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Cystic FibrosisPhase 3NCT02514473

A Study to Evaluate the Efficacy and Safety of Lumacaftor in Combination With Ivacaftor in Subjects With CF, Homozygous for the F508del-CFTR Mutation

A Phase 3 study testing VX-809 and VX-770 in people with Cystic Fibrosis, run by Vertex Pharmaceuticals Incorporated at 53 sites in 9 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

To evaluate the efficacy and safety of lumacaftor in combination with ivacaftor in subjects aged 6 Through 11 years with cystic fibrosis (CF), homozygous for the F508del CF transmembrane conductance regulator (CFTR) mutation Read more about this study

Who is it for?
Ages 6 to 11 years
Conditions the study is for
Cystic Fibrosis
What is being tested?
VX-809 and VX-770
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
206 participants
Where
53 sitesin 9 countries
Study dates
Jul 2015to Sep 2016
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 6 to 11 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Subjects who weigh ≥15 kg without shoes a the Screening Visit
  • Subjects with confirmed diagnosis of CF at the Screening Visit.
  • Subjects who are homozygous for the F508del CFTR mutation
  • Subjects with ppFEV1 of ≥70 percentage points adjusted for age, sex, and height
  • Subjects with a screening LCI2.5 result greater than or equal to 7.5

Who cannot join

  • History of any comorbidity reviewed at the Screening Visit 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 subject.
  • Any clinically significant laboratory abnormalities at the Screening Visit that would interfere with the study assessments or pose an undue risk for the subject
  • Clinically significant abnormalities in hemoglobin, liver function, or renal function at the Screening Visit.
  • An acute upper or lower respiratory infection, pulmonary exacerbation, or changes in therapy for pulmonary disease within 28 days before Day 1
  • History of solid organ or hematological transplantation at the Screening Visit

Trial locations and contacts

53 sites in 9 countries.

53 sites in 9 countries

United States29 sites
  • Study site

    Atlanta, Georgia

  • Study site

    Aurora, Colorado

  • Study site

    Birmingham, Alabama

  • Study site

    Boston, Massachusetts

  • Study site

    Chapel Hill, North Carolina

  • Study site

    Charleston, South Carolina

  • Study site

    Charlottesville, Virginia

  • Study site

    Chicago, Illinois

  • Study site

    Cincinnati, Ohio

  • Study site

    Cleveland, Ohio

  • Study site

    Colchester, Vermont

  • Study site

    Dayton, Ohio

  • Study site

    Iowa City, Iowa

  • Study site

    Kansas City, Missouri

  • Study site

    Los Angeles, California

  • Study site

    Madison, Wisconsin

  • Study site

    Manchester, New Hampshire

  • Study site

    Milwaukee, Wisconsin

  • Study site

    Minneapolis, Minnesota

  • Study site

    Norfolk, Virginia

  • Study site

    Omaha, Nebraska

  • Study site

    Orlando, Florida

  • Study site

    Palo Alto, California

  • Study site

    Philadelphia, Pennsylvania

  • Study site

    Pittsburgh, Pennsylvania

  • Study site

    Richmond, Virginia

  • Study site

    Salt Lake City, Utah

  • Study site

    Seattle, Washington

  • Study site

    Wilmington, Delaware

Other trials in United States

Australia5 sites
  • Study site

    Herston

  • Study site

    New South Wales

  • Study site

    Parkville

  • Study site

    Subiaco

  • Study site

    Westmead

Other trials in Australia

Germany5 sites
  • Study site

    Berlin

  • Study site

    Cologne

  • Study site

    Giessen

  • Study site

    Hanover

  • Study site

    Munich

Other trials in Germany

United Kingdom4 sites
  • Study site

    Belfast

  • Study site

    Edinburgh, Lothian Region

  • Study site

    Leeds, West Yorkshire

  • Study site

    London

Other trials in United Kingdom

Canada3 sites
  • Study site

    Montreal, Quebec

  • Study site

    Toronto, Ontario

  • Study site

    Vancouver, British Columbia

Other trials in Canada

France3 sites
  • Study site

    Bordeaux

  • Study site

    Bron

  • Study site

    Paris

Other trials in France

Belgium2 sites
  • Study site

    Brussels

  • Study site

    Leuven

Other trials in Belgium

Denmark1 site
  • Study site

    Copenhagen

Other trials in Denmark

Sweden1 site
  • Study site

    Stockholm

Other trials in Sweden

About this study

Official title: A Phase 3, Double Blind, Placebo Controlled, Parallel Group Study to Evaluate the Efficacy and Safety of Lumacaftor in Combination With Ivacaftor in Subjects Aged 6 Through 11 Years With Cystic Fibrosis, Homozygous for the F508del-CFTR Mutation

To evaluate the efficacy and safety of lumacaftor in combination with ivacaftor in subjects aged 6 Through 11 years with cystic fibrosis (CF), homozygous for the F508del CF transmembrane conductance regulator (CFTR) mutation

Conditions
Cystic Fibrosis
Being tested
VX-809, Placebo, VX-770
Medical subject headings
Cystic Fibrosis

What participants receive

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

  • VX-809Drug

    Also called lumacaftor

  • PlaceboDrug

  • VX-770Drug

    Also called ivacaftor

Study groups in NCT02514473
Study groupRoleWhat they receive
LUM/IVAExperimentalFixed-dose combination with lumacaftor (LUM) 200 mg every 12 hours (q12h)/ ivacaftor (IVA) 250 mg q12h
Receives: Drug: VX-809; Drug: VX-770
PlaceboPlacebo comparatorMatching placebo q12h
Receives: Drug: Placebo

What is being measured

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

  1. Absolute Change From Baseline in Lung Clearance Index 2.5 (LCI2.5) Through Week 24

    Lung clearance index (LCI) is a measure of ventilation inhomogeneity that is derived from a multiple breath washout test using Nitrogen (N2). LCI2.5 represents the number of lung turnovers required to reduce the end tidal inert gas concentration to 1/40th of its starting value.

    Measured: Baseline, Through Week 24

Secondary outcomes (18)
  1. Average Absolute Change From Baseline in Sweat Chloride at Day 15 and Week 4

    Sweat samples were collected using an approved collection device. Baseline was defined as the average of the measurements at screening and on Day 1 pre-dose. Change from Baseline in sweat chloride at Day 15 and Week 4 was calculated. The average of the 2 values (Change at Day 15 and Week 4) was reported.

    Measured: Baseline, Day 15 and Week 4

  2. Absolute Change From Baseline in Body Mass Index (BMI) at Week 24

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

    Measured: Baseline, Week 24

  3. Absolute Change From Baseline in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score Through Week 24

    The CFQ-R is a validated participant-reported outcome measuring health-related quality of life for participants 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: Baseline, Through Week 24

  4. Absolute Change From Baseline in Lung Clearance Index 5.0 (LCI5.0) Through Week 24

    LCI is a measure of ventilation inhomogeneity that is derived from a multiple breath washout test using Nitrogen (N2). LCI5.0 represents the number of lung turnovers required to reduce the end tidal inert gas concentration to 1/20th of its starting value.

    Measured: Baseline, Through Week 24

  5. Absolute Change From Baseline in Sweat Chloride at Week 24

    Sweat samples were collected using an approved collection device.

    Measured: Baseline, Week 24

  6. Absolute Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) Through Week 24

    FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. Wang standards were used to calculate ppFEV1 (for age, gender, race, and height).

    Measured: Baseline, Through Week 24

  7. Relative Change From Baseline in ppFEV1 Through Week 24

    FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. Wang standards were used to calculate ppFEV1 (for age, gender, race, and height).

    Measured: Baseline, Through Week 24

  8. Absolute Change From Baseline in BMI-for-age Z-score at Week 24

    BMI was defined as weight in kg divided by height in m^2. z-score is a statistical measure to evaluate how a single data point compares to a standard. It describes whether a mean was above or below the standard. BMI, adjusted for age and sex, was analyzed as BMI-for-age z-score (BMI z-score). The BMI-for-age z-scores were calculated using National Center for Health Statistics growth charts.

    Measured: Baseline, Week 24

  9. Absolute Change From Baseline in Weight at Week 24

    Measured: Baseline, Week 24

  10. Absolute Change From Baseline in Weight-for-age Z-score at Week 24

    Z-score is a statistical measure to evaluate how a single data point compares to a standard. It describes whether a mean was above or below the standard. Weight, adjusted for age and sex, was analyzed as weight-for-age z-score (weight z-score). The weight-for-age z-scores were calculated using National Center for Health Statistics growth charts.

    Measured: Baseline, Week 24

  11. Absolute Change From Baseline in Height at Week 24

    Measured: Baseline, Week 24

  12. Absolute Change From Baseline in Height-for-age Z-score at Week 24

    Z-score is a statistical measure to evaluate how a single data point compares to a standard. It describes whether a mean was above or below the standard. Height, adjusted for age and sex, was analyzed as height-for-age z-score (height z-score). The height-for-age z-scores were calculated using National Center for Health Statistics growth charts.

    Measured: Baseline, Week 24

  13. Absolute Change From Baseline in Treatment Satisfaction Questionnaire for Medication (TSQM) Domains Through Week 24

    The TSQM is a 14-item self-administered questionnaire which measures participants' experiences with their medication on four dimensions: effectiveness, side effects, convenience and global satisfaction. For each dimension, responses are added and transformed to a scale from 0 to 100, where higher scores indicate greater satisfaction.

    Measured: Baseline, Through Week 24

  14. Number of Pulmonary Exacerbation Events

    Pulmonary exacerbation was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms. The number of events were reported.

    Measured: Baseline through Week 24

  15. Percentage of Participants With At Least 1 Pulmonary Exacerbation Event

    Pulmonary exacerbation was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms.

    Measured: Baseline through Week 24

  16. Time-to-first Pulmonary Exacerbation

    Time-to-first pulmonary exacerbation was analyzed using the Kaplan-Meier estimates. Pulmonary exacerbation was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms.

    Measured: Baseline through Week 24

  17. Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

    AE: any untoward medical occurrence in a participant during the study; the event does not necessarily have a causal relationship with the treatment. This includes any newly occurring event or previous condition that has increased in severity or frequency after the informed consent form is signed. AE includes serious as well as non-serious AEs. SAE (subset of AE): medical event or condition, which falls into any of the following categories, regardless of its relationship to the study drug: death, life threatening adverse experience, inpatient hospitalization/prolongation of hospitalization, persistent/significant disability or incapacity, congenital anomaly/birth defect, important medical event. Any AE that increased in severity or newly developed at or after initial dosing of study drug to Week 28 was considered treatment-emergent.

    Measured: Baseline up to Week 28

  18. Average Pre-dose Concentration (Ctrough,Ave) and Average 3 to 6 Hours Post-dose Concentration (C3-6h,Ave) For Lumacaftor and Ivacaftor

    Ctrough,ave is average of individual pre-dose observed concentrations across Week 4 and 24. C3-6h,ave is average of individual 3 to 6 hours post-dose observed concentrations across Day 1, 15 and Week 4. This outcome was not planned to be assessed in Placebo arm.

    Measured: For Ctrough,ave: before morning dose on Week 4 and 24; For C3-6h,ave: 3 to 6 hours after morning dose on Day 1, 15 and Week 4

Timeline

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

  1. First posted3 Aug 2015 (estimated)
  2. Study startJul 2015
  3. Primary completionSep 2016
  4. Study completionSep 2016

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
206 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02514473
Sponsor's protocol ID
VX14-809-109
Status last verified
Sep 2017
First submitted
23 Jul 2015
Last updated
23 Oct 2017
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
  • Ratjen F, Hug C, Marigowda G, Tian S, Huang X, Stanojevic S, Milla CE, Robinson PD, Waltz D, Davies JC; VX14-809-109 investigator group. Efficacy and safety of lumacaftor and ivacaftor in patients aged 6-11 years with cystic fibrosis homozygous for F508del-CFTR: a randomised, placebo-controlled phase 3 trial. Lancet Respir Med. 2017 Jul;5(7):557-567. doi: 10.1016/S2213-2600(17)30215-1. Epub 2017 Jun 9.

    PubMed 28606620

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing VX-809 and VX-770 in people with Cystic Fibrosis, run by Vertex Pharmaceuticals Incorporated at 53 sites in 9 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 5 inclusion and 5 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 23 Oct 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 53 sites in United States, Australia, Germany, United Kingdom, Canada and 4 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 23 Oct 2017). 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 Change From Baseline in Lung Clearance Index 2.5 (LCI2.5) Through Week 24 (time frame: Baseline, Through Week 24). 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 NCT02514473, which also lists 3 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 23 Oct 2017.

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