Journal of Cystic Fibrosis
Volume 10, Supplement 2 , Pages S79-S81, June 2011

Pulmonary exacerbation: Towards a definition for use in clinical trials. Report from the EuroCareCF Working Group on outcome parameters in clinical trials

  • D. Bilton

      Affiliations

    • Royal Brompton Hospital, London, UK
    • Corresponding Author InformationCorresponding author: D. Bilton, Royal Brompton Hospital, Respiratory Medicine, Sydney Street, London SW3 6NP, UK. Tel: +44 (0)20 7352 8121
  • ,
  • G. Canny

      Affiliations

    • Our Lady's Hospital for Sick Children, Crumlin, Dublin 12, Ireland
  • ,
  • S. Conway

      Affiliations

    • St. James' Hospital, LS9 7TF, Leeds, UK
  • ,
  • S. Dumcius

      Affiliations

    • Vilnius University, 08661, Vilnius, Lithuania
  • ,
  • L. Hjelte

      Affiliations

    • Karolinska, Stockholm CF Centre, Huddinge, 14186 Stockholm, Sweden
  • ,
  • M. Proesmans

      Affiliations

    • University Hospital Leuven, 3000 Leuven, Belgium
  • ,
  • B. Tümmler

      Affiliations

    • Medizinische Hochschule Hannover, 30625 Hannover, Germany
  • ,
  • V. Vavrova

      Affiliations

    • University Hospital Motol, Prague, 150 06 Prague 5, Czech Republic
  • ,
  • K. De Boeck

      Affiliations

    • University Hospital Leuven, 3000 Leuven, Belgium

Abstract 

Pulmonary exacerbations represent a key outcome variable in clinical trials of cystic fibrosis (CF). As there is variation in the trigger for use of intravenous antibiotics compared to the use of oral antibiotics or new nebulised therapy for treatment of exacerbations, the consensus view is that use of intravenous antibiotics cannot be regarded as the key defining character for an exacerbation on its own. The consensus view is that the clinical need for additional treatment as indicated by a recent change in clinical parameters provides the best definition of an exacerbation. Which parameters to include as well as the problems associated with the use of scoring systems and symptom clusters are being discussed.

Keywords:  Pulmonary exacerbation , Cystic fibrosis , Outcome parameters , Definition , Consensus

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PII: S1569-1993(11)60012-X

doi:10.1016/S1569-1993(11)60012-X

Journal of Cystic Fibrosis
Volume 10, Supplement 2 , Pages S79-S81, June 2011