Essential fatty acids (EFA) deficiency has been often reported in patients with cystic fibrosis (CF), particularly in those homozygous for the DF508 mutation. Clinical symptoms of CF may be influenced by correcting EFA deficiency. Nevertheless, the value of EFA supplementation in CF remains controversial. Within this multicentric and international randomized placebo-controlled trial it will be evaluated, according to recommendations of Cochrane analysis, beneficial effects of an oral supplementation with polyunsaturated fatty acids on selected biochemical and functional outcome parameters such as inflammatory biomarkers, incorporation into cell membrane phospholipids, lung function, exercise tolerance, clinical and nutritional status and properties of transepithelial ion transport. The study will be undertaken in a cohort of CF patients aged over 6 years old (60 patients), homozygous for the DF508 mutation and treated by Azithromycine. Supplementation will be performed with a triglyceride source at a daily dose of 60 mg/kg of omega-3 polyunsaturated fatty acids (Omega 3 Premiumâ, Laboratoires Ponroy, France). Before enrolled into the trial and during the study, patients will undergo nutritional assessment by evaluation of total and fat dietary intake and overall calorie intake using a 3-days diet records and a food frequency questionnaire. Plasma and erythrocyte membrane EFA profiles and inflammatory markers will be monitored in baseline conditions, at 3, at 6 and 12 months after starting the treatment. Lung function will be performed at each patient visit and an exercise test will be done before and at the end of the treatment. Properties of ion transport will be searched by sweat testing before and at the end of the treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
15
capsules containing 300mg of omega-3 triglycerides with 100mg DHA and 150mg EPA, 60mg/kg/day 3 times a day during 12 months.
capsules containing middle chain triglycerides
Hôpital Universitaire Des Enfants Reine Fabiola
Brussels, Belgium
LTB4/LTB5 ratio from baseline to the end of treatment assessment.
Time frame: Assessment at 3-6-12 months
To explore the change in other inflammatory biomarkers such as TNF-alpha, IL-6, IL-8, IL-17 & alpha-1 anti-trypsin.
Time frame: Assessments at 3-6 and 12 months
To evaluate the incorporation into cell membrane phospholipids.
Time frame: Assessments at 3-6-12 months
To evaluate the effects on the pulmonary function (FEV1) and on the exercise tolerance (VO2 max).
Time frame: Assessment at 12 months
To evaluate the effects on the clinical status and the nutritional status.
Time frame: Assessments at 3-6-9 and 12 months
To investigate the properties of transepithelial ion transport (sweat test).
Time frame: Assessments at 12 months
To evaluate the long term overall safety and tolerability of Omega-3 EFA supplementation in CF patients.
Time frame: Assessment at 3-6-9 and 12 months
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