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A Research Study to Advance the CF Therapeutics Pipeline for People Without Modulators

Recruiting
Conditions
Cystic Fibrosis
Registration Number
NCT06504589
Lead Sponsor
Nicole Hamblett
Brief Summary

The REACH study is for people with CF who do not take cystic fibrosis transmembrane conductance regulator (CFTR) modulators. The goal of the REACH study is to collect research data, including health data and specimens, from people with CF who do not take CFTR modulators. This data may be used to inform CF research, help design CF clinical trials and support the development of new treatments for people with CF who do not take CFTR modulators.

Another goal of this study is to learn about research involvement for people with CF who do not take CFTR modulators, engage them in research, and give them an opportunity to learn about what is involved in participating in a CF research study.

Detailed Description

People with Cystic Fibrosis (pwCF) who are genetically ineligible and/or not taking cystic fibrosis transmembrane conductance regulator (CFTR) modulators currently face future health that is considerably different from the approximately 90% of pwCF in the United States who benefit from CFTR modulators. New treatments are being advanced for pwCF who are genetically ineligible or not taking CFTR modulators and these therapies will include both nucleic acid-based therapies (NABTs) to address the underlying defect in CFTR and symptomatic therapies aimed at targeting the symptoms of CF. A key concern for this limited and underserved patient population is being able to advance multiple therapeutic programs in parallel. To complete these studies, CF researchers will need to be able to reach this community effectively while also promoting the use of innovative trial designs.

The REACH Study is a prospective, longitudinal, observational research study to obtain research quality (i.e., monitored research) CF outcome data. Primary outcome endpoints of the Core study (collected across all study participants) are aligned with anticipated clinical trial outcome endpoints needed in overall development of therapies for the CF population unable to benefit from CFTR modulators. This study will also include sub-studies to obtain specialized measures which may help inform efficacy and safety evaluations of new therapies by providing CF control data. Finally, this study also seeks to assess research solicitation and research participation for the CF population that is modulator ineligible or not taking modulators. The observational data collected within this study may be used in characterizing this CF population, developing innovative trial designs, for comparison when evaluating new or experimental CF therapies, and/or in CF research.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
400
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change in ppFEV1 at 12 months12 months

Mean change (standard deviation) in percent predicted forced expiratory volume in 1 second (ppFEV1) as measured by in-clinic spirometry from baseline to 12 months post-baseline.

Secondary Outcome Measures
NameTimeMethod
Change in LCI 5% at 12 months12 months

Mean change (standard deviation) in lung clearance index (LCI) calculated as 1/20th of starting end-tidal concentration of N2 (LCI 5%) as measured by multiple breath washout (MBW) from baseline to 12 months post-baseline.

Change in CFQ-R-RD at 12 months12 months

Mean change (standard deviation) in the Cystic Fibrosis Question - Revised Respiratory Domain (CFQ-R-RD) from Baseline to 12 months post-baseline. Scores for the CFQ-R-RD range from 0 to 100.

Change in LCI 2.5% at 12 months12 months

Mean change (standard deviation) in lung clearance index (LCI) calculated as 1/40th of starting end-tidal concentration of N2 (LCI 2.5%) as measured by multiple breath washout (MBW) from baseline to 12 months post-baseline.

Absolute 12-month change in MCC Index12 months

Mean change (standard deviation) in mucociliary clearance (MCC) index as by the MCC procedure per gamma scintigraphy from baseline to 12 months post-baseline.

Change in home spirometry ppFEV1 at 12 months12 months

Mean change (standard deviation) in percent predicted forced expiratory volume in 1 second (ppFEV1) as measured by home spirometry from baseline to 12 months post-baseline.

Relative 12-month change in MCC Index12 months

Mean change (standard deviation) in mucociliary clearance (MCC) index as by the MCC procedure per gamma scintigraphy from baseline to 12 months post-baseline divided by the baseline MCC index.

Trial Locations

Locations (68)

The Children's Hospital Alabama, University of Alabama at Birmingham

🇺🇸

Birmingham, Alabama, United States

Phoenix Children's Hospital

🇺🇸

Phoenix, Arizona, United States

Tucson Cystic Fibrosis Center

🇺🇸

Tucson, Arizona, United States

University of Arkansas for Medical Sciences

🇺🇸

Little Rock, Arkansas, United States

University of California San Diego

🇺🇸

La Jolla, California, United States

Childrens Hospital Los Angeles

🇺🇸

Los Angeles, California, United States

Stanford University Medical Center

🇺🇸

Palo Alto, California, United States

University of California, San Francisco - Adult Center

🇺🇸

San Francisco, California, United States

University of California, San Francisco - Peds Center

🇺🇸

San Francisco, California, United States

Children's Hospital Colorado

🇺🇸

Aurora, Colorado, United States

National Jewish Health

🇺🇸

Denver, Colorado, United States

University of Florida

🇺🇸

Gainesville, Florida, United States

University of Miami

🇺🇸

Miami, Florida, United States

Central Florida Pulmonary Group

🇺🇸

Orlando, Florida, United States

Tampa General Hospital

🇺🇸

Tampa, Florida, United States

Children's Healthcare of Atlanta and Emory University

🇺🇸

Atlanta, Georgia, United States

Augusta University

🇺🇸

Augusta, Georgia, United States

Saint Luke's Cystic Fibrosis Center of Idaho

🇺🇸

Boise, Idaho, United States

Northwestern University

🇺🇸

Chicago, Illinois, United States

Riley Hospital for Children

🇺🇸

Indianapolis, Indiana, United States

University of Kansas Medical Center

🇺🇸

Kansas City, Kansas, United States

University of Kentucky

🇺🇸

Lexington, Kentucky, United States

Tulane University

🇺🇸

Metairie, Louisiana, United States

John Hopkins Hospital

🇺🇸

Baltimore, Maryland, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

Boston Children's Hospital

🇺🇸

Boston, Massachusetts, United States

University of Massachusetts Memorial Health Care

🇺🇸

Worcester, Massachusetts, United States

University of Michigan, Michigan Medicine

🇺🇸

Ann Arbor, Michigan, United States

Wayne State University Harper University Hospital

🇺🇸

Detroit, Michigan, United States

Corewell Health Helen DeVos

🇺🇸

Grand Rapids, Michigan, United States

The Minnesota Cystic Fibrosis Center

🇺🇸

Minneapolis, Minnesota, United States

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

Billings Clinic

🇺🇸

Billings, Montana, United States

University of Nebraska Medical Center

🇺🇸

Omaha, Nebraska, United States

Morristown Medical Center

🇺🇸

Morristown, New Jersey, United States

The Cystic Fibrosis Center of Western New York

🇺🇸

Buffalo, New York, United States

Cohen Children's Medical Center of New York

🇺🇸

Lake Success, New York, United States

Columbia University Cystic Fibrosis Program

🇺🇸

New York, New York, United States

University of Rochester Medical Center Strong Memorial

🇺🇸

Rochester, New York, United States

New York Medical College at Westchester Medical Center

🇺🇸

Valhalla, New York, United States

University of North Carolina at Chapel Hill

🇺🇸

Chapel Hill, North Carolina, United States

Atrium Health Wake Forest Baptist

🇺🇸

Winston-Salem, North Carolina, United States

Cincinnati Children's Hospital Medical Center

🇺🇸

Cincinnati, Ohio, United States

Rainbow Babies and Children's Hospital/University Hospitals Cleveland Medical Center

🇺🇸

Cleveland, Ohio, United States

Cleveland Clinic Cystic Fibrosis Program

🇺🇸

Cleveland, Ohio, United States

Nationwide Children's Hospital

🇺🇸

Columbus, Ohio, United States

Dayton Children's Hospital

🇺🇸

Dayton, Ohio, United States

Oregon Health & Sciences University

🇺🇸

Portland, Oregon, United States

Hershey Medical Center Pennsylvania State University

🇺🇸

Hershey, Pennsylvania, United States

Children's Hospital of Philadelphia

🇺🇸

Philadelphia, Pennsylvania, United States

University of Pennsylvania

🇺🇸

Philadelphia, Pennsylvania, United States

University of Pittsburgh Medical Center

🇺🇸

Pittsburgh, Pennsylvania, United States

Medical University of South Carolina

🇺🇸

Charleston, South Carolina, United States

Prisma Health Children's Hospital - Midlands

🇺🇸

Columbia, South Carolina, United States

Vanderbilt University Medical Center

🇺🇸

Nashville, Tennessee, United States

Dell Children's Medical Center of Central Texas

🇺🇸

Austin, Texas, United States

University of Texas Southwestern / Children's Health

🇺🇸

Dallas, Texas, United States

University of Texas Southwestern

🇺🇸

Dallas, Texas, United States

Cook Children's Medical Center

🇺🇸

Fort Worth, Texas, United States

Baylor College of Medicine

🇺🇸

Houston, Texas, United States

Adult Cystic Fibrosis Center at the University of Utah

🇺🇸

Salt Lake City, Utah, United States

Inova L.J. Murphy Pediatric CF Program

🇺🇸

Fairfax, Virginia, United States

Virginia Commonwealth University

🇺🇸

Richmond, Virginia, United States

Seattle Children's Hospital

🇺🇸

Seattle, Washington, United States

University of Washington Medical Center

🇺🇸

Seattle, Washington, United States

Providence Medical Group, Cystic Fibrosis Clinic

🇺🇸

Spokane, Washington, United States

West Virginia University - Morgantown

🇺🇸

Morgantown, West Virginia, United States

University of Wisconsin

🇺🇸

Madison, Wisconsin, United States

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