A Study to Evaluate Safety, Efficacy, and Tolerability of TEZ/IVA in Orkambi® (Lumacaftor/Ivacaftor) -Experienced Subjects With Cystic Fibrosis (CF)
Primary Purpose
Cystic Fibrosis
Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Tezacaftor/Ivacaftor
Ivacaftor
Placebo
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Cystic Fibrosis
Eligibility Criteria
Inclusion Criteria:
- Willing and able to comply with scheduled visits, treatment plan, study restrictions, laboratory tests, contraceptive guidelines, and other study procedures.
- Prior discontinuation of Orkambi, with at least 1 respiratory sign or symptom considered related to therapy.
- Resolution or stabilization of qualifying event(s) >28 days prior to Screening.
- Discontinuation of Orkambi therapy must have occurred within approximately 12 weeks from the first dose of Orkambi.
- Homozygous for F508del mutation in the CFTR gene as documented in the subject's medical record. If genotype documentation is not available in the medical record, genotyping will be performed during screening.
- FEV1 ≥25% and ≤90% of predicted normal for age, sex, and height.
- Stable CF disease as judged by the investigator.
- Other protocol defined inclusion criteria could apply.
Exclusion Criteria:
- History of any comorbidity 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.
- Recent rapid or progressive deterioration in respiratory status.
- Receiving continuous oxygen at >2L/min or on face-mask ventilation.
- Any protocol-defined exclusionary laboratory values at Screening.
- Child-Pugh Class B or C hepatic impairment.
- An acute upper or lower respiratory infection, pulmonary exacerbation, or change in therapy for pulmonary disease within 28 days before Day 1.
- Documentation of colonization with organisms associated with a more rapid decline in pulmonary status.
- History of lung transplantation since most recent initiation of Orkambi.
- History of alcohol or drug abuse in the past year as deemed by the investigator.
- Participation in an investigational drug study or use of a CFTR modulator within 28 days or 5 terminal half-lives of the investigational drug or modulator (whichever is longer).
- Use of restricted medications or foods within the specified window before the first dose of study drug, or an anticipated need or use of restricted medication or foods after the first dose of study drug.
- Pregnant or nursing females: Females of child-bearing potential must have a negative pregnancy test at Screening and Day 1.
- Other protocol defined exclusion criteria could apply.
Sites / Locations
- University of Alabama at Birmingham
- Phoenix Children's Hospital
- UCSF - Fresno, Community Regional Medical Center
- Miller Children's Hospital / Long Beach Memorial
- Children's Hospital Los Angeles
- Rady Children's Hospital
- National Jewish Health
- Yale New Haven Hospital
- Central Florida Pulmonary Group
- Arnold Palmer Hospital
- Tampa General Hospital Cardiac and Lung Transplant Clinic
- Children's Speciality Services at North Druid Hills
- St. Luke's CF Center of Idaho
- Advocate Children's Hospital - Park Ridge / North Suburban Pulmonary and Critical Care Consultants
- Southern Illinois University
- Riley Hospital for Children at Indiana University Health
- The University of Iowa Hospitals and Clinics
- University of Kansas Medical Center
- Kentucky Clinic
- Tulane Medical Center
- Massachusetts General Hospital Cystic Fibrosis Center
- Boston Children's Hospital
- University of Mississippi Medical Center
- Children's Mercy Hospital
- Billings Clinic
- Mount Sinai Beth Israel
- New York Medical College
- Duke University Medical Center
- Wake Forest University Baptist Medical Center
- Cleveland Clinic Foundation
- University of Oklahoma Health Sciences Center
- Santiago Reyes, M.D.
- Drexel University College of Medicine/ Drexel Adult Cystic Fibrosis Center
- Medical University of South Carolina
- Vanderbilt University Medical Center
- The University of Tennessee Medical Center
- Dell Children's Medical Center of Central Texas
- The University of Texas Health Science Center at San Antonio
- University of Utah / Primary Children's Medical Center
- Children's Hospital of the King's Daughters
- Children's Hospital of Richmond at VCU, Children's Pavilion
- Centre Hospitalier Intercommunal de Créteil
- Centre Hospitalier Universitaire De Grenoble - Hopital Michallon
- CHU de Montpellier - Hopital Arnaud de Villeneuve
- Centre Hospitalier Universitaire De Nantes
- Centre hospitalier universitaire de Nice, Pulmonology
- Hopital Cochin
- Centre Hospitalier Universitaire - Hopitaux de Rouen
- Charite Paediatric Pulmonology Department
- Ruhrlandklinik Westdeutsches Lungenzentrum am Klinikum Essen
- Klinikum Innenstadt, University of Munich
- Pneumologische Praxis Pasing
- Universitaetsklinikum Tuebingen Klinik fuer Kinder- und Jugendmedizin
Arms of the Study
Arm 1
Arm 2
Arm Type
Placebo Comparator
Experimental
Arm Label
Placebo
TEZ/IVA
Arm Description
Participants received placebo matched to TEZ/IVA fixed-dose combination tablet orally once daily in the morning followed by placebo matched to IVA tablet orally once daily in the evening for 56 days.
Participants received TEZ 100 milligram (mg)/IVA 150 mg fixed-dose combination tablet orally once daily in the morning and IVA 150 mg tablet orally once daily in the evening for 56 days.
Outcomes
Primary Outcome Measures
Incidence of Respiratory Adverse Events of Special Interest (RAESIs)
RAESIs included chest discomfort, dyspnea (shortness of breath), respiration abnormal (chest tightness), asthma, bronchial hyperreactivity, bronchospasm, and wheezing.
Secondary Outcome Measures
Absolute Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Average of Day 28 and Day 56 Measurements
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
Relative Change From Baseline in ppFEV1 at Average of Day 28 and Day 56 Measurements
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
Absolute Change From Baseline in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Average of Day 28 and Day 56 Measurements
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.
Tolerability as Assessed by Number of Participants Who Discontinued Treatment
Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Full Information
NCT ID
NCT03150719
First Posted
May 3, 2017
Last Updated
September 11, 2019
Sponsor
Vertex Pharmaceuticals Incorporated
1. Study Identification
Unique Protocol Identification Number
NCT03150719
Brief Title
A Study to Evaluate Safety, Efficacy, and Tolerability of TEZ/IVA in Orkambi® (Lumacaftor/Ivacaftor) -Experienced Subjects With Cystic Fibrosis (CF)
Official Title
Phase 3b, Randomized, Double-blind, Placebo-controlled, Parallel Group Study to Assess the Safety, Efficacy, and Tolerability of Tezacaftor/Ivacaftor (TEZ/IVA) in an Orkambi-experienced Population Who Are Homozygous for the F508del CFTR Mutation
Study Type
Interventional
2. Study Status
Record Verification Date
September 2019
Overall Recruitment Status
Completed
Study Start Date
May 24, 2017 (Actual)
Primary Completion Date
August 9, 2018 (Actual)
Study Completion Date
August 9, 2018 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Vertex Pharmaceuticals Incorporated
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Study VX16-661-114 (Study 114) is a Phase 3b, randomized, double-blind, placebo-controlled, parallel-group, multicenter study in subjects aged 12 years and older with CF who are homozygous for the F508del mutation on the cystic fibrosis transmembrane conductance regulator gene (CFTR) gene and who discontinued treatment with Orkambi due to respiratory symptoms considered related to treatment. This study is designed to evaluate the safety and efficacy of Tezacaftor/Ivacaftor (TEZ/IVA).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cystic Fibrosis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
98 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants received placebo matched to TEZ/IVA fixed-dose combination tablet orally once daily in the morning followed by placebo matched to IVA tablet orally once daily in the evening for 56 days.
Arm Title
TEZ/IVA
Arm Type
Experimental
Arm Description
Participants received TEZ 100 milligram (mg)/IVA 150 mg fixed-dose combination tablet orally once daily in the morning and IVA 150 mg tablet orally once daily in the evening for 56 days.
Intervention Type
Drug
Intervention Name(s)
Tezacaftor/Ivacaftor
Other Intervention Name(s)
TEZ/IVA; VX-661/VX-770
Intervention Description
TEZ 100 mg/IVA 150 mg fixed-dose combination tablet.
Intervention Type
Drug
Intervention Name(s)
Ivacaftor
Other Intervention Name(s)
VX-770; IVA
Intervention Description
IVA 150 mg tablet.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo matched to TEZ/IVA fixed-dose combination tablet.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo matched to IVA tablet.
Primary Outcome Measure Information:
Title
Incidence of Respiratory Adverse Events of Special Interest (RAESIs)
Description
RAESIs included chest discomfort, dyspnea (shortness of breath), respiration abnormal (chest tightness), asthma, bronchial hyperreactivity, bronchospasm, and wheezing.
Time Frame
Day 1 up to Day 84
Secondary Outcome Measure Information:
Title
Absolute Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Average of Day 28 and Day 56 Measurements
Description
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
Time Frame
Baseline, Day 28 and Day 56
Title
Relative Change From Baseline in ppFEV1 at Average of Day 28 and Day 56 Measurements
Description
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
Time Frame
Baseline, Day 28 and Day 56
Title
Absolute Change From Baseline in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Average of Day 28 and Day 56 Measurements
Description
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.
Time Frame
Baseline, Day 28 and Day 56
Title
Tolerability as Assessed by Number of Participants Who Discontinued Treatment
Time Frame
Day 1 through Day 56
Title
Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time Frame
Day 1 up to Day 84
10. Eligibility
Sex
All
Minimum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Willing and able to comply with scheduled visits, treatment plan, study restrictions, laboratory tests, contraceptive guidelines, and other study procedures.
Prior discontinuation of Orkambi, with at least 1 respiratory sign or symptom considered related to therapy.
Resolution or stabilization of qualifying event(s) >28 days prior to Screening.
Discontinuation of Orkambi therapy must have occurred within approximately 12 weeks from the first dose of Orkambi.
Homozygous for F508del mutation in the CFTR gene as documented in the subject's medical record. If genotype documentation is not available in the medical record, genotyping will be performed during screening.
FEV1 ≥25% and ≤90% of predicted normal for age, sex, and height.
Stable CF disease as judged by the investigator.
Other protocol defined inclusion criteria could apply.
Exclusion Criteria:
History of any comorbidity 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.
Recent rapid or progressive deterioration in respiratory status.
Receiving continuous oxygen at >2L/min or on face-mask ventilation.
Any protocol-defined exclusionary laboratory values at Screening.
Child-Pugh Class B or C hepatic impairment.
An acute upper or lower respiratory infection, pulmonary exacerbation, or change in therapy for pulmonary disease within 28 days before Day 1.
Documentation of colonization with organisms associated with a more rapid decline in pulmonary status.
History of lung transplantation since most recent initiation of Orkambi.
History of alcohol or drug abuse in the past year as deemed by the investigator.
Participation in an investigational drug study or use of a CFTR modulator within 28 days or 5 terminal half-lives of the investigational drug or modulator (whichever is longer).
Use of restricted medications or foods within the specified window before the first dose of study drug, or an anticipated need or use of restricted medication or foods after the first dose of study drug.
Pregnant or nursing females: Females of child-bearing potential must have a negative pregnancy test at Screening and Day 1.
Other protocol defined exclusion criteria could apply.
Facility Information:
Facility Name
University of Alabama at Birmingham
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35233
Country
United States
Facility Name
Phoenix Children's Hospital
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85016
Country
United States
Facility Name
UCSF - Fresno, Community Regional Medical Center
City
Fresno
State/Province
California
ZIP/Postal Code
93701
Country
United States
Facility Name
Miller Children's Hospital / Long Beach Memorial
City
Long Beach
State/Province
California
ZIP/Postal Code
90806
Country
United States
Facility Name
Children's Hospital Los Angeles
City
Los Angeles
State/Province
California
ZIP/Postal Code
90027
Country
United States
Facility Name
Rady Children's Hospital
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
National Jewish Health
City
Denver
State/Province
Colorado
ZIP/Postal Code
80206
Country
United States
Facility Name
Yale New Haven Hospital
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06510
Country
United States
Facility Name
Central Florida Pulmonary Group
City
Orlando
State/Province
Florida
ZIP/Postal Code
32803
Country
United States
Facility Name
Arnold Palmer Hospital
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Tampa General Hospital Cardiac and Lung Transplant Clinic
City
Tampa
State/Province
Florida
ZIP/Postal Code
33606
Country
United States
Facility Name
Children's Speciality Services at North Druid Hills
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30324
Country
United States
Facility Name
St. Luke's CF Center of Idaho
City
Boise
State/Province
Idaho
ZIP/Postal Code
83702
Country
United States
Facility Name
Advocate Children's Hospital - Park Ridge / North Suburban Pulmonary and Critical Care Consultants
City
Niles
State/Province
Illinois
ZIP/Postal Code
60714
Country
United States
Facility Name
Southern Illinois University
City
Springfield
State/Province
Illinois
ZIP/Postal Code
62702
Country
United States
Facility Name
Riley Hospital for Children at Indiana University Health
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
The University of Iowa Hospitals and Clinics
City
Iowa City
State/Province
Iowa
ZIP/Postal Code
52242
Country
United States
Facility Name
University of Kansas Medical Center
City
Kansas City
State/Province
Kansas
ZIP/Postal Code
66160
Country
United States
Facility Name
Kentucky Clinic
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40536
Country
United States
Facility Name
Tulane Medical Center
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70112
Country
United States
Facility Name
Massachusetts General Hospital Cystic Fibrosis Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Boston Children's Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
University of Mississippi Medical Center
City
Jackson
State/Province
Mississippi
ZIP/Postal Code
39216
Country
United States
Facility Name
Children's Mercy Hospital
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64108
Country
United States
Facility Name
Billings Clinic
City
Billings
State/Province
Montana
ZIP/Postal Code
59101
Country
United States
Facility Name
Mount Sinai Beth Israel
City
New York
State/Province
New York
ZIP/Postal Code
10003
Country
United States
Facility Name
New York Medical College
City
Valhalla
State/Province
New York
ZIP/Postal Code
10595
Country
United States
Facility Name
Duke University Medical Center
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
Wake Forest University Baptist Medical Center
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27157
Country
United States
Facility Name
Cleveland Clinic Foundation
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
University of Oklahoma Health Sciences Center
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73104
Country
United States
Facility Name
Santiago Reyes, M.D.
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73112
Country
United States
Facility Name
Drexel University College of Medicine/ Drexel Adult Cystic Fibrosis Center
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
Facility Name
Medical University of South Carolina
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29425
Country
United States
Facility Name
Vanderbilt University Medical Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232
Country
United States
Facility Name
The University of Tennessee Medical Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37920
Country
United States
Facility Name
Dell Children's Medical Center of Central Texas
City
Austin
State/Province
Texas
ZIP/Postal Code
78723
Country
United States
Facility Name
The University of Texas Health Science Center at San Antonio
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78207
Country
United States
Facility Name
University of Utah / Primary Children's Medical Center
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84132
Country
United States
Facility Name
Children's Hospital of the King's Daughters
City
Norfolk
State/Province
Virginia
ZIP/Postal Code
23507
Country
United States
Facility Name
Children's Hospital of Richmond at VCU, Children's Pavilion
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23298
Country
United States
Facility Name
Centre Hospitalier Intercommunal de Créteil
City
Créteil
Country
France
Facility Name
Centre Hospitalier Universitaire De Grenoble - Hopital Michallon
City
Grenoble
Country
France
Facility Name
CHU de Montpellier - Hopital Arnaud de Villeneuve
City
Montpellier Cedex 5
Country
France
Facility Name
Centre Hospitalier Universitaire De Nantes
City
Nantes
Country
France
Facility Name
Centre hospitalier universitaire de Nice, Pulmonology
City
Nice
Country
France
Facility Name
Hopital Cochin
City
Paris Cedex 14
Country
France
Facility Name
Centre Hospitalier Universitaire - Hopitaux de Rouen
City
Rouen
Country
France
Facility Name
Charite Paediatric Pulmonology Department
City
Berlin
Country
Germany
Facility Name
Ruhrlandklinik Westdeutsches Lungenzentrum am Klinikum Essen
City
Essen
Country
Germany
Facility Name
Klinikum Innenstadt, University of Munich
City
Muenchen
Country
Germany
Facility Name
Pneumologische Praxis Pasing
City
Muenchen
Country
Germany
Facility Name
Universitaetsklinikum Tuebingen Klinik fuer Kinder- und Jugendmedizin
City
Tuebingen
Country
Germany
12. IPD Sharing Statement
Learn more about this trial
A Study to Evaluate Safety, Efficacy, and Tolerability of TEZ/IVA in Orkambi® (Lumacaftor/Ivacaftor) -Experienced Subjects With Cystic Fibrosis (CF)
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