NL-OMON52358CompletedPhase 3
A Phase 3b Open-label Study to Assess the Effect of Elexacaftor/Tezacaftor/Ivacaftor on Glucose Tolerance in Cystic Fibrosis Subjects with Abnormal Glucose Metabolism - Study Evaluating ELX/TEZ/IVA on glucose tolerance in Subjects With CF
Conditions
Trial Snapshot
- Phase
- Phase 3
- Status
- Completed
- Sponsor
- Vertex Pharmaceuticals
- Enrollment
- 8
Study Overview
Brief Summary
No summary available.
Study Design
- Study Type
- Interventional
Eligibility Criteria
- Ages
- 12 to 64 (—)
Inclusion Criteria
- •1. Subject (or his or her legally appointed and authorized representative) will
- •sign and date an informed consent form (ICF), and, when appropriate, an assent
- •2. Willing and able to comply with scheduled visits, treatment plan, study
- •restrictions, laboratory tests, contraceptive guidelines, and other study
- •procedures.
- •3. Subjects (male and female) 12 years of age or older on the date of informed
- •4. Subjects heterozygous for F508del and an MF mutation.
- •a. Genotype should be confirmed at the Screening Visit.
- •b. If the screening CFTR genotype result is not received before the first dose
- •of study drug, a previous CFTR genotype laboratory report may be used to
- •establish eligibility.
- •c. Subjects who have been enrolled and whose screening genotype does not
- •confirm study eligibility must be discontinued from the study.
- •5. Forced expiratory volume in 1 second (FEV1) value >=30% of predicted mean for
- •age, sex, and height (equations of the Global Lung Function Initiative [GLI])
- •at the Screening Visit (spirometry measurements must meet American Thoracic
- •Society/European Respiratory Society criteria for acceptability and
- •repeatability) and stable CF disease as judged by the investigator.
- •6. Willing to remain on a stable CF treatment regimen (other than CFTR
- •modulators) through completion of study participation.
- •7. Abnormal glucose tolerance as determined by an OGTT, classified as either
- •IGT (defined as 2-hour post-OGTT blood glucose level >= 140 to <200 mg/dL [>=7.77
- •to <11.10 mmol/L]) or CFRD (defined as either fasting hyperglycemia [blood
- •glucose level >=126 mg/dL (>=7.00 mmol/L) after an 8-hour fast] or 2-hour
- •post-OGTT blood glucose level >=200 mg/dL [>=11.10 mmol/L]).
Exclusion Criteria
- •1. History of any illness or any clinical condition that, in the opinion of the
- •investigator, might confound the results of the study or pose an additional
- •risk in administering study drug(s) to the subject. This includes, but is not
- •limited to, the following:
- •Clinically significant liver cirrhosis with or without portal hypertension
- •Solid organ or hematological transplantation
- •Alcohol or drug abuse in the past year, including, but not limited to,
- •cannabis, cocaine, and opiates, as deemed by the investigator
- •Cancer, except for squamous cell skin cancer, basal cell skin cancer, and
- •Stage 0 cervical carcinoma in situ (all 3 with no recurrence for the last 5
- •2. Type 1 or Type 2 diabetes
- •3. Duration of CFRD >=5 years.
- •4. Any clinically significant laboratory abnormalities at the Screening Visit
- •that would interfere with the study assessments or pose an undue risk for the
- •subject (as deemed by the investigator).
- •5. Any of the following abnormal laboratory values at screening:
- •Hemoglobin <10 g/dL
- •Total bilirubin >=2 × upper limit of normal (ULN)
- •Aspartate transaminase (AST), alanine transaminase (ALT), gamma-glutamyl
- •transferase (GGT), or alkaline phosphatase (ALP) >=3 × ULN
- •Abnormal renal function defined as glomerular filtration rate <=50
- •mL/min/1.73* m2 (calculated by the Modification of Diet in Renal Disease Study
- •Equation) for subjects >=18 years of age and <=45 mL/min/1.73 m2 (calculated by
- •the Counahan-Barratt equation) for subjects <18 years of age
- •6. An acute upper or lower respiratory infection, pulmonary exacerbation, or
- •changes in therapy (including antibiotics) for pulmonary disease within 28 days
- •before Day 1 (first dose of study drug).
- •7. Lung infection with organisms associated with a more rapid decline in
- •pulmonary status (including, but not limited to, Burkholderia cenocepacia,
- •Burkholderia dolosa, and Mycobacterium abscessus). For subjects who have had a
- •history of a positive culture, the investigator will apply the following
- •criteria to establish whether the subject is free of infection with such
- •The subject has not had a respiratory tract culture positive for these
- •organisms within the 12 months before the date of informed consent.
- •The subject has had at least 2 respiratory tract cultures negative for such
- •organisms within the 12 months before the date of informed consent, with the
- •first and last of these separated by at least 3 months, and the most recent one
- •within the 6 months before the date of informed consent.
- •8. An acute illness not related to CF (e.g., gastroenteritis) within 14 days
- •before the first dose of study drug (Day 1).
- •9. Ongoing or prior participation in an investigational drug study (including
- •studies investigating ELX with or without coadministration of other study
- •drugs) within 28 days of the Screening Visit.
- •A washout period of 5 terminal half lives of the previous investigational
- •study drug, or 28 days, whichever is longer, must elapse before the Screening
- •The duration of the elapsed time may be longer if required by local
- •regulations.
- •10. Use of restricted medication (including antidiabetic medication other than
- •insulin, which must be at a dose no greater than 0.3 units/kg/day) within
- •specified duration before the first dose of study drug.
- +1 more not shown
Investigators
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