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STaph Aureus Resistance-Treat Early and Repeat (STAR-TER)
Sponsor: University of North Carolina, Chapel Hill
Summary
To evaluate the micro-biologic efficacy and safety of a streamlined treatment for early onset methicillin-resistant staphylococcus aureus (MRSA) in patients with cystic fibrosis.
Key Details
Gender
All
Age Range
2 Years - 45 Years
Study Type
INTERVENTIONAL
Enrollment
49
Start Date
2018-04-03
Completion Date
2026-01-31
Last Updated
2026-09-15
Healthy Volunteers
No
Conditions
Interventions
Trimethoprim Sulfamethoxazole (TMP/SMX)
Dosing if \< 40 kg: 8 mg/kg trimethoprim/40 mg/kg trimethoprim sulfamethoxazole given twice daily for 14 days during Days 1-14 and Days 29-42. Dosing is ≥ 40 kg: 320 mg/1600 mg twice daily for 14 days during Days 1-14 and Days 29-42.
Minocycline
If a subject has an allergy to or intolerance to TMP/SMX, they may be treated with minocycline provided they are 8 years of age or older. Dosing if \< 50 kg: 2 mg/kg orally twice daily for 14 days during Days 1-14 and Days 29-42. Dosing if ≥ 50 kg: 100 mg twice daily for 14 days during Days 1-14 and Days 29-42.
Mupirocin
1 gram 2% nasal ointment generously applied to each nostril using a cotton swab twice daily for 5 days during Days 1-5 and Days 29-33.
Chlorhexidine Gluconate
For subjects able to swish without swallowing, 0.12% chlorhexidine gluconate oral rinse will be used twice daily for 14 days during Days 1-14 and Days 29-42.
Environmental Decontamination
Subjects will be instructed to wipe down all high touch surfaces and medical equipment with surface disinfection wipes daily during Days 1-21 and Days 29-49. Subjects will also be instructed to wash all linens and towels in hot water once weekly during weeks 1-3 and weeks 5-7.
Locations (9)
National Jewish Health
Denver, Colorado, United States
Indiana University
Indianapolis, Indiana, United States
University of Michigan Health System
Ann Arbor, Michigan, United States
St. Louis Children's Hospital
St Louis, Missouri, United States
N.C. Memorial Hospital and N.C. Children's Hospital
Chapel Hill, North Carolina, United States
University of Texas Southwestern Medical Center
Dallas, Texas, United States
Cook Children's Medical Center
Fort Worth, Texas, United States
Texas Children's Hospital, Baylor College of Medicine
Houston, Texas, United States
University of Washington Medical Center and Seattle Children's
Seattle, Washington, United States