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A Study of the Effects of Lumacaftor/Ivacaftor (LUM/IVA) on Exercise Tolerance in Subjects With Cystic Fibrosis (CF), Homozygous for the F508del-CFTR Mutation

18 mars 2019 uppdaterad av: Vertex Pharmaceuticals Incorporated

A Phase 4, Randomized, Double-Blind, Placebo-Controlled, Parallel-Design Study of the Effect of Lumacaftor/Ivacaftor Combination Therapy on Exercise Tolerance in Subjects Aged 12 Years and Older With Cystic Fibrosis, Homozygous for the F508del-CFTR Mutation

This is a Phase 4, randomized, double-blind, placebo-controlled, parallel-group study in subjects aged 12 years and older with CF who are homozygous for the F508del-CFTR mutation. This study is designed to evaluate the effect of LUM/IVA on exercise tolerance in subjects with CF, homozygous for the F508del-CFTR mutation.

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Studietyp

Interventionell

Inskrivning (Faktisk)

70

Fas

  • Fas 4

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

  • Australien
      • Adelaide, Australien
      • Camperdown, Australien
      • Clayton, Australien
      • Nedlands, Australien
      • New Lambton Heights, Australien
      • Randwick, Australien
      • South Brisbane, Australien
      • Subiaco, Australien
      • Westmead, Australien
    • Victoria
      • Melbourne, Victoria, Australien
      • Parkville, Victoria, Australien
  • Storbritannien
      • Edinburgh, Storbritannien

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

12 år och äldre (Barn, Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  • Homozygous for the F508del-CFTR mutation
  • Confirmed diagnosis of CF defined as a sweat chloride value ≥60 mmol/L by quantitative pilocarpine iontophoresis
  • Stable CF disease as judged by the investigator
  • Forced expiratory volume in 1 second (FEV1) at least 40% and not greater than 90% of predicted

Exclusion Criteria:

  • History of any comorbidity that might confound the results of the study, interfere with the use of cardiopulmonary exercise tests (CPETs) as an assessment, or pose an additional risk in administering study drug to the subject
  • Any previous exposure to LUM or IVA
  • History of cardiac arrhythmia, ischemic heart disease, congestive heart failure, or other clinically significant cardiac condition, or medical condition requiring chronic use of a beta blocker, non-dihydropyridine calcium channel blocker, or other cardiac medication known to affect exercise tolerance
  • History of solid organ or hematological transplantation
  • For subjects under 18 years of age at Screening, except those who have had bilateral lens removal, selected findings on a screening ophthalmologic examination will be exclusionary
  • Using or expected to require any concomitant medication that is prohibited in this study
  • History of alcohol or drug abuse, as deemed by the investigator, in the past year, including but not limited to cannabis, cocaine, and opiates
  • Participation in an investigational drug study within 30 days before the Screening Visit
  • Pregnant or nursing females; males with a female partner who is pregnant or nursing
  • Colonization with organisms associated with a more rapid decline in pulmonary status

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Övrig
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Trippel

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Placebo-jämförare: Placebo
Placebo matched to LUM/IVA fixed-dose combination tablet orally every 12 hours (q12h) for 24 weeks.
Läkemedel: Placebo
Experimentell: LUM/IVA
LUM 400 milligram (mg)/IVA 250 mg fixed-dose combination tablet orally q12h for 24 weeks.
Läkemedel: LUM/IVA
Andra namn:
  • Lumacaftor/Ivacaftor

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Relative (Percent) Change From Baseline in Maximal Oxygen Consumption (VO2max) During Cardiopulmonary Exercise Testing (CPET) at Week 24
Tidsram: Baseline, Week 24
CPET was used to assess change in exercise tolerance, as measured by VO2max.
Baseline, Week 24

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Relative (Percent) Change From Baseline in Exercise Duration During CPET at Week 24
Tidsram: Baseline, Week 24
Exercise duration is defined as the time at the termination of CPET exercise minus the corresponding time when CPET starts for each CPET exercise.
Baseline, Week 24
Absolute Change From Baseline in Exercise Duration During CPET at Week 24
Tidsram: Baseline, Week 24
Exercise duration is defined as the time at the termination of CPET exercise minus the corresponding time when CPET starts for each CPET exercise.
Baseline, Week 24
Absolute Change From Baseline in VO2max During CPET at Week 24
Tidsram: Baseline, Week 24
CPET was used to assess change in exercise tolerance, as measured by VO2max.
Baseline, Week 24
Absolute Change From Baseline in Oxygen Consumption (VO2) at Anaerobic Threshold at Week 24
Tidsram: Baseline, Week 24
Anaerobic threshold was defined as the exercise intensity at which lactate starts to accumulate.
Baseline, Week 24
Relative (Percent) Change From Baseline in VO2 at Anaerobic Threshold at Week 24
Tidsram: Baseline, Week 24
Anaerobic threshold was defined as the exercise intensity at which lactate starts to accumulate.
Baseline, Week 24
Absolute Change From Baseline in Functional VO2 Gain at Week 24
Tidsram: Baseline, Week 24
Baseline, Week 24
Relative (Percent) Change From Baseline in Functional VO2 Gain at Week 24
Tidsram: Baseline, Week 24
Baseline, Week 24
Absolute Change From Baseline in Pulmonary Ventilation (VE) Versus Carbon Dioxide Production (VCO2) Slope at Week 24
Tidsram: Baseline, Week 24
Baseline, Week 24
Relative (Percent) Change From Baseline in Pulmonary Ventilation (VE) Versus Carbon Dioxide Production (VCO2) Slope at Week 24
Tidsram: Baseline, Week 24
Baseline, Week 24
Absolute Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Week 24
Tidsram: Baseline, Week 24
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
Baseline, Week 24
Relative (Percent) Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Week 24
Tidsram: Baseline, Week 24
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
Baseline, Week 24
Absolute Change From Baseline in Body Mass Index (BMI) at Week 24
Tidsram: Baseline, Week 24
BMI was defined as weight in kilograms (kg) divided by height in square meter (m^2).
Baseline, Week 24
Relative (Percent) Change From Baseline in BMI at Week 24
Tidsram: Baseline, Week 24
BMI was defined as weight in kg divided by height in m^2.
Baseline, Week 24
Absolute Change From Baseline in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Week 24
Tidsram: Baseline, Week 24
The CFQ-R assessed respiratory symptoms on a scale with scores ranging from 0 to 100; where higher scores indicated fewer symptoms and better health-related quality of life.
Baseline, Week 24
Number of Participants in Each Severity Category of Patient Health Questionnaire (PHQ-8)
Tidsram: Baseline, Week 24
The PHQ-8 is an eight item self-reported measure of depression. Each item is rated on a scale ranging from 0 (not at all) to 3 (nearly every day). Total score is the sum of individual eight items and ranges from 0 to 24, with higher scores indicating more severe depression symptoms. Total score of 0 to 5 indicates none to minimal depression, 6 to 10 indicates mild depression, 11 to 15 indicates moderate depression, 16 to 20 indicates moderately severe depression and 21 to 24 indicates severe depression.
Baseline, Week 24
Number of Participants in Each Severity Category of Generalized Anxiety Disorder (GAD-7) Scores
Tidsram: Baseline, Week 24
The GAD-7 is a seven item, self-reported measurement of GAD severity. Each item is rated on a scale ranging from 0 (not at all) to 3 (nearly every day). Total score is the sum of individual seven items and ranges from 0 to 21, with higher scores indicating more severe anxiety symptoms. Total score of 0 to 5 indicates none to minimal anxiety, 6 to 10 indicates mild anxiety, 11 to 15 indicates moderate anxiety, 16 to 21 indicates severe anxiety.
Baseline, Week 24
Absolute Change From Baseline in Daily Physical Activity Counts as Determined by Actigraphy at Week 24
Tidsram: Baseline, Week 24
Participants were provided with a wrist-worn actigraphy device which continuously collected data about daily physical activity counts.
Baseline, Week 24
Relative (Percent) Change From Baseline in Physical Activity as Determined by Actigraphy at Week 24
Tidsram: Baseline, Week 24
Participants were provided with a wrist-worn actigraphy device which continuously collected data about daily physical activities.
Baseline, Week 24
Absolute Change From Baseline in Duration of Sleep Time at Week 24
Tidsram: Baseline, Week 24
Participants were provided with a wrist-worn actigraphy device which continuously collected data about sleep duration and quality.
Baseline, Week 24
Relative (Percent) Change From Baseline in Duration of Sleep Time at Week 24
Tidsram: Baseline, Week 24
Participants were provided with a wrist-worn actigraphy device which continuously collected data about sleep duration and quality.
Baseline, Week 24
Absolute Change From Baseline in Time Above Sedentary Duration at Week 24
Tidsram: Baseline, Week 24
Participants were provided with a wrist-worn actigraphy device which continuously collected data about daily activities and sleep duration and quality.
Baseline, Week 24
Relative (Percent) Change From Baseline in Time Above Sedentary Duration at Week 24
Tidsram: Baseline, Week 24
Participants were provided with a wrist-worn actigraphy device which continuously collected data about daily activities and sleep duration and quality.
Baseline, Week 24
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Tidsram: Day 1 up to Week 28
Day 1 up to Week 28

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Vertex Pharmaceuticals Incorporated

Publikationer och användbara länkar

Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.

Allmänna publikationer

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

1 september 2016

Primärt slutförande (Faktisk)

1 september 2017

Avslutad studie (Faktisk)

1 oktober 2017

Studieregistreringsdatum

Först inskickad

15 augusti 2016

Först inskickad som uppfyllde QC-kriterierna

22 augusti 2016

Första postat (Uppskatta)

23 augusti 2016

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

17 juni 2019

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

18 mars 2019

Senast verifierad

1 mars 2019

Mer information

Termer relaterade till denna studie

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • VX15-809-112
  • 2016-000066-34 (EudraCT-nummer)

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

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