Last reviewed · How we verify

NCT00458341

A Study of Ataluren in Pediatric Participants With Cystic Fibrosis

Completed Phase 2 Results posted Last updated 6 March 2020
What this trial tests

Phase 2 trial testing Ataluren in Cystic Fibrosis in 30 participants. Completed in 29 February 2008.

Timeline
23 March 2007
Primary endpoint
29 February 2008
29 February 2008

Quick facts

Lead sponsorPTC Therapeutics
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingnone
Primary purposetreatment
Enrollment30
Start date23 March 2007
Primary completion29 February 2008
Estimated completion29 February 2008
Sites3 locations across Belgium, France

Drugs / interventions tested

Conditions studied

Sponsor

PTC Therapeutics — full company profile →

Who can join

Adults 6 to 18, any sex, with Cystic Fibrosis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change From Baseline in Total Chloride Transport at Day 14 of Cycles 1 and 2 Primary · Baseline of Cycle 1 and Cycle 2, Day 14 of Cycle 1 and Cycle 2 (1 cycle=28 days)

Nasal transepithelial potential difference (TEPD) was assessed in each participant using standardized techniques. Warmed solutions of Ringer's solution, amiloride, chloride-free gluconate, isoproterenol, and adenosine triphosphate (ATP) were perfused for ≥3-minute sequentially through a nasal catheter while a voltage tracing was recorded. Total chloride transport was computed for each nostril. The total chloride transport values were calculated by subtracting the voltages at the end of a perfusion from the voltage at the end of an earlier perfusion (isoproterenol - amiloride). The average of t

Baseline of Cycle 1
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg1.45± 5.671
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg0.66± 4.563
Change at Day 14 of Cycle 1
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-2.81± 6.543
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg-2.69± 7.289
Baseline of Cycle 2
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-0.92± 4.474
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg-3.76± 6.729
Change at Day 14 of Cycle 2
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-2.39± 5.426
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg1.10± 7.179
Number of Participants With a Chloride Transport Response at Day 14 of Cycles 1 and 2 Primary · Day 14 of Cycle 1 and Cycle 2 (1 cycle=28 days)

Nasal TEPD was assessed in each participant using standardized techniques. Warmed solutions of Ringer's solution, amiloride, chloride-free gluconate, isoproterenol, and ATP were perfused for ≥3-minute sequentially through a nasal catheter while a voltage tracing was recorded. Total chloride transport was computed for each nostril. The total chloride transport values were calculated by subtracting the voltages at the end of a perfusion from the voltage at the end of an earlier perfusion (isoproterenol - amiloride). The average of the values for each nostril was computed. If the assessment was a

Day 14 of Cycle 1
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg4
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg4
Day 14 of Cycle 2
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg4
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg2
Number of Participants With Normalization of Chloride Transport Between Baseline and Day 14 of Cycles 1 and 2 Primary · Overall Baseline and Day 14 of Cycle 1 and Cycle 2 (1 cycle=28 days)

Nasal TEPD was assessed in each participant using standardized techniques. Warmed solutions of Ringer's solution, amiloride, chloride-free gluconate, isoproterenol, and ATP were perfused for ≥3-minute sequentially through a nasal catheter while a voltage tracing was recorded. Total chloride transport was computed for each nostril. The total chloride transport values were calculated by subtracting the voltages at the end of a perfusion from the voltage at the end of an earlier perfusion (isoproterenol - amiloride). The average of the values for each nostril was computed. If the assessment was a

Within NR at Baseline of Cycle 1
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg0
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg0
Within NR at Day 14 of Cycle 1
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg1
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg5
Outside NR at Baseline/in NR at Day 14 of Cycle 1
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg1
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg5
Within NR at Baseline of Cycle 2
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg2
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg4
Within NR at Day 14 of Cycle 2
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg6
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg3
Outside NR at Baseline/in NR at Day 14 of Cycle 2
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg6
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg2
Change From Baseline in Parameters of Transepithelial Difference at Day 14 of Cycles 1 and 2 Secondary · Baseline of Cycle 1 and Cycle 2, Day 14 of Cycle 1 and Cycle 2 (1 cycle=28 days)

To assess TEPD, warmed solutions of Ringer's solution, amiloride, chloride-free gluconate, isoproterenol and ATP were perfused for ≥3-minutes sequentially through a nasal catheter while a voltage tracing was recorded. Total chloride transport was computed per nostril. Totals were calculated by subtracting voltages at end of perfusion from voltage at end of earlier perfusion for: sodium transport (amiloride-Ringer's solution), intrinsic chloride transport (chloride-free gluconate-amiloride), stimulated chloride transport (isoproterenol-chloride-free gluconate), total potential difference (isopr

Basal nasal TEPD, Baseline of Cycle (C)1
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-53.91± 18.81
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg-56.51± 20.68
Basal nasal TEPD, Change at Day (D)14 of C1
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg9.31± 17.72
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg-3.70± 13.33
Basal nasal TEPD, Baseline of C2
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-46.28± 14.46
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg-50.02± 17.09
Basal nasal TEPD, Change at D14 of C2
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-6.31± 19.33
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg-5.22± 24.48
Sodium transport, Baseline of C1
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg34.38± 17.72
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg36.40± 18.44
Sodium transport, Change at D14 of C1
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-4.97± 15.30
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg1.55± 18.39
Sodium transport, Baseline of C2
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg28.85± 14.31
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg32.15± 17.72
Sodium transport, Change at D14 of C2
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg6.38± 19.81
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg5.50± 20.69
Change From Baseline in CFTR Protein in Nasal Mucosa as Determined by Immunofluorescence at Overall Day 56 Secondary · Overall Baseline, Overall Day 56

The immunofluorescence staining of normal epithelial cells (for example, from nasal mucosal curettage) reveals the presence of cystic fibrosis transmembrane regulator (CFTR) protein at the apical surface. Cells were stained with antibodies that recognized an epitope in the C-terminal portion of the CFTR protein, and the cells were imaged microscopically. The percentage of epithelial cells that showed apical CFTR staining was determined by 2 expert readers who were blinded to the timepoint at which the samples were obtained. The scores of the reviewers were averaged to determine the final perce

Overall Baseline
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg15.95± 16.797
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg10.47± 9.270
Change at Overall Day 56
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg10.45± 24.337
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg22.89± 29.389
Change From Baseline in Pulmonary Function as Measured by Spirometry at Day 14 or 15 of Cycles 1 and 2 and Overall Day 56 Secondary · Overall Baseline, Day 14 or 15 of Cycle 1 and Cycle 2 (1 cycle=28 days), and Overall Day 56

Pulmonary function tests, including forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and forced expiratory flow25-75 (FEF25-75), were measured using standard spirometry techniques. Overall Baseline data for the study and change from overall Baseline data at Day 14 or 15 of Cycles 1 and 2 and at overall Day 56 are presented.

FEV1, Overall Baseline
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg92.68± 22.645
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg85.14± 27.850
FEV1, Change at Day 14 or 15 of Cycle 1
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg2.73± 5.848
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg-4.60± 7.579
FEV1, Change at Day 14 or 15 of Cycle 2
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-0.46± 11.031
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg0.02± 8.801
FEV1, Change at Overall Day 56
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-0.36± 12.936
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg-0.39± 8.191
FVC, Overall Baseline
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg101.83± 13.294
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg95.34± 22.515
FVC, Change at Day 14 or 15 of Cycle 1
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg2.52± 7.216
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg-2.33± 6.643
FVC, Change at Day 14 or 15 of Cycle 2
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-0.44± 7.433
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg-0.44± 7.433
FVC, Change at Overall Day 56
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-0.65± 9.117
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg1.02± 6.796
Change From Baseline in Sputum Markers of Inflammation (Free Elastase) at Day 14 or 15 of Cycles 1 and 2 and Overall Day 56 Secondary · Overall Baseline, Day 14 or 15 of Cycle 1 and Cycle 2 (1 cycle=28 days), and Overall Day 56

The inflammatory marker free elastase was measured in induced sputum from each participant. Hypertonic saline (3%) inhalation was used to induce the sputum (with efforts made to avoid oropharyngeal contamination). The sputum sample was divided into 4 aliquots (1 aliquot each for determination of cell count, IL-8 level, and elastase activity and 1 aliquot for potential future viscosity measurements). Change from overall Baseline data at Day 14 or 15 of Cycles 1 and 2 and at overall Day 56 are presented.

Free Elastase, Baseline
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg108.85± 107.617
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg60.92± 56.170
Free Elastase, Change at Day 14 or 15 of Cycle 1
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-37.78± 95.154
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg74.66± 83.258
Free Elastase, Change at Day 14 or 15 of Cycle 2
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-24.40± 93.804
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg37.33± 65.240
Free Elastase, Change at Overall Day 56
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg12.47± 84.427
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg57.18± 139.211
Change From Baseline in Sputum Markers of Inflammation (Matrix Metalloproteinase 9 [MMP-9] Active) at Day 14 or 15 of Cycles 1 and 2 and Overall Day 56 Secondary · Overall Baseline, Day 14 or 15 of Cycle 1 and Cycle 2 (1 cycle=28 days), and Overall Day 56

The inflammatory marker MMP-9 active was measured in induced sputum from each participant. Hypertonic saline (3%) inhalation was used to induce the sputum (with efforts made to avoid oropharyngeal contamination). The sputum sample was divided into 4 aliquots (1 aliquot each for determination of cell count, IL-8 level, and elastase activity and 1 aliquot for potential future viscosity measurements). Change from overall Baseline data at Day 14 or 15 of Cycles 1 and 2 and at overall Day 56 are presented.

MMP-9 Active, Baseline
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg69431.28± 109894.966
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg20908.56± 28441.612
MMP-9 Active, Change at Day 14 or 15 of Cycle 1
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-44527.45± 92493.455
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg71639.89± 150716.037
MMP-9 Active, Change at Day 14 or 15 of Cycle 2
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-51330.37± 108057.265
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg14947.54± 69337.080
MMP-9 Active, Change at Overall Day 56
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-49644.49± 86334.812
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg56884.39± 158498.793
Change From Baseline in Sputum Markers of Inflammation (Tumor Necrosis Factor-Alpha [TNF-α], Interleukin-8 [IL-8], Transforming Growth Factor Beta 1 [TGF-β1]) at Day 14 or 15 of Cycles 1 and 2 and Overall Day 56 Secondary · Overall Baseline, Day 14 or 15 of Cycle 1 and Cycle 2 (1 cycle=28 days), and Overall Day 56

The inflammatory markers TNF-α, IL-8, and TGF-β1 were measured in induced sputum from each participant. Hypertonic saline (3%) inhalation was used to induce the sputum (with efforts made to avoid oropharyngeal contamination). The sputum sample was divided into 4 aliquots (1 aliquot each for determination of cell count, IL-8 level, and elastase activity and 1 aliquot for potential future viscosity measurements). Change from overall Baseline data at Day 14 or 15 of Cycles 1 and 2 and at overall Day 56 are presented.

IL-8, Baseline
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg352539.57± 331865.227
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg121879.75± 83684.594
IL-8, Change at Day 14 or 15 of Cycle 1
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-171764.67± 296343.195
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg98483.55± 154432.714
IL-8, Change at Day 14 or 15 of Cycle 2
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-71206.95± 289379.557
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg-4087.25± 127038.632
IL-8, Change at Overall Day 56
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-121626.94± 263731.747
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg52880.35± 176223.116
TGF-b1, Baseline
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg80.84± 280.044
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg322.56± 612.153
TGF-b1, Change at Day 14 or 15 of Cycle 1
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg0± 0
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg-322.56± 612.15
TGF-b1, Change at Day 14 or 15 of Cycle 2
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-97.01± 306.773
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg-168.91± 774.276
TGF-b1, Change at Overall Day 56
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-61.32± 367.788
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg-392.21± 771.006
Change From Baseline in Sputum Markers of Inflammation (Uridine-5'-Triphosphate [UTP]) at Day 14 or 15 of Cycles 1 and 2 and Overall Day 56 Secondary · Overall Baseline, Day 14 or 15 of Cycle 1 and Cycle 2 (1 cycle=28 days), and Overall Day 56

The inflammatory marker UTP was measured in induced sputum from each participant. Hypertonic saline (3%) inhalation was used to induce the sputum (with efforts made to avoid oropharyngeal contamination). The sputum sample was divided into 4 aliquots (1 aliquot each for determination of cell count, IL-8 level, and elastase activity and 1 aliquot for potential future viscosity measurements). Change from overall Baseline data at Day 14 or 15 of Cycles 1 and 2 and at overall Day 56 are presented.

UTP, Baseline
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg800.27± 509.794
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg483.31± 222.102
UTP, Change at Day 14 or 15 of Cycle 1
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-202.85± 427.324
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg411.50± 359.669
UTP, Change at Day 14 or 15 of Cycle 2
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-200.94± 549.730
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg198.03± 436.888
UTP, Change at Overall Day 56
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-220.16± 414.258
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg-15.86± 242.686
Change From Baseline in Clinically Significant Neutrophil Levels in Blood at Day 14 or 15 of Cycles 1 and 2 and Overall Day 56 Secondary · Overall Baseline, Day 14 or 15 of Cycle 1 and Cycle 2 (1 cycle=28 days), and Overall Day 56

To assess inflammatory markers in the blood, neutrophil levels in the blood were measured. Higher levels of neutrophils are indicative of more inflammation. Change from overall Baseline data at Day 14 or 15 of Cycles 1 and 2 and at overall Day 56 are presented.

Neutrophils - Absolute, Baseline
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg3.555± 1.2328
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg4.709± 3.0884
Neutrophils - Absolute, Day 14 or 15 of Cycle 1
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-0.332± 1.3416
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg-0.330± 2.7710
Neutrophils - Absolute, Day 14 or 15 of Cycle 2
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-0.290± 1.4881
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg-0.748± 2.2473
Neutrophils - Absolute, Overall Day 56
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-0.114± 1.4724
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg-0.931± 2.7452
Change From Baseline in Clinically Significant Serum Levels of C-Reactive Protein at Day 14 or 15 of Cycles 1 and 2 and Overall Day 56 Secondary · Overall Baseline, Day 14 or 15 of Cycle 1 and Cycle 2 (1 cycle=28 days), and Overall Day 56

To assess inflammatory markers in the blood, serum levels of C-reactive protein were measured. Higher levels of C-reactive protein are indicative of more inflammation. Change from overall Baseline data at Day 14 or 15 of Cycles 1 and 2 and at overall Day 56 are presented.

C-Reactive Protein, Baseline
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg6.432± 4.9133
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg8.273± 7.8838
C-Reactive Protein, Day 14 or 15 of Cycle 1
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-0.150± 1.6337
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg7.059± 16.9563
C-Reactive Protein, Day 14 or 15 of Cycle 2
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg-0.233± 0.7761
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg2.933± 12.0167
C-Reactive Protein, Overall Day 56
GroupValue95% CI
Ataluren 4, 4, and 8 mg/kg, Then Ataluren 10, 10, and 20 mg/kg2.361± 7.4765
Ataluren 10, 10, and 20 mg/kg, Then Ataluren 4, 4, and 8 mg/kg1.240± 7.7170

Adverse events — posted to ClinicalTrials.gov

Time frame: Overall Baseline up to Overall Day 56. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Ataluren 4, 4, and 8 mg/kg
Serious: 1/30 (3%)
Deaths:
Ataluren 10, 10, and 20 mg/kg
Serious: 1/30 (3%)
Deaths:

Serious adverse events (2 terms)

ReactionSystemAtaluren 4, 4, and 8 mg/kgAtaluren 10, 10, and 20 mg…
Cystic fibrosis pulmonary exacerbationRespiratory, thoracic and mediastinal disorders
HaematemesisGastrointestinal disorders
Other adverse events (29 terms — click to expand)

ReactionSystemAtaluren 4, 4, and 8 mg/kgAtaluren 10, 10, and 20 mg…
Abdominal painGastrointestinal disorders
RhinitisInfections and infestations
Cystic fibrosis pulmonary exacerbationRespiratory, thoracic and mediastinal disorders
DiarrhoeaGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
Productive coughRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
PyrexiaGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
AstheniaGeneral disorders
HeadacheNervous system disorders
VomitingGastrointestinal disorders
Chest painGeneral disorders
NasopharyngitisInfections and infestations
Stenotrophomonas infectionInfections and infestations
HaemoptysisRespiratory, thoracic and mediastinal disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
Rash pruriticSkin and subcutaneous tissue disorders
AscitesGastrointestinal disorders
ConstipationGastrointestinal disorders
Diarrhoea haemorrhagicGastrointestinal disorders
DysphagiaGastrointestinal disorders
FatigueGeneral disorders
ThirstGeneral disorders
LaryngitisInfections and infestations
Blood creatinine increasedInvestigations
Gamma-glutamyltransferase increasedInvestigations
TendonitisMusculoskeletal and connective tissue disorders
PruritusSkin and subcutaneous tissue disorders

Most-reported serious reactions: Cystic fibrosis pulmonary exacerbation, Haematemesis.

Data from ClinicalTrials.gov NCT00458341 adverse events section.

Sponsor's own description

In some participants with cystic fibrosis (CF), the disease is caused by a nonsense mutation (premature stop codon) in the gene that makes the cystic fibrosis transmembrane regulator (CFTR) protein. Ataluren has been shown to partially restore CFTR production in animals with CF due to a nonsense mutation. The main purpose of this study is to understand whether ataluren can safely increase functional CFTR protein in the cells of participants with CF due to a nonsense mutation.

Publications & conference data

7 peer-reviewed publications reference this trial (live from Europe PMC):

  1. CFTR Modulators: Shedding Light on Precision Medicine for Cystic Fibrosis.
    Lopes-Pacheco M. · · 2016 · cited 108× · PMID 27656143 · DOI 10.3389/fphar.2016.00275
  2. Nonsense suppression therapies in human genetic diseases.
    Martins-Dias P, Romão L. · · 2021 · cited 70× · PMID 33751142 · DOI 10.1007/s00018-021-03809-7
  3. Ataluren-Promising Therapeutic Premature Termination Codon Readthrough Frontrunner.
    Michorowska S. · · 2021 · cited 35× · PMID 34451881 · DOI 10.3390/ph14080785
  4. Gene-targeting pharmaceuticals for single-gene disorders.
    Beaudet AL, Meng L. · · 2016 · cited 33× · PMID 26628634 · DOI 10.1093/hmg/ddv476
  5. One Size Does Not Fit All: The Past, Present and Future of Cystic Fibrosis Causal Therapies.
    Ensinck MM, Carlon MS. · · 2022 · cited 24× · PMID 35740997 · DOI 10.3390/cells11121868
  6. Nonsense Suppression Therapy: New Hypothesis for the Treatment of Inherited Bone Marrow Failure Syndromes.
    Bezzerri V, Api M, Allegri M, Fabrizzi B, et al · · 2020 · cited 8× · PMID 32630050 · DOI 10.3390/ijms21134672
  7. Advancing Therapeutic Strategies for Nonsense-Related Diseases: From Small Molecules to Nucleic Acid-Based Innovations.
    Ricci D, Cruciata I, Fiduccia I, Vitale E, et al · · 2025 · cited 7× · PMID 40420818 · DOI 10.1002/iub.70027

Verify or expand the search:

Other trials of Ataluren

Trials testing the same drug.

Other recruiting trials for Cystic Fibrosis

Currently open trials in the same condition.

Other PTC Therapeutics trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00458341.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing