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Cystic FibrosisPhase 3STRIVENCT00909532

Study of Ivacaftor in Cystic Fibrosis Subjects Aged 12 Years and Older With the G551D Mutation

A Phase 3 study testing Ivacaftor in people with Cystic Fibrosis, run by Vertex Pharmaceuticals Incorporated at 65 sites in 8 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study was to evaluate the efficacy and safety of ivacaftor in subjects with cystic fibrosis aged 12 years and older who have the G551D mutation in the cystic fibrosis transmembrane conductance regulator (CFTR) gene. Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Cystic Fibrosis
What is being tested?
Ivacaftor
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
167 participants
Where
65 sitesin 8 countries
Study dates
Jun 2009to Nov 2012
Phase
Phase 3
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 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Confirmed diagnosis of cystic fibrosis (CF) and G551D mutation in at least 1 allele
  • Forced expiratory volume in 1 second (FEV1) of 40% to 90% (inclusive) of predicted normal for age, gender, and height at Screening.
  • No clinically significant abnormalities that would have interfered with the study assessments, as judged by the investigator
  • Willing to use highly effective birth control methods during the study

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
  • Acute respiratory infection, pulmonary exacerbation, or changes in therapy for pulmonary disease within 4 weeks 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
  • Abnormal renal function at Screening
  • History of solid organ or hematological transplantation
Show all 10Show fewer
  • Pregnant, planning a pregnancy, breast-feeding, or unwilling to follow contraception requirements
  • Ongoing participation in another therapeutic clinical study or prior participation in an investigational drug study within 30 days prior to Screening
  • Use of inhaled hypertonic saline treatment
  • Concomitant use of any inhibitors or inducers of cytochrome P450 3A4 (CYP 3A4)

Trial locations and contacts

65 sites in 8 countries.

65 sites in 8 countries

United States39 sites
  • University of Michigan

    Ann Arbor, Michigan, 48109

  • Emory Cystic Fibrosis Center

    Atlanta, Georgia, 30322

  • Johns Hopkins University

    Baltimore, Maryland, 21205

  • University of Alabama

    Birmingham, Alabama, 35233-1711

  • St. Luke's CF Clinic

    Boise, Idaho, 83712

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Children's Hospital Boston

    Boston, Massachusetts, 02115

  • Women and Children's Hospital of Buffalo

    Buffalo, New York, 14222

  • University of North Carolina at Chapel Hill

    Chapel Hill, North Carolina, 27599

  • University of Virginia

    Charlottesville, Virginia, 22908

  • Children's Memorial Hospital

    Chicago, Illinois, 60614

  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229

  • Pediatric & Pulmonary Division, Rainbow Babies/Case Western

    Cleveland, Ohio, 44106

  • Nationwide Children's Hospital

    Columbus, Ohio, 43205

  • National Jewish Medical and Research Center

    Denver, Colorado, 80206

  • Hershey Medical Center

    Hershey, Pennsylvania, 17033

  • Indiana University

    Indianapolis, Indiana, 46202

  • University of Iowa

    Iowa City, Iowa, 52242

  • The Children's Mercy Hospital

    Kansas City, Missouri, 64108

  • East Tennessee Children's Hospital

    Knoxville, Tennessee, 37916

  • Monmouth Medical Center

    Long Branch, New Jersey, 07740

  • Medical College of Wisconsin

    Milwaukee, Wisconsin, 53226

  • Pulmonary, Allergy & Critical Care Medicine, University of Minnesota

    Minneapolis, Minnesota, 55455

  • West Virginia University

    Morgantown, West Virginia, 26506

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232-5735

  • Long Island Jewish Medical Center

    New Hyde Park, New York, 11042

  • Kaiser Permanente Medical Care Program

    Oakland, California, 94611

  • Adult Pulmonary/ CF, University of Nebraska Medical Center

    Omaha, Nebraska, 68198-5300

  • Cystic Fibrosis Research Office, Stanford University

    Palo Alto, California, 94304

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

  • Children's Hospital of Pittsburgh of UPMC

    Pittsburgh, Pennsylvania, 15224

  • Oregon Health & Sciences University

    Portland, Oregon, 97239-3098

  • University of Utah

    Salt Lake City, Utah, 84132

  • Rady Children's Hospital

    San Diego, California, 92123-5070

  • Seattle Children's Hospital

    Seattle, Washington, 98105

  • Division of Pulmonary and CCM, University of Washington

    Seattle, Washington, 98195-6522

  • Washington University

    St Louis, Missouri, 63110

  • SUNY Upstate Medical University

    Syracuse, New York, 13210

  • Toledo Children's Hospital

    Toledo, Ohio, 43606

Other trials in United States

Australia7 sites
  • The Prince Charles Hospital

    Chermside, Queensland, 4032

  • Royal Children's Hospital Brisbane

    Herston, Queensland, 4026

  • Lung Institute of Western Australia

    Nedlands, Western Australia, 6009

  • Royal Children's Hospital Melbourne

    Parkville, Victoria, 3052

  • Mater Adult Hospital

    South Brisbane, Queensland, 4101

  • Princess Margaret Hospital for Children

    Subiaco, Western Australia, 6008

  • The Children's Hospital Westmead

    Westmead, New South Wales, 2145

Other trials in Australia

Ireland5 sites
  • Cork University Hospital

    Cork

  • Our Lady's Children's Hospital

    Dublin, 12

  • The National Children's Hospital

    Dublin, 24

  • St. Vincent's University Hospital

    Dublin, 4

  • Beaumont Hospital

    Dublin, 9

Other trials in Ireland

Canada4 sites
  • Queen Elizabeth II Health Sciences Centre

    Halifax, Nova Scotia, B3H 3A7

  • Montreal Children's Hospital - MUHC

    Montreal, Quebec, H3H 1P3

  • St. Michael's Hospital

    Toronto, Ontario, M5B 1W8

  • CF Center, Hospital for Sick Children

    Toronto, Ontario, M5G 1X8

Other trials in Canada

Germany4 sites
  • Kinder- und Jugendklinik Universitätsklinikum Erlangen

    Erlangen, 91054

  • Mukoviszidose-Zentrum am Klinikum der Friedrich-Schiller-Universität Jena, Klinik für Kinder- und Jugendmedizin

    Jena, 07740

  • Klinikum der LMU München, Dr. von Haunersches Kinderspital (CHA)

    Munich, 80337

  • Universitäts-Kinderklinik Würzburg

    Würzburg, 97080

Other trials in Germany

France3 sites
  • Hopital Cochin

    Paris, 75014

  • Hopital Necker

    Paris, 75015

  • Centre de Perharidy

    Roscoff, 29684

Other trials in France

United Kingdom2 sites
  • Belfast City Hospital

    Belfast, Northern Ireland, BT9 7AB

  • Imperial College London

    London, SW3 6LR

Other trials in United Kingdom

Czechia1 site
  • FN Motol

    Prague, 15006

Other trials in Czechia

About this study

Official title: A Phase 3, Randomized, Double-Blind, Placebo-Controlled, Parallel Group Study to Evaluate the Efficacy and Safety of VX-770 in Subjects With Cystic Fibrosis and the G551D Mutation

The purpose of this study was to evaluate the efficacy and safety of ivacaftor in subjects with cystic fibrosis aged 12 years and older who have the 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 phase 3 study in subjects with cystic fibrosis (CF) age 12 years and older who have a G551D-CFTR mutation and percent predicted forced expiratory volumn in 1 second (FEV1) between 40% and 90%.

Based on in vitro studies and pharmacologic, pharmacokinetic (PK), and safety profiles, ivacaftor was selected for clinical development as a possible treatment for patients with CF. Patients with the G551D mutation were the targeted population for this study because ivacaftor is a potentiator of the gating function of the CFTR protein, and the most prevalent mutation with a gating defect in CF is the G551D mutation.

This study was designed to further evaluate the efficacy of ivacaftor in subjects with CF who have a G551D-CFTR gene mutation and to evaluate safety in this population over a longer period than previously studied.

Conditions
Cystic Fibrosis
Being tested
Ivacaftor, Placebo
Keywords
Fibrosis, Pancreatic Diseases, Lung Diseases, Respiratory Tract Diseases, Genetic Diseases, Inborn, Infant, Newborn, Diseases, Pathologic Processes
Medical subject headings
Cystic Fibrosis, Fibrosis, Pancreatic Diseases, Lung Diseases, Respiratory Tract Diseases, Genetic Diseases, Inborn, Infant, Newborn, Diseases, Pathologic Processes

What participants receive

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

  • IvacaftorDrug

    Also called VX-770

    150-mg tablets given orally q12h for up to 48 weeks

  • PlaceboDrug

    Tablet given orally q12h for up to 48 weeks

Study groups in NCT00909532
Study groupRoleWhat they receive
PlaceboPlacebo comparatorSubjects who received placebo every 12 hours (q12h) for up to 48 weeks.
Receives: Drug: Placebo
150 mg Ivacaftor q12hExperimentalSubjects who received 150 mg of ivacaftor q12h for up to 48 weeks.
Receives: Drug: Ivacaftor

What is being measured

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

  1. Absolute Mean Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) Through Week 24

    Spirometry (as measured by FEV1) is a standardized assessment to evaluate lung function that is the most widely used endpoint in cystic fibrosis studies.

    Measured: baseline through 24 weeks

Secondary outcomes (5)
  1. Absolute Mean Change From Baseline in Percent Predicted FEV1 Through Week 48

    Spirometry (as measured by FEV1) is a standardized assessment to evaluate lung function that is the most widely used endpoint in cystic fibrosis studies.

    Measured: baseline through 48 weeks

  2. Absolute Change From Baseline in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Score Through Week 24 and Week 48 (Respiratory Domain Score, Pooled)

    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: baseline through 24 weeks and 48 weeks

  3. Absolute Change From Baseline in Sweat Chloride Concentration Through Week 24 and Week 48

    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: baseline through 24 weeks and 48 weeks

  4. Time-to-first Pulmonary Exacerbation Through Week 24 and Week 48

    Pulmonary exacerbation was defined as a change in antibiotic therapy (intravenous, inhaled, or oral) for any 4 or more of signs/symptoms such as change in sputum; new or increased hemoptysis; increased cough or dyspnea; malaise, fatigue, or lethargy; temperature above 38 degrees C; anorexia or weight loss; sinus pain/tenderness and discharge; change in physical examination of the chest; decreased pulmonary function by 10%; and radiographic changes indicative of pulmonary infection.

    Measured: baseline through 24 weeks and 48 weeks

  5. Absolute Change From Baseline in Weight at Week 24 and Week 48

    As malnutrition is common in patients with cystic fibrosis (CF) because of increased energy expenditures due to lung disease and fat malabsorption, body weight is an important clinical measure of nutritional status.

    Measured: baseline to 24 weeks and 48 weeks

Timeline

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

  1. First posted28 May 2009 (estimated)
  2. Study startJun 2009
  3. Primary completionJul 2010
  4. Study completionNov 2012

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
167 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00909532
Sponsor's protocol ID
VX08-770-102
Acronym
STRIVE
Status last verified
Jan 2013
First submitted
26 May 2009
Last updated
18 Jan 2013
Data monitoring committee
Yes

Publications

  • Ramsey BW, Davies J, McElvaney NG, Tullis E, Bell SC, Drevinek P, Griese M, McKone EF, Wainwright CE, Konstan MW, Moss R, Ratjen F, Sermet-Gaudelus I, Rowe SM, Dong Q, Rodriguez S, Yen K, Ordonez C, Elborn JS; VX08-770-102 Study Group. A CFTR potentiator in patients with cystic fibrosis and the G551D mutation. N Engl J Med. 2011 Nov 3;365(18):1663-72. doi: 10.1056/NEJMoa1105185.

    PubMed 22047557
  • Flume PA, Wainwright CE, Elizabeth Tullis D, Rodriguez S, Niknian M, Higgins M, Davies JC, Wagener JS. Recovery of lung function following a pulmonary exacerbation in patients with cystic fibrosis and the G551D-CFTR mutation treated with ivacaftor. J Cyst Fibros. 2018 Jan;17(1):83-88. doi: 10.1016/j.jcf.2017.06.002. Epub 2017 Jun 24.

    PubMed 28651844
  • Solem CT, Vera-Llonch M, Liu S, Botteman M, Castiglione B. Impact of pulmonary exacerbations and lung function on generic health-related quality of life in patients with cystic fibrosis. Health Qual Life Outcomes. 2016 Apr 21;14:63. doi: 10.1186/s12955-016-0465-z.

    PubMed 27097977
  • Quittner A, Suthoff E, Rendas-Baum R, Bayliss MS, Sermet-Gaudelus I, Castiglione B, Vera-Llonch M. Effect of ivacaftor treatment in patients with cystic fibrosis and the G551D-CFTR mutation: patient-reported outcomes in the STRIVE randomized, controlled trial. Health Qual Life Outcomes. 2015 Jul 2;13:93. doi: 10.1186/s12955-015-0293-6.

    PubMed 26135562

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ivacaftor in people with Cystic Fibrosis, run by Vertex Pharmaceuticals Incorporated at 65 sites in 8 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 4 inclusion and 10 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 18 Jan 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 65 sites in United States, Australia, Ireland, Canada, Germany and 3 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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 21 Aug 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?

Absolute Mean Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) Through Week 24 (time frame: baseline through 24 weeks). 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 NCT00909532, which also lists 4 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 18 Jan 2013.

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