Table 4.
Investigators | No. Pts. | Type of study | Treatment Arms | Preliminary Results |
---|---|---|---|---|
ELITE (European) | 88 | Multicenter, Open-label, RCT | INH tobramycin × 28 or 56 days | ~90% eradication in both groups 1 mo after end of treatment (conference presentation) —awaiting publication |
Ratjen et al53 | Primary endpoint: median time to recurrence of Pa | |||
EPIC (US) | 306 | Multicenter, RCT | INH tobramycin × 28 days + PO ciprofloxacin × 14 days | Preliminary results show all approaches are effective; the addition of ciprofloxacin does not appear to add any benefit (conference presentation)—awaiting publication |
Treggiari et al54 | Cycled therapy based on first Pa+ culture versus culture-based therapy after initial treatment | OR PO placebo × 14 days |
||
Belgian Study | 50, 32 analyzed thus far | Single centre, RCT | INH tobramycin × 28 days | Initial Pa clearance in 82% in patients on INH tobramycin, 93% on colisitin+ciprofloxacin; 41% on INH tobramycin and 46% on colistin+ciprofloxacin remained Pa- at 6 months |
Proesmans et al55 | Comparison of two antibiotic regimens in patients with new Pa+ cultures | OR INH colisitin+PO ciprofloxacin × 3 months |
||
Australasian BAL | 168 infants | Multicenter, Prospective, RCT | IV tobramycin +timentin or ceftazidime, followed by | 100% eradication in all pts followed for 2 years thus far, regardless of BAL or cough suction as culture source |
Wainwright et al56 | Evaluation of BAL versus non-BAL directed therapy | INH tobramycin × 2 months +PO ciprofloxacin × 1 month |
RCT-randomized controlled trial; Pa-Pseudomonas aeruginosa, Pa+-Pa positive culture, Pa- -Pa negative culture, BAL-bronchoalveolar lavage, INH-inhaled, PO-oral.