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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03525574
Registration number
NCT03525574
Ethics application status
Date submitted
2/05/2018
Date registered
15/05/2018
Date last updated
8/05/2024
Titles & IDs
Public title
A Study Evaluating the Long-term Safety and Efficacy of VX-445 Combination Therapy
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Scientific title
A Phase 3, Open-label Study Evaluating the Long-term Safety and Efficacy of VX-445 Combination Therapy in Subjects With Cystic Fibrosis Who Are Homozygous or Heterozygous for the F508del Mutation
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Secondary ID [1]
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0
2018-000185-11
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Secondary ID [2]
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VX17-445-105
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cystic Fibrosis
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0
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Condition category
Condition code
Human Genetics and Inherited Disorders
0
0
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0
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Cystic fibrosis
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Respiratory
0
0
0
0
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Other respiratory disorders / diseases
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Oral and Gastrointestinal
0
0
0
0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Inflammatory and Immune System
0
0
0
0
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Connective tissue diseases
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Inflammatory and Immune System
0
0
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0
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional(has expanded access)
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Description of intervention(s) / exposure
Treatment: Drugs - ELX/TEZ/IVA
Treatment: Drugs - IVA
Experimental: ELX/TEZ/IVA - Treatment Period: Participants received ELX 200 milligram (mg) once daily (qd)/TEZ 100 mg qd/IVA 150 mg every 12 hrs (q12h) in the treatment period for 192 weeks.
Extension Period: Participants from certain countries participated in extension period and continued to receive ELX 200 mg qd /TEZ 100 mg qd/IVA 150 mg q12h in the extension period for 48 weeks.
Treatment: Drugs: ELX/TEZ/IVA
Fixed-dose combination (FDC) tablet for oral administration.
Treatment: Drugs: IVA
Tablet for oral administration.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Treatment Period: Safety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
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Assessment method [1]
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0
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Timepoint [1]
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From Day 1 up to Week 196
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Secondary outcome [1]
0
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Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 102/105 Efficacy Set
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Assessment method [1]
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FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. This analysis set included study 102 parent study participants who received Placebo-ELX/TEZ/IVA and ELX/TEZ/IVA-ELX/TEZ/IVA.
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Timepoint [1]
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From Baseline at Week 192
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Secondary outcome [2]
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Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 103/105 Efficacy Set
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Assessment method [2]
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FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. This analysis set included study 103 parent study participants who received TEZ/IVA-ELX/TEZ/IVA and ELX/TEZ/IVA-ELX/TEZ/IVA.
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Timepoint [2]
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0
From Baseline at Week 192
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Secondary outcome [3]
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Absolute Change in Sweat Chloride (SwCl) for 102/105 Efficacy Set
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Assessment method [3]
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Sweat samples were collected using an approved collection device. This analysis set included study 102 parent study participants who received Placebo-ELX/TEZ/IVA and ELX/TEZ/IVA-ELX/TEZ/IVA.
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Timepoint [3]
0
0
From Baseline at Week 192
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Secondary outcome [4]
0
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Absolute Change in Sweat Chloride (SwCl) for 103/105 Efficacy Set
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Assessment method [4]
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Sweat samples were collected using an approved collection device. This analysis set included study 103 parent study participants who received TEZ/IVA-ELX/TEZ/IVA and ELX/TEZ/IVA-ELX/TEZ/IVA.
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Timepoint [4]
0
0
From Baseline at Week 192
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Secondary outcome [5]
0
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Number of Pulmonary Exacerbations (PEx) for 102/105 Efficacy Set
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Assessment method [5]
0
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Pulmonary exacerbation was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms.
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Timepoint [5]
0
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From Baseline at Week 192
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Secondary outcome [6]
0
0
Number of Pulmonary Exacerbations (PEx) for 103/105 Efficacy Set
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Assessment method [6]
0
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Pulmonary exacerbation was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms.
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Timepoint [6]
0
0
From Baseline at Week 192
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Secondary outcome [7]
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Time to First PEx for 102/105 Efficacy Set
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Assessment method [7]
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Time-to-first pulmonary exacerbation was analyzed using Kaplan-Meier estimates and expressed in terms of event-free probability. PEx was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms.
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Timepoint [7]
0
0
From Baseline at Week 192
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Secondary outcome [8]
0
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Time to First PEx for 103/105 Efficacy Set
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Assessment method [8]
0
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Time-to-first pulmonary exacerbation was analyzed using Kaplan-Meier estimates and expressed in terms of event-free probability. PEx was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms.
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Timepoint [8]
0
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From Baseline at Week 192
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Secondary outcome [9]
0
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Absolute Change in Body Mass Index (BMI) for 102/105 Efficacy Set
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Assessment method [9]
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BMI was defined as weight in kilogram (kg) divided by height in square meter (m\^2).This analysis set included study 102 parent study participants who received Placebo-ELX/TEZ/IVA and ELX/TEZ/IVA-ELX/TEZ/IVA.
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Timepoint [9]
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0
From Baseline at Week 192
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Secondary outcome [10]
0
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Absolute Change in Body Mass Index (BMI) for 103/105 Efficacy Set
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Assessment method [10]
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BMI was defined as weight in kilogram (kg) divided by height in square meter (m\^2).This analysis set included study 103 parent study participants who received TEZ/IVA-ELX/TEZ/IVA and ELX/TEZ/IVA-ELX/TEZ/IVA.
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Timepoint [10]
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From Baseline at Week 192
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Secondary outcome [11]
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Absolute Change in BMI Z-score for 102/105 Efficacy Set
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Assessment method [11]
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BMI was defined as weight in kg divided by height in m\^2. Z-score is a statistical measure to describe whether a mean was above or below the standard. BMI, adjusted for age and sex, was analyzed as BMI-for-age z-score. A z-score of 0 is equal to the mean and is considered normal. Lower numbers indicate values lower than the mean and higher numbers indicate values higher than the mean. Higher values are indicative of higher BMI. This analysis set included study 102 parent study participants who received Placebo-ELX/TEZ/IVA and ELX/TEZ/IVA-ELX/TEZ/IVA.
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Timepoint [11]
0
0
From Baseline at Week 192
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Secondary outcome [12]
0
0
Absolute Change in BMI Z-score for 103/105 Efficacy Set
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Assessment method [12]
0
0
BMI was defined as weight in kg divided by height in m\^2. Z-score is a statistical measure to describe whether a mean was above or below the standard. BMI, adjusted for age and sex, was analyzed as BMI-for-age z-score. A z-score of 0 is equal to the mean and is considered normal. Lower numbers indicate values lower than the mean and higher numbers indicate values higher than the mean. Higher values are indicative of higher BMI. This analysis set included study 103 parent study participants who received TEZ/IVA-ELX/TEZ/IVA and ELX/TEZ/IVA-ELX/TEZ/IVA.
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Timepoint [12]
0
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From Baseline at Week 192
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Secondary outcome [13]
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Absolute Change in Body Weight for 102/105 Efficacy Set
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Assessment method [13]
0
0
This analysis set included study 102 parent study participants who received Placebo-ELX/TEZ/IVA and ELX/TEZ/IVA-ELX/TEZ/IVA.
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Timepoint [13]
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From Baseline at Week 192
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Secondary outcome [14]
0
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Absolute Change in Body Weight for 103/105 Efficacy Set
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Assessment method [14]
0
0
This analysis set included study 103 parent study participants who received TEZ/IVA and ELX/TEZ/IVA.
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Timepoint [14]
0
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From Baseline at Week 192
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Secondary outcome [15]
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Absolute Change From Baseline in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score for 102/105 Efficacy Set
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Assessment method [15]
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The CFQ-R is a validated participant-reported outcome measuring health-related quality of life for participants with cystic fibrosis. Respiratory domain assessed respiratory symptoms, score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life. This analysis set included study 102 parent study participants who received Placebo-ELX/TEZ/IVA and ELX/TEZ/IVA-ELX/TEZ/IVA.
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Timepoint [15]
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From Baseline at Week 192
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Secondary outcome [16]
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Absolute Change From Baseline in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score for 103/105 Efficacy Set
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Assessment method [16]
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The CFQ-R is a validated participant-reported outcome measuring health-related quality of life for participants with cystic fibrosis. Respiratory domain assessed respiratory symptoms, score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life. This analysis set included study 103 parent study participants who received TEZ/IVA and ELX/TEZ/IVA.
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Timepoint [16]
0
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From Baseline at Week 192
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Eligibility
Key inclusion criteria
* Completed study drug treatment in a parent study i.e.VX17-445-102 (NCT03525444) and VX17-445-103 (NCT03525548); or had study drug interruption(s) in a parent study but completed study visits up to the last scheduled visit of the Treatment Period in the parent study.
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Minimum age
12
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* History of drug intolerance in a parent study that would pose an additional risk to the subject in the opinion of the investigator.
* Current participation in an investigational drug trial (other than a parent study)
Other protocol defined Inclusion/Exclusion criteria may apply.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
9/10/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
9/01/2023
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Sample size
Target
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Accrual to date
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Final
507
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Women & Children's Hospital - North Adelaide
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Recruitment hospital [2]
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The Royal Children's Hospital - Parkville
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Recruitment hospital [3]
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Mater Misericordiae Ltd - South Brisbane
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Recruitment hospital [4]
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The Children's Hospital at Westmead - Westmead
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Recruitment hospital [5]
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Westmead Hospital - Westmead
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Recruitment postcode(s) [1]
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- North Adelaide
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Recruitment postcode(s) [2]
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- Parkville
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Recruitment postcode(s) [3]
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- South Brisbane
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Recruitment postcode(s) [4]
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- Westmead
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London
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Manchester
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Southampton
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Vertex Pharmaceuticals Incorporated
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The study evaluates the long-term safety and tolerability of VX-445 in triple combination (TC) with tezacaftor (TEZ) and ivacaftor (IVA) in subjects with cystic fibrosis (CF) who are homozygous or heterozygous for the F508del mutation
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Trial website
https://clinicaltrials.gov/study/NCT03525574
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Trial related presentations / publications
Southern KW, Murphy J, Sinha IP, Nevitt SJ. Corrector therapies (with or without potentiators) for people with cystic fibrosis with class II CFTR gene variants (most commonly F508del). Cochrane Database Syst Rev. 2020 Dec 17;12(12):CD010966. doi: 10.1002/14651858.CD010966.pub3.
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Public notes
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Contacts
Principal investigator
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
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Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/74/NCT03525574/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/74/NCT03525574/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT03525574
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