Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
MY TRIALS
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Register a trial
The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02139306
Registration number
NCT02139306
Ethics application status
Date submitted
13/05/2014
Date registered
15/05/2014
Titles & IDs
Public title
Study of Ataluren in Nonsense Mutation Cystic Fibrosis (ACT CF)
Query!
Scientific title
A Phase 3 Efficacy and Safety Study of Ataluren (PTC124®) in Patients With Nonsense Mutation Cystic Fibrosis
Query!
Secondary ID [1]
0
0
2013-004581-34
Query!
Secondary ID [2]
0
0
PTC124-GD-021-CF
Query!
Universal Trial Number (UTN)
Query!
Trial acronym
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Cystic Fibrosis
0
0
Query!
Condition category
Condition code
Human Genetics and Inherited Disorders
0
0
0
0
Query!
Cystic fibrosis
Query!
Respiratory
0
0
0
0
Query!
Other respiratory disorders / diseases
Query!
Oral and Gastrointestinal
0
0
0
0
Query!
Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
Query!
Inflammatory and Immune System
0
0
0
0
Query!
Connective tissue diseases
Query!
Inflammatory and Immune System
0
0
0
0
Query!
Other inflammatory or immune system disorders
Query!
Intervention/exposure
Study type
Interventional
Query!
Description of intervention(s) / exposure
Treatment: Drugs - Ataluren (PTC124®)
Treatment: Drugs - Placebo
Experimental: Ataluren (PTC124®) - Participants received ataluren as oral powder for suspension at the dosages of 10, 10, and 20-mg/kg at morning, midday and evening, respectively for 48 weeks of treatment duration or until treatment discontinuation.
Placebo comparator: Placebo - Participants received matching placebo orally at morning, midday and evening for 48 weeks of treatment duration or until treatment discontinuation.
Treatment: Drugs: Ataluren (PTC124®)
Oral Ataluren TID
Treatment: Drugs: Placebo
Oral Placebo TID
Query!
Intervention code [1]
0
0
Treatment: Drugs
Query!
Comparator / control treatment
Query!
Control group
Query!
Outcomes
Primary outcome [1]
0
0
Absolute Change From Baseline in Percent-predicted Forced Expiratory Volume in One Second (ppFEV1) at Week 48
Query!
Assessment method [1]
0
0
The FEV1 is the volume of air forcibly exhaled in one second and is measured using forced expiratory air spirometry. Change in ppFEV1 at Week 48 was defined as the average between the change from baseline at Week 40 and that at Week 48. Baseline for ppFEV1 was defined as an average of ppFEV1 at Screening (Weeks -4 to -1) and Baseline (Day 1) visits.
Query!
Timepoint [1]
0
0
From Baseline to Week 48
Query!
Secondary outcome [1]
0
0
48-week Rate of Pulmonary Exacerbations
Query!
Assessment method [1]
0
0
Pulmonary exacerbations were assessed using expanded Fuchs criteria. The expanded Fuchs exacerbation is defined as the presence of at least 4 of 12 Fuchs' signs and symptoms requiring treatment with any form of antibiotic treatment (inhaled, oral, or intravenous). Fuchs' signs and symptoms included increased cough; change in sputum volume, color, or consistency; new or increased hemoptysis; increased dyspnea during moderate or mild exertion, or at rest; sinus pain or tenderness; change in sinus discharge; malaise, fatigue, or lethargy; anorexia or weight loss; temperature above 38 degrees Celsius; change in findings on chest examination; relative 10% decrease in ppFEV1, and chest radiography results consistent with pulmonary infection. The 48-week rate was calculated as: 48-week rate = total number of events /treatment duration by week\*48.
Query!
Timepoint [1]
0
0
Week 48
Query!
Secondary outcome [2]
0
0
Change From Baseline in the Cystic Fibrosis Questionnaire - Revised (CFQ-R) Respiratory Domain at Week 48
Query!
Assessment method [2]
0
0
The teen/adult CFQ-R was used for this study. It was developed specifically for participants with cystic fibrosis. It is a disease-specific instrument designed to measure impact on overall health, daily life, perceived well-being, and symptoms. The respiratory domain assessed respiratory symptoms like coughing, congestion, wheezing etc. Scaling of each item is done via 4-point Likert scales. Scores for each item are summed up to generate a domain score. Scores ranges from 0 to 100, with higher scores indicating better health and lower scores indicating worse health.
Query!
Timepoint [2]
0
0
Baseline (Day 1) and Week 48
Query!
Secondary outcome [3]
0
0
Change From Baseline in Body Mass Index (BMI) at Week 48
Query!
Assessment method [3]
0
0
Malnutrition is common in participants with cystic fibrosis. The BMI is an important clinical measure of nutritional status.
Query!
Timepoint [3]
0
0
Baseline (Day 1) and Week 48
Query!
Secondary outcome [4]
0
0
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (SAEs)
Query!
Assessment method [4]
0
0
An adverse event (AE) is any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study treatment, whether or not considered related to the study treatment. A TEAE is defined as an AE that occurs or worsens in the period extending from first dose of study drug to 4 weeks after last dose of study drug. An SAE is an untoward medical occurrence or effect associated with the use of a study drug at any dose, regardless of whether it is considered to be related to the study drug, which results in one of the following: death; inpatient hospitalization or prolongation of existing hospitalization; life threatening adverse event; persistent or significant disability or incapacity or substantial disruption of the ability to conduct normal life functions; any other medically important event; or a pregnancy resulting in spontaneous abortion, stillbirth, neonatal death, or congenital anomaly.
Query!
Timepoint [4]
0
0
From study drug administration to 4-week post treatment follow-up visit (approximately 52 weeks)
Query!
Secondary outcome [5]
0
0
Number of Participants With TEAEs by Severity and Relationship to Study Drugs
Query!
Assessment method [5]
0
0
The relationship of TEAEs to the study drugs were assessed as: probable related, possibly related, unlikely related, and unrelated. The severity of TEAEs were graded using the Common Terminology Criteria for Adverse Events, Version 3.0 as: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe), Grade 4 (life threatening), or Grade 5 (fatal).
Query!
Timepoint [5]
0
0
From study drug administration to 4-week post treatment follow-up visit (approximately 52 weeks)
Query!
Secondary outcome [6]
0
0
Number of Participants With SAEs by Severity and Relationship to Study Drugs
Query!
Assessment method [6]
0
0
The relationship of SAEs to the study drugs were assessed as: probable related, possibly related, unlikely related, and unrelated. The severity of SAEs were graded using the Common Terminology Criteria for Adverse Events, Version 3.0 as: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe), Grade 4 (life threatening), or Grade 5 (fatal).
Query!
Timepoint [6]
0
0
From study drug administration to 4-week post treatment follow-up visit (approximately 52 weeks)
Query!
Secondary outcome [7]
0
0
Number of Participants With Abnormal Vital Signs Reported as TEAEs
Query!
Assessment method [7]
0
0
Vital signs included systolic and diastolic blood pressure, pulse rate, pulse oximetry, and body temperature. Participants with abnormal vital signs who required clinical intervention or further investigation (beyond ordering a repeat \[confirmatory\] test) unless they are associated with an already reported clinical event are reported.
Query!
Timepoint [7]
0
0
From study drug administration to 4-week post treatment follow-up visit (approximately 52 weeks)
Query!
Secondary outcome [8]
0
0
Number of Participants With Abnormal Clinical Laboratory Parameters Reported as TEAEs
Query!
Assessment method [8]
0
0
Clinical laboratory tests included haematology, biochemistry, and urinalysis. Participants with abnormal laboratory parameters who required clinical intervention or further investigation (beyond ordering a repeat \[confirmatory\] test) unless they are associated with an already reported clinical event are reported.
Query!
Timepoint [8]
0
0
From study drug administration to 4-week post treatment follow-up visit (approximately 52 weeks)
Query!
Secondary outcome [9]
0
0
Number of Participants With Abnormal Electrocardiogram Reported as TEAEs
Query!
Assessment method [9]
0
0
Participants with abnormal electrocardiogram who required clinical intervention or further investigation (beyond ordering a repeat \[confirmatory\] test) unless they are associated with an already reported clinical event are reported.
Query!
Timepoint [9]
0
0
From study drug administration to 4-week post treatment follow-up visit (approximately 52 weeks)
Query!
Eligibility
Key inclusion criteria
* Evidence of signed and dated informed consent/assent document(s) indicating that the subject (and/or his parent/legal guardian) has been informed of all pertinent aspects of the trial
* Age >=6 years.
* Body weight >=16 kg.
* Sweat chloride >60 milliequivalent per liter (mEq/L)
* Documentation of the presence of a nonsense mutation in at least 1 allele of the cystic fibrosis transmembrane conductance regulator (CFTR) gene, as determined by genotyping performed at a laboratory certified by the College of American Pathologists (CAP), or under the Clinical Laboratory Improvement Act/Amendment (CLIA), or by an equivalent organization
* Verification that a blood sample has been drawn for sequencing of the CFTR gene
* Ability to perform a valid, reproducible spirometry test using the study-specific spirometer with demonstration of an FEV1 >=40% and <=90% of predicted
* Demonstration at Visit 2 of a valid %-predicted FEV1 within 15% of the Screening % predicted FEV1 value
* Resting oxygen saturation (as measured by pulse oximetry) >=92% on room air.
* Confirmed screening laboratory values within pre-specified ranges
* In subjects who are sexually active, willingness to abstain from sexual intercourse or employ a barrier or medical method of contraception during the study drug administration and 60-day follow-up period
* Willingness and ability to comply with all study procedures and assessments, including scheduled visits, drug administration plan, study procedures, laboratory tests, and study restrictions
Query!
Minimum age
6
Years
Query!
Query!
Maximum age
No limit
Query!
Query!
Sex
Both males and females
Query!
Can healthy volunteers participate?
No
Query!
Key exclusion criteria
* Known hypersensitivity to any of the ingredients or excipients of the study drug
* Previous participation in the Phase 3 trial of ataluren (PTC124-GD-009-CF).
* Any change (initiation, change in type of drug, dose modification, schedule modification, interruption, discontinuation, or re-initiation) in a chronic treatment/prophylaxis regimen for Cystic Fibrosis (CF) or for CF-related conditions within 4 weeks prior to screening
* Chronic use of inhaled aminoglycosides (eg, tobramycin) or use of inhaled aminoglycosides within 4 weeks prior to screening.
* Exposure to another investigational drug within 4 weeks prior to screening
* Ongoing participation in any other therapeutic clinical trial
* Evidence of pulmonary exacerbation or acute upper or lower respiratory tract infection (including viral illnesses) within 3 weeks prior to screening
* Treatment with intravenous antibiotics within 3 weeks prior to screening
* Ongoing immunosuppressive therapy (other than corticosteroids)
* Ongoing warfarin, phenytoin, or tolbutamide therapy
* History of solid organ or hematological transplantation
* Major complications of lung disease (including massive hemoptysis, pneumothorax, or pleural effusion) within 8 weeks prior to screening
* Known portal hypertension
* Positive hepatitis B surface antigen, hepatitis C antibody test, or human immunodeficiency virus (HIV) test
* Pregnancy or breast-feeding
* Current smoker or a smoking history of >=10 pack-years (number of cigarette packs/day x number of years smoked).
* Prior or ongoing medical condition (eg, concomitant illness, alcoholism, drug abuse, psychiatric condition), medical history, physical findings, electrocardiogram (ECG) findings, or laboratory abnormality that, in the investigator's opinion, could adversely affect the safety of the subject, makes it unlikely that the course of treatment or follow-up would be completed, or could impair the assessment of study results
Query!
Study design
Purpose of the study
Treatment
Query!
Allocation to intervention
Randomised controlled trial
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Query!
Masking / blinding
Blinded (masking used)
Query!
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Query!
Query!
Query!
Query!
Intervention assignment
Parallel
Query!
Other design features
Query!
Phase
Phase 3
Query!
Type of endpoint/s
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Completed
Query!
Data analysis
Query!
Reason for early stopping/withdrawal
Query!
Other reasons
Query!
Date of first participant enrolment
Anticipated
Query!
Actual
1/08/2014
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
Query!
Date of last data collection
Anticipated
Query!
Actual
1/11/2016
Query!
Sample size
Target
Query!
Accrual to date
Query!
Final
279
Query!
Recruitment in Australia
Recruitment state(s)
Query!
Recruitment hospital [1]
0
0
Royal Adelaide Hospital - Adelaide
Query!
Recruitment hospital [2]
0
0
Prince Charles Hospital - Chermside
Query!
Recruitment hospital [3]
0
0
Princess Margaret Hospital - Perth
Query!
Recruitment postcode(s) [1]
0
0
5000 - Adelaide
Query!
Recruitment postcode(s) [2]
0
0
4032 - Chermside
Query!
Recruitment postcode(s) [3]
0
0
6840 - Perth
Query!
Recruitment outside Australia
Country [1]
0
0
United States of America
Query!
State/province [1]
0
0
Alabama
Query!
Country [2]
0
0
United States of America
Query!
State/province [2]
0
0
California
Query!
Country [3]
0
0
United States of America
Query!
State/province [3]
0
0
Colorado
Query!
Country [4]
0
0
United States of America
Query!
State/province [4]
0
0
Florida
Query!
Country [5]
0
0
United States of America
Query!
State/province [5]
0
0
Illinois
Query!
Country [6]
0
0
United States of America
Query!
State/province [6]
0
0
Indiana
Query!
Country [7]
0
0
United States of America
Query!
State/province [7]
0
0
Massachusetts
Query!
Country [8]
0
0
United States of America
Query!
State/province [8]
0
0
Missouri
Query!
Country [9]
0
0
United States of America
Query!
State/province [9]
0
0
New Jersey
Query!
Country [10]
0
0
United States of America
Query!
State/province [10]
0
0
New York
Query!
Country [11]
0
0
United States of America
Query!
State/province [11]
0
0
Ohio
Query!
Country [12]
0
0
United States of America
Query!
State/province [12]
0
0
Oklahoma
Query!
Country [13]
0
0
United States of America
Query!
State/province [13]
0
0
Pennsylvania
Query!
Country [14]
0
0
United States of America
Query!
State/province [14]
0
0
Texas
Query!
Country [15]
0
0
United States of America
Query!
State/province [15]
0
0
Wisconsin
Query!
Country [16]
0
0
Argentina
Query!
State/province [16]
0
0
Buenos Aires
Query!
Country [17]
0
0
Argentina
Query!
State/province [17]
0
0
La Plata
Query!
Country [18]
0
0
Belgium
Query!
State/province [18]
0
0
Brussels
Query!
Country [19]
0
0
Belgium
Query!
State/province [19]
0
0
Bruxelles
Query!
Country [20]
0
0
Belgium
Query!
State/province [20]
0
0
Leuven
Query!
Country [21]
0
0
Brazil
Query!
State/province [21]
0
0
Porto Alegre
Query!
Country [22]
0
0
Brazil
Query!
State/province [22]
0
0
São Paulo
Query!
Country [23]
0
0
Bulgaria
Query!
State/province [23]
0
0
Plovdiv
Query!
Country [24]
0
0
Bulgaria
Query!
State/province [24]
0
0
Sofia
Query!
Country [25]
0
0
Canada
Query!
State/province [25]
0
0
Montreal
Query!
Country [26]
0
0
Canada
Query!
State/province [26]
0
0
Québec City
Query!
Country [27]
0
0
Canada
Query!
State/province [27]
0
0
Toronto
Query!
Country [28]
0
0
Canada
Query!
State/province [28]
0
0
Vancouver
Query!
Country [29]
0
0
France
Query!
State/province [29]
0
0
Bron
Query!
Country [30]
0
0
France
Query!
State/province [30]
0
0
Montpellier
Query!
Country [31]
0
0
France
Query!
State/province [31]
0
0
Paris
Query!
Country [32]
0
0
France
Query!
State/province [32]
0
0
Roscoff
Query!
Country [33]
0
0
France
Query!
State/province [33]
0
0
Saint-Pierre
Query!
Country [34]
0
0
Germany
Query!
State/province [34]
0
0
Berlin
Query!
Country [35]
0
0
Germany
Query!
State/province [35]
0
0
Bochum
Query!
Country [36]
0
0
Germany
Query!
State/province [36]
0
0
Cologne
Query!
Country [37]
0
0
Germany
Query!
State/province [37]
0
0
Frankfurt am Main
Query!
Country [38]
0
0
Germany
Query!
State/province [38]
0
0
Jena
Query!
Country [39]
0
0
Germany
Query!
State/province [39]
0
0
München
Query!
Country [40]
0
0
Greece
Query!
State/province [40]
0
0
Thessaloniki
Query!
Country [41]
0
0
Israel
Query!
State/province [41]
0
0
Haifa
Query!
Country [42]
0
0
Israel
Query!
State/province [42]
0
0
Jerusalem
Query!
Country [43]
0
0
Italy
Query!
State/province [43]
0
0
Ancona
Query!
Country [44]
0
0
Italy
Query!
State/province [44]
0
0
Firenze
Query!
Country [45]
0
0
Italy
Query!
State/province [45]
0
0
Milan
Query!
Country [46]
0
0
Italy
Query!
State/province [46]
0
0
Roma
Query!
Country [47]
0
0
Italy
Query!
State/province [47]
0
0
Rome
Query!
Country [48]
0
0
Italy
Query!
State/province [48]
0
0
Verona
Query!
Country [49]
0
0
Netherlands
Query!
State/province [49]
0
0
Den Haag
Query!
Country [50]
0
0
Netherlands
Query!
State/province [50]
0
0
Nijmegen
Query!
Country [51]
0
0
Netherlands
Query!
State/province [51]
0
0
Rotterdam
Query!
Country [52]
0
0
Poland
Query!
State/province [52]
0
0
Gdansk
Query!
Country [53]
0
0
Poland
Query!
State/province [53]
0
0
Rabka-Zdrój
Query!
Country [54]
0
0
Poland
Query!
State/province [54]
0
0
Rzeszow
Query!
Country [55]
0
0
Poland
Query!
State/province [55]
0
0
Warsaw
Query!
Country [56]
0
0
Spain
Query!
State/province [56]
0
0
Barcelona
Query!
Country [57]
0
0
Spain
Query!
State/province [57]
0
0
Esplugues De Llobregat
Query!
Country [58]
0
0
Spain
Query!
State/province [58]
0
0
Málaga
Query!
Country [59]
0
0
Spain
Query!
State/province [59]
0
0
Sabadell
Query!
Country [60]
0
0
Spain
Query!
State/province [60]
0
0
Sevilla
Query!
Country [61]
0
0
United Kingdom
Query!
State/province [61]
0
0
Birmingham
Query!
Country [62]
0
0
United Kingdom
Query!
State/province [62]
0
0
Glasgow
Query!
Country [63]
0
0
United Kingdom
Query!
State/province [63]
0
0
Leeds
Query!
Country [64]
0
0
United Kingdom
Query!
State/province [64]
0
0
London
Query!
Country [65]
0
0
United Kingdom
Query!
State/province [65]
0
0
Penarth
Query!
Country [66]
0
0
United Kingdom
Query!
State/province [66]
0
0
Southampton
Query!
Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Query!
Name
PTC Therapeutics
Query!
Address
Query!
Country
Query!
Other collaborator category [1]
0
0
Other
Query!
Name [1]
0
0
Cystic Fibrosis Foundation
Query!
Address [1]
0
0
Query!
Country [1]
0
0
Query!
Other collaborator category [2]
0
0
Other
Query!
Name [2]
0
0
ECFS-Clinical Trial Network (ECFS-CTN)
Query!
Address [2]
0
0
Query!
Country [2]
0
0
Query!
Ethics approval
Ethics application status
Query!
Summary
Brief summary
This is a Phase 3, international, multicenter, randomized, double-blind, placebo-controlled, efficacy and safety study of ataluren in patients with nonsense mutation cystic fibrosis (nmCF) not receiving chronic inhaled aminoglycosides.
Query!
Trial website
https://clinicaltrials.gov/study/NCT02139306
Query!
Trial related presentations / publications
VanDevanter DR, Hamblett NM, Simon N, McIntosh J, Konstan MW. Evaluating assumptions of definition-based pulmonary exacerbation endpoints in cystic fibrosis clinical trials. J Cyst Fibros. 2021 Jan;20(1):39-45. doi: 10.1016/j.jcf.2020.07.008. Epub 2020 Jul 15. Konstan MW, VanDevanter DR, Rowe SM, Wilschanski M, Kerem E, Sermet-Gaudelus I, DiMango E, Melotti P, McIntosh J, De Boeck K; ACT CF Study Group. Efficacy and safety of ataluren in patients with nonsense-mutation cystic fibrosis not receiving chronic inhaled aminoglycosides: The international, randomized, double-blind, placebo-controlled Ataluren Confirmatory Trial in Cystic Fibrosis (ACT CF). J Cyst Fibros. 2020 Jul;19(4):595-601. doi: 10.1016/j.jcf.2020.01.007. Epub 2020 Jan 23.
Query!
Public notes
Query!
Contacts
Principal investigator
Name
0
0
Joseph McIntosh, MD
Query!
Address
0
0
PTC Therapeutics
Query!
Country
0
0
Query!
Phone
0
0
Query!
Fax
0
0
Query!
Email
0
0
Query!
Contact person for public queries
Name
0
0
Query!
Address
0
0
Query!
Country
0
0
Query!
Phone
0
0
Query!
Fax
0
0
Query!
Email
0
0
Query!
Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
Query!
No/undecided IPD sharing reason/comment
Query!
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 are available at
https://clinicaltrials.gov/study/NCT02139306