Study to Evaluate Biological & Clinical Effects of Significantly Corrected CFTR Function in Infants & Young Children

NCT ID: NCT04509050

Last Updated: 2024-08-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

210 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-11-18

Study Completion Date

2029-12-01

Brief Summary

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This is a two-part, multi-center, prospective longitudinal, exploratory study of highly effective cystic fibrosis transmembrane conductance regulator (CFTR) modulators and their impact on children with cystic fibrosis (CF).

Detailed Description

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This is a two-part, multi-center, prospective longitudinal, exploratory study of highly effective cystic fibrosis transmembrane conductance regulator (CFTR) modulators and their impact in children with cystic fibrosis (CF) on endocrine growth factors and height, gastrointestinal function and gut microbiome, lung function and respiratory microbiome, liver and pancreatic function, sweat chloride, inflammatory markers, and bone health.

Total duration of the study is expected to be 10 years. Part A will be a prospective cross-sequential study to describe the natural history of hormonal growth factors in early childhood and assess the feasibility of additional measurements. In Part A, subjects will have up to 8 visits over a period of up to 5 years.

Part B will be a prospective longitudinal study to observe the effects of administration of either ivacaftor or elexacaftor/tezacaftor/ivacaftor (elex/tez/iva) on growth. In Part B, subjects will have 1 "before ivacaftor or elex/tez/iva" visit within 30 days before initiation of the therapy and 8 "after ivacaftor or elex/tez/iva" visits over a 60-month follow-up period.

Conditions

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Cystic Fibrosis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Part A

Children with CF not on ivacaftor or elexacaftor/tezacaftor/ivacaftor CFTR modulator therapy.

No interventions assigned to this group

Part B

Children with CF planning to start ivacaftor or elexacaftor/tezacaftor/ivacaftor CFTR modulator therapy. Participants from the Part A cohort of this study may enroll into the Part B cohort if they become eligible for these CFTR modulator therapies and plan to start them.

Ivacaftor or elexacaftor/tezacaftor/ivacaftor

Intervention Type DRUG

In Part B, approved CFTR modulator as prescribed at the discretion of the treating physician -not dictated by the BEGIN investigators

Interventions

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Ivacaftor or elexacaftor/tezacaftor/ivacaftor

In Part B, approved CFTR modulator as prescribed at the discretion of the treating physician -not dictated by the BEGIN investigators

Intervention Type DRUG

Other Intervention Names

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Kalydeco or Trikafta Vertex (VX)-770 or VX-445/VX-661/VX-770

Eligibility Criteria

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Inclusion Criteria

* Part A:

* Less than 10 years of age at the first study visit.
* Documentation of a CF diagnosis.

Part B:

* Participated in Part A OR less than 7 years of age at the first study visit.
* Documentation of a CF diagnosis.
* CFTR mutations consistent with FDA labeled indication of highly effective modulator therapy (ivacaftor or elexacaftor/tezacaftor/ivacaftor).
* Physician intent to prescribe ivacaftor or elexacaftor/tezacaftor/ivacaftor.

Exclusion Criteria

* Part A and Part B:
* Use of an investigational drug within 28 days prior to and including the first study visit.
* Use of ivacaftor or elexacaftor/tezacaftor/ivacaftor within the 28 days prior to and including the first study visit.
* Use of chronic oral corticosteroids within the 28 days prior to and including the first study visit.
Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cystic Fibrosis Foundation

OTHER

Sponsor Role collaborator

University of Washington

OTHER

Sponsor Role collaborator

University of Alabama at Birmingham

OTHER

Sponsor Role collaborator

Sonya Heltshe

OTHER

Sponsor Role lead

Responsible Party

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Sonya Heltshe

Associate Professor University of Washington

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Bonnie Ramsey, MD

Role: PRINCIPAL_INVESTIGATOR

Seattle Children's Hospital

Lucas Hoffman, MD PhD

Role: PRINCIPAL_INVESTIGATOR

University of Washington/Seattle Children's

Katie Larson Ode, MD

Role: PRINCIPAL_INVESTIGATOR

University of Iowa

Locations

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

Birmingham, Alabama, United States

Site Status RECRUITING

Stanford University Medical Center

Palo Alto, California, United States

Site Status RECRUITING

Children's Hospital Colorado

Aurora, Colorado, United States

Site Status RECRUITING

Nemours Children's Clinic

Jacksonville, Florida, United States

Site Status RECRUITING

University of Miami

Miami, Florida, United States

Site Status RECRUITING

The Nemours Children's Clinic - Orlando

Orlando, Florida, United States

Site Status RECRUITING

Riley Hospital for Children

Indianapolis, Indiana, United States

Site Status RECRUITING

University of Iowa

Iowa City, Iowa, United States

Site Status RECRUITING

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status RECRUITING

Boston Children's Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

University of Michigan, Michigan Medicine

Ann Arbor, Michigan, United States

Site Status RECRUITING

Helen DeVos Children's Hospital

Grand Rapids, Michigan, United States

Site Status RECRUITING

Children's Hospitals and Clinics of Minnesota

Minneapolis, Minnesota, United States

Site Status RECRUITING

The Minnesota Cystic Fibrosis Center

Minneapolis, Minnesota, United States

Site Status RECRUITING

Children's Mercy Kansas City

Kansas City, Missouri, United States

Site Status RECRUITING

St. Louis Children's Hospital

St Louis, Missouri, United States

Site Status RECRUITING

The Cystic Fibrosis Center of Western New York

Buffalo, New York, United States

Site Status RECRUITING

Children's Hospital of New York

New York, New York, United States

Site Status RECRUITING

SUNY Upstate Medical University

Syracuse, New York, United States

Site Status RECRUITING

New York Medical College at Westchester Medical Center

Valhalla, New York, United States

Site Status RECRUITING

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States

Site Status RECRUITING

Nationwide Children's Hospital

Columbus, Ohio, United States

Site Status RECRUITING

Oklahoma Cystic Fibrosis Center

Oklahoma City, Oklahoma, United States

Site Status RECRUITING

Oregon Health Sciences University

Portland, Oregon, United States

Site Status RECRUITING

Hershey Medical Center Pennsylvania State University

Hershey, Pennsylvania, United States

Site Status RECRUITING

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Children's Hospital of Pittsburgh of UPMC

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

University of Texas Southwestern / Children's Health

Dallas, Texas, United States

Site Status RECRUITING

Cook Children's Medical Center

Fort Worth, Texas, United States

Site Status RECRUITING

Baylor College of Medicine

Houston, Texas, United States

Site Status RECRUITING

Primary Children's Cystic Fibrosis Center

Salt Lake City, Utah, United States

Site Status RECRUITING

Vermont Children's Hospital

Burlington, Vermont, United States

Site Status RECRUITING

University of Virginia

Charlottesville, Virginia, United States

Site Status RECRUITING

Seattle Children's Hospital

Seattle, Washington, United States

Site Status RECRUITING

University of Wisconsin

Madison, Wisconsin, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Rachael Buckingham

Role: CONTACT

206-884-7517

Anna Mead

Role: CONTACT

206-884-7531

Facility Contacts

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Heather Hathorne

Role: primary

Jacquelyn Spano

Role: primary

Mary Cross

Role: primary

Jennifer (Jenn) Gafford

Role: primary

Ylber (Ivan) Whitaker

Role: primary

Sherry Wooldridge

Role: primary

Lisa Bendy

Role: primary

Mary Teresi

Role: primary

Lawrence Scott

Role: primary

Robert Fowler

Role: primary

Dawn Kruse

Role: primary

Andrew James

Role: primary

Camerone Bey

Role: primary

CF Trials Contact

Role: primary

Candy Schmoll

Role: primary

Irma Bauer

Role: primary

Christine Roach

Role: primary

Hossein Sadeghi

Role: primary

Mary Forell

Role: primary

Zachary Messer

Role: primary

Kelly Thornton

Role: primary

Diana Gilmore

Role: primary

CF Center Participant Contact

Role: primary

Jenna Bucher

Role: primary

Diane M Kitch

Role: primary

Erin Donnelly

Role: primary

Elizabeth Hartigan

Role: primary

Keianna Brown

Role: primary

Anna Reyes

Role: primary

Tracy Mosely

Role: primary

Jane B Vroom

Role: primary

Julie Sweet

Role: primary

Erica Tharrington

Role: primary

Sharon McNamara

Role: primary

Melanie Nelson

Role: primary

Other Identifiers

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BEGIN-OB-19

Identifier Type: -

Identifier Source: org_study_id

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