A randomised controlled trial (pilot study) of the use of macerated garlic in patients with cystic fibrosis who have pulmonary infection with Pseudomonas aeruginosa

ISRCTN ISRCTN21133397
DOI https://doi.org/10.1186/ISRCTN21133397
Secondary identifying numbers P2005V3
Submission date
08/03/2007
Registration date
28/03/2007
Last edited
01/11/2011
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Dr Alan Smyth
Scientific

Division of Respiratory Medicine
Clinical Sciences Building
Nottingham City Hospital
Hucknall Road
Nottingham
NG5 1PB
United Kingdom

Phone +44 (0)115 823 1703
Email alan.smyth@nottingham.ac.uk

Study information

Study designDouble blind, randomised, placebo controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific title
Study acronymThe Garlic Against Pseudomonas (GAP) study
Study hypothesisThat garlic extract can inhibit quorum sensing molecules, produced by Pseudomonas aeruginosa, as measured in sputum and plasma from patients with cystic fibrosis.
Ethics approval(s)Approval received from the Nottingham Research Ethics Committee 1 on the 9th November 2005 (ref: 05/Q2403/135).
ConditionCystic fibrosis
Intervention1. Placebo: one capsule once daily (656.01 mg of olive oil and 9.99 mg cardamom oil) for eight weeks.
2. Garlic: one capsule once daily (656.01 mg of garlic oil macerate and 9.99 mg cardamom oil) for eight weeks.

All outcome data will be collected at the eight week visit and there will be no further follow up.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Macerated garlic
Primary outcome measureLevels of acyl-homoserine lactones and other quorum sensing molecules (such as quinolones) in sputum and plasma at baseline and eight weeks.
Secondary outcome measuresMicrobiology investigations:
1. Quantitative sputum culture at baseline and eight weeks
2. Qualitative microbiology:
a. mucoid/non-mucoid phenotype at baseline and eight weeks
b. antibiotic resistance pattern - Minimum Inhibitory Concentrations (MICs) to ceftazidime and tobramycin at baseline and eight weeks
c. garlic metabolites in sputum and plasma at baseline and eight weeks

Clinical investigations:
1. Pulmonary function at baseline and eight weeks
2. Weight and height at baseline and eight weeks
3. Clinical score at baseline and eight weeks
4. Number of pulmonary exacerbations and requirement for oral and intravenous antibiotics whilst on study medication at baseline and eight weeks
5. Adverse effects and patient acceptability questionnaire at eight weeks only
6. Serum lipids, liver function, C-reactive protein, clotting and full blood count at baseline and eight weeks
Overall study start date01/04/2007
Overall study end date31/03/2008

Eligibility

Participant type(s)Patient
Age groupOther
SexBoth
Target number of participants30 patients: 15 less than 16 years, and 15 greater than 16 years
Participant inclusion criteriaThe following patients with cystic fibrosis will be eligible:
1. Chronic pulmonary infection with P. aeruginosa
2. Can produce sputum
3. Are able to swallow the capsules
4. Over eight years
5. Are not currently suffering from an acute pulmonary exacerbation, requiring oral or intravenous antibiotics
6. Patient’s consent or parental consent with child’s assent
Participant exclusion criteria1. Prolonged clotting or platelet count below 150 x 10^9/L at baseline
2. Abnormal liver function
3. Pregnant or lactating mothers
Recruitment start date01/04/2007
Recruitment end date31/03/2008

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Division of Respiratory Medicine
Nottingham
NG5 1PB
United Kingdom

Sponsor information

University of Nottingham (UK)
University/education

c/o Dr Paul Cartledge
Head of Research Grants and Contracts
University of Nottingham Research Innovation Services
A18 Trent Building
University Park
Nottingham
NG7 2RD
England
United Kingdom

Phone +44 (0)115 951 5679
Email bbzpnc@gwmail.nottingham.ac.uk
Website http://www.nottingham.ac.uk/ris/
ROR logo "ROR" https://ror.org/01ee9ar58

Funders

Funder type

Industry

EU Marie Curie Fellowship (UK)

No information available

Boots (UK)

No information available

University of Nottingham Institute of Clinical Research (UK)

No information available

NHS Research & Development (Nottingham City Hospital) (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/04/2010 Yes No