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Cystic FibrosisPhase 2NCT00457821

Safety Study of Ivacaftor in Subjects With Cystic Fibrosis

A Phase 2 study testing Ivacaftor 25 mg/75 mg, Ivacaftor 75 mg/150 mg and Ivacaftor 150 mg or 250 mg in people with Cystic Fibrosis, run by Vertex Pharmaceuticals Incorporated at 15 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study was to evaluate the safety and tolerability of ivacaftor in patients with cystic fibrosis (CF) who were aged 18 years or older and have a G551D mutation in the cystic fibrosis transmembrane conductance regulator (CFTR) gene. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cystic Fibrosis
What is being tested?
Ivacaftor 25 mg/75 mg, Ivacaftor 75 mg/150 mg and Ivacaftor 150 mg or 250 mg
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
39 participants
Where
15 sitesin 3 countries
Study dates
May 2007to Aug 2008
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Weighing at least 40 kg
  • Confirmed diagnosis of cystic fibrosis (CF) and G551D mutation in at least 1 allele
  • Forced expiratory volume in 1 second (FEV1) of at least 40% of predicted normal for age, gender, and height
  • Willing to remain on stable medication regimen for the duration of study participation
  • No significant clinical laboratory abnormalities, not pregnant, and willing to use at least 2 highly effective birth control methods during Part 1 and 1 highly effective birth control method during Part 2 of the study
  • No clinically significant abnormalities that would have interfered with the study assessments, as judged by the investigator

Who cannot join

  • History of any illness or condition that might confound the results of the study or pose an additional risk in administering study drug to the subject
  • Ongoing acute respiratory infection, pulmonary exacerbation, or changes in therapy for pulmonary disease within 14 days of Day 1 of the study
  • History of alcohol, medication or illicit drug abuse within one year prior to Day 1
  • Abnormal liver function ≥ 3x the upper limit of normal
  • History of abnormal renal function (creatinine clearance < 50 mL/min using Cockcroft-Gault equation)
  • History of solid organ or hematological transplantation
Show all 9Show fewer
  • Pregnant or breast-feeding (for women)
  • Ongoing participation in another therapeutic clinical trial, or prior participation in an investigational drug study without appropriate washout
  • Concomitant use of any inhibitors or inducers of cytochrome P450 3A4 (CYP3A4)

Trial locations and contacts

15 sites in 3 countries.

15 sites in 3 countries

United States13 sites
  • The Children's Hospital

    Aurora, Colorado, 80045

  • Johns Hopkins Hospital

    Baltimore, Maryland, 21287

  • University of Alabama Hospital

    Birmingham, Alabama, 35211

  • Pulmonary and Critical Care Medicine, Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Children's Hospital of Boston

    Boston, Massachusetts, 02215

  • Cystic Fibrosis Pulmonary Research and Treatment Center, University of North Carolina at Chapel Hill

    Chapel Hill, North Carolina, 27599

  • Rainbow Babies and Children's Hospital

    Cleveland, Ohio, 44106

  • Roy J. and Lucille A. Carver College of Medicine, The University of Iowa

    Iowa City, Iowa, 52242-1083

  • Division of Pulmonary, Allergy and Critical Care Medicine, University of Minnesota

    Minneapolis, Minnesota, 55455

  • Stanford University Medical Center

    Palo Alto, California, 34304

  • The Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104-4399

  • University of Pittsburgh

    Pittsburgh, Pennsylvania, 15213

  • Pulmonary Critical Care, University of Washington

    Seattle, Washington, 98195

Other trials in United States

Canada1 site
  • Division of Gastroenterology, Hepatology and Nutrition, The Hospital for Sick Children

    Toronto, Ontario, M5G 1X8

Other trials in Canada

Germany1 site
  • CF Clinic, Pediatric Pulmonology and Neonatology, Medical School of Hannover

    Straße, Hannover, D-30625

Other trials in Germany

About this study

Official title: A Phase 2a, Randomized, Double-Blind, Placebo-Controlled Study of VX-770 to Evaluate Safety, Pharmacokinetics, and Biomarkers of CFTR Activity in Cystic Fibrosis (CF) Subjects With Genotype G551D

The purpose of this study was to evaluate the safety and tolerability of ivacaftor in patients with cystic fibrosis (CF) who were aged 18 years or older and have a G551D mutation in the cystic fibrosis transmembrane conductance regulator (CFTR) gene. Ivacaftor is a potent and selective CFTR potentiator of wild-type, G551D, F508del, and R117H forms of human CFTR protein. Potentiators are pharmacological agents that increase the chloride ion transport properties of the channel in the presence of cyclic AMP-dependent protein kinase A (PKA) activation.

Read the detailed description

This was a double-blind, placebo-controlled, cross-over, multiple dose study of up to 28 days of dosing, in subjects with cystic fibrosis (CF) who have a G551D-CTFR gene mutation. Enrollment of 39 subjects occurred at 15 centers in the US, Canada, and Germany.

The study was conducted in 2 parts:

  • Part 1 consisted of Group A and Group B. Subjects in Group A (10 subjects) were randomized to receive 25 mg of ivacaftor every 12 hours [q12h] (4 subjects), 75 mg of ivacaftor q12h (4 subjects), or placebo (2 subjects) for 14 days. Following a 7- to 28-day washout period, subjects who received active study drug crossed over to the alternate dose strength of ivacaftor for an additional 14 days. Placebo subjects continued to receive placebo for an additional 14 days. Subjects in Group B (10 subjects) were randomized to receive 75 mg of ivacaftor q12h (4 subjects), 150 mg of ivacaftor q12h (4 subjects), or placebo (2 subjects) for 14 days. Following a 7- to 28-day washout period, the subjects who received active study drug crossed over to the alternate dose strength of ivacaftor for an additional 14 days. Placebo subjects continued to receive placebo for an additional 14 days.
  • Part 2 consisted of Group C; these subjects did not participate in Part 1. Subjects were randomized to receive 150 mg of ivacaftor q12h (7 subjects), 250 mg of ivacaftor q12h (7 subjects), or placebo (4 subjects) for a total of 28 days. Ivacaftor doses studied in Part 2 were selected following an interim pharmacokinetic/pharmacodynamic (PK/PD) and statistical analyses of data from Part 1. The 2 doses selected for Part 2 were anticipated to enable better definition of the optimal therapeutic dose.
Conditions
Cystic Fibrosis
Being tested
Ivacaftor 25 mg/75 mg, Ivacaftor 75 mg/150 mg, Ivacaftor 150 mg or 250 mg, Placebo
Keywords
G551D mutation, Fibrosis, Pancreatic Diseases, Digestive System Diseases, Lung Diseases, Respiratory Tract Diseases, Genetic Diseases, Inborn, Infant, Newborn, Diseases, Pathologic Processes
Medical subject headings
Cystic Fibrosis, Fibrosis, Pancreatic Diseases, Digestive System Diseases, Lung Diseases, Respiratory Tract Diseases, Genetic Diseases, Inborn, Infant, Newborn, Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Ivacaftor 25 mg/75 mgDrug

    Also called VX-770

    25 mg or 75 mg q12h for a total of 28 days (Part 1)

  • Ivacaftor 75 mg/150 mgDrug

    Also called VX-770

    75 mg or 150 mg q12h for a total of 28 days (Part 1)

  • Ivacaftor 150 mg or 250 mgDrug

    Also called VX-770

    150 mg or 250 mg of ivacaftor q12h for 28 days (Part 2)

  • PlaceboDrug

    Given q12h for 28 days each in Part 1 and Part 2 of the study

Study groups in NCT00457821
Study groupRoleWhat they receive
Ivacaftor Group AExperimentalSubjects in Part 1 who first received 25 mg or 75 mg of ivacaftor every 12 hours (q12h) for 14 days, then crossed over to receive the alternate dose for another 14 days.
Receives: Drug: Ivacaftor 25 mg/75 mg
Ivacaftor Group BExperimentalSubjects in Part 1 who first received 75 mg or 150 mg of ivacaftor q12h for 14 days then crossed over to receive the alternate dose for another 14 days.
Receives: Drug: Ivacaftor 75 mg/150 mg
Ivacaftor Group CExperimentalSubjects in Part 2 who received 150 mg or 250 mg of ivacaftor q12h for 28 days.
Receives: Drug: Ivacaftor 150 mg or 250 mg
PlaceboPlacebo comparatorSubjects who received placebo in Part 1 and subjects who received placebo in Part 2.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Subjects With Adverse Events (Combined Part 1 and Part 2)

    Adverse event data were collected up to the follow-up visit (5 to 9 days after last dose of study drug). Serious adverse events that were ongoing at the follow-up visit were followed until the event resolved, returned to baseline, or was determined to be a stable or chronic condition.

    Measured: Baseline to Follow-up

  2. Number of Adverse Events (Combined Part 1 and Part 2)

    Adverse event data were collected up to the follow-up visit (5 to 9 days after last dose of study drug). Serious adverse events that were ongoing at the follow-up visit were followed until the event resolved, returned to baseline, or was determined to be a stable or chronic condition.

    Measured: Baseline to Follow-up

Secondary outcomes (4)
  1. Change From Baseline in Nasal Potential Difference (Combined Part 1 and Part 2)

    The transepithelial nasal potential difference (NPD) is a direct measure of transepithelial ion transport. NPD under conditions of zero chloride concentration perfusion solution in the presence of isoproterenol was of primary interest.

    Measured: 14 days and 28 days

  2. Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second [FEV1] (Combined Part 1 and Part 2)

    Spirometry is a standardized assessment to evaluate lung function that is the most widely used endpoint in cystic fibrosis studies.

    Relative change reflects the percent change from the baseline values [100% * (X-Y)/Y], where X and Y are post-baseline and baseline values, respectively.

    Measured: 14 days and 28 days

  3. Change From Baseline in the Cystic Fibrosis Questionnaire-Revised (CFQ-R) Score (Part 2 Only)(Respiratory Domain Score)

    The CFQ-R is a health-related quality of life measure for subjects with cystic fibrosis. Each domain is scored from 0 (worst) to 100 (best). A difference of at least 4 points in the respiratory domain score of the CFQ-R is considered a minimal clinically important difference (MCID).

    Measured: 14 days and 28 days

  4. Change From Baseline in Maximum Sweat Chloride Concentration (Combined Part 1 and Part 2)

    The sweat chloride (quantitative pilocarpine iontophoresis) test is a standard diagnostic tool for cystic fibrosis (CF), serving as an indicator of cystic fibrosis transmembrane conductance regulator (CFTR) activity.

    Measured: 14 days and 28 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Apr 2007 (estimated)
  2. Study startMay 2007
  3. Primary completionAug 2008
  4. Study completionAug 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
39 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00457821
Sponsor's protocol ID
VX06-770-101
Status last verified
Oct 2012
First submitted
5 Apr 2007
Last updated
5 Oct 2012
Data monitoring committee
Yes

Publications

  • Accurso FJ, Rowe SM, Clancy JP, Boyle MP, Dunitz JM, Durie PR, Sagel SD, Hornick DB, Konstan MW, Donaldson SH, Moss RB, Pilewski JM, Rubenstein RC, Uluer AZ, Aitken ML, Freedman SD, Rose LM, Mayer-Hamblett N, Dong Q, Zha J, Stone AJ, Olson ER, Ordonez CL, Campbell PW, Ashlock MA, Ramsey BW. Effect of VX-770 in persons with cystic fibrosis and the G551D-CFTR mutation. N Engl J Med. 2010 Nov 18;363(21):1991-2003. doi: 10.1056/NEJMoa0909825.

    PubMed 21083385
  • Accurso FJ, Van Goor F, Zha J, Stone AJ, Dong Q, Ordonez CL, Rowe SM, Clancy JP, Konstan MW, Hoch HE, Heltshe SL, Ramsey BW, Campbell PW, Ashlock MA. Sweat chloride as a biomarker of CFTR activity: proof of concept and ivacaftor clinical trial data. J Cyst Fibros. 2014 Mar;13(2):139-47. doi: 10.1016/j.jcf.2013.09.007.

    PubMed 24660233

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Ivacaftor 25 mg/75 mg, Ivacaftor 75 mg/150 mg and Ivacaftor 150 mg or 250 mg in people with Cystic Fibrosis, run by Vertex Pharmaceuticals Incorporated at 15 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Oct 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in United States, Canada, Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 5 Oct 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Subjects With Adverse Events (Combined Part 1 and Part 2) (time frame: Baseline to Follow-up). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00457821, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Oct 2012.

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