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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02392234
Registration number
NCT02392234
Ethics application status
Date submitted
12/03/2015
Date registered
18/03/2015
Date last updated
12/06/2018
Titles & IDs
Public title
A Phase 3 Study to Evaluate the Efficacy and Safety of Ivacaftor and VX-661 in Combination With Ivacaftor in Subjects Aged 12 Years and Older With Cystic Fibrosis, Heterozygous for the F508del-cystic Fibrosis Transmembrane Conductance Regulator (CFTR) Mutation
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Scientific title
A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Crossover Study to Evaluate the Efficacy and Safety of Ivacaftor and VX-661 in Combination With Ivacaftor in Subjects Aged 12 Years and Older With Cystic Fibrosis, Heterozygous for the F508del-CFTR Mutation, and a Second Allele With a CFTR Mutation Predicted to Have Residual Function
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Secondary ID [1]
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2014-004788-18
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Secondary ID [2]
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VX14-661-108
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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 - VX-661/Ivacaftor
Treatment: Drugs - Ivacaftor
Treatment: Drugs - Placebo matched to VX-661/ ivacaftor
Treatment: Drugs - Placebo matched to Ivacaftor
Experimental: VX-661/Ivacaftor combination -
Experimental: Ivacaftor monotherapy -
Placebo comparator: Placebo -
Treatment: Drugs: VX-661/Ivacaftor
Fixed dose combination tablet, oral use
Treatment: Drugs: Ivacaftor
Tablet, oral use
Treatment: Drugs: Placebo matched to VX-661/ ivacaftor
Fixed dose combination tablet, oral use
Treatment: Drugs: Placebo matched to Ivacaftor
Tablet, oral use
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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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Absolute Change From Study Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Average of Week 4 and Week 8
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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.
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Timepoint [1]
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Baseline, Week 4 and Week 8 of each treatment period
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Secondary outcome [1]
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Absolute Change From Study Baseline in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Average of Week 4 and Week 8
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Assessment method [1]
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The CFQ-R assessed respiratory symptoms on a scale with scores ranging from 0 to 100; where higher scores indicated fewer symptoms and better health-related quality of life.
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Timepoint [1]
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Baseline, Week 4 and Week 8 of each treatment period
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Secondary outcome [2]
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Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
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Assessment method [2]
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Day 1 up to Week 28
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Secondary outcome [3]
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Relative Change From Study Baseline in ppFEV1 at Average of Week 4 and Week 8
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Assessment method [3]
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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 [3]
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Baseline, Week 4 and Week 8 of each treatment period
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Secondary outcome [4]
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Absolute Change From Study Baseline in Sweat Chloride at Average of Week 4 and Week 8
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Assessment method [4]
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Secondary outcome [5]
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Trough Plasma Concentrations (Ctrough) of VX-661, VX-661 Metabolites (M1 VX-661), IVA and IVA Metabolite (M1 IVA) After Administration of VX-661/IVA Combination Therapy
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Assessment method [5]
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Pre-morning dose on Week 8 of each treatment period
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Secondary outcome [6]
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Ctrough of IVA and IVA Metabolite (M1 IVA) After Administration of IVA Monotherapy
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Assessment method [6]
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Pre-morning dose on Week 8 of each treatment period
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Eligibility
Key inclusion criteria
* Heterozygous for F508del-CFTR and a second allele with a CFTR mutation predicted to have residual function
* Forced Expiratory Volume in 1 Second (FEV1) greater than or equal to (=) 40 percent (%) and less than or equal to (=) 90% of predicted normal for age, sex, and height during screening
* Sweat chloride value =60 millimole per liter (mmol/L) during screening OR as documented in the participant's medical record
* Stable CF disease as judged by the investigator
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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
* History of any comorbidity 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
* An acute upper or lower respiratory infection, pulmonary exacerbation
* History of solid organ or hematological transplantation
* Ongoing or prior participation in an investigational drug study (including studies investigating VX-661, lumacaftor [VX-809], and/or ivacaftor) within 30 days of screening
* Pregnant and nursing females
* Sexually active participants of reproductive potential who are not willing to follow the contraception requirements
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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
Crossover
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Other design features
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Phase
Phase 3
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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
1/03/2015
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Date of last participant enrolment
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Actual
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Date of last data collection
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Actual
1/02/2017
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Sample size
Target
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Accrual to date
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Final
248
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Recruitment in Australia
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- Adelaide
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- South Brisbane
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- Westmead
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- South Brisbane
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- Westmead
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Recruitment outside Australia
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Funding & Sponsors
Primary sponsor type
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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 the efficacy and safety of VX-661 in combination with ivacaftor (IVA, VX-770) and IVA monotherapy in participants with Cystic Fibrosis (CF) who are heterozygous for F508del-CFTR allele and a second allele with a CFTR mutation predicted to have residual function.
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Trial website
https://clinicaltrials.gov/study/NCT02392234
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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, Daines C, Ringshausen FC, Kerem E, Wilson J, Tullis E, Nair N, Simard C, Han L, Ingenito EP, McKee C, Lekstrom-Himes J, Davies JC. Tezacaftor-Ivacaftor in Residual-Function Heterozygotes with Cystic Fibrosis. N Engl J Med. 2017 Nov 23;377(21):2024-2035. doi: 10.1056/NEJMoa1709847. Epub 2017 Nov 3.
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Public notes
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Contacts
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/34/NCT02392234/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/34/NCT02392234/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/NCT02392234
Download to PDF