Trial Outcomes & Findings for Cystic Fibrosis Related Bone Disease: the Role of CFTR (NCT NCT01549314)

NCT ID: NCT01549314

Last Updated: 2020-04-01

Results Overview

Change in cortical volumetric bone mineral density at the radius

Recruitment status

COMPLETED

Target enrollment

79 participants

Primary outcome timeframe

Baseline and 24 months

Results posted on

2020-04-01

Participant Flow

27 subjects with CF taking ivacaftor were enrolled; however, 1 subject dropped out immediately after signing the consent form prior to any study procedures. No baseline data were obtained in this subject. Therefore, 26 subjects with CF taking ivacaftor were followed prospectively and were matched to the other 2 cohorts.

Participant milestones

Participant milestones
Measure
Subjects With CF Taking Ivacaftor
Subjects with CF ages 6 to 75 years old who will be or have started taking ivacaftor within the previous 6 months
Subjects With CF Not Taking Ivacaftor
Subjects with CF ages 6 to 75 years old who will not be taking ivacaftor, matched for age, race, and gender with cohort 1
Healthy Subjects
Healthy subjects with no medical conditions known to affect bone between the ages of 6 to 75 years old, matched for age, race, and gender with cohort 2.
Overall Study
STARTED
27
26
26
Overall Study
COMPLETED
23
21
24
Overall Study
NOT COMPLETED
4
5
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Cystic Fibrosis Related Bone Disease: the Role of CFTR

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Subjects With CF Taking Ivacaftor
n=26 Participants
Subjects with CF ages 6 to 75 years old who will be or have started taking ivacaftor within the previous 6 months
Subjects With CF Not Taking Ivacaftor
n=26 Participants
Subjects with CF ages 6 to 75 years old who will not be taking ivacaftor, matched for age, race, and gender with cohort 1
Healthy Subjects
n=26 Participants
Healthy subjects with no medical conditions known to affect bone between the ages of 6 to 75 years old, matched for age, race, and gender with cohort 2.
Total
n=78 Participants
Total of all reporting groups
Age, Categorical
<=18 years
11 Participants
n=5 Participants
11 Participants
n=7 Participants
11 Participants
n=5 Participants
33 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
15 Participants
n=5 Participants
15 Participants
n=7 Participants
15 Participants
n=5 Participants
45 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Continuous
23.1 years
STANDARD_DEVIATION 13.1 • n=5 Participants
22.8 years
STANDARD_DEVIATION 13.1 • n=7 Participants
23.8 years
STANDARD_DEVIATION 13.2 • n=5 Participants
23.3 years
STANDARD_DEVIATION 13.0 • n=4 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
15 Participants
n=7 Participants
15 Participants
n=5 Participants
45 Participants
n=4 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
11 Participants
n=7 Participants
11 Participants
n=5 Participants
33 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
26 Participants
n=5 Participants
26 Participants
n=7 Participants
26 Participants
n=5 Participants
78 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
White
26 Participants
n=5 Participants
26 Participants
n=7 Participants
26 Participants
n=5 Participants
78 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
26 participants
n=5 Participants
26 participants
n=7 Participants
26 participants
n=5 Participants
78 participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline and 24 months

Population: Subjects who were lost to follow up prior to the 24 month visit were not included in the analyses

Change in cortical volumetric bone mineral density at the radius

Outcome measures

Outcome measures
Measure
Subjects With CF Taking Ivacaftor
n=23 Participants
Subjects with CF ages 6 to 75 years old who will be or have started taking ivacaftor within the previous 6 months
Subjects With CF Not Taking Ivacaftor
n=21 Participants
Subjects with CF ages 6 to 75 years old who will not be taking ivacaftor, matched for age, race, and gender with cohort 1
Healthy Subjects
n=24 Participants
Healthy subjects with no medical conditions known to affect bone between the ages of 6 to 75 years old, matched for age, race, and gender with cohort 2.
Bone Microarchitecture and Strength Measures of the Radius and Tibia
44.6 mgHA/cm3
Standard Deviation 53.9
40.1 mgHA/cm3
Standard Deviation 44.0
43.7 mgHA/cm3
Standard Deviation 53.8

SECONDARY outcome

Timeframe: Baseline and 24 months

Population: Subjects who were lost to follow up prior to the 24 month visit were not included in the analyses

Change in PA spine bone mineral density

Outcome measures

Outcome measures
Measure
Subjects With CF Taking Ivacaftor
n=23 Participants
Subjects with CF ages 6 to 75 years old who will be or have started taking ivacaftor within the previous 6 months
Subjects With CF Not Taking Ivacaftor
n=21 Participants
Subjects with CF ages 6 to 75 years old who will not be taking ivacaftor, matched for age, race, and gender with cohort 1
Healthy Subjects
n=24 Participants
Healthy subjects with no medical conditions known to affect bone between the ages of 6 to 75 years old, matched for age, race, and gender with cohort 2.
Areal Bone Mineral Density as Measured by DXA
0.032 g/cm2
Standard Deviation 0.058
0.024 g/cm2
Standard Deviation 0.043
0.029 g/cm2
Standard Deviation 0.043

SECONDARY outcome

Timeframe: Baseline and 24 months

Population: Subjects who were lost to follow up prior to the 24 month visit were not included in the analyses

Change in osteocalcin

Outcome measures

Outcome measures
Measure
Subjects With CF Taking Ivacaftor
n=23 Participants
Subjects with CF ages 6 to 75 years old who will be or have started taking ivacaftor within the previous 6 months
Subjects With CF Not Taking Ivacaftor
n=21 Participants
Subjects with CF ages 6 to 75 years old who will not be taking ivacaftor, matched for age, race, and gender with cohort 1
Healthy Subjects
n=24 Participants
Healthy subjects with no medical conditions known to affect bone between the ages of 6 to 75 years old, matched for age, race, and gender with cohort 2.
Bone Turnover Markers
-5.36 ng/ml
Standard Deviation 12.89
-4.51 ng/ml
Standard Deviation 16.27
-4.5 ng/ml
Standard Deviation 14.55

Adverse Events

Subjects With CF Taking Ivacaftor

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Subjects With CF Not Taking Ivacaftor

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Healthy Subjects

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Subjects With CF Taking Ivacaftor
n=26 participants at risk
Subjects with CF ages 6 to 75 years old who will be or have started taking ivacaftor within the previous 6 months
Subjects With CF Not Taking Ivacaftor
n=26 participants at risk
Subjects with CF ages 6 to 75 years old who will not be taking ivacaftor, matched for age, race, and gender with cohort 1
Healthy Subjects
n=26 participants at risk
Healthy subjects with no medical conditions known to affect bone between the ages of 6 to 75 years old, matched for age, race, and gender with cohort 2.
Investigations
Minor
0.00%
0/26 • 2 years
This was an observational study following subjects prospectively over time without an intervention. Any medications, including ivacaftor, were managed by subjects' physician. Therefore, adverse events associated with this study were related to study procedures only. One subject felt lightheaded after venipuncture, improved with food and water, and this was the only adverse event reported.
3.8%
1/26 • Number of events 1 • 2 years
This was an observational study following subjects prospectively over time without an intervention. Any medications, including ivacaftor, were managed by subjects' physician. Therefore, adverse events associated with this study were related to study procedures only. One subject felt lightheaded after venipuncture, improved with food and water, and this was the only adverse event reported.
0.00%
0/26 • 2 years
This was an observational study following subjects prospectively over time without an intervention. Any medications, including ivacaftor, were managed by subjects' physician. Therefore, adverse events associated with this study were related to study procedures only. One subject felt lightheaded after venipuncture, improved with food and water, and this was the only adverse event reported.

Additional Information

Dr. Melissa Putman

Massachusetts General Hospital Endocrine Unit

Phone: 857-218-5017

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place