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Trial record 20 of 86 for:    ivacaftor

A Study to Evaluate Efficacy and Safety of Ivacaftor in Subjects With Cystic Fibrosis Aged 3 Through 5 Years Who Have a Specified CFTR Gating Mutation

This study is currently recruiting participants. (see Contacts and Locations)
Verified December 2016 by Vertex Pharmaceuticals Incorporated
Sponsor:
Information provided by (Responsible Party):
Vertex Pharmaceuticals Incorporated
ClinicalTrials.gov Identifier:
NCT02742519
First received: April 14, 2016
Last updated: December 12, 2016
Last verified: December 2016
  Purpose
To evaluate the efficacy of ivacaftor treatment, as measured by lung clearance index (LCI), in subjects with cystic fibrosis (CF) who have a specified CF transmembrane conductance regulator (CFTR) gating mutation

Condition Intervention Phase
Cystic Fibrosis
Drug: ivacaftor
Drug: Placebo
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double Blind (Participant, Investigator)
Primary Purpose: Treatment
Official Title: A Phase 3b, 2-part, Randomized, Double-blind, Placebo-controlled Crossover Study With a Long-term Open-label Period to Investigate Ivacaftor in Subjects With Cystic Fibrosis Aged 3 Through 5 Years Who Have a Specified CFTR Gating Mutation

Resource links provided by NLM:


Further study details as provided by Vertex Pharmaceuticals Incorporated:

Primary Outcome Measures:
  • Part 1: Absolute change from baseline in LCI2.5 through 8 weeks of treatment [ Time Frame: through 8 weeks ]

Secondary Outcome Measures:
  • Part 1: Absolute change from baseline in serum levels of immunoreactive trypsinogen at 8 weeks of treatment [ Time Frame: at 8 Weeks ]
  • Part 1: Absolute change from baseline in fecal elastase-1 at 8 weeks of treatment [ Time Frame: at 8 Weeks ]
  • Part 1: Absolute change from baseline in weight at 8 weeks of treatment [ Time Frame: at 8 weeks ]
  • Absolute change from baseline in body mass index (BMI) at 8 weeks of treatment [ Time Frame: at 8 weeks ]
  • Parts 1 and 2: Safety, as determined by number of subjects with adverse events (AEs) and serious adverse events (SAEs) [ Time Frame: at Weeks 8, 48, 96, and 144 ]
  • Part 2: Absolute change from baseline in LCI2.5 [ Time Frame: at Weeks 48, 96, 144 ]
  • Par 2: Absolute change from baseline in CT scan [ Time Frame: at Week 96 ]
  • Part 2: Absolute change from baseline in serum levels of immunoreactive trypsinogen [ Time Frame: at Weeks 48, 96, and 144 ]
  • Part 2: Absolute change from baseline in fecal elastase-1 [ Time Frame: at Weeks 48, 96, and 144 ]
  • Part 2: Absolute change from baseline in weight-for-age z-score [ Time Frame: at Weeks 48, 96, and 144 ]
  • Part 2: Absolute change from baseline in height-for-age z-score [ Time Frame: at Weeks 48, 96, and 144 ]
  • Part 2: Absolute change from baseline in BMI-for-age z-score [ Time Frame: at Weeks 48, 96, and 144 ]

Estimated Enrollment: 50
Study Start Date: May 2016
Estimated Study Completion Date: October 2020
Estimated Primary Completion Date: July 2018 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Part 1-Sequence 1
ivacaftor in Treatment Period 1 →washout→placebo in Treatment Period 2
Drug: ivacaftor
Other Name: VX-770
Drug: Placebo
Experimental: Part 1 - Sequence 2
placebo in Treatment Period 1→washout→ivacaftor in Treatment Period 2
Drug: ivacaftor
Other Name: VX-770
Drug: Placebo
Experimental: Part 2: ivacaftor
open label period
Drug: ivacaftor
Other Name: VX-770

  Eligibility

Ages Eligible for Study:   3 Years to 5 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male or female with confirmed diagnosis of CF.
  • Must have 1 of the following CFTR gating mutations on at least 1 allele: G551D, G178R, S549N, S549R, G551S, G1244E, S1251N, S1255P, or G1349D.
  • Hematology, serum chemistry, and coagulation at Screening with no clinically significant abnormalities or concomitant diagnosis that would interfere with the LCI and CT scan study assessments, as judged by the investigator.

Exclusion Criteria:

  • An acute upper or lower respiratory infection, pulmonary exacerbation, or changes in therapy (including antibiotics) for pulmonary disease within 4 weeks before Day 1
  • Any clinically significant laboratory abnormalities at the Screening Visit that would interfere with the study assessments or pose an undue risk for the subject (in the opinion of the investigator)
  • Abnormal liver function, at Screening, defined as ≥3 × upper limit of normal (ULN), of any 3 or more of the following: serum aspartate transaminase (AST), serum alanine transaminase (ALT), gamma-glutamyl transpeptidase (GGT), serum alkaline phosphatase (ALP), and total bilirubin
  • History of solid organ or hematological transplantation
  • Any clinically significant "non-CF-related" illness within 2 weeks before Day 1
  • Use of any moderate or strong inducers or inhibitors of cytochrome P450 (CYP) 3A within 2 weeks before Day 1
  • Participation in a clinical study involving administration of either an investigational or a marketed drug within 30 days or 5 terminal half-lives (whichever is longer or as determined by the local requirements) before Screening
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT02742519

Contacts
Contact: Medical Information 617-341-6777 medicalinfo@vrtx.com

Locations
Australia, Victoria
Recruiting
Parkville, Victoria, Australia
Australia
Recruiting
South Brisbane, Australia
Recruiting
Subiaco, Australia
Recruiting
Westmead, Australia
Canada, Ontario
Recruiting
Toronto, Ontario, Canada
United Kingdom
Recruiting
London, United Kingdom
Sponsors and Collaborators
Vertex Pharmaceuticals Incorporated
  More Information

Responsible Party: Vertex Pharmaceuticals Incorporated
ClinicalTrials.gov Identifier: NCT02742519     History of Changes
Other Study ID Numbers: VX15-770-123
2015-001267-39 ( EudraCT Number )
Study First Received: April 14, 2016
Last Updated: December 12, 2016

Additional relevant MeSH terms:
Fibrosis
Cystic Fibrosis
Pathologic Processes
Pancreatic Diseases
Digestive System Diseases
Lung Diseases
Respiratory Tract Diseases
Genetic Diseases, Inborn
Infant, Newborn, Diseases

ClinicalTrials.gov processed this record on May 23, 2017