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Cystic FibrosisBIO-CFTRNCT02965326

Surrogate Markers of Response to New Therapies in Cystic Fibrosis Patients

A study testing Nasal swab; rectal biopsy. in people with Cystic Fibrosis, run by Hôpital Necker-Enfants Malades at 1 site in France.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of this study is to determine which biological marker, or association of biological markers, best predict clinical response of cystic fibrosis patients to CFTR modulators. Read more about this study

Who is it for?
Any age
Conditions the study is for
Cystic Fibrosis
What is being tested?
Nasal swab; rectal biopsy.
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
75 participants
Where
1 siteFrance
Study dates
May 2016to Oct 2026
Phase
Interventional
Are there results?
None posted in the registry

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 Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Cystic fibrosis patients treated by CFTR modulators (Ivacaftor or the association Ivacaftor-Lumacaftor)
  • Cystic fibrosis patients non treated by CFTR modulators
  • Patients in whom cystic fibrosis diagnosis has been suspected, but excluded by physiological and genetic investigations

Who cannot join

  • pregnant or lactating women
  • contraindication to nasal swab
  • contraindication to rectal biopsy

Trial locations and contacts

1 site in 1 country.

Isabelle Sermet, MD, PhD contact

33 1 44 49 48 87

isabelle.sermet@aphp.fr

Jean-Louis Pérignon, MD, PhD contact

jean-louis.perignon@aphp.fr

France1 site, 1 recruiting
  • Necker Hospital

    Paris, 75014

    SERMET Isabelle, Professor, 01 44 49 48 87, isabelle.sermet@nck.aphp.fr

    LE Bourgeois Muriel, MD, 01 44 49 48 87, isabelle.sermet@nck.aphp.fr

    Recruiting

Other trials in France

About this study

Official title: Personalized Therapy of Cystic Fibrosis: Set-up of Response Markers

The purpose of this study is to determine which biological marker, or association of biological markers, best predict clinical response of cystic fibrosis patients to CFTR modulators.

Read the detailed description

This study is based upon the hypothesis that clinical response of cystic fibrosis patients to CFTR modulators is correlated to in vitro responses to these drugs of epithelial cells derived from the patients, as assessed by CFTR-dependent Chloride secretion. Epithelial cells will be derived either from nasal or rectal epithelia, and consist both of cultured cells and organoids. The drugs tested will be Ivacaftor, or Lumacaftor/Ivacaftor, according to patient's treatment. Results of these assays will be compared with response to treatment at 6 and 12 months, assessed by clinical response and in vivo assay of CFTR function.

Conditions
Cystic Fibrosis
Being tested
Nasal swab; rectal biopsy.
Medical subject headings
Cystic Fibrosis

What participants receive

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

  • Nasal swab; rectal biopsy.Procedure or surgery

    Nasal epithelial cells will be obtained by nasal swabs from patients of the three arms; intestinal epithelial cells will be obtained, by rectal biopsy, only from patients treated by CFTR modulators.

Study groups in NCT02965326
Study groupRoleWhat they receive
Cystic fibrosis, treatedOtherCystic fibrosis patients treated either by Ivacaftor or by the association Ivacaftor-Lumacaftor
Receives: Procedure: Nasal swab; rectal biopsy.
Cystic fibrosis, non treatedOtherCystic fibrosis patients, non treated by a CFTR modulator
Receives: Procedure: Nasal swab; rectal biopsy.
Non-Cystic fibrosisOtherPatients in whom cystic fibrosis diagnosis has been suspected, but excluded by physiological and genetic investigations
Receives: Procedure: Nasal swab; rectal biopsy.

What is being measured

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

  1. Forced Expiratory Volume in 1 second

    Respiratory Function test

    Measured: initiation, 7 days, 1 month, 6 months, 1 year and every 6 months

Secondary outcomes (43)
  1. Forced Vital Capacity

    Respiratory Function test

    Measured: initiation, 7 days, 1 month, 6 months, 1 year and every 6 months

  2. Forced Expiratory Flow 25-75

    Respiratory Function test

    Measured: initiation, 7 days, 1 month, 6 months, 1 year and every 6 months

  3. Residual Volume

    Respiratory Function test

    Measured: initiation, 7 days, 1 month, 6 months, 1 year and every 6 months

  4. elastase in sputum

    elastase activity in UI/g of sputum

    Measured: initiation, 7 days, 1 month, 6 months, 1 year and every 6 months

  5. calprotectin in sputum

    calprotectin in µg/g of sputum

    Measured: initiation, 7 days, 1 month, 6 months, 1 year and every 6 months

  6. IL-8 in sputum

    IL-8 in µg/g of sputum

    Measured: initiation, 7 days, 1 month, 6 months, 1 year and every 6 months

  7. Calprotectin in blood

    calprotectin in µg/ml of blood

    Measured: initiation, 1 month, 3 Months, 6 months and every 6 months

  8. IL-8 in blood

    IL-8 in µg/ml of blood

    Measured: initiation, 1 month, 3 Months, 6 months and every 6 months

  9. tumor necrosis factor in sputum

    tumor necrosis factor in µg/g of sputum

    Measured: initiation, 1 month, 3 Months, 6 months and every 6 months

  10. liver function test in blood

    serum glutamate oxaloacetate transaminase in ui/ml

    Measured: initiation, 1 month, 3 Months, 6 months and every 6 months

  11. liver function test/SGPT in blood

    serum glutamate pyruvate transaminase in ui/ml

    Measured: initiation, 1 month, 3 Months, 6 months and every 6 months

  12. liver function test/bilirubin in blood

    Bilirubin in mg/ml

    Measured: initiation, 1 month, 3 Months, 6 months and every 6 months

  13. liver function test, gammaGT in blood

    GammaGT in UI/ml

    Measured: initiation, 1 month, 3 Months, 6 months and every 6 months

  14. creatine phosphokinase in blood

    CPK in mg/ml

    Measured: initiation, 1 month, 3 Months, 6 months and every 6 months

  15. Amylase in blood

    amylase in mg/ml

    Measured: initiation, 1 month, 3 Months, 6 months and every 6 months

  16. Impedancemetry

    ambulatory measurement of body composition

    Measured: initiation , 1 month, 3 Months, 6 months and every 6 months

  17. Dynamometry

    ambulatory measurement of quadriceps strength

    Measured: initiation , 1 month, 3 Months, 6 months and every 6 months

  18. Sweat test

    chloride concentration in sweat

    Measured: initiation ,1 month

  19. proteomics of sweat

    measurement of proteins in sweat

    Measured: initiation, 7 days, 1 month, 6 months, 1 year and every 6 months

  20. metabolomics of sweat

    measurement of métabolites in sweat

    Measured: initiation, 7 days, 1 month, 6 months, 1 year and every 6 months

  21. proteomics of exhalate

    measurement of proteins in exhaled air

    Measured: initiation, 7 days, 1 month, 6 months, 1 year and every 6 months

  22. sputum bronchial microorganism colonization

    bacterial, fungi and viral colonization

    Measured: initiation , 1 month, 3 Months, 6 months and every 6 months

  23. Lung MRI

    Lung Imaging evaluation : number of bronchiectasis, number of mucus plugs

    Measured: initiation, at 1 year and every year

  24. osteodensitometry

    Bone mineralization body composition

    Measured: initiation, 1 year, and every year

  25. fecal elastase

    elastase feces in µg/g feces

    Measured: initiation, at 6 months and every year

  26. fecal calprotectin

    calprotectin, concentraion in feces in µg/g

    Measured: initiation, at 6 months and every year

  27. Chest CT scan

    Lung Imaging: % versuys normal of lung parenchuma with bronchiectasis, airway wall thickening, mucus plugs, air trapping

    Measured: initiation, 3 years and 5 years

  28. glycemic Holter

    glycemia monitoring

    Measured: initiation, 1 year and every year

  29. abdominal ultrasonography

    presence of liver hyperechogenicity, fibrosis, as assessed by the radiologist

    Measured: treatment initiation, 1 year and every year

  30. proton density fat fraction

    magnetic resonance Imaging of the Pancreas

    Measured: treatment initiation, 1 year

  31. patient quality of life

    Score tolerance of the treatment, perception of respiratory, digestive symptoms, energy, body image as assessed by the "Cystic Fibrosis Questionnaire" score a better quality of life is indicated by an increase in the score value. Minimum value is 0, maximum is 100.

    Measured: initiation, 1 month, 6 months, 1 year and every 6 months

  32. CFTR activity in nasal cells/chloride

    Chloride transport in primary nasal cell cultures obtained by nasal brushing and study in Ussing chamber (µA/cm2)

    Measured: initiation of treatment and repeated if cell culture failure

  33. CFTR activity in nasal cells/bicarbonat

    Bicarbonate transport in primary nasal cell cultures obtained by nasal brushing and study in Ussing chamber (µA/cm2)

    Measured: initiation of treatment and repeated if cell culture failure

  34. CFTR activity in intestinal epithelium/chloride

    Chloride transport in intestinal primary culture and study in Ussing chamber (µA/cm2)

    Measured: initiation of treatment and repeated of cell culture failure

  35. CFTR activity in intestinal epithelium/bicarbonate

    Bicarbonate transport in intestinal primary culture and study in Ussing chamber (µA/cm2)

    Measured: initiation of treatment and repeated of cell culture failure

  36. sweat evaporimetry

    quantity of sweat produced afer bet-adrenergic stimulation after subcutaneous injection

    Measured: initiation and 1 month

  37. Elasto MRI

    measurement of liver fibrosis by MRI

    Measured: initiation and 1 year

  38. Lung Clearance Index

    Capacity of the lung to washout pure Oxygen,

    Measured: initiation, 6 months, 1 year and every 6 months

  39. proteomics in blood

    measurement of proteins in blood

    Measured: initiation, 7 days, 1 month, 6 months, 1 year and every year

  40. metabolomics in blood

    measurement of métabolites in blood

    Measured: initiation, 7 days, 1 month, 6 months, 1 year and every year

  41. proteomic in urine

    measurement of proteins in blood

    Measured: initiation, 7 days, 1 month, 6 months, 1 year and every year

  42. metabolomics in urine

    measurement of métabolites in urine

    Measured: initiation, 7 days, 1 month, 6 months, 1 year and every year

  43. Exhaled air composition

    Volatile organic compounds in exhaled air

    Measured: initiation, 7 days, 1 month, 6 months, 1 year and every year

Timeline

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

  1. First posted16 Nov 2016 (estimated)
  2. Study startMay 2016
  3. Primary completionMar 2026 (estimated)
  4. Study completionOct 2026 (estimated)

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 N/A
Primary purpose
Basic science
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
75 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02965326
Sponsor's protocol ID
ABCF-2016-01
Other IDs
2016-A00309-42
Acronym
BIO-CFTR
Status last verified
Mar 2024
First submitted
11 Nov 2016
Last updated
12 Mar 2024
Results posted
No
Data monitoring committee
No
Individual data sharing
No

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
  • Graeber SY, Hug MJ, Sommerburg O, Hirtz S, Hentschel J, Heinzmann A, Dopfer C, Schulz A, Mainz JG, Tummler B, Mall MA. Intestinal Current Measurements Detect Activation of Mutant CFTR in Patients with Cystic Fibrosis with the G551D Mutation Treated with Ivacaftor. Am J Respir Crit Care Med. 2015 Nov 15;192(10):1252-5. doi: 10.1164/rccm.201507-1271LE. No abstract available.

    PubMed 26568242
  • 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
  • De Boeck K, Munck A, Walker S, Faro A, Hiatt P, Gilmartin G, Higgins M. Efficacy and safety of ivacaftor in patients with cystic fibrosis and a non-G551D gating mutation. J Cyst Fibros. 2014 Dec;13(6):674-80. doi: 10.1016/j.jcf.2014.09.005. Epub 2014 Sep 26.

    PubMed 25266159
  • 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
  • Wainwright CE, Elborn JS, Ramsey BW, Marigowda G, Huang X, Cipolli M, Colombo C, Davies JC, De Boeck K, Flume PA, Konstan MW, McColley SA, McCoy K, McKone EF, Munck A, Ratjen F, Rowe SM, Waltz D, Boyle MP; TRAFFIC Study Group; TRANSPORT Study Group. Lumacaftor-Ivacaftor in Patients with Cystic Fibrosis Homozygous for Phe508del CFTR. N Engl J Med. 2015 Jul 16;373(3):220-31. doi: 10.1056/NEJMoa1409547. Epub 2015 May 17.

    PubMed 25981758
  • De Boeck K, Kent L, Davies J, Derichs N, Amaral M, Rowe SM, Middleton P, de Jonge H, Bronsveld I, Wilschanski M, Melotti P, Danner-Boucher I, Boerner S, Fajac I, Southern K, de Nooijer RA, Bot A, de Rijke Y, de Wachter E, Leal T, Vermeulen F, Hug MJ, Rault G, Nguyen-Khoa T, Barreto C, Proesmans M, Sermet-Gaudelus I; European Cystic Fibrosis Society Clinical Trial Network Standardisation Committee. CFTR biomarkers: time for promotion to surrogate end-point. Eur Respir J. 2013 Jan;41(1):203-16. doi: 10.1183/09031936.00057512. Epub 2012 Aug 9.

    PubMed 22878883
  • Dekkers JF, Wiegerinck CL, de Jonge HR, Bronsveld I, Janssens HM, de Winter-de Groot KM, Brandsma AM, de Jong NW, Bijvelds MJ, Scholte BJ, Nieuwenhuis EE, van den Brink S, Clevers H, van der Ent CK, Middendorp S, Beekman JM. A functional CFTR assay using primary cystic fibrosis intestinal organoids. Nat Med. 2013 Jul;19(7):939-45. doi: 10.1038/nm.3201. Epub 2013 Jun 2.

    PubMed 23727931
  • Pranke I, Hatton A, Masson A, Flament T, Le Bourgeois M, Chedevergne F, Bailly C, Urbach V, Hinzpeter A, Edelman A, Sermet-Gaudelus I. Might Brushed Nasal Cells Be a Surrogate for CFTR Modulator Clinical Response? Am J Respir Crit Care Med. 2019 Jan 1;199(1):123-126. doi: 10.1164/rccm.201808-1436LE. No abstract available.

    PubMed 30326728

Questions about this trial

What is this clinical trial studying?

A study testing Nasal swab; rectal biopsy. in people with Cystic Fibrosis, run by Hôpital Necker-Enfants Malades at 1 site in France.

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 3 inclusion and 3 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: status not confirmed, as of the sponsor's last update on 12 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

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

Contact Isabelle Sermet, MD, PhD (33 1 44 49 48 87, isabelle.sermet@aphp.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Forced Expiratory Volume in 1 second (time frame: initiation, 7 days, 1 month, 6 months, 1 year and every 6 months). 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 NCT02965326, which also lists 9 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 12 Mar 2024.

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