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| ID | Type | Description | Link |
|---|---|---|---|
| 2015-001267-39 | EudraCT Number |
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Low enrollment.
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To evaluate the efficacy of ivacaftor treatment, as measured by lung clearance index (LCI), in subjects with cystic fibrosis (CF) who have a specified CF transmembrane conductance regulator (CFTR) gating mutation
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1-Sequence 1 | Experimental | ivacaftor in Treatment Period 1 →washout→placebo in Treatment Period 2 |
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| Part 1 - Sequence 2 | Experimental | placebo in Treatment Period 1→washout→ivacaftor in Treatment Period 2 |
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| Part 2: ivacaftor | Experimental | open label period |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ivacaftor | Drug |
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| Measure | Description | Time Frame |
|---|---|---|
| Absolute Change From Baseline in Lung Clearance Index (LCI2.5) Through 8 Weeks of Treatment (Average of Week 4 and Week 8 LCI2.5) | LCI2.5 represents the number of lung turnovers required to reduce the end tidal inert gas concentration to 1/40th of its starting value. | Baseline Through Week 8 for each treatment period, Up to 24 Weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Absolute Change From Baseline in Immunoreactive Trypsinogen Levels at Week 8 | Serum samples were collected for evaluation of change in immunoreactive trypsinogen levels at Week 8. | Baseline and Week 8 of each treatment period, Up to 24 Weeks |
| Absolute Change From Baseline in Fecal Elastase-1 Levels at Week 8 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Parkville | Victoria | Australia | ||||
Study consisted of 2 parts: Part 1- Double Blind (DB) Crossover Treatment Period and Part 2- Open Label (OL) Period.
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| ID | Title | Description |
|---|---|---|
| FG000 | Part 1 Sequence 1: Ivacaftor First, Then Placebo | Ivacaftor administered every 12 hours for 8 weeks in treatment period 1 followed by placebo matched to Ivacaftor administered every 12 hours for 8 weeks in treatment period 2. Washout period of 8 weeks occurred between treatment period 1 and treatment period 2. For ivacaftor, the dose was either 50 milligram (mg) or 75 mg, as determined by the participant's body weight on Day 1. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Part 1 Treatment Period 1 (8 Weeks) |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Apr 12, 2017 | Aug 31, 2018 |
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| Placebo |
| Drug |
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Fecal elastase-1 was used clinically to diagnose pancreatic exocrine insufficiency in participants with cystic fibrosis. |
| Baseline and Week 8 of each treatment period, Up to 24 Weeks |
| Absolute Change From Baseline in Weight at Week 8 | Baseline and Week 8 of each treatment period, Up to 24 Weeks |
| Absolute Change From Baseline in Body Mass Index (BMI) at Week 8 | BMI was defined as weight in kilogram (kg) divided by height in square meter (m^2). | Baseline and Week 8 of each treatment period, Up to 24 Weeks |
| Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) | Baseline up to Month 15 |
| South Brisbane |
| Australia |
| Subiaco | Australia |
| Westmead | Australia |
| Toronto | Ontario | Canada |
| London | United Kingdom |
| FG001 | Part 1 Sequence 2: Placebo First, Then Ivacaftor | Placebo matched to Ivacaftor administered every 12 hours for 8 weeks in treatment period 1 followed by Ivacaftor administered every 12 hours for 8 weeks in treatment period 2. Washout period of 8 weeks occurred between treatment period 1 and treatment period 2. For ivacaftor, the dose was either 50 mg or 75 mg, as determined by the participant's body weight on Day 1. |
| FG002 | Part 2: Ivacaftor | Ivacaftor 50 mg, 75 mg or 150 mg, as determined by the participant's body weight at the beginning of Part 2, administered every 12 hours for up to 32 weeks in open label period. |
| COMPLETED |
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| NOT COMPLETED |
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| Part 1 Treatment Period 2 (8 Weeks) |
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| Part 2 Open Label Period (32 Weeks) |
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| ID | Title | Description |
|---|---|---|
| BG000 | Part 1 Sequence 1: Ivacaftor First, Then Placebo | Ivacaftor administered every 12 hours for 8 weeks in treatment period 1 followed by placebo matched to Ivacaftor administered every 12 hours for 8 weeks in treatment period 2. Washout period of 8 weeks occurred between treatment period 1 and treatment period 2. For ivacaftor, the dose was either 50 milligram (mg) or 75 mg, as determined by the participant's body weight on Day 1. |
| BG001 | Part 1 Sequence 2: Placebo First, Then Ivacaftor | Placebo matched to Ivacaftor administered every 12 hours for 8 weeks in treatment period 1 followed by Ivacaftor administered every 12 hours for 8 weeks in treatment period 2. Washout period of 8 weeks occurred between treatment period 1 and treatment period 2. For ivacaftor, the dose was either 50 mg or 75 mg, as determined by the participant's body weight on Day 1. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
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| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Absolute Change From Baseline in Lung Clearance Index (LCI2.5) Through 8 Weeks of Treatment (Average of Week 4 and Week 8 LCI2.5) | LCI2.5 represents the number of lung turnovers required to reduce the end tidal inert gas concentration to 1/40th of its starting value. | Full Analysis Set (FAS) was used which included all randomized participants who had mutation on at least 1 allele, received at least 1 dose of study drug (Ivacaftor or placebo) and had at least 1 post-baseline assessment. | Posted | Mean | Standard Deviation | Lung clearance index | Baseline Through Week 8 for each treatment period, Up to 24 Weeks |
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| Secondary | Absolute Change From Baseline in Immunoreactive Trypsinogen Levels at Week 8 | Serum samples were collected for evaluation of change in immunoreactive trypsinogen levels at Week 8. | FAS was used which included all randomized participants who had mutation on at least 1 allele, received at least 1 dose of study drug (Ivacaftor or placebo) and had at least 1 post-baseline assessment. Here "Overall Number of Participants Analyzed" signifies those participants who were evaluated for this outcome measure. | Posted | Mean | Standard Deviation | Nanogram per milliliter (ng/mL) | Baseline and Week 8 of each treatment period, Up to 24 Weeks |
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| Secondary | Absolute Change From Baseline in Fecal Elastase-1 Levels at Week 8 | Fecal elastase-1 was used clinically to diagnose pancreatic exocrine insufficiency in participants with cystic fibrosis. | FAS was used which included all randomized participants who had mutation on at least 1 allele, received at least 1 dose of study drug (Ivacaftor or placebo) and had at least 1 post-baseline assessment. Here "Overall Number of Participants Analyzed" signifies those participants who were evaluated for this outcome measure. | Posted | Mean | Standard Deviation | microgram per gram (mcg/g) | Baseline and Week 8 of each treatment period, Up to 24 Weeks |
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| Secondary | Absolute Change From Baseline in Weight at Week 8 | FAS was used which included all randomized participants who had mutation on at least 1 allele, received at least 1 dose of study drug (Ivacaftor or placebo) and had at least 1 post-baseline assessment. | Posted | Mean | Standard Deviation | Kilogram (kg) | Baseline and Week 8 of each treatment period, Up to 24 Weeks |
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| Secondary | Absolute Change From Baseline in Body Mass Index (BMI) at Week 8 | BMI was defined as weight in kilogram (kg) divided by height in square meter (m^2). | FAS was used which included all randomized participants who had mutation on at least 1 allele, received at least 1 dose of study drug (Ivacaftor or placebo) and had at least 1 post-baseline assessment. | Posted | Mean | Standard Deviation | Kilogram per meter square (kg/m^2) | Baseline and Week 8 of each treatment period, Up to 24 Weeks |
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| Secondary | Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) | The Safety Set was used which included all participants who received at least 1 dose of study drug. | Posted | Count of Participants | Participants | Baseline up to Month 15 |
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Baseline up to Month 15
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo (Crossover Part) | Placebo matched to Ivacaftor administered orally every 12 hours for 8 weeks in treatment period 1 or treatment period 2. | 0 | 13 | 0 | 13 | 11 | 13 |
| EG001 | Ivacaftor (Crossover Part) | Ivacaftor administered orally every 12 hours for 8 weeks in treatment period 1 or treatment period 2. | 0 | 13 | 0 | 13 | 11 | 13 |
| EG002 | Ivacaftor (Open Label Part) | Ivacaftor administered orally every 12 hours in open label period. | 0 | 10 | 0 | 10 | 6 | 10 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Haemophilus test positive | Investigations | MedDRA 20.0 | Systematic Assessment |
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| Streptococcus test positive | Investigations | MedDRA 20.0 | Systematic Assessment |
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| Bacterial test positive | Investigations | MedDRA 20.0 | Systematic Assessment |
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| Pseudomonas test positive | Investigations | MedDRA 20.0 | Systematic Assessment |
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| Cough | Skin and subcutaneous tissue disorders | MedDRA 20.0 | Systematic Assessment |
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| Productive cough | Respiratory, thoracic and mediastinal disorders | MedDRA 20.0 | Systematic Assessment |
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| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA 20.0 | Systematic Assessment |
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| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA 20.0 | Systematic Assessment |
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| Wheezing | Respiratory, thoracic and mediastinal disorders | MedDRA 20.0 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA 20.0 | Systematic Assessment |
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| Lethargy | Nervous system disorders | MedDRA 20.0 | Systematic Assessment |
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| Ear pain | Ear and labyrinth disorders | MedDRA 20.0 | Systematic Assessment |
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| Pyrexia | General disorders | MedDRA 20.0 | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA 20.0 | Systematic Assessment |
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| Constipation | Gastrointestinal disorders | MedDRA 20.0 | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA 20.0 | Systematic Assessment |
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| Abdominal pain upper | Gastrointestinal disorders | MedDRA 20.0 | Systematic Assessment |
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| Musculoskeletal pain | Musculoskeletal and connective tissue disorders | MedDRA 20.0 | Systematic Assessment |
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| Infective pulmonary exacerbation of cystic fibrosis | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
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| Viral upper respiratory tract infection | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
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| Bacterial disease carrier | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
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| Otitis media | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
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| Lower respiratory tract infection | Infections and infestations | MedDRA 20.0 | Systematic Assessment |
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Vertex terminated the study early because of enrollment futility.
PI is free to publish results of the study after (1) the first multi-center publication, (2) if the sponsor elects not to publish the results, or (3) 18 months after close of the study, whichever occurs first. Proposed publications are to be submitted to the sponsor for review and comment for a period of at least 45 days (which may be extended under certain circumstances related to protection of intellectual property); the sponsor cannot require changes to the proposed publications.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Monitor | Vertex Pharmaceuticals Incorporated | 617-341-6777 | medicalinfo@vrtx.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Aug 14, 2017 | Aug 31, 2018 | SAP_001.pdf |
| ID | Term |
|---|---|
| D003550 | Cystic Fibrosis |
| ID | Term |
|---|---|
| D010182 | Pancreatic Diseases |
| D004066 | Digestive System Diseases |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D007232 | Infant, Newborn, Diseases |
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| ID | Term |
|---|---|
| C545203 | ivacaftor |
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| Male |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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