyclines AND trimethoprim, sulfonamides or
their combination

2. Allergy or intolerance to tetracyclines AND known potassium level > 5 mEq/L in
the past 90 days.

- If the enrolling physician feels the potassium level has normalized,
documentation to that effect must be provided.

3. Allergy or intolerance to tetracyclines AND concomitant use of angiotensin
converting enzyme inhibitor (ACEI), angiotensin receptor blocker (ARB), potassium
sparing diuretic, dofetilide, methotrexate, azathioprine, mycophenolate mofetil,
cyclophosphamide

4. Allergy or intolerance to tetracyclines AND known glucose-6-phosphate
dehydrogenase deficiency

5. Allergy or intolerance to tetracyclines AND untreated folate or B12 deficiency

6. Allergy or intolerance to tetracyclines AND known renal insufficiency (defined as
a glomerular filtration rate (GFR) < 30 ml within the previous 90 days)

- If the enrolling physician feels the renal dysfunction has resolved,
documentation to that effect must be provided.

3. Pregnant or anticipate becoming pregnant

4. Use of an investigational study agent for IPF therapy within the past 30 days, or an
IV infusion with a half-life of four (4) weeks.

5. Concomitant immunosuppression with azathioprine, mycophenolate, cyclophosphamide, or
cyclosporine.
We found this trial at
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47 New Scotland Ave
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(518) 262-3125
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1720 2nd Ave S
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185 Cambridge Street
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75 Francis street
Boston, Massachusetts 02115
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330 Brookline Ave
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5801 South Ellis Avenue
Chicago, Illinois 60637
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9500 Euclid Avenue
Cleveland, Ohio 44106
216.444.2200
Cleveland Clinic Cleveland Clinic is committed to principles as presented in the United Nations Global...
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Minneapolis, Minnesota 55455
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116th St and Broadway
New York, New York 10027
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60 Crittenden Blvd # 70
Rochester, New York 14642
(585) 275-2121
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201 Presidents Circle
Salt Lake City, Utah 84108
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Stanford, California 94304
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500 S State St
Ann Arbor, Michigan 48109
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Charlottesville, Virginia 22903
(434) 924-0311
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303 East Superior Street
Chicago, Illinois 60611
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2600 Clifton Ave
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1 Medical Center Dr
Lebanon, New Hampshire 03756
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1801 N Broad St
Philadelphia, Pennsylvania 19122
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