- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT02544451
Rollover Study to Evaluate the Safety and Efficacy of Long-term Treatment With Lumacaftor in Combination With Ivacaftor
A Phase 3, Rollover Study to Evaluate the Safety and Efficacy of Long-term Treatment With Lumacaftor in Combination With Ivacaftor in Subjects Aged 6 Years and Older With Cystic Fibrosis, Homozygous for the F508del-CFTR Mutation
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Type d'étude
Inscription (Réel)
Phase
- Phase 3
Contacts et emplacements
Lieux d'étude
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Berlin, Allemagne
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Giessen, Allemagne
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Hanover, Allemagne
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Koeln, Allemagne
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Herston, Australie
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New Lambton Heights, Australie
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Subiaco, Australie
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Westmead, Australie
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Victoria
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Parkville, Victoria, Australie
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Brussels, Belgique
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Leuven, Belgique
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British Columbia
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Vancouver, British Columbia, Canada
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Ontario
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Toronto, Ontario, Canada
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Quebec
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Montreal, Quebec, Canada
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Copenhagen, Danemark
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Bordeaux Cedex, France
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Paris, France
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Paris Cedex 15, France
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Cedex
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Bron, Cedex, France
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Belfast, Royaume-Uni
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Edinburgh, Royaume-Uni
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London, Royaume-Uni
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West Yorkshire
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Leeds, West Yorkshire, Royaume-Uni
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Stockholm, Suède
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Alabama
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Birmingham, Alabama, États-Unis
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Arizona
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Tucson, Arizona, États-Unis
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California
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Long Beach, California, États-Unis
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Palo Alto, California, États-Unis
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Colorado
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Aurora, Colorado, États-Unis
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Delaware
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Wilmington, Delaware, États-Unis
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Florida
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Jacksonville, Florida, États-Unis
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Orlando, Florida, États-Unis
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Georgia
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Atlanta, Georgia, États-Unis
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Illinois
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Chicago, Illinois, États-Unis
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Indiana
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Indianapolis, Indiana, États-Unis
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Iowa
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Iowa City, Iowa, États-Unis
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Massachusetts
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Boston, Massachusetts, États-Unis
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Minnesota
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Minneapolis, Minnesota, États-Unis
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Missouri
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Kansas City, Missouri, États-Unis
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Saint Louis, Missouri, États-Unis
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Nebraska
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Omaha, Nebraska, États-Unis
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New Hampshire
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Lebanon, New Hampshire, États-Unis
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New York
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Buffalo, New York, États-Unis
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Syracuse, New York, États-Unis
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North Carolina
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Chapel Hill, North Carolina, États-Unis
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Ohio
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Cincinnati, Ohio, États-Unis
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Cleveland, Ohio, États-Unis
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Dayton, Ohio, États-Unis
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Oregon
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Portland, Oregon, États-Unis
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Pennsylvania
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Pittsburgh, Pennsylvania, États-Unis
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South Carolina
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Charleston, South Carolina, États-Unis
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Texas
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Austin, Texas, États-Unis
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Houston, Texas, États-Unis
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Utah
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Salt Lake City, Utah, États-Unis
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Vermont
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Colchester, Vermont, États-Unis
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Virginia
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Charlottesville, Virginia, États-Unis
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Norfolk, Virginia, États-Unis
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Richmond, Virginia, États-Unis
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Washington
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Seattle, Washington, États-Unis
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Wisconsin
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Madison, Wisconsin, États-Unis
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Milwaukee, Wisconsin, États-Unis
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
Subjects entering the Treatment Cohort must meet both of the following criteria:
- Completed study visits up to Week 24 of Study 109 or Week 26 of Study 011B and did not permanently discontinue treatment
- Willing to remain on a stable CF medication through the Safety Follow-up Visit.
Subjects entering the Observational Cohort must meet 1 of the following criteria:
- Completed 24 weeks of study drug treatment in Study 109 or completed 24 weeks of study drug treatment and the Week 26 Safety Follow up in Study 011B.
- Received at least 4 weeks of study drug and completed visits up to Week 24 of Study 109 or Week 26 of Study 011B.
Exclusion Criteria (Treatment Cohort Only):
- History of any comorbidity or laboratory abnormality 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 (e.g., cirrhosis with portal hypertension).
- Pregnant and nursing females.
- Sexually active subjects of reproductive potential who are not willing to follow the contraception requirements.
- History of drug intolerance in the prior study that would pose an additional risk to the subject in the opinion of investigator
- History of poor compliance with study drug and/or procedure in the previous study as deemed by the investigator.
- Participation in an investigational drug trial (including studies investigating lumacaftor and/or ivacaftor).
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Non randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
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Expérimental: Treatment Period 1: LUM/IVA to LUM/IVA
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Lumacaftor (LUM) 200 mg every 12 hours (q12h)/ivacaftor (IVA) 250 mg q12h (for 6 through 11 years of age). LUM 400 mg q12h/IVA 250 mg q12h (for 12 years and older).
Autres noms:
LUM 200 mg q12h/IVA 250 mg q12h (for 6 through 11 years of age).
Autres noms:
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Expérimental: Treatment Period 1: Placebo (PBO) to LUM/IVA
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Lumacaftor (LUM) 200 mg every 12 hours (q12h)/ivacaftor (IVA) 250 mg q12h (for 6 through 11 years of age). LUM 400 mg q12h/IVA 250 mg q12h (for 12 years and older).
Autres noms:
LUM 200 mg q12h/IVA 250 mg q12h (for 6 through 11 years of age).
Autres noms:
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Aucune intervention: Treatment Period 1: Observational Cohort
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Expérimental: Treatment Period 2: LUM/IVA
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Lumacaftor (LUM) 200 mg every 12 hours (q12h)/ivacaftor (IVA) 250 mg q12h (for 6 through 11 years of age). LUM 400 mg q12h/IVA 250 mg q12h (for 12 years and older).
Autres noms:
LUM 200 mg q12h/IVA 250 mg q12h (for 6 through 11 years of age).
Autres noms:
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Délai |
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Treatment Period 1 (Treatment Cohorts): Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Délai: Day 1 up to Week 100
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Day 1 up to Week 100
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
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Absolute Change in Lung Clearance Index (LCI) 2.5
Délai: From Parent Study Baseline at Week 96
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LCI 2.5 represents the number of lung turnovers required to reduce the end tidal inert gas concentration to 1/40th of its starting value.
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From Parent Study Baseline at Week 96
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Absolute Change in Sweat Chloride
Délai: From Parent Study Baseline at Week 96
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Sweat samples were collected using an approved collection device.
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From Parent Study Baseline at Week 96
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Absolute Change in Body Mass Index (BMI)
Délai: From Parent Study Baseline at Week 96
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BMI was defined as weight in kilograms divided by height in square meter (m^2).
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From Parent Study Baseline at Week 96
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Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score
Délai: From Parent Study Baseline at Week 96
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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, score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life.
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From Parent Study Baseline at Week 96
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Observational Cohort: Safety as Assessed by Serious Adverse Events (SAEs)
Délai: Day 1 up to Week 100
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Day 1 up to Week 100
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Absolute Change in LCI 5.0
Délai: From Parent Study Baseline at Week 96
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LCI 5.0 represents the number of lung turnovers required to reduce the end tidal inert gas concentration to 1/20th of its starting value.
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From Parent Study Baseline at Week 96
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Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
Délai: From Parent Study Baseline at Week 96
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FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
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From Parent Study Baseline at Week 96
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Relative Change in ppFEV1
Délai: From Parent Study Baseline at Week 96
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FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
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From Parent Study Baseline at Week 96
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Absolute Change in BMI-for-age Z-score
Délai: From Parent Study Baseline at Week 96
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BMI was defined as weight in kilograms divided by height in m^2.
z-score is a statistical measure to describe whether a mean was above or below the standard.
A z-score of 0 is equal to the mean and is considered normal.
Lower numbers indicate values lower than the mean and higher numbers indicate values higher than the mean.
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From Parent Study Baseline at Week 96
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Absolute Change in Weight
Délai: From Parent Study Baseline at Week 96
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From Parent Study Baseline at Week 96
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Absolute Change in Weight-for-age Z-score
Délai: From Parent Study Baseline at Week 96
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z-score is a statistical measure to describe whether a mean was above or below the standard.
A z-score of 0 is equal to the mean and is considered normal.
Lower numbers indicate values lower than the mean and higher numbers indicate values higher than the mean.
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From Parent Study Baseline at Week 96
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Absolute Change in Height
Délai: From Parent Study Baseline at Week 96
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From Parent Study Baseline at Week 96
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Absolute Change in Height-for-age Z-score
Délai: From Parent Study Baseline at Week 96
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z-score is a statistical measure to describe whether a mean was above or below the standard.
A z-score of 0 is equal to the mean and is considered normal.
Lower numbers indicate values lower than the mean and higher numbers indicate values higher than the mean.
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From Parent Study Baseline at Week 96
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Absolute Change in Treatment Satisfaction Questionnaire for Medication (TSQM) Total Domain Score
Délai: From Parent Study Baseline at Week 96
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The TSQM measures participants' experiences with their medication on four dimensions: effectiveness, side effects, convenience and global satisfaction.
For each dimension, responses are added and transformed in the total domain score, which ranges from 0 to 100, where higher scores indicate greater satisfaction.
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From Parent Study Baseline at Week 96
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Time-to-first Pulmonary Exacerbation
Délai: From Parent Study Baseline through Week 96
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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.
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From Parent Study Baseline through Week 96
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Percentage of Participants Having At Least 1 Pulmonary Exacerbation Event
Délai: From Parent Study Baseline through Week 96
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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.
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From Parent Study Baseline through Week 96
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Number of Pulmonary Exacerbation Events Per Patient-year
Délai: From Parent Study Baseline through Week 96
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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.
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From Parent Study Baseline through Week 96
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Rate of Change in LCI 2.5
Délai: Day 15 after first dose of LUM/IVA through Week 96
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Rate of change analysis evaluates the change in LCI 2.5 after long term treatment with LUM/IVA.
A rate of change equal to zero would indicate that treatment effects were stable.
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Day 15 after first dose of LUM/IVA through Week 96
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Rate of Change in LCI 5.0
Délai: Day 15 after first dose of LUM/IVA through Week 96
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Rate of change analysis evaluates the change in LCI 5.0 after long term treatment with LUM/IVA.
A rate of change equal to zero would indicate that treatment effects were stable.
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Day 15 after first dose of LUM/IVA through Week 96
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Rate of Change in ppFEV1
Délai: Day 15 after first dose of LUM/IVA through Week 96
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Rate of change analysis evaluates the change in ppFEV1 after long term treatment with LUM/IVA.
A rate of change equal to zero would indicate that treatment effects were stable.
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Day 15 after first dose of LUM/IVA through Week 96
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Treatment Period 2: Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Délai: Day 1 up to Week 168
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Day 1 up to Week 168
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Collaborateurs et enquêteurs
Parrainer
Publications et liens utiles
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
- Maladies du système digestif
- Processus pathologiques
- Maladies des voies respiratoires
- Maladies pulmonaires
- Nourrisson, nouveau-né, maladies
- Maladies génétiques, innées
- Maladies pancréatiques
- Fibrose
- Fibrose kystique
- Mécanismes moléculaires de l'action pharmacologique
- Modulateurs de transport membranaire
- Agonistes des canaux chlorure
- Ivacaftor
Autres numéros d'identification d'étude
- VX15-809-110
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Essais cliniques sur LUM/IVA
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Vertex Pharmaceuticals IncorporatedComplété
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Vertex Pharmaceuticals IncorporatedComplétéMucoviscidose, homozygote pour la mutation F508del CFTRÉtats-Unis, France, Espagne, Belgique, Canada, L'Autriche, Australie, Allemagne, Royaume-Uni, Danemark
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Vertex Pharmaceuticals IncorporatedComplétéMucoviscidose, homozygote pour la mutation F508del CFTRÉtats-Unis, Allemagne, Canada, Pays-Bas, République tchèque, Italie, Irlande, Suède, Royaume-Uni, Australie, France
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Vertex Pharmaceuticals IncorporatedComplétéFibrose kystiqueAustralie, Royaume-Uni
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Vertex Pharmaceuticals IncorporatedComplété
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Vertex Pharmaceuticals IncorporatedComplété
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Vertex Pharmaceuticals IncorporatedComplété
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Vertex Pharmaceuticals IncorporatedComplétéFibrose kystiqueÉtats-Unis, Canada
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Vertex Pharmaceuticals IncorporatedComplétéFibrose kystiqueÉtats-Unis, France, Royaume-Uni, Allemagne, Australie, Nouvelle-Zélande, Belgique
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Vertex Pharmaceuticals IncorporatedRésilié