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Cystic FibrosisPhase 2NCT01225211

Study of VX-809 Alone and in Combination With VX-770 in Cystic Fibrosis (CF) Patients Homozygous or Heterozygous for the F508del-CFTR Mutation

A Phase 2 study testing Lumacaftor and Ivacaftor in people with Cystic Fibrosis, run by Vertex Pharmaceuticals Incorporated at 55 sites in 7 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 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. 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?
Lumacaftor and Ivacaftor
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
312 participants
Where
55 sitesin 7 countries
Study dates
Oct 2010to Apr 2014
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

  • 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

Who cannot join

  • 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
Show all 10Show fewer
  • 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)

Trial locations and contacts

55 sites in 7 countries.

55 sites in 7 countries

United States38 sites
  • Study site

    Akron, Ohio

  • Study site

    Anchorage, Alaska

  • Study site

    Atlanta, Georgia

  • Study site

    Baltimore, Maryland

  • Study site

    Birmingham, Alabama

  • Study site

    Boise, Idaho

  • Study site

    Boston, Massachusetts

  • Study site

    Buffalo, New York

  • Study site

    Chapel Hill, North Carolina

  • Study site

    Charleston, South Carolina

  • Study site

    Chicago, Illinois

  • Study site

    Cleveland, Ohio

  • Study site

    Columbus, Ohio

  • Study site

    Denver, Colorado

  • Study site

    Iowa City, Iowa

  • Study site

    Kansas City, Kansas

  • Study site

    La Jolla, California

  • Study site

    Lebanon, New Hampshire

  • Study site

    Lexington, Kentucky

  • Study site

    Long Beach, California

  • Study site

    Miami, Florida

  • Study site

    Minneapolis, Minnesota

  • Study site

    New Haven, Connecticut

  • Study site

    New Hyde Park, New York

  • Study site

    New Orleans, Louisiana

  • Study site

    New York, New York

  • Study site

    Oklahoma City, Oklahoma

  • Study site

    Omaha, Nebraska

  • Study site

    Orlando, Florida

  • Study site

    Palo Alto, California

  • Study site

    Philadelphia, Pennsylvania

  • Study site

    Pittsburgh, Pennsylvania

  • Study site

    Rochester, New York

  • Study site

    Sacramento, California

  • Study site

    Sioux Falls, South Dakota

  • Study site

    St Louis, Missouri

  • Study site

    Syracuse, New York

  • Study site

    Tampa, Florida

Other trials in United States

Australia6 sites
  • Study site

    Adelaide

  • Study site

    Brisbane

  • Study site

    Chermside

  • Study site

    Nedlands

  • Study site

    Parkville Victoria

  • Study site

    Westmead

Other trials in Australia

Germany5 sites
  • Study site

    Berlin

  • Study site

    Bochum

  • Study site

    Cologne

  • Study site

    Essen

  • Study site

    Jena, Thuringia

Other trials in Germany

France2 sites
  • Study site

    Paris

  • Study site

    Pierre-Bénite, Rhone

Other trials in France

New Zealand2 sites
  • Study site

    Auckland

  • Study site

    Christchurch

Other trials in New Zealand

Belgium1 site
  • Study site

    Leuven

Other trials in Belgium

United Kingdom1 site
  • Study site

    London

Other trials in United Kingdom

About this study

Official 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

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.

Conditions
Cystic Fibrosis
Being tested
Lumacaftor, Ivacaftor, Lumacaftor Placebo, Ivacaftor Placebo
Medical subject headings
Cystic Fibrosis

What participants receive

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

  • LumacaftorDrug

    Also called VX-809, LUM

    Tablet

  • IvacaftorDrug

    Also called VX-770, IVA

    Tablet.

  • Lumacaftor PlaceboDrug

    Matching placebo tablet.

  • Ivacaftor PlaceboDrug

    Matching placebo tablet.

Study groups in NCT01225211
Study groupRoleWhat they receive
Cohort 1: PlaceboPlacebo comparatorParticipants 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).
Receives: Drug: Lumacaftor Placebo; Drug: Ivacaftor Placebo
Cohort 1: LUM 200 mg qd/LUM 200 mg qd+IVA 150 mg q12hExperimentalParticipants 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).
Receives: Drug: Lumacaftor; Drug: Ivacaftor
Cohort 1: LUM 200 mg qd/LUM 200 mg qd+IVA 250 mg q12hExperimentalParticipants 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).
Receives: Drug: Lumacaftor; Drug: Ivacaftor
Cohort 2 and 3: Placebo (HO and HE)Placebo comparatorParticipants 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).
Receives: Drug: Lumacaftor Placebo; Drug: Ivacaftor Placebo
Cohort 2: LUM 200 mg qd/LUM 200 mg qd+IVA 250 mg q12h (HO)ExperimentalParticipants 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).
Receives: Drug: Lumacaftor; Drug: Ivacaftor
Cohort 2: LUM 400 mg qd/LUM 400 mg qd+IVA 250 mg q12h (HO)ExperimentalParticipants 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).
Receives: Drug: Lumacaftor; Drug: Ivacaftor
Cohort 2: LUM 600 mg qd/LUM 600 mg qd+IVA 250 mg q12h (HO&HE)ExperimentalParticipants 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).
Receives: Drug: Lumacaftor; Drug: Ivacaftor
Cohort 3: LUM 400 mg q12h/LUM 400 mg q12h+IVA 250 mg q12h (HO)ExperimentalParticipants 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).
Receives: Drug: Lumacaftor; Drug: Ivacaftor
Cohort 4: PlaceboPlacebo comparatorParticipants heterozygous for the F508del-CFTR mutation received lumacaftor matched placebo in combination with ivacaftor matched placebo q12h (Day 1 through Day 56).
Receives: Drug: Lumacaftor Placebo; Drug: Ivacaftor Placebo
Cohort 4: LUM 400 mg q12h+IVA 250 mg q12hExperimentalParticipants 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).
Receives: Drug: Lumacaftor; Drug: Ivacaftor

What is being measured

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

  1. Cohort 1: Safety and Tolerability Based on Adverse Events (AEs)

    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).

    Measured: Cohort 1: Day 1 up to 28 days after last dose (Last dose = Day 21)

  2. Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)

    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).

    Measured: Cohort 2 and 3: Day 1 up to 28 days after last dose (Last dose = Day 56)

  3. Cohort 4: Safety and Tolerability Assessed by Number of Participants With AEs and SAEs

    AEs and SAEs are defined in Outcome Measure 1.

    Measured: Cohort 4: Day 1 up to 28 days after last dose (Last dose = Day 56)

  4. Cohort 1: Absolute Change From Day 14 in Sweat Chloride at Day 21

    Measured: Cohort 1: Day 14, Day 21

  5. Cohort 2 And 3: Absolute Change From Day 28 in Sweat Chloride at Day 56

    Measured: Cohort 2 and 3: Day 28, Day 56

  6. Cohort 4: Absolute Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Day 56

    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.

    Measured: Cohort 4: Baseline, Day 56

Secondary outcomes (14)
  1. Cohort 1: Absolute Change From Baseline in Sweat Chloride at Day 14

    Measured: Cohort 1: Baseline, Day 14

  2. Cohort 2 And 3: Absolute Change From Baseline in Sweat Chloride at Day 14

    Measured: Cohort 2: Baseline, Day 14

  3. Cohort 4: Absolute Change From Baseline in Sweat Chloride at Day 56

    Measured: Cohort 4: Baseline, Day 56

  4. Cohort 1: Absolute Change From Day 14 in FEV1 at Day 21

    FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.

    Measured: Cohort 1: Day 14, Day 21

  5. Cohort 1: Absolute Change From Day 14 in ppFEV1 at Day 21

    FEV1 and ppFEV1 are defined in Outcome Measure 6.

    Measured: Cohort 1: Day 14, Day 21

  6. Cohort 2 and 3: Absolute Change From Day 28 in ppFEV1 at Day 56

    FEV1 and ppFEV1 are defined in Outcome Measure 6.

    Measured: Cohort 2 and 3: Day 28, Day 56

  7. Cohort 2 and 3: Relative Change From Day 28 in ppFEV1 at Day 56

    FEV1 and ppFEV1 are defined in Outcome Measure 6.

    Measured: Cohort 2 and 3: Day 28, Day 56

  8. Cohort 2 and 3: Absolute Change From Baseline in ppFEV1 at Day 28 and 56

    FEV1 and ppFEV1 are defined in Outcome Measure 6.

    Measured: Cohort 2 and 3: Baseline, Day 28 and 56

  9. Cohort 2 and 3: Relative Change From Baseline in FEV1 at Day 28 and 56

    FEV1 and ppFEV1 are defined in Outcome Measure 6.

    Measured: Cohort 2 and 3: Baseline, Day 28 and 56

  10. Cohort 4: Relative Change From Baseline in Percent Predicted FEV1 at Day 56

    FEV1 and ppFEV1 are defined in Outcome Measure 6.

    Measured: Cohort 4: Baseline, Day 56

  11. Cohort 2 and 3: Absolute Change From Day 28 in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Day 56

    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.

    Measured: Cohort 2 and 3: Day 28, Day 56

  12. Cohort 4: Absolute Change From Baseline in CFQ-R Respiratory Domain Score at Day 56

    CFQ-R respiratory domain is defined in Outcome Measure 17.

    Measured: Cohort 4: Baseline, Day 56

  13. Cohort 4: Absolute Change From Baseline in Body Mass Index (BMI) at Day 56

    BMI was defined as weight in kilogram (kg) divided by height*height in square meter (m^2).

    Measured: Cohort 4: Baseline, Day 56

  14. Cohort 4: Absolute Change From Baseline in Weight at Day 56

    Measured: Cohort 4: Baseline, Day 56

Timeline

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

  1. First posted20 Oct 2010 (estimated)
  2. Study startOct 2010
  3. Primary completionApr 2014
  4. Study completionApr 2014

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
Factorial
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
312 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01225211
Sponsor's protocol ID
VX09-809-102
Other IDs
2010-020413-90
Status last verified
Sep 2015
First submitted
15 Oct 2010
Last updated
5 Oct 2015
Data monitoring committee
Yes

Publications

  • Heneghan M, 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. 2023 Nov 20;11(11):CD010966. doi: 10.1002/14651858.CD010966.pub4.

    PubMed 37983082
  • 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.

    PubMed 33331662
  • 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.

    PubMed 27898234
  • 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.

    PubMed 24973281

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Lumacaftor and Ivacaftor in people with Cystic Fibrosis, run by Vertex Pharmaceuticals Incorporated at 55 sites in 7 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 5 Oct 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 55 sites in United States, Australia, Germany, France, New Zealand and 2 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 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 2015). 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?

Cohort 1: Safety and Tolerability Based on Adverse Events (AEs) (time frame: Cohort 1: Day 1 up to 28 days after last dose (Last dose = Day 21)). The study lists 6 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 NCT01225211, 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 5 Oct 2015.

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