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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04599465
Registration number
NCT04599465
Ethics application status
Date submitted
21/10/2020
Date registered
22/10/2020
Titles & IDs
Public title
A Study to Assess the Effect of ELX/TEZ/IVA on Glucose Tolerance in Participants With Cystic Fibrosis (CF)
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Scientific title
A Phase 3b Open-label Study to Assess the Effect of Elexacaftor (ELX)/Tezacaftor (TEZ)/Ivacaftor (IVA) on Glucose Tolerance in Cystic Fibrosis Subjects With Abnormal Glucose Metabolism
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Secondary ID [1]
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2020-003170-44
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Secondary ID [2]
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VX19-445-117
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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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Condition category
Condition code
Human Genetics and Inherited Disorders
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0
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Cystic fibrosis
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Respiratory
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0
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0
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Other respiratory disorders / diseases
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Oral and Gastrointestinal
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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
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0
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0
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Connective tissue diseases
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Inflammatory and Immune System
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0
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - ELX/TEZ/IVA
Treatment: Drugs - IVA
Experimental: ELX/TEZ/IVA - Participants received ELX 200 mg /TEZ 100 mg /IVA 150 mg in the morning and IVA 150 mg in the evening.
Treatment: Drugs: ELX/TEZ/IVA
Fixed dose combination (FDC) tablets for oral administration.
Treatment: Drugs: IVA
Tablets 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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Change From Baseline in 2-hour Blood Glucose Levels Following an OGTT to the Average of Week 36 and Week 48
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Assessment method [1]
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Baseline 2-hour post-OGTT blood glucose level was defined as the average of valid pre-dose measurements at screening and Day 1. OGTT results were considered valid only when the participant was fasting for at least 8 hours.
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Timepoint [1]
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Baseline, Week 36 and 48
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Secondary outcome [1]
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Percentage of Participants With Improvement in Dysglycemia Categorization at Week 48
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Assessment method [1]
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Baseline dysglycemia category was defined as the most recent non-missing measurement before the first dose of study drug in the treatment period. Improvement in dysglycemia is a change from cystic fibrosis-related diabetes (CFRD) at baseline to impaired glucose tolerance (IGT)/normal glucose tolerance (NGT) at Week 48 OR change from IGT at baseline to NGT at Week 48. CFRD: 2-hour post-OGTT blood glucose level =200 mg/dL or fasting blood glucose level =126 mg/dL; IGT: 2-hour post-OGTT blood glucose level =140 to \<200 mg/dL and fasting blood glucose level \<126 mg/dL; NGT: 2 hour post-OGTT blood glucose level \<140 mg/dL and fasting blood glucose level \<126 mg/dL.
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Timepoint [1]
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Baseline, Week 48
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Secondary outcome [2]
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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 [2]
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Timepoint [2]
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Day 1 up to Week 52
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Eligibility
Key inclusion criteria
Key
* Heterozygous for F508del and an MF mutation (F/MF genotypes)
* Forced expiratory volume in 1 second (FEV1) value = 30% of predicted mean for age, sex, and height
* Abnormal glucose tolerance determined by an OGTT as either:
* Impaired glucose tolerance (IGT) defined as 2 hour post OGTT blood glucose level =140 to <200 mg/dL (=7.77 to <11.10 mmol/L) and fasting blood glucose level <126 mg/dL (<7.00 mmol/L)
* CF-related diabetes (CFRD) defined as either fasting hyperglycemia (blood glucose level =126 mg/dL [=7.00 mmol/L] after an 8-hour fast) or 2-hour post OGTT blood glucose level =200 mg/dL (=11.10 mmol/L)
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Minimum age
12
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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
* Clinically significant liver cirrhosis with or without portal hypertension
* Solid organ or hematological transplantation
* Lung infection with organisms associated with a more rapid decline in pulmonary status
* Type 1 or Type 2 diabetes
* Duration of CFRD =5 years
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
15/01/2021
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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
14/07/2022
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Sample size
Target
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Accrual to date
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Final
69
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Royal Adelaide Hospital - Adelaide
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Recruitment hospital [2]
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The Prince Charles Hospital - Chermside
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Recruitment hospital [3]
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Alfred Hospital - Melbourne
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Recruitment hospital [4]
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Telethon Kids Institute - Nedlands
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Recruitment hospital [5]
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The Royal Children's Hospital - Parkville, VIC
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Recruitment hospital [6]
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Sydney Children's Hospital - Randwick
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Recruitment hospital [7]
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Mater Adult Hospital - South Brisbane
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Recruitment hospital [8]
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Queensland Children's Hospital - South Brisbane
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Recruitment hospital [9]
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Westmead Hospital - Westmead
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Recruitment postcode(s) [1]
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- Adelaide
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Recruitment postcode(s) [2]
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- Chermside
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Recruitment postcode(s) [3]
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- Melbourne
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Recruitment postcode(s) [4]
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- Nedlands
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Recruitment postcode(s) [5]
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- Parkville, VIC
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Recruitment postcode(s) [6]
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- Randwick
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Recruitment postcode(s) [7]
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- South Brisbane
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Recruitment postcode(s) [8]
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- Westmead
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Recruitment outside Australia
Country [1]
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Belgium
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State/province [1]
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Brussels
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Belgium
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Gent
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Belgium
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Leuven
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Czechia
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Brno
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Czechia
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Praha 5
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France
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Créteil
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France
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Lille
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France
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Marseille
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France
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Montpellier Cedex 5
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France
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Nantes
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France
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Nice
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France
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Pierre-Bénite
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France
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Rouen Cedex, Seine Maritime
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France
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Strasbourg
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France
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Suresnes
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Italy
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Ancona
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Italy
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Genova
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Italy
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Messina
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Italy
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Milano
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Italy
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Naples
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Italy
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Verona
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Netherlands
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Amsterdam
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Den Haag
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Heidelberglaan
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Rotterdam
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Barcelona
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Spain
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Madrid
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Spain
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Murcia
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Spain
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Sevilla
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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
This study was evaluate the effect of elexacaftor (ELX)/tezacaftor (TEZ)/ivacaftor (IVA) on glucose tolerance in CF participants, 12 years of age and older who are heterozygous for the F508del mutation and a minimal function mutation (F/MF genotypes), with abnormal glucose metabolism.
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Trial website
https://clinicaltrials.gov/study/NCT04599465
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Phone
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Fax
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Contact person for public queries
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Details on Vertex data sharing criteria and process for requesting access can be found at: https://www.vrtx.com/independent-research/clinical-trial-data-sharing
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/65/NCT04599465/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/65/NCT04599465/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/NCT04599465