Trial Outcomes & Findings for A Pilot Study to Evaluate the Use of Smart Adherence Technology to Measure Lumacaftor/Ivacaftor Adherence in CF Subjects Homozygous for the F508del CFTR Mutation (NCT NCT02823470)

NCT ID: NCT02823470

Last Updated: 2018-09-27

Results Overview

Percentage adherence was reported in terms of median and full range due to small sample size.

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

24 participants

Primary outcome timeframe

Up to 35 weeks

Results posted on

2018-09-27

Participant Flow

Participant milestones

Participant milestones
Measure
LUM/IVA Through Deactivated Smart Pill Bottle (Control)
Participants received lumacaftor (LUM) 400 milligram (mg) in combination with ivacaftor (IVA) 250 mg as oral tablet every 12 hours (q12h) for up to 35 weeks through a de-activated smart pill bottle (control).
LUM/IVA Through Activated Smart Pill Bottle (Test)
Participants received LUM 400 mg in combination with IVA 250 mg as oral tablet q12h for up to 35 weeks through an activated smart pill bottle.
Overall Study
STARTED
9
15
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
9
15

Reasons for withdrawal

Reasons for withdrawal
Measure
LUM/IVA Through Deactivated Smart Pill Bottle (Control)
Participants received lumacaftor (LUM) 400 milligram (mg) in combination with ivacaftor (IVA) 250 mg as oral tablet every 12 hours (q12h) for up to 35 weeks through a de-activated smart pill bottle (control).
LUM/IVA Through Activated Smart Pill Bottle (Test)
Participants received LUM 400 mg in combination with IVA 250 mg as oral tablet q12h for up to 35 weeks through an activated smart pill bottle.
Overall Study
Adverse Event
1
0
Overall Study
Study terminated by sponsor
8
15

Baseline Characteristics

A Pilot Study to Evaluate the Use of Smart Adherence Technology to Measure Lumacaftor/Ivacaftor Adherence in CF Subjects Homozygous for the F508del CFTR Mutation

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
LUM/IVA Through Deactivated Smart Pill Bottle (Control)
n=9 Participants
Participants received LUM 400 mg in combination with IVA 250 mg as oral tablet q12h for up to 35 weeks through a de-activated smart pill bottle (control).
LUM/IVA Through Activated Smart Pill Bottle (Test)
n=15 Participants
Participants received LUM 400 mg in combination with IVA 250 mg as oral tablet q12h for up to 35 weeks through an activated smart pill bottle.
Total
n=24 Participants
Total of all reporting groups
Age, Continuous
20.8 Years
STANDARD_DEVIATION 4.0 • n=5 Participants
25.1 Years
STANDARD_DEVIATION 10.3 • n=7 Participants
23.5 Years
STANDARD_DEVIATION 8.6 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
6 Participants
n=7 Participants
11 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
9 Participants
n=7 Participants
13 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants
n=5 Participants
15 Participants
n=7 Participants
24 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 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
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
9 Participants
n=5 Participants
15 Participants
n=7 Participants
24 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 35 weeks

Population: Full analysis set (FAS) included randomized participants who received at least 1 dose of study drug.

Percentage adherence was reported in terms of median and full range due to small sample size.

Outcome measures

Outcome measures
Measure
LUM/IVA Through Deactivated Smart Pill Bottle (Control)
n=9 Participants
Participants received LUM 400 mg in combination with IVA 250 mg as oral tablet q12h for up to 35 weeks through a de-activated smart pill bottle (control).
LUM/IVA Through Activated Smart Pill Bottle (Test)
n=15 Participants
Participants received LUM 400 mg in combination with IVA 250 mg as oral tablet q12h for up to 35 weeks through an activated smart pill bottle.
Percentage Adherence to Lumacaftor/Ivacaftor (LUM/IVA) Treatment
85.49 percentage of adherence
Interval 32.0 to 96.4
92.07 percentage of adherence
Interval 74.2 to 99.3

SECONDARY outcome

Timeframe: Up to Week 12

Population: FAS included randomized participants who received at least 1 dose of study drug. "Overall Number of Participants Analyzed" signifies those participants who had at least 12 weeks of eligible smart pill bottle data.

Percentage adherence was reported in terms of median and full range due to small sample size.

Outcome measures

Outcome measures
Measure
LUM/IVA Through Deactivated Smart Pill Bottle (Control)
n=6 Participants
Participants received LUM 400 mg in combination with IVA 250 mg as oral tablet q12h for up to 35 weeks through a de-activated smart pill bottle (control).
LUM/IVA Through Activated Smart Pill Bottle (Test)
n=14 Participants
Participants received LUM 400 mg in combination with IVA 250 mg as oral tablet q12h for up to 35 weeks through an activated smart pill bottle.
Percentage Adherence to Lumacaftor/Ivacaftor (LUM/IVA) Treatment Through 12 Weeks
88.69 percentage of adherence
Interval 37.5 to 94.0
97.32 percentage of adherence
Interval 74.4 to 100.0

SECONDARY outcome

Timeframe: Up to Week 12

Population: FAS included randomized participants who received at least 1 dose of study drug. "Overall Number of Participants Analyzed" signifies those participants who had at least 12 weeks of eligible smart pill bottle data.

Number of participants with \>=80% adherence to LUM/IVA treatment over 12 weeks were reported.

Outcome measures

Outcome measures
Measure
LUM/IVA Through Deactivated Smart Pill Bottle (Control)
n=6 Participants
Participants received LUM 400 mg in combination with IVA 250 mg as oral tablet q12h for up to 35 weeks through a de-activated smart pill bottle (control).
LUM/IVA Through Activated Smart Pill Bottle (Test)
n=14 Participants
Participants received LUM 400 mg in combination with IVA 250 mg as oral tablet q12h for up to 35 weeks through an activated smart pill bottle.
Number of Participants With Greater Than or Equal to (>=) 80 Percent (%) Adherence
4 Participants
13 Participants

SECONDARY outcome

Timeframe: Up to Week 12

Population: FAS included randomized participants who received at least 1 dose of study drug. "Overall Number of Participants Analyzed" signifies those participants who had at least 12 weeks of eligible smart pill bottle data.

Number of participants with \>=90% adherence to LUM/IVA treatment over 12 weeks were reported.

Outcome measures

Outcome measures
Measure
LUM/IVA Through Deactivated Smart Pill Bottle (Control)
n=6 Participants
Participants received LUM 400 mg in combination with IVA 250 mg as oral tablet q12h for up to 35 weeks through a de-activated smart pill bottle (control).
LUM/IVA Through Activated Smart Pill Bottle (Test)
n=14 Participants
Participants received LUM 400 mg in combination with IVA 250 mg as oral tablet q12h for up to 35 weeks through an activated smart pill bottle.
Number of Participants With Greater Than or Equal to (>=) 90 Percent (%) Adherence
2 Participants
12 Participants

Adverse Events

LUM/IVA Through Deactivated Smart Pill Bottle (Control)

Serious events: 1 serious events
Other events: 4 other events
Deaths: 0 deaths

LUM/IVA Through Activated Smart Pill Bottle (Test)

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
LUM/IVA Through Deactivated Smart Pill Bottle (Control)
n=9 participants at risk
Participants received LUM 400 mg in combination with IVA 250 mg as oral tablet q12h for up to 35 weeks through a de-activated smart pill bottle (control).
LUM/IVA Through Activated Smart Pill Bottle (Test)
n=15 participants at risk
Participants received LUM 400 mg in combination with IVA 250 mg as oral tablet q12h for up to 35 weeks through an activated smart pill bottle.
Hepatobiliary disorders
Cholecystitis
11.1%
1/9 • Baseline up to Week 35
0.00%
0/15 • Baseline up to Week 35

Other adverse events

Other adverse events
Measure
LUM/IVA Through Deactivated Smart Pill Bottle (Control)
n=9 participants at risk
Participants received LUM 400 mg in combination with IVA 250 mg as oral tablet q12h for up to 35 weeks through a de-activated smart pill bottle (control).
LUM/IVA Through Activated Smart Pill Bottle (Test)
n=15 participants at risk
Participants received LUM 400 mg in combination with IVA 250 mg as oral tablet q12h for up to 35 weeks through an activated smart pill bottle.
Respiratory, thoracic and mediastinal disorders
Respiration abnormal
11.1%
1/9 • Baseline up to Week 35
13.3%
2/15 • Baseline up to Week 35
Respiratory, thoracic and mediastinal disorders
Cough
11.1%
1/9 • Baseline up to Week 35
6.7%
1/15 • Baseline up to Week 35
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/9 • Baseline up to Week 35
13.3%
2/15 • Baseline up to Week 35
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/9 • Baseline up to Week 35
6.7%
1/15 • Baseline up to Week 35
Respiratory, thoracic and mediastinal disorders
Productive cough
0.00%
0/9 • Baseline up to Week 35
6.7%
1/15 • Baseline up to Week 35
Respiratory, thoracic and mediastinal disorders
Wheezing
0.00%
0/9 • Baseline up to Week 35
6.7%
1/15 • Baseline up to Week 35
Gastrointestinal disorders
Abdominal pain
0.00%
0/9 • Baseline up to Week 35
13.3%
2/15 • Baseline up to Week 35
Gastrointestinal disorders
Flatulence
0.00%
0/9 • Baseline up to Week 35
13.3%
2/15 • Baseline up to Week 35
Gastrointestinal disorders
Vomiting
11.1%
1/9 • Baseline up to Week 35
6.7%
1/15 • Baseline up to Week 35
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/9 • Baseline up to Week 35
6.7%
1/15 • Baseline up to Week 35
Gastrointestinal disorders
Frequent bowel movements
0.00%
0/9 • Baseline up to Week 35
6.7%
1/15 • Baseline up to Week 35
Gastrointestinal disorders
Nausea
0.00%
0/9 • Baseline up to Week 35
6.7%
1/15 • Baseline up to Week 35
Infections and infestations
Upper respiratory tract infection
11.1%
1/9 • Baseline up to Week 35
20.0%
3/15 • Baseline up to Week 35
Infections and infestations
Infective pulmonary exacerbation of cystic fibrosis
11.1%
1/9 • Baseline up to Week 35
0.00%
0/15 • Baseline up to Week 35
Infections and infestations
Upper respiratory tract infection bacterial
0.00%
0/9 • Baseline up to Week 35
6.7%
1/15 • Baseline up to Week 35
Nervous system disorders
Headache
0.00%
0/9 • Baseline up to Week 35
13.3%
2/15 • Baseline up to Week 35
Nervous system disorders
Loss of consciousness
0.00%
0/9 • Baseline up to Week 35
6.7%
1/15 • Baseline up to Week 35
Nervous system disorders
Syncope
0.00%
0/9 • Baseline up to Week 35
6.7%
1/15 • Baseline up to Week 35
Metabolism and nutrition disorders
Abnormal loss of weight
0.00%
0/9 • Baseline up to Week 35
6.7%
1/15 • Baseline up to Week 35
Metabolism and nutrition disorders
Decreased appetite
0.00%
0/9 • Baseline up to Week 35
6.7%
1/15 • Baseline up to Week 35
Metabolism and nutrition disorders
Hypoglycaemia
0.00%
0/9 • Baseline up to Week 35
6.7%
1/15 • Baseline up to Week 35
Congenital, familial and genetic disorders
Cystic fibrosis related diabetes
11.1%
1/9 • Baseline up to Week 35
0.00%
0/15 • Baseline up to Week 35
General disorders
Fatigue
0.00%
0/9 • Baseline up to Week 35
6.7%
1/15 • Baseline up to Week 35
Injury, poisoning and procedural complications
Procedural pain
0.00%
0/9 • Baseline up to Week 35
6.7%
1/15 • Baseline up to Week 35
Investigations
Alanine aminotransferase increased
0.00%
0/9 • Baseline up to Week 35
6.7%
1/15 • Baseline up to Week 35
Investigations
Aspartate aminotransferase increased
0.00%
0/9 • Baseline up to Week 35
6.7%
1/15 • Baseline up to Week 35
Psychiatric disorders
Depressed mood
0.00%
0/9 • Baseline up to Week 35
6.7%
1/15 • Baseline up to Week 35

Additional Information

Medical Monitor

Vertex Pharmaceuticals Incorporated

Phone: 617-341-6777

Results disclosure agreements

  • Principal investigator is a sponsor employee PI is free to publish results of the study after (1) the first multi-center publication, (2) if the sponsor elects not to publish the results, or (3) 18 months after close of the study, whichever occurs first. Proposed publications are to be submitted to the sponsor for review and comment for a period of at least 45 days (which may be extended under certain circumstances related to protection of intellectual property); the sponsor cannot require changes to the proposed publications.
  • Publication restrictions are in place

Restriction type: OTHER