Observational study of the use of 7% sodium chloride solution combined with 0,1% hyaluronic acid in therapy of adults with cystic fibrosis

Author:

Krasovsky S. A.1,Amelina E. L.2,Chernyak A. V.2,Kondratieva E. I.3,Gorinova J. V.4,Zonenko O. G.5,Sergienko D. F.6,Tatarsky A. R.2

Affiliation:

1. Federal State Budgetary Institution “Research Institute for Pulmonology of the Federal Medical Biological Agency”; State Budgetary Institution of Healthcare of the city of Moscow “Pletnev City Clinical Hospital of the Department of Health of Moscow”; Federal State Budgetary Research Institution “Medical Genetic Research Center”

2. Federal State Budgetary Institution “Research Institute for Pulmonology of the Federal Medical Biological Agency”

3. Federal State Budgetary Research Institution “Medical Genetic Research Center”

4. Federal State Autonomous Institution “National Medical Research Center for Children’s Health” of the Ministry of Health of the Russian Federation

5. Federal State Budgetary Educational Institution of Higher Education “Pirogov Russian National Research Medical University” of the Ministry of Health of Russia

6. Federal State Budgetary Educational Institution of Higher Education “Astrakhan State Medical University” of the Ministry of Health of the Russian Federation

Abstract

A non-interventional prospective cohort study was conducted on adult patients with cystic fibrosis, who received mucolytic therapy with 7% NaCl solution combined with 0.1% hyaluronic acid (medical product Hyaneb) and 7% NaCl solution for 4 and 8 weeks. Materials and methods: A total of 24 CF patients over 18 years old were enrolled in the study. A comparative analysis of respiratory function, therapy satisfaction, efficacy and safety of treatment was conducted following 4 weeks of therapy in 7% NaCl Solution Group (n = 12) and MP Hyaneb Group (n = 12), and the dynamics of these parameters was assessed against the background of the use of MP Hyaneb for 8 weeks (n = 12). Results: At week 4 of treatment, a significantly smaller number of patients complained of nasal congestion, ears and or accumulation of mucus in the throat and chest, irritation of the throat and unpleasant taste in the MP Hyaneb Group. No significant differences in the onset and increase in the intensity of cough were achieved. No significant differences between the groups in terms of spirometry parameters were identified. Findings: MP Hyaneb showed the best tolerability compared to 7% NaCl solution in adult patients with cystic fibrosis. The use of MP Hyaneb reduces the frequency and severity of irritation of the pharyngeal mucosa, cough and nasal congestion following administration for one month.

Publisher

Remedium, Ltd.

Subject

General Medicine

Reference20 articles.

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2. National Consensus «Cystic fibrosis: definition, diagnostic criteria, therapy» Under the editorship of Kondratieva E.I., Kashirskaya N.Yu., Kapranova N.I., Moscow: Company BORGES LLC, 2016. (In Russ).

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4. Tarran R., Grubb B.R., Parsons D., et al. The CF salt controversy: in vivo observations and therapeutic approaches. MolCell. 2001;8:149-158.

5. Robinson M., Regnis J.A., Bailey D.L., King M., Bautovich G.J., Bye P.T. Effect of hypertonic saline, amiloride, and cough on mucociliary clearance in patients with cystic fibrosis. Am J RespirCritCareMed. 1996;153:1503-1509.

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