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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01225211
Registration number
NCT01225211
Ethics application status
Date submitted
15/10/2010
Date registered
20/10/2010
Date last updated
5/10/2015
Titles & IDs
Public title
Study of VX-809 Alone and in Combination With VX-770 in Cystic Fibrosis (CF) Patients Homozygous or Heterozygous for the F508del-CFTR Mutation
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Scientific title
A Phase 2, Multicenter, Double-Blinded, Placebo-Controlled, Multiple-Dose Study to Evaluate Safety, Tolerability, Efficacy, Pharmacokinetics, and Pharmacodynamics of Lumacaftor Monotherapy, and Lumacaftor and Ivacaftor Combination Therapy in Subjects With Cystic Fibrosis, Homozygous or Heterozygous for the F508del-CFTR Mutation
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Secondary ID [1]
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2010-020413-90
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Secondary ID [2]
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VX09-809-102
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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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Cystic fibrosis
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Respiratory
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Other respiratory disorders / diseases
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Oral and Gastrointestinal
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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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Connective tissue diseases
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Inflammatory and Immune System
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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 - Lumacaftor
Treatment: Drugs - Ivacaftor
Treatment: Drugs - Lumacaftor Placebo
Treatment: Drugs - Ivacaftor Placebo
Placebo comparator: Cohort 1: Placebo - Participants homozygous (HO) for the F508del-CF transmembrane conductance regulator gene (CFTR) mutation received lumacaftor matched placebo once daily (qd) (Day 1 through Day 14), followed by lumacaftor matched placebo qd in combination with ivacaftor matched placebo every 12 hours (q12h) (Day 15 through Day 21).
Experimental: Cohort 1: LUM 200 mg qd/LUM 200 mg qd+IVA 150 mg q12h - Participants homozygous for the F508del-CFTR mutation received 200 milligram (mg) of lumacaftor (LUM) qd (Day 1 through Day 14), followed by 200 mg of lumacaftor qd in combination with 150 mg of ivacaftor (IVA) q12h (Day 15 through Day 21).
Experimental: Cohort 1: LUM 200 mg qd/LUM 200 mg qd+IVA 250 mg q12h - Participants homozygous for the F508del-CFTR mutation received 200 mg of lumacaftor alone qd (Day 1 through Day 14), followed by 200 mg of lumacaftor qd in combination with 250 mg of ivacaftor q12h (Day 15 through Day 21).
Placebo comparator: Cohort 2 and 3: Placebo (HO and HE) - Participants homozygous or heterozygous for the F508del-CFTR mutation received lumacaftor matched placebo qd (Day 1 through Day 28), followed by lumacaftor matched placebo in combination with ivacaftor matched placebo q12h (Day 29 through Day 56).
Experimental: Cohort 2: LUM 200 mg qd/LUM 200 mg qd+IVA 250 mg q12h (HO) - Participants homozygous for the F508del-CFTR mutation received 200 mg of lumacaftor alone qd (Day 1 through Day 28), followed by 200 mg of lumacaftor qd in combination with 250 mg of ivacaftor q12h (Day 29 through Day 56).
Experimental: Cohort 2: LUM 400 mg qd/LUM 400 mg qd+IVA 250 mg q12h (HO) - Participants homozygous for the F508del-CFTR mutation received 400 mg of lumacaftor alone qd (Day 1 through Day 28), followed by 400 mg of lumacaftor qd in combination with 250 mg of ivacaftor q12h (Day 29 through Day 56).
Experimental: Cohort 2: LUM 600 mg qd/LUM 600 mg qd+IVA 250 mg q12h (HO&HE) - Participants homozygous or heterozygous for the F508del-CFTR mutation received 600 mg of lumacaftor alone qd (Day 1 through Day 28), followed by 600 mg of lumacaftor qd in combination with 250 mg of ivacaftor q12h (Day 29 through Day 56).
Experimental: Cohort 3: LUM 400 mg q12h/LUM 400 mg q12h+IVA 250 mg q12h (HO) - Participants homozygous for the F508del-CFTR mutation received 400 mg of lumacaftor alone q12h (Day 1 through Day 28), followed by 400 mg of lumacaftor q12h in combination with 250 mg of ivacaftor q12h (Day 29 through Day 56).
Placebo comparator: Cohort 4: Placebo - Participants heterozygous for the F508del-CFTR mutation received lumacaftor matched placebo in combination with ivacaftor matched placebo q12h (Day 1 through Day 56).
Experimental: Cohort 4: LUM 400 mg q12h+IVA 250 mg q12h - Participants heterozygous for the F508del-CFTR mutation received 400 mg of lumacaftor q12h in combination with 250 mg of ivacaftor q12h (Day 1 through Day 56).
Treatment: Drugs: Lumacaftor
Tablet
Treatment: Drugs: Ivacaftor
Tablet.
Treatment: Drugs: Lumacaftor Placebo
Matching placebo tablet.
Treatment: Drugs: Ivacaftor Placebo
Matching placebo tablet.
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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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Cohort 1: Safety and Tolerability Based on Adverse Events (AEs)
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Assessment method [1]
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AE: any untoward medical occurrence in a participant during study; irrespective of relationship with treatment. This includes any newly occurring event or previous condition that has increased in severity or frequency after informed consent. AE includes serious AEs (SAEs) as well as Non-SAEs. SAE (subset of AE): medical event or condition, which falls into any of the following categories, regardless of its relationship to study drug: death, life threatening adverse experience, in-patient hospitalization/prolongation of hospitalization, persistent/significant disability or incapacity, congenital anomaly/birth defect, important medical event. Number of participants with AEs and SAEs are reported. AE that started at/after initial dosing of study drug, or increased in severity after initial dosing of study drug is considered treatment-emergent. Results are reported separately for monotherapy period (Period 1: Day 1 to Day 14) and combination therapy period (Period 2: Day 15 to Day 21).
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Timepoint [1]
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Cohort 1: Day 1 up to 28 days after last dose (Last dose = Day 21)
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Primary outcome [2]
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Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)
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Assessment method [2]
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Detailed description is provided in Outcome Measure 1. Results are reported separately for monotherapy period (Period 1: Day 1 to Day 28) and combination therapy period (Period 2: Day 29 to Day 56).
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Timepoint [2]
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Cohort 2 and 3: Day 1 up to 28 days after last dose (Last dose = Day 56)
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Primary outcome [3]
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Cohort 4: Safety and Tolerability Assessed by Number of Participants With AEs and SAEs
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Assessment method [3]
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AEs and SAEs are defined in Outcome Measure 1.
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Timepoint [3]
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Cohort 4: Day 1 up to 28 days after last dose (Last dose = Day 56)
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Primary outcome [4]
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Cohort 1: Absolute Change From Day 14 in Sweat Chloride at Day 21
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Assessment method [4]
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Timepoint [4]
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Cohort 1: Day 14, Day 21
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Primary outcome [5]
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Cohort 2 And 3: Absolute Change From Day 28 in Sweat Chloride at Day 56
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Assessment method [5]
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Timepoint [5]
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Cohort 2 and 3: Day 28, Day 56
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Primary outcome [6]
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Cohort 4: Absolute Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Day 56
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Assessment method [6]
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FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. ppFEV1 (predicted for age, gender, and height) was calculated using the Hankinson method.
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Timepoint [6]
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Cohort 4: Baseline, Day 56
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Secondary outcome [1]
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Cohort 1: Absolute Change From Baseline in Sweat Chloride at Day 14
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Assessment method [1]
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Timepoint [1]
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Cohort 1: Baseline, Day 14
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Secondary outcome [2]
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Cohort 2 And 3: Absolute Change From Baseline in Sweat Chloride at Day 14
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Assessment method [2]
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Timepoint [2]
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Cohort 2: Baseline, Day 14
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Secondary outcome [3]
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Cohort 4: Absolute Change From Baseline in Sweat Chloride at Day 56
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Assessment method [3]
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Timepoint [3]
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Cohort 4: Baseline, Day 56
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Secondary outcome [4]
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Cohort 1: Absolute Change From Day 14 in FEV1 at Day 21
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Assessment method [4]
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FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
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Timepoint [4]
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Cohort 1: Day 14, Day 21
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Secondary outcome [5]
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Cohort 1: Absolute Change From Day 14 in ppFEV1 at Day 21
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Assessment method [5]
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FEV1 and ppFEV1 are defined in Outcome Measure 6.
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Timepoint [5]
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Cohort 1: Day 14, Day 21
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Secondary outcome [6]
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Cohort 2 and 3: Absolute Change From Day 28 in ppFEV1 at Day 56
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Assessment method [6]
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FEV1 and ppFEV1 are defined in Outcome Measure 6.
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Timepoint [6]
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Cohort 2 and 3: Day 28, Day 56
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Secondary outcome [7]
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Cohort 2 and 3: Relative Change From Day 28 in ppFEV1 at Day 56
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Assessment method [7]
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FEV1 and ppFEV1 are defined in Outcome Measure 6.
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Timepoint [7]
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Cohort 2 and 3: Day 28, Day 56
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Secondary outcome [8]
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Cohort 2 and 3: Absolute Change From Baseline in ppFEV1 at Day 28 and 56
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Assessment method [8]
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FEV1 and ppFEV1 are defined in Outcome Measure 6.
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Timepoint [8]
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Cohort 2 and 3: Baseline, Day 28 and 56
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Secondary outcome [9]
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Cohort 2 and 3: Relative Change From Baseline in FEV1 at Day 28 and 56
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Assessment method [9]
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FEV1 and ppFEV1 are defined in Outcome Measure 6.
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Timepoint [9]
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Cohort 2 and 3: Baseline, Day 28 and 56
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Secondary outcome [10]
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Cohort 4: Relative Change From Baseline in Percent Predicted FEV1 at Day 56
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Assessment method [10]
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FEV1 and ppFEV1 are defined in Outcome Measure 6.
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Timepoint [10]
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Cohort 4: Baseline, Day 56
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Secondary outcome [11]
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Cohort 2 and 3: Absolute Change From Day 28 in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Day 56
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Assessment method [11]
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The CFQ-R is a validated participant-reported outcome measuring health-related quality of life for subjects with cystic fibrosis. Respiratory domain assessed respiratory symptoms (for example, coughing, congestion, wheezing), score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life.
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Timepoint [11]
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Cohort 2 and 3: Day 28, Day 56
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Secondary outcome [12]
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Cohort 4: Absolute Change From Baseline in CFQ-R Respiratory Domain Score at Day 56
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Assessment method [12]
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CFQ-R respiratory domain is defined in Outcome Measure 17.
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Timepoint [12]
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Cohort 4: Baseline, Day 56
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Secondary outcome [13]
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Cohort 4: Absolute Change From Baseline in Body Mass Index (BMI) at Day 56
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Assessment method [13]
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BMI was defined as weight in kilogram (kg) divided by height\*height in square meter (m\^2).
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Timepoint [13]
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Cohort 4: Baseline, Day 56
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Secondary outcome [14]
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Cohort 4: Absolute Change From Baseline in Weight at Day 56
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Assessment method [14]
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Timepoint [14]
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Cohort 4: Baseline, Day 56
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Eligibility
Key inclusion criteria
* Male or female participants with confirmed diagnosis of CF
* Must have the F508del-CFTR mutation on at least 1 allele.
* FEV1 greater than equal (>=) 40% of predicted normal for age, gender, and height (Knudson standards)(Cohort 1, 2, and 3); FEV1 40-90% of predicted normal for age, gender, and height (Hankinson standards (Cohort 4)
* Participant of child-bearing potential and who are sexually active must meet the contraception requirements
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Minimum age
18
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 any illness or condition that, in the opinion of the investigator might confound the results of the study or pose an additional risk in administering study drug to the participant (e.g., cirrhosis with portal hypertension).
* An acute illness including acute upper or lower respiratory infection, pulmonary exacerbation or changes in therapy (including antibiotics) for pulmonary disease within 14 days (Cohort 1, 2, and 3) or 28 days (Cohort 4) before receiving the first dose of study drug.
* History of solid organ or hematological transplantation.
* History of alcohol abuse or drug addiction in the past year, including cannabis, cocaine, and opiates.
* Ongoing participation in another therapeutic clinical study, or prior participation in an investigational drug study without appropriate washout
* Pregnant or nursing females; females of childbearing potential who are unwilling or unable to use an acceptable method of non-hormonal contraception
* Participants enrolled in Cohort 1 or Cohort 2 will not be eligible for Cohort 3
* Ongoing or prior participation in an investigational drug study within 30 days of the Screening Visit
* Heterozygous participants who participated in Cohort 2 and meet the eligibility criteria for Cohort 4 may participate in Cohort 4
* Evidence of lens opacity or cataract as determined by the ophthalmologic examination (Cohort 4 only)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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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
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people analysing the results/data
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Intervention assignment
Factorial
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Other design features
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Phase
Phase 2
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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
1/10/2010
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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
1/04/2014
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Sample size
Target
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Accrual to date
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Final
312
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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- Adelaide
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- Brisbane
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- Chermside
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- Nedlands
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- Parkville Victoria
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- Westmead
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- Adelaide
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- Brisbane
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- Chermside
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- Nedlands
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- Parkville Victoria
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- Westmead
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Recruitment outside Australia
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United States of America
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Alabama
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Alaska
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Koeln
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Auckland
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Vertex Pharmaceuticals Incorporated
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Ethics approval
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Summary
Brief summary
The purpose of this study is to evaluate of the safety, efficacy, pharmacokinetics (PK) and pharmacodynamic (PD) effects of lumacaftor (VX-809) alone and when coadministered with ivacaftor (VX-770) in participants with cystic fibrosis, homozygous or heterozygous for the F508del-CFTR mutation.
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Trial website
https://clinicaltrials.gov/study/NCT01225211
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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. Rowe SM, McColley SA, Rietschel E, Li X, Bell SC, Konstan MW, Marigowda G, Waltz D, Boyle MP; VX09-809-102 Study Group. Lumacaftor/Ivacaftor Treatment of Patients with Cystic Fibrosis Heterozygous for F508del-CFTR. Ann Am Thorac Soc. 2017 Feb;14(2):213-219. doi: 10.1513/AnnalsATS.201609-689OC. Boyle MP, Bell SC, Konstan MW, McColley SA, Rowe SM, Rietschel E, Huang X, Waltz D, Patel NR, Rodman D; VX09-809-102 study group. A CFTR corrector (lumacaftor) and a CFTR potentiator (ivacaftor) for treatment of patients with cystic fibrosis who have a phe508del CFTR mutation: a phase 2 randomised controlled trial. Lancet Respir Med. 2014 Jul;2(7):527-38. doi: 10.1016/S2213-2600(14)70132-8. Epub 2014 Jun 24.
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Public notes
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Contacts
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01225211
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