This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Cystic fibrosis (CF) is an autosomal recessive disorder with an incidence of approximately 1 in 3300 live births . It is due to defects in the CFTR gene, which is located on chromosome 7 . The CFTR can function as a cAMP-activated chloride channel and can also regulate the activity of other chloride channels . Through a mechanism that is not fully understood, CFTR defects strongly predispose affected individuals to chronic endobronchial infections with organisms such as Pseudomonas aeruginosa and Staphylococcus aureus . The CFTR defect may also exacerbate the inflammatory response to microbiological colonization of the lung. Adeno-associated virus (AAV) vectors are among a small number of recombinant virus vector systems which have been shown to have utility as in vivo gene transfer agents and thus are potentially of great importance for human gene therapy. Subjects will be involved in study procedures for a total of up to 30 weeks, which includes 14 weeks of active participation, followed by two structured telephone interviews during the final 16 weeks of participation. Screening of subjects will be up to two weeks prior to the first dose on Day 0. Subjects will receive two doses of study drug or placebo after randomization at 30-day intervals (Day 0, 30) and will be followed up for efficacy, tolerability and safety evaluations on the following study visit days: Day 14, 30, 45, 60, 75, and 90. During this time, the subject will make a total of eight visits to the PCRU. Adverse events occurring after Day 90 will be collected using a structured telephone interview on Days 150 and 210. Subjects with ongoing adverse events will be followed until the event has resolved or the investigator determines the event has stabilized.
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