高效调节剂治疗对囊性纤维化患儿鼻窦炎和嗅觉障碍的影响:一项前瞻性研究方案。

IF 4.3 3区 医学 Q1 RESPIRATORY SYSTEM
ERJ Open Research Pub Date : 2025-01-13 eCollection Date: 2025-01-01 DOI:10.1183/23120541.00137-2024
Christine M Liu, Jakob L Fischer, Edith T Zemanick, Jason C Woods, Karolin K Markarian, Sean B Fain, Deborah Froh, Sonya L Heltshe, Lucas R Hoffman, Stephen M Humphries, Elizabeth L Kramer, Katie Larson Ode, Michael Lewis, Douglas A Li, Jaime Mata, Sarah S Milla, Peter J Niedbalski, Benjamin D Sawatzky, Myung-Shin Sim, Jillian S Sullivan, Andrew T Trout, Christopher H Goss, Jennifer L Taylor-Cousar, Daniel M Beswick
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引用次数: 0

摘要

背景:慢性鼻窦炎(CRS)和嗅觉功能障碍(OD)是囊性纤维化患者常见的并发症。这些未充分研究的合并症显著影响生活质量。在患有囊性纤维化(YCwCF)的幼儿中,高效调节疗法(HEMT)对这些疾病并发症的影响尚不清楚。本研究旨在描述YCwCF患者的CRS和OD特征,并评估HEMT在改善这一年轻年龄组鼻窦和嗅觉健康方面的疗效。方法:这项六中心、前瞻性、观察性研究将纳入80名2-8岁的YCwCF。根据临床指征将患者分为两组:接受HEMT治疗的患者和未接受HEMT治疗的患者。两组都进行了鼻窦磁共振成像、心理物理嗅觉测试,并完成了患者或父母报告的2年以上的生活质量调查。比较HEMT开始前后和组间的结果。所有试验地点均已获得伦理批准,本研究已在ClinicalTrials.gov (NCT06191640)上注册。结果:2023年4月开始入组。截至2023年10月,已招募21名参与者,所有站点正在进行招募。结论:这项研究有望为早期开始HEMT治疗YCwCF患者CRS和OD的潜在益处提供重要见解。它将有助于制定有针对性的干预措施,并有助于了解HEMT在改变这一人群疾病进程中的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The impact of highly effective modulator therapy on sinusitis and dysosmia in young children with cystic fibrosis: a prospective study protocol.

Background: Chronic rhinosinusitis (CRS) and olfactory dysfunction (OD) are prevalent disease complications in people with cystic fibrosis. These understudied comorbidities significantly impact quality of life. The impact of highly effective modulator therapy (HEMT) in young children with cystic fibrosis (YCwCF) on these disease complications is unknown. This proposed study aims to characterise CRS and OD in YCwCF and assess the efficacy of HEMT in improving sinus and olfactory health in this young age group.

Methods: This six-centre, prospective, observational study will enrol 80 YCwCF aged 2-8 years. Patients are divided into two groups: those receiving HEMT and those not on HEMT based on clinical indication. Both groups undergo sinus magnetic resonance imaging, psychophysical olfactory tests, and complete patient- or parent-reported quality of life surveys over 2 years. Outcomes will be compared before and after initiation of HEMT and between groups. Ethical approval has been obtained for all sites, and this study has been registered on ClinicalTrials.gov (NCT06191640).

Results: Enrolment began in April 2023. 21 participants have been enrolled as of October 2023 with ongoing enrolment at all sites.

Conclusion: This investigation is expected to provide critical insights into the potential benefits of early HEMT initiation in managing CRS and OD in YCwCF. It will assist in developing targeted interventions and contribute to the understanding of HEMT's role in altering the disease course in this demographic.

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来源期刊
ERJ Open Research
ERJ Open Research Medicine-Pulmonary and Respiratory Medicine
CiteScore
6.20
自引率
4.30%
发文量
273
审稿时长
8 weeks
期刊介绍: ERJ Open Research is a fully open access original research journal, published online by the European Respiratory Society. The journal aims to publish high-quality work in all fields of respiratory science and medicine, covering basic science, clinical translational science and clinical medicine. The journal was created to help fulfil the ERS objective to disseminate scientific and educational material to its members and to the medical community, but also to provide researchers with an affordable open access specialty journal in which to publish their work.
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