AzTrials
AzTrials

Cystic FibrosisPROMISENCT04038047

A Prospective Study to Evaluate Biological and Clinical Effects of Significantly Corrected CFTR Function

An observational study of Cystic Fibrosis, run by Nicole Hamblett at 56 sites in United States.

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

This is a prospective, multi-center observational study. The study is designed to measure the clinical effectiveness of elexacaftor, tezacaftor and ivacaftor (ETI) triple combination therapy in people with one or more copies of the F508del mutation, study the effects of ETI across a number of CF disease… Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Cystic Fibrosis
How many people
490 participants
Where
56 sitesUnited States
Study dates
22 Oct 2019to 23 Dec 2024
Phase
Observational
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 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Individuals with Cystic Fibrosis, prescribed the elexacaftor, tezacaftor and ivacaftor CFTR modulator therapy (TCT).

Who may be able to join

  • All genders within the age limit of the FDA approved indication for elexacaftor, tezacaftor and ivacaftor triple combination therapy (TCT) at Day 1.
  • Diagnosis of CF.
  • CFTR mutations consistent with the FDA approved indication for elexacaftor, tezacaftor and ivacaftor triple combination therapy (TCT).
  • Physician intent to prescribe elexacaftor, tezacaftor and ivacaftor triple combination therapy (TCT).
  • Willing to fast for 8 hours prior to all study visits (for subjects on overnight enteric tube feedings, willing to hold the feeding for at least 8 hours).
  • Able to perform the testing and procedures required for this study, as judged by the investigator.
  • Enrolled in the Cystic Fibrosis Foundation Patient Registry.
  • Clinically stable with no significant changes in health status within the 14 days prior to Visit 1.

Who cannot join

  • Use of any TCT within the 180 days prior to Visit 1.
  • Any acute use of antibiotics (oral, inhaled or IV) or systemic corticosteroids within the 2 weeks prior to Visit 1 for lower respiratory tract symptoms.
  • Initiation of any new chronic therapy (e.g., ibuprofen, Pulmozyme®, hypertonic saline, azithromycin, inhaled tobramycin, Cayston®, Kalydeco, Orkambi®, Symdeko®) within the 4 weeks prior to Visit 1.
  • Use of an investigational agent within the 28 days prior to Visit 1.
  • Use of chronic oral corticosteroids (equivalent to 10 mg. or more per day of prednisone) within the 28 days prior to Visit 1.
  • Treatment for nontuberculous mycobacterial (NTM) infection, consisting of ≥ two antibiotics (oral, IV, and/or inhaled) within the 28 days prior to Visit 1.
  • History of lung or liver transplantation, or listing for organ transplantation.

Trial locations and contacts

56 sites in 1 country.

56 sites in 1 country

United States56 sites
  • Children's Hospital Medical Center of Akron

    Akron, Ohio, 44308

  • Providence Alaska Medical Center

    Anchorage, Alaska, 99508

  • University of Michigan Health System

    Ann Arbor, Michigan, 48109

  • Children's Healthcare of Atlanta and Emory University

    Atlanta, Georgia, 30322

  • Emory University

    Atlanta, Georgia, 30327

  • Augusta University

    Augusta, Georgia, 30912

  • Children's Hospital Colorado

    Aurora, Colorado, 80045

  • John Hopkins Hospital

    Baltimore, Maryland, 21287

  • University of Alabama at Birmingham

    Birmingham, Alabama, 35294

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Boston Children's Hospital, Brigham & Women's Hospital

    Boston, Massachusetts, 02115

  • The Cystic Fibrosis Center of Western New York

    Buffalo, New York, 14203

  • University of North Carolina at Chapel Hill

    Chapel Hill, North Carolina, 27599

  • University of Virginia

    Charlottesville, Virginia, 22904

  • Ann & Robert H. Lurie Children's Hospital of Chicago

    Chicago, Illinois, 60611

  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229

  • University Hospitals Case Medical Center/Rainbow Babies and Children's Hospital

    Cleveland, Ohio, 44106

  • Cleveland Clinic Cystic Fibrosis Program

    Cleveland, Ohio, 44195

  • University of Texas Southwestern Medical Center

    Dallas, Texas, 75390

  • National Jewish Health

    Denver, Colorado, 80206

  • Wayne State University Harper University Hospital

    Detroit, Michigan, 48201

  • Cook Children's Medical Center

    Fort Worth, Texas, 76104

  • University of Florida

    Gainesville, Florida, 32610

  • Helen DeVos Children's Hospital

    Grand Rapids, Michigan, 49503

  • Hershey Medical Center Pennsylvania State University

    Hershey, Pennsylvania, 17033

  • Baylor College of Medicine

    Houston, Texas, 77030

  • Riley Hospital for Children

    Indianapolis, Indiana, 46202

  • University of Iowa

    Iowa City, Iowa, 52242

  • University of Kansas Medical Center

    Kansas City, Kansas, 66160

  • Children's Mercy Kansas City

    Kansas City, Missouri, 64108

  • Cohen Children's Medical Center of New York

    Lake Success, New York, 11042

  • University of Kentucky

    Lexington, Kentucky, 40506

  • University of Arkansas for Medical Sciences

    Little Rock, Arkansas, 72205

  • University of Wisconsin

    Madison, Wisconsin, 53792

  • Children's Hospital of Wisconsin

    Milwaukee, Wisconsin, 53226

  • The Minnesota Cystic Fibrosis Center

    Minneapolis, Minnesota, 55455

  • Rutgers Robert Wood Johnson Medical School

    New Brunswick, New Jersey, 08901

  • Yale University School of Medicine

    New Haven, Connecticut, 06520

  • Northwell CF Center

    New York, New York, 10021

  • Children's Hospital of New York

    New York, New York, 10032

  • Oklahoma Cystic Fibrosis Center

    Oklahoma City, Oklahoma, 73104

  • University of Nebraska Medical Center

    Omaha, Nebraska, 69198

  • Stanford University Medical Center

    Palo Alto, California, 94025

  • Saint Francis Medical Center

    Peoria, Illinois, 61637

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Children's Hospital of Pittsburgh of UPMC

    Pittsburgh, Pennsylvania, 15224

  • Oregon Health Sciences University

    Portland, Oregon, 97239

  • Virginia Commonwealth University

    Richmond, Virginia, 23219

  • University of Rochester Medical Center Strong Memorial

    Rochester, New York, 14642

  • Intermountain Cystic Fibrosis Center

    Salt Lake City, Utah, 84132

  • Seattle Children's Hospital

    Seattle, Washington, 98105

  • University of Washington Medical Center

    Seattle, Washington, 98195

  • Washington University School of Medicine

    St Louis, Missouri, 63110

  • New York Medical College at Westchester Medical Center

    Valhalla, New York, 10595

  • Children's National Medical Center

    Washington D.C., District of Columbia, 20010

Other trials in United States

About this study

Official title: A Prospective Study to Evaluate Biological and Clinical Effects of Significantly Corrected CFTR Function (The PROMISE Study)

This is a prospective, multi-center observational study. The study is designed to measure the clinical effectiveness of elexacaftor, tezacaftor and ivacaftor (ETI) triple combination therapy in people with one or more copies of the F508del mutation, study the effects of ETI across a number of CF disease manifestations, and collect specimens for future research. Subjects in the study will have one "before TCT" visit within 30 days before initiation of the therapy and five "after TCT" visits over a 30-month follow-up period. Participants who have participated in the original PROMISE cohort have the option of participating in a long-term extension with annual visits performed at the 42- and 54-month timepoints. The durability of the clinical and biological changes in PROMISE can be assessed with extended follow-up, which would enable the sub-studies to consider potential clinical consequences of the biological or physiological effects being studied. This work will help to inform long term prognosis and feasibility of certain clinical trials outcomes for interventional studies and may be useful when considering research priorities in drug development. Most participating sites have been divided into sub-study groups; each sub-study group has specific non-optional procedures conducted in addition to the "Core" procedures. Finally, there is one optional procedure (transient elastography) that will be offered to subjects at certain sites. The duration of participation for each subject is 30 months (with an additional 24 months if participants agree to the optional long-term extension). NOTE: FDA has reviewed the New Drug Application (NDA) for elexacaftor, tezacaftor and ivacaftor and has granted approval.

Read the detailed description

Cystic fibrosis (CF) is an autosomal recessive genetic disorder caused by mutations in the gene encoding the cystic fibrosis transmembrane conductance regulator (CFTR) protein. In people with CF, this manifests as dysfunction in multiple organ systems including the lungs, pancreas, liver, intestines, skin and others.

While nearly 2000 mutations have been described, the most common disease-causing CFTR mutation is F508del, which is found in >85% of patients followed in the US CF Patient Registry. Two CFTR corrector drugs plus the potentiator ivacaftor have been developed as a triple combination therapy for CF patients with one or two copies of the F508del mutation. We predict that over 90% of CF patients (initially age 12 y/o and above) will be eligible for highly effective CFTR modulator therapy in the U.S.

The PROMISE study is designed to measure the direct and indirect CFTR-dependent anion secretion by collecting and analyzing clinical research outcomes and biomarkers on a large number of patients both before and after they begin treatment with elexacaftor, tezacaftor and ivacaftor triple combination therapy (TCT). This study will investigate the impact of TCT across a wide range of CF disease manifestations and organ systems. While specific biomarkers of special interest have been selected for detailed analysis in this study, an additional important goal is to collect blood, urine, stool, and airway epithelial cell specimens for long-term storage in a biorepository to enable future research. These samples can be made available for research beyond the current scope of work. The PROMISE study will provide a coordinated collection of clinical research outcomes data that can be linked with these specimens.

Conditions
Cystic Fibrosis
Keywords
CF, CFTR modulator, triple combination therapy
Medical subject headings
Cystic Fibrosis

What participants receive

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

Study groups in NCT04038047
Study groupRoleWhat they receive
CoreCystic Fibrosis patients prescribed elexacaftor, tezacaftor and ivacaftor CFTR modulator therapy (TCT).

What is being measured

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

  1. Sweat Chloride at 6 months

    Change in sweat chloride from Baseline to 6 months.

    Measured: 6 months

  2. Sweat Chloride at 30 months

    Change sweat chloride from Baseline to 30 months.

    Measured: 30 months

  3. Forced expiratory volume at one second (FEV1) at 6 months

    Change in FEV1 from Baseline to 6 months.

    Measured: 6 months

  4. Forced expiratory volume at one second (FEV1) at 30 months

    Change in FEV1 from Baseline to 30 months.

    Measured: 30 months

Secondary outcomes (6)
  1. Weight at 6 Months

    Change in weight from Baseline to 6 months.

    Measured: 6 months

  2. Weight at 30 Months

    Change in weight from Baseline to 30 months.

    Measured: 30 months

  3. BMI at 6 Months

    Change in BMI from Baseline to 6 months.

    Measured: 6 months

  4. BMI at 30 months

    Change in BMI from Baseline to 30 months.

    Measured: 30 months

  5. Cystic Fibrosis Questionnaire Revised (CFQ-R) at 6 Months

    Change in CFQ-R (respiratory domain) from Baseline to 6 months.

    Measured: 6 months

  6. Cystic Fibrosis Questionnaire Revised (CFQ-R) at 30 months

    Change in CFQ-R (respiratory domain) from Baseline to 30 months.

    Measured: 30 months

Timeline

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

  1. First posted30 Jul 2019
  2. Study start22 Oct 2019
  3. Primary completion23 Dec 2024
  4. Study completion23 Dec 2024

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
490 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04038047
Sponsor's protocol ID
PROMISE-OB-18
Acronym
PROMISE
Status last verified
Jan 2025
First submitted
25 Jul 2019
Last updated
28 Jan 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Sagel SD, Poore TS, Wagner BD, Xie J, Heltshe SL, Cross M, Bratcher PE, Taylor-Cousar JL, Wilson A, McBennett K, Morgan SJ, Singh PK, Nichols DP, Kelly A, Solomon GM; PROMISE Study Group. Long-term reductions in inflammation in people with cystic fibrosis treated with elexacaftor/tezacaftor/ivacaftor. Ann Am Thorac Soc. 2026 Feb 1;23(2):241-251. doi: 10.1513/AnnalsATS.202507-817OC.

    PubMed 40961158
  • Pittman JE, Morgan S, McCreary M, Vu PT, Jorth P, Heltshe S, Hoffman LR, Kelly A, Sagel SD, Singh PK, Solomon GM, Rosenfeld M, Ratjen F; PROMISE Pediatric substudy Investigators. Clinical Effectiveness of Elexacaftor/Tezacaftor/Ivacaftor in 6- to 11-Year-Olds with Cystic Fibrosis: An Observational Study. Ann Am Thorac Soc. 2025 Nov;22(11):1696-1708. doi: 10.1513/AnnalsATS.202501-103OC.

    PubMed 40540670
  • Nichols DP, Morgan SJ, Skalland M, Vo AT, Van Dalfsen JM, Singh SB, Ni W, Hoffman LR, McGeer K, Heltshe SL, Clancy JP, Rowe SM, Jorth P, Singh PK; PROMISE-Micro Study Group. Pharmacologic improvement of CFTR function rapidly decreases sputum pathogen density, but lung infections generally persist. J Clin Invest. 2023 May 15;133(10):e167957. doi: 10.1172/JCI167957.

    PubMed 36976651
  • Schwarzenberg SJ, Vu PT, Skalland M, Hoffman LR, Pope C, Gelfond D, Narkewicz MR, Nichols DP, Heltshe SL, Donaldson SH, Frederick CA, Kelly A, Pittman JE, Ratjen F, Rosenfeld M, Sagel SD, Solomon GM, Stalvey MS, Clancy JP, Rowe SM, Freedman SD; Promise Study Group. Elexacaftor/tezacaftor/ivacaftor and gastrointestinal outcomes in cystic fibrosis: Report of promise-GI. J Cyst Fibros. 2023 Mar;22(2):282-289. doi: 10.1016/j.jcf.2022.10.003. Epub 2022 Oct 21.

    PubMed 36280527
  • Nichols DP, Paynter AC, Heltshe SL, Donaldson SH, Frederick CA, Freedman SD, Gelfond D, Hoffman LR, Kelly A, Narkewicz MR, Pittman JE, Ratjen F, Rosenfeld M, Sagel SD, Schwarzenberg SJ, Singh PK, Solomon GM, Stalvey MS, Clancy JP, Kirby S, Van Dalfsen JM, Kloster MH, Rowe SM; PROMISE Study group. Clinical Effectiveness of Elexacaftor/Tezacaftor/Ivacaftor in People with Cystic Fibrosis: A Clinical Trial. Am J Respir Crit Care Med. 2022 Mar 1;205(5):529-539. doi: 10.1164/rccm.202108-1986OC.

    PubMed 34784492

Questions about this trial

What is this clinical trial studying?

An observational study of Cystic Fibrosis, run by Nicole Hamblett at 56 sites in United States.

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 8 inclusion and 7 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 28 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 56 sites in United States. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Sweat Chloride at 6 months (time frame: 6 months). The study lists 4 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 NCT04038047, which also lists 5 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 28 Jan 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in