Infant lung function tests as endpoints in the ISIS multicenter clinical trial in cystic fibrosis

J Cyst Fibros. 2016 May;15(3):386-91. doi: 10.1016/j.jcf.2015.10.007. Epub 2015 Nov 4.


Background: The Infant Study of Inhaled Saline (ISIS) in CF was the first multicenter clinical trial to utilize infant pulmonary function tests (iPFTs) as an endpoint.

Methods: Secondary analysis of ISIS data was conducted in order to assess feasibility of iPFT measures and their associations with respiratory symptoms. Standard deviations were calculated to aid in power calculations for future clinical trials.

Results: Seventy-three participants enrolled, 70 returned for the final visit; 62 (89%) and 45 (64%) had acceptable paired functional residual capacity (FRC) and raised volume measurements, respectively. Mean baseline FEV0.5, FEF75 and FRC z-scores were 0.3 (SD: 1.2), -0.2 (SD: 2.0), and 1.8 (SD: 2.0).

Conclusions: iPFTs are not appropriate primary endpoints for multicenter clinical trials due to challenges of obtaining acceptable data and near-normal average raised volume measurements. Raised volume measures have potential to serve as secondary endpoints in future clinical CF trials.

Keywords: FEV; Forced expiratory flow rates; Pulmonary function tests.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cystic Fibrosis* / diagnosis
  • Cystic Fibrosis* / physiopathology
  • Dimensional Measurement Accuracy
  • Female
  • Forced Expiratory Volume*
  • Humans
  • Infant
  • Lung / physiopathology*
  • Male
  • Respiratory Function Tests / methods*
  • Sodium Chloride / pharmacology


  • Sodium Chloride