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NCT03277196

A Study to Evaluate the Safety of Long-term Ivacaftor Treatment in Participants With Cystic Fibrosis Who Are Less Than 24 Months of Age at Treatment Initiation and Have an Approved Ivacaftor-Responsive Mutation

Completed Phase 3 Results posted Last updated 23 October 2024
What this trial tests

Phase 3 trial testing IVA in Cystic Fibrosis in 86 participants. Completed in 2 October 2023.

Timeline
16 August 2017
Primary endpoint
2 October 2023
2 October 2023

Quick facts

Lead sponsorVertex Pharmaceuticals Incorporated
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment86
Start date16 August 2017
Primary completion2 October 2023
Estimated completion2 October 2023
Sites29 locations across Ireland, United Kingdom, Germany, Canada, Australia, United States

Drugs / interventions tested

Conditions studied

Sponsor

Vertex Pharmaceuticals Incorporated — full company profile →

Who can join

Adults 0 Months to 24 Months, 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.

Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs Primary · Day 1 up to Week 120
Participants with TEAEs
GroupValue95% CI
Ivacaftor Treatment85
Participants with SAEs
GroupValue95% CI
Ivacaftor Treatment21
Absolute Change in Sweat Chloride Secondary · From Baseline at Week 96

Sweat samples were collected using an approved collection device.

GroupValue95% CI
Ivacaftor Treatment-55.3± 25.0

Adverse events — posted to ClinicalTrials.gov

Time frame: Day 1 up to Week 120. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Ivacaftor Arm
Serious: 21/86 (24%)
Deaths: 0/86

Serious adverse events (23 terms)

ReactionSystemIvacaftor Arm
Infective pulmonary exacerbation of cystic fibrosisInfections and infestations
ConstipationGastrointestinal disorders
Pseudomonas test positiveInvestigations
Adrenocortical insufficiency acuteEndocrine disorders
Distal intestinal obstruction syndromeGastrointestinal disorders
PyrexiaGeneral disorders
BronchiolitisInfections and infestations
BronchitisInfections and infestations
GastroenteritisInfections and infestations
Gastroenteritis viralInfections and infestations
Lower respiratory tract infection viralInfections and infestations
Parainfluenzae virus infectionInfections and infestations
Periorbital cellulitisInfections and infestations
Respiratory syncytial virus infectionInfections and infestations
Rhinovirus infectionInfections and infestations
Viral infectionInfections and infestations
Viral rashInfections and infestations
Viral upper respiratory tract infectionInfections and infestations
Electrocardiogram QT shortenedInvestigations
Electroencephalogram abnormalInvestigations
DehydrationMetabolism and nutrition disorders
MalnutritionMetabolism and nutrition disorders
Device dislocationProduct Issues
Other adverse events (28 terms — click to expand)

ReactionSystemIvacaftor Arm
CoughRespiratory, thoracic and mediastinal disorders
PyrexiaGeneral disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
Upper respiratory tract infectionInfections and infestations
VomitingGastrointestinal disorders
RashSkin and subcutaneous tissue disorders
Ear infectionInfections and infestations
DiarrhoeaGastrointestinal disorders
ConstipationGastrointestinal disorders
Infective pulmonary exacerbation of cystic fibrosisInfections and infestations
Nasal congestionRespiratory, thoracic and mediastinal disorders
RhinitisInfections and infestations
NasopharyngitisInfections and infestations
Otitis mediaInfections and infestations
ConjunctivitisInfections and infestations
GastroenteritisInfections and infestations
Pseudomonas test positiveInvestigations
InfluenzaInfections and infestations
TeethingGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
Seasonal allergyImmune system disorders
SinusitisInfections and infestations
TonsillitisInfections and infestations
Viral upper respiratory tract infectionInfections and infestations
Gamma-glutamyltransferase increasedInvestigations
Haemophilus test positiveInvestigations
Respiratory tract infection viralInfections and infestations
Dermatitis diaperSkin and subcutaneous tissue disorders

Most-reported serious reactions: Infective pulmonary exacerbation of cystic fibrosis, Constipation, Pseudomonas test positive, Adrenocortical insufficiency acute, Distal intestinal obstruction syndrome, Pyrexia, Bronchiolitis, Bronchitis.

Data from ClinicalTrials.gov NCT03277196 adverse events section.

Sponsor's own description

This is a Phase 3, 2-arm, multicenter study with an open-label ivacaftor arm and an observational arm to evaluate the safety and efficacy of long-term ivacaftor treatment in participants with cystic fibrosis (CF) who are \<24 months of age at treatment initiation and have an approved Ivacaftor-Responsive mutation.

Publications & conference data

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

  1. Ivacaftor treatment of cystic fibrosis in children aged 12 to <24 months and with a CFTR gating mutation (ARRIVAL): a phase 3 single-arm study.
    Rosenfeld M, Wainwright CE, Higgins M, Wang LT, et al · · 2018 · cited 196× · PMID 29886024 · DOI 10.1016/s2213-2600(18)30202-9
  2. Ivacaftor in Infants Aged 4 to <12 Months with Cystic Fibrosis and a Gating Mutation. Results of a Two-Part Phase 3 Clinical Trial.
    Davies JC, Wainwright CE, Sawicki GS, Higgins MN, et al · · 2021 · cited 71× · PMID 33023304 · DOI 10.1164/rccm.202008-3177oc
  3. Potentiators (specific therapies for class III and IV mutations) for cystic fibrosis.
    Skilton M, Krishan A, Patel S, Sinha IP, et al · · 2019 · cited 18× · PMID 30616300 · DOI 10.1002/14651858.cd009841.pub3

Verify or expand the search:

Other trials of IVA

Trials testing the same drug.

Other recruiting trials for Cystic Fibrosis

Currently open trials in the same condition.

Other Vertex Pharmaceuticals Incorporated trials

Trials by the same sponsor.

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