Rollover Study to Evaluate the Safety and Efficacy of Long-term Treatment With Lumacaftor in Combination With Ivacaftor

Sponsor
Vertex Pharmaceuticals Incorporated (Industry)
Overall Status
Completed
CT.gov ID
NCT02544451
Collaborator
(none)
246
61
4
56
4
0.1

Study Details

Study Description

Brief Summary

Study 110 is a Phase 3, multicenter study in subjects aged 6 years and older with cystic fibrosis (CF) who are homozygous for the F508del-CF transmembrane conductance regulator (CFTR) mutation and who participated in Study 109 (NCT02514473) or Study 011B (NCT01897233). Study 110 is designed to evaluate the safety and efficacy of long term treatment of lumacaftor in combination with ivacaftor.

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
246 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 3, Rollover Study to Evaluate the Safety and Efficacy of Long-term Treatment With Lumacaftor in Combination With Ivacaftor in Subjects Aged 6 Years and Older With Cystic Fibrosis, Homozygous for the F508del-CFTR Mutation
Actual Study Start Date :
Aug 1, 2015
Actual Primary Completion Date :
Aug 1, 2018
Actual Study Completion Date :
Apr 1, 2020

Arms and Interventions

Arm Intervention/Treatment
Experimental: Treatment Period 1: LUM/IVA to LUM/IVA

Drug: LUM/IVA
Lumacaftor (LUM) 200 mg every 12 hours (q12h)/ivacaftor (IVA) 250 mg q12h (for 6 through 11 years of age). LUM 400 mg q12h/IVA 250 mg q12h (for 12 years and older).
Other Names:
  • VX-809/VX-770
  • lumacaftor/ivacaftor
  • Experimental: Treatment Period 1: Placebo (PBO) to LUM/IVA

    Drug: LUM/IVA
    Lumacaftor (LUM) 200 mg every 12 hours (q12h)/ivacaftor (IVA) 250 mg q12h (for 6 through 11 years of age). LUM 400 mg q12h/IVA 250 mg q12h (for 12 years and older).
    Other Names:
  • VX-809/VX-770
  • lumacaftor/ivacaftor
  • No Intervention: Treatment Period 1: Observational Cohort

    Experimental: Treatment Period 2: LUM/IVA

    Drug: LUM/IVA
    LUM 200 mg q12h/IVA 250 mg q12h (for 6 through 11 years of age).
    Other Names:
  • VX-809/VX-770
  • lumacaftor/ivacaftor
  • Outcome Measures

    Primary Outcome Measures

    1. Treatment Period 1 (Treatment Cohorts): Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) [Day 1 up to Week 100]

    Secondary Outcome Measures

    1. Absolute Change in Lung Clearance Index (LCI) 2.5 [From Parent Study Baseline at Week 96]

      LCI 2.5 represents the number of lung turnovers required to reduce the end tidal inert gas concentration to 1/40th of its starting value.

    2. Absolute Change in Sweat Chloride [From Parent Study Baseline at Week 96]

      Sweat samples were collected using an approved collection device.

    3. Absolute Change in Body Mass Index (BMI) [From Parent Study Baseline at Week 96]

      BMI was defined as weight in kilograms divided by height in square meter (m^2).

    4. Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score [From Parent Study Baseline at Week 96]

      The CFQ-R is a validated participant-reported outcome measuring health-related quality of life for participants with cystic fibrosis. Respiratory domain assessed respiratory symptoms, score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life.

    5. Observational Cohort: Safety as Assessed by Serious Adverse Events (SAEs) [Day 1 up to Week 100]

    6. Absolute Change in LCI 5.0 [From Parent Study Baseline at Week 96]

      LCI 5.0 represents the number of lung turnovers required to reduce the end tidal inert gas concentration to 1/20th of its starting value.

    7. Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) [From Parent Study Baseline at Week 96]

      FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.

    8. Relative Change in ppFEV1 [From Parent Study Baseline at Week 96]

      FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.

    9. Absolute Change in BMI-for-age Z-score [From Parent Study Baseline at Week 96]

      BMI was defined as weight in kilograms divided by height in m^2. z-score is a statistical measure to describe whether a mean was above or below the standard. A z-score of 0 is equal to the mean and is considered normal. Lower numbers indicate values lower than the mean and higher numbers indicate values higher than the mean.

    10. Absolute Change in Weight [From Parent Study Baseline at Week 96]

    11. Absolute Change in Weight-for-age Z-score [From Parent Study Baseline at Week 96]

      z-score is a statistical measure to describe whether a mean was above or below the standard. A z-score of 0 is equal to the mean and is considered normal. Lower numbers indicate values lower than the mean and higher numbers indicate values higher than the mean.

    12. Absolute Change in Height [From Parent Study Baseline at Week 96]

    13. Absolute Change in Height-for-age Z-score [From Parent Study Baseline at Week 96]

      z-score is a statistical measure to describe whether a mean was above or below the standard. A z-score of 0 is equal to the mean and is considered normal. Lower numbers indicate values lower than the mean and higher numbers indicate values higher than the mean.

    14. Absolute Change in Treatment Satisfaction Questionnaire for Medication (TSQM) Total Domain Score [From Parent Study Baseline at Week 96]

      The TSQM measures participants' experiences with their medication on four dimensions: effectiveness, side effects, convenience and global satisfaction. For each dimension, responses are added and transformed in the total domain score, which ranges from 0 to 100, where higher scores indicate greater satisfaction.

    15. Time-to-first Pulmonary Exacerbation [From Parent Study Baseline through Week 96]

      Pulmonary exacerbation was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms.

    16. Percentage of Participants Having At Least 1 Pulmonary Exacerbation Event [From Parent Study Baseline through Week 96]

      Pulmonary exacerbation was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms.

    17. Number of Pulmonary Exacerbation Events Per Patient-year [From Parent Study Baseline through Week 96]

      Pulmonary exacerbation was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms.

    18. Rate of Change in LCI 2.5 [Day 15 after first dose of LUM/IVA through Week 96]

      Rate of change analysis evaluates the change in LCI 2.5 after long term treatment with LUM/IVA. A rate of change equal to zero would indicate that treatment effects were stable.

    19. Rate of Change in LCI 5.0 [Day 15 after first dose of LUM/IVA through Week 96]

      Rate of change analysis evaluates the change in LCI 5.0 after long term treatment with LUM/IVA. A rate of change equal to zero would indicate that treatment effects were stable.

    20. Rate of Change in ppFEV1 [Day 15 after first dose of LUM/IVA through Week 96]

      Rate of change analysis evaluates the change in ppFEV1 after long term treatment with LUM/IVA. A rate of change equal to zero would indicate that treatment effects were stable.

    21. Treatment Period 2: Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) [Day 1 up to Week 168]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    6 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    Subjects entering the Treatment Cohort must meet both of the following criteria:
    • Completed study visits up to Week 24 of Study 109 or Week 26 of Study 011B and did not permanently discontinue treatment

    • Willing to remain on a stable CF medication through the Safety Follow-up Visit.

    Subjects entering the Observational Cohort must meet 1 of the following criteria:
    • Completed 24 weeks of study drug treatment in Study 109 or completed 24 weeks of study drug treatment and the Week 26 Safety Follow up in Study 011B.

    • Received at least 4 weeks of study drug and completed visits up to Week 24 of Study 109 or Week 26 of Study 011B.

    Exclusion Criteria (Treatment Cohort Only):
    • History of any comorbidity or laboratory abnormality that, in the opinion of the investigator, might confound the results of the study or pose an additional risk in administering study drug to the subject (e.g., cirrhosis with portal hypertension).

    • Pregnant and nursing females.

    • Sexually active subjects of reproductive potential who are not willing to follow the contraception requirements.

    • History of drug intolerance in the prior study that would pose an additional risk to the subject in the opinion of investigator

    • History of poor compliance with study drug and/or procedure in the previous study as deemed by the investigator.

    • Participation in an investigational drug trial (including studies investigating lumacaftor and/or ivacaftor).

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Birmingham Alabama United States
    2 Tucson Arizona United States
    3 Long Beach California United States
    4 Palo Alto California United States
    5 Aurora Colorado United States
    6 Wilmington Delaware United States
    7 Jacksonville Florida United States
    8 Orlando Florida United States
    9 Atlanta Georgia United States
    10 Chicago Illinois United States
    11 Indianapolis Indiana United States
    12 Iowa City Iowa United States
    13 Boston Massachusetts United States
    14 Minneapolis Minnesota United States
    15 Kansas City Missouri United States
    16 Saint Louis Missouri United States
    17 Omaha Nebraska United States
    18 Lebanon New Hampshire United States
    19 Buffalo New York United States
    20 Syracuse New York United States
    21 Chapel Hill North Carolina United States
    22 Cincinnati Ohio United States
    23 Cleveland Ohio United States
    24 Dayton Ohio United States
    25 Portland Oregon United States
    26 Pittsburgh Pennsylvania United States
    27 Charleston South Carolina United States
    28 Austin Texas United States
    29 Houston Texas United States
    30 Salt Lake City Utah United States
    31 Colchester Vermont United States
    32 Charlottesville Virginia United States
    33 Norfolk Virginia United States
    34 Richmond Virginia United States
    35 Seattle Washington United States
    36 Madison Wisconsin United States
    37 Milwaukee Wisconsin United States
    38 Parkville Victoria Australia
    39 Herston Australia
    40 New Lambton Heights Australia
    41 Subiaco Australia
    42 Westmead Australia
    43 Brussels Belgium
    44 Leuven Belgium
    45 Vancouver British Columbia Canada
    46 Toronto Ontario Canada
    47 Montreal Quebec Canada
    48 Copenhagen Denmark
    49 Bron Cedex France
    50 Bordeaux Cedex France
    51 Paris Cedex 15 France
    52 Paris France
    53 Berlin Germany
    54 Giessen Germany
    55 Hanover Germany
    56 Koeln Germany
    57 Stockholm Sweden
    58 Leeds West Yorkshire United Kingdom
    59 Belfast United Kingdom
    60 Edinburgh United Kingdom
    61 London United Kingdom

    Sponsors and Collaborators

    • Vertex Pharmaceuticals Incorporated

    Investigators

    None specified.

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    Vertex Pharmaceuticals Incorporated
    ClinicalTrials.gov Identifier:
    NCT02544451
    Other Study ID Numbers:
    • VX15-809-110
    First Posted:
    Sep 9, 2015
    Last Update Posted:
    May 24, 2021
    Last Verified:
    Feb 1, 2021
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details This study consists of 2 Treatment Periods: Treatment Period 1 and Treatment Period 2. Treatment Period 1 had Treatment Cohorts and an Observational Cohort.
    Pre-assignment Detail Participants from Parent Studies 109 (NCT02514473) and 011B (NCT01897233) were enrolled in this study. A total of 240 participants were enrolled in Treatment Period 1 Treatment Cohorts, out of which 1 participant was enrolled but never dosed. Participants enrolled in the Observational and Treatment Period 2 Cohorts were followed for safety endpoint only, no efficacy data were collected.
    Arm/Group Title Treatment Period 1: LUM/IVA to LUM/IVA Treatment Period 1: PBO to LUM/IVA Treatment Period 1: Observational Cohort Treatment Period 2: LUM/IVA
    Arm/Group Description Participants received LUM/IVA in parent studies (109, 011B) and continued to receive LUM/IVA for 96 weeks in the current study. Participants received placebo (PBO) in parent study (109) and then received LUM/IVA for 96 weeks in the current study. Participants completed a parent study (109, 011B) but were not eligible or elected to not receive LUM/IVA for 96 weeks in the current study. Eligible subjects from Treatment Period 1 received LUM/IVA for up to approximately 168 weeks.
    Period Title: Treatment Period 1 (96 Weeks)
    STARTED 143 96 6 0
    COMPLETED 129 84 5 0
    NOT COMPLETED 14 12 1 0
    Period Title: Treatment Period 1 (96 Weeks)
    STARTED 0 0 0 10
    COMPLETED 0 0 0 0
    NOT COMPLETED 0 0 0 10

    Baseline Characteristics

    Arm/Group Title LUM/IVA to LUM/IVA PBO to LUM/IVA Observational Cohort Total
    Arm/Group Description Participants received LUM/IVA in parent studies (109, 011B) and continued to receive LUM/IVA for 96 weeks in the current study. Participants received PBO in parent study (109) and then received LUM/IVA for 96 weeks in the current study. Participants completed a parent study (109, 011B) but were not eligible or elected to not receive LUM/IVA for 96 weeks in the current study. Total of all reporting groups
    Overall Participants 143 96 6 245
    Age, Customized (Count of Participants)
    Less than 9 Years
    58
    40.6%
    38
    39.6%
    5
    83.3%
    101
    41.2%
    Greater than or equal to 9 years
    85
    59.4%
    58
    60.4%
    1
    16.7%
    144
    58.8%
    Sex: Female, Male (Count of Participants)
    Female
    83
    58%
    56
    58.3%
    2
    33.3%
    141
    57.6%
    Male
    60
    42%
    40
    41.7%
    4
    66.7%
    104
    42.4%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    2
    1.4%
    2
    2.1%
    0
    0%
    4
    1.6%
    Not Hispanic or Latino
    139
    97.2%
    93
    96.9%
    6
    100%
    238
    97.1%
    Unknown or Not Reported
    2
    1.4%
    1
    1%
    0
    0%
    3
    1.2%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Asian
    0
    0%
    1
    1%
    0
    0%
    1
    0.4%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Black or African American
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    White
    140
    97.9%
    92
    95.8%
    6
    100%
    238
    97.1%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    3
    2.1%
    3
    3.1%
    0
    0%
    6
    2.4%

    Outcome Measures

    1. Primary Outcome
    Title Treatment Period 1 (Treatment Cohorts): Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
    Description
    Time Frame Day 1 up to Week 100

    Outcome Measure Data

    Analysis Population Description
    Safety set included all participants who received at least 1 dose of study drug in Treatment Period 1.
    Arm/Group Title LUM/IVA to LUM/IVA PBO to LUM/IVA
    Arm/Group Description Participants received LUM/IVA in parent studies (109, 011B) and continued to receive LUM/IVA for 96 weeks in the current study. Participants received PBO in parent study (109) and then received LUM/IVA for 96 weeks in the current study.
    Measure Participants 143 96
    Participants with any AEs
    142
    99.3%
    94
    97.9%
    Participants with SAEs
    43
    30.1%
    29
    30.2%
    2. Secondary Outcome
    Title Absolute Change in Lung Clearance Index (LCI) 2.5
    Description LCI 2.5 represents the number of lung turnovers required to reduce the end tidal inert gas concentration to 1/40th of its starting value.
    Time Frame From Parent Study Baseline at Week 96

    Outcome Measure Data

    Analysis Population Description
    LCI set includes all participants enrolled and dosed in either parent study 109 or 011B LCI sub-study. Analysis period includes both parent study and current study.
    Arm/Group Title LUM/IVA to LUM/IVA PBO to LUM/IVA
    Arm/Group Description All participants in the LCI set who received LUM/IVA in the parent study. All participants in the LCI set who received PBO in the parent study.
    Measure Participants 133 101
    Least Squares Mean (95% Confidence Interval) [lung clearance index]
    -0.85
    -0.86
    3. Secondary Outcome
    Title Absolute Change in Sweat Chloride
    Description Sweat samples were collected using an approved collection device.
    Time Frame From Parent Study Baseline at Week 96

    Outcome Measure Data

    Analysis Population Description
    Full Analysis Set (FAS) includes all participants enrolled and dosed in either parent study. Analysis period includes both parent study and current study.
    Arm/Group Title LUM/IVA to LUM/IVA PBO to LUM/IVA
    Arm/Group Description All participants in the FAS who received LUM/IVA in the parent study. All participants in the FAS who received PBO in the parent study.
    Measure Participants 161 101
    Least Squares Mean (95% Confidence Interval) [millimole per liter (mmol/L)]
    -22.9
    -22.8
    4. Secondary Outcome
    Title Absolute Change in Body Mass Index (BMI)
    Description BMI was defined as weight in kilograms divided by height in square meter (m^2).
    Time Frame From Parent Study Baseline at Week 96

    Outcome Measure Data

    Analysis Population Description
    FAS.
    Arm/Group Title LUM/IVA to LUM/IVA PBO to LUM/IVA
    Arm/Group Description All participants in the FAS who received LUM/IVA in the parent study. All participants in the FAS who received PBO in the parent study.
    Measure Participants 161 101
    Least Squares Mean (95% Confidence Interval) [kg/m^2]
    1.78
    2.04
    5. Secondary Outcome
    Title Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score
    Description The CFQ-R is a validated participant-reported outcome measuring health-related quality of life for participants with cystic fibrosis. Respiratory domain assessed respiratory symptoms, score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life.
    Time Frame From Parent Study Baseline at Week 96

    Outcome Measure Data

    Analysis Population Description
    FAS.
    Arm/Group Title LUM/IVA to LUM/IVA PBO to LUM/IVA
    Arm/Group Description All participants in the FAS who received LUM/IVA in the parent study. All participants in the FAS who received PBO in the parent study.
    Measure Participants 161 101
    Least Squares Mean (95% Confidence Interval) [units on a scale]
    7.4
    6.6
    6. Secondary Outcome
    Title Observational Cohort: Safety as Assessed by Serious Adverse Events (SAEs)
    Description
    Time Frame Day 1 up to Week 100

    Outcome Measure Data

    Analysis Population Description
    All participants included in the observational cohort.
    Arm/Group Title Observational Cohort
    Arm/Group Description Participants completed a parent study (109, 011B) but were not eligible or elected to not receive LUM/IVA for 96 weeks in the current study.
    Measure Participants 6
    Number [participants]
    1
    0.7%
    7. Secondary Outcome
    Title Absolute Change in LCI 5.0
    Description LCI 5.0 represents the number of lung turnovers required to reduce the end tidal inert gas concentration to 1/20th of its starting value.
    Time Frame From Parent Study Baseline at Week 96

    Outcome Measure Data

    Analysis Population Description
    LCI set.
    Arm/Group Title LUM/IVA to LUM/IVA PBO to LUM/IVA
    Arm/Group Description All participants in the LCI set who received LUM/IVA in the parent study. All participants in the LCI set who received PBO in the parent study.
    Measure Participants 133 101
    Least Squares Mean (95% Confidence Interval) [lung clearance index]
    -0.21
    -0.31
    8. Secondary Outcome
    Title Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
    Description FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
    Time Frame From Parent Study Baseline at Week 96

    Outcome Measure Data

    Analysis Population Description
    FAS.
    Arm/Group Title LUM/IVA to LUM/IVA PBO to LUM/IVA
    Arm/Group Description All participants in the FAS who received LUM/IVA in the parent study. All participants in the FAS who received PBO in the parent study.
    Measure Participants 161 101
    Least Squares Mean (95% Confidence Interval) [percent predicted of FEV1]
    3.1
    0.0
    9. Secondary Outcome
    Title Relative Change in ppFEV1
    Description FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
    Time Frame From Parent Study Baseline at Week 96

    Outcome Measure Data

    Analysis Population Description
    FAS.
    Arm/Group Title LUM/IVA to LUM/IVA PBO to LUM/IVA
    Arm/Group Description All participants in the FAS who received LUM/IVA in the parent study. All participants in the FAS who received PBO in the parent study.
    Measure Participants 161 101
    Least Squares Mean (95% Confidence Interval) [percent change]
    4.9
    0.5
    10. Secondary Outcome
    Title Absolute Change in BMI-for-age Z-score
    Description BMI was defined as weight in kilograms divided by height in m^2. z-score is a statistical measure to describe whether a mean was above or below the standard. A z-score of 0 is equal to the mean and is considered normal. Lower numbers indicate values lower than the mean and higher numbers indicate values higher than the mean.
    Time Frame From Parent Study Baseline at Week 96

    Outcome Measure Data

    Analysis Population Description
    FAS.
    Arm/Group Title LUM/IVA to LUM/IVA PBO to LUM/IVA
    Arm/Group Description All participants in the FAS who received LUM/IVA in the parent study. All participants in the FAS who received PBO in the parent study.
    Measure Participants 161 101
    Least Squares Mean (95% Confidence Interval) [z-score]
    0.17
    0.31
    11. Secondary Outcome
    Title Absolute Change in Weight
    Description
    Time Frame From Parent Study Baseline at Week 96

    Outcome Measure Data

    Analysis Population Description
    FAS.
    Arm/Group Title LUM/IVA to LUM/IVA PBO to LUM/IVA
    Arm/Group Description All participants in the FAS who received LUM/IVA in the parent study. All participants in the FAS who received PBO in the parent study.
    Measure Participants 161 101
    Least Squares Mean (95% Confidence Interval) [kg]
    10.3
    11.0
    12. Secondary Outcome
    Title Absolute Change in Weight-for-age Z-score
    Description z-score is a statistical measure to describe whether a mean was above or below the standard. A z-score of 0 is equal to the mean and is considered normal. Lower numbers indicate values lower than the mean and higher numbers indicate values higher than the mean.
    Time Frame From Parent Study Baseline at Week 96

    Outcome Measure Data

    Analysis Population Description
    FAS.
    Arm/Group Title LUM/IVA to LUM/IVA PBO to LUM/IVA
    Arm/Group Description All participants in the FAS who received LUM/IVA in the parent study. All participants in the FAS who received PBO in the parent study.
    Measure Participants 161 101
    Least Squares Mean (95% Confidence Interval) [z-score]
    0.12
    0.24
    13. Secondary Outcome
    Title Absolute Change in Height
    Description
    Time Frame From Parent Study Baseline at Week 96

    Outcome Measure Data

    Analysis Population Description
    FAS.
    Arm/Group Title LUM/IVA to LUM/IVA PBO to LUM/IVA
    Arm/Group Description All participants in the FAS who received LUM/IVA in the parent study. All participants in the FAS who received PBO in the parent study.
    Measure Participants 161 101
    Least Squares Mean (95% Confidence Interval) [centimeter (cm)]
    13.4
    13.5
    14. Secondary Outcome
    Title Absolute Change in Height-for-age Z-score
    Description z-score is a statistical measure to describe whether a mean was above or below the standard. A z-score of 0 is equal to the mean and is considered normal. Lower numbers indicate values lower than the mean and higher numbers indicate values higher than the mean.
    Time Frame From Parent Study Baseline at Week 96

    Outcome Measure Data

    Analysis Population Description
    FAS.
    Arm/Group Title LUM/IVA to LUM/IVA PBO to LUM/IVA
    Arm/Group Description All participants in the FAS who received LUM/IVA in the parent study. All participants in the FAS who received PBO in the parent study.
    Measure Participants 161 101
    Least Squares Mean (95% Confidence Interval) [z-score]
    -0.01
    0.02
    15. Secondary Outcome
    Title Absolute Change in Treatment Satisfaction Questionnaire for Medication (TSQM) Total Domain Score
    Description The TSQM measures participants' experiences with their medication on four dimensions: effectiveness, side effects, convenience and global satisfaction. For each dimension, responses are added and transformed in the total domain score, which ranges from 0 to 100, where higher scores indicate greater satisfaction.
    Time Frame From Parent Study Baseline at Week 96

    Outcome Measure Data

    Analysis Population Description
    FAS.
    Arm/Group Title LUM/IVA to LUM/IVA PBO to LUM/IVA
    Arm/Group Description All participants in the FAS who received LUM/IVA in the parent study. All participants in the FAS who received PBO in the parent study.
    Measure Participants 161 101
    Least Squares Mean (95% Confidence Interval) [units on a scale]
    5.1
    3.9
    16. Secondary Outcome
    Title Time-to-first Pulmonary Exacerbation
    Description Pulmonary exacerbation was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms.
    Time Frame From Parent Study Baseline through Week 96

    Outcome Measure Data

    Analysis Population Description
    Analysis included all participants dosed in parent study 109. LUM/IVA to LUM/IVA analysis period includes both parent study and current study. PBO to LUM/IVA analysis period includes the current study only.
    Arm/Group Title LUM/IVA to LUM/IVA PBO to LUM/IVA
    Arm/Group Description All participants who received LUM/IVA in parent study 109. All participants who received PBO in parent study 109.
    Measure Participants 103 96
    Median (Inter-Quartile Range) [days]
    720.00
    NA
    17. Secondary Outcome
    Title Percentage of Participants Having At Least 1 Pulmonary Exacerbation Event
    Description Pulmonary exacerbation was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms.
    Time Frame From Parent Study Baseline through Week 96

    Outcome Measure Data

    Analysis Population Description
    Analysis included all participants dosed in parent study 109. LUM/IVA to LUM/IVA analysis period includes both parent study and current study. PBO to LUM/IVA analysis period includes the current study only.
    Arm/Group Title LUM/IVA to LUM/IVA PBO to LUM/IVA
    Arm/Group Description All participants who received LUM/IVA in parent study 109. All participants who received PBO in parent study 109.
    Measure Participants 103 96
    Number [percentage of participants]
    49.5
    34.6%
    32.3
    33.6%
    18. Secondary Outcome
    Title Number of Pulmonary Exacerbation Events Per Patient-year
    Description Pulmonary exacerbation was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms.
    Time Frame From Parent Study Baseline through Week 96

    Outcome Measure Data

    Analysis Population Description
    Analysis included all participants dosed in parent study 109. LUM/IVA to LUM/IVA analysis period includes both parent study and current study. PBO to LUM/IVA analysis period includes the current study only.
    Arm/Group Title LUM/IVA to LUM/IVA PBO to LUM/IVA
    Arm/Group Description All participants who received LUM/IVA in parent study 109. All participants who received PBO in parent study 109.
    Measure Participants 103 96
    Number (95% Confidence Interval) [events per patient-year]
    0.45
    0.30
    19. Secondary Outcome
    Title Rate of Change in LCI 2.5
    Description Rate of change analysis evaluates the change in LCI 2.5 after long term treatment with LUM/IVA. A rate of change equal to zero would indicate that treatment effects were stable.
    Time Frame Day 15 after first dose of LUM/IVA through Week 96

    Outcome Measure Data

    Analysis Population Description
    As pre-specified in the SAP, this analysis was conducted in the LUM/IVA Overall group because of sample size. Analysis period is 15 days after first dose of LUM/IVA in parent study or current study (if assigned to placebo in study 109) through the end of current study.
    Arm/Group Title LUM/IVA Overall
    Arm/Group Description All participants who received LUM/IVA in parent study 109, 011B LCI sub-study, or current study.
    Measure Participants 229
    Number (95% Confidence Interval) [slope]
    -0.01
    20. Secondary Outcome
    Title Rate of Change in LCI 5.0
    Description Rate of change analysis evaluates the change in LCI 5.0 after long term treatment with LUM/IVA. A rate of change equal to zero would indicate that treatment effects were stable.
    Time Frame Day 15 after first dose of LUM/IVA through Week 96

    Outcome Measure Data

    Analysis Population Description
    As pre-specified in the SAP, this analysis was conducted in the LUM/IVA Overall group because of sample size. Analysis period is 15 days after first dose of LUM/IVA in parent study or current study (if assigned to placebo in study 109) through the end of current study.
    Arm/Group Title LUM/IVA Overall
    Arm/Group Description All participants who received LUM/IVA in parent study 109, 011B LCI sub-study, or current study.
    Measure Participants 229
    Number (95% Confidence Interval) [slope]
    0.00
    21. Secondary Outcome
    Title Rate of Change in ppFEV1
    Description Rate of change analysis evaluates the change in ppFEV1 after long term treatment with LUM/IVA. A rate of change equal to zero would indicate that treatment effects were stable.
    Time Frame Day 15 after first dose of LUM/IVA through Week 96

    Outcome Measure Data

    Analysis Population Description
    As pre-specified in the SAP, this analysis was conducted in the LUM/IVA Overall group because of sample size. Analysis period is 15 days after first dose of LUM/IVA in parent study or current study (if assigned to placebo in study 109) through the end of current study.
    Arm/Group Title LUM/IVA Overall
    Arm/Group Description All participants who received LUM/IVA in either parent study or current study.
    Measure Participants 257
    Number (95% Confidence Interval) [slope]
    0.58
    22. Secondary Outcome
    Title Treatment Period 2: Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
    Description
    Time Frame Day 1 up to Week 168

    Outcome Measure Data

    Analysis Population Description
    Safety set included all participants who received at least 1 dose of study drug in Treatment Period 2.
    Arm/Group Title Treatment Period 2: LUM/IVA
    Arm/Group Description Eligible subjects from Treatment Period 1 received LUM/IVA for up to approximately 168 weeks.
    Measure Participants 10
    Participants with any AEs
    9
    6.3%
    Participants with SAEs
    0
    0%

    Adverse Events

    Time Frame Treatment Period 1: Day 1 up to Week 100, Treatment Period 2: Day 1 up to Week 168
    Adverse Event Reporting Description Only serious adverse events were collected for the observational cohort. Non-serious AEs were not collected and are not reported for the observational cohort. Adverse events reported based on MedDRA version 21.0 for Treatment Period 1 and MedDRA version 22.1 for Treatment Period 2.
    Arm/Group Title Treatment Period 1: LUM/IVA to LUM/IVA Treatment Period 1: PBO to LUM/IVA Treatment Period 1: Observational Cohort Treatment Period 2: LUM/IVA
    Arm/Group Description Participants received LUM/IVA in parent studies (109, 011B) and continued to receive LUM/IVA for 96 weeks in the current study. Participants received PBO in parent study (109) and then received LUM/IVA for 96 weeks in the current study. Participants completed a parent study (109, 011B) but were not eligible or elected to not receive LUM/IVA for 96 weeks in the current study. Eligible subjects from Treatment Period 1 received LUM/IVA for up to approximately 168 weeks.
    All Cause Mortality
    Treatment Period 1: LUM/IVA to LUM/IVA Treatment Period 1: PBO to LUM/IVA Treatment Period 1: Observational Cohort Treatment Period 2: LUM/IVA
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/143 (0%) 0/96 (0%) 0/6 (0%) 0/10 (0%)
    Serious Adverse Events
    Treatment Period 1: LUM/IVA to LUM/IVA Treatment Period 1: PBO to LUM/IVA Treatment Period 1: Observational Cohort Treatment Period 2: LUM/IVA
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 43/143 (30.1%) 29/96 (30.2%) 1/6 (16.7%) 0/10 (0%)
    Blood and lymphatic system disorders
    Lymphadenitis 1/143 (0.7%) 0/96 (0%) 0/6 (0%) 0/10 (0%)
    Congenital, familial and genetic disorders
    Cystic fibrosis hepatic disease 0/143 (0%) 1/96 (1%) 0/6 (0%) 0/10 (0%)
    Cystic fibrosis lung 1/143 (0.7%) 0/96 (0%) 0/6 (0%) 0/10 (0%)
    Gastrointestinal disorders
    Constipation 4/143 (2.8%) 0/96 (0%) 0/6 (0%) 0/10 (0%)
    Distal intestinal obstruction syndrome 0/143 (0%) 1/96 (1%) 0/6 (0%) 0/10 (0%)
    Oesophagitis 0/143 (0%) 1/96 (1%) 0/6 (0%) 0/10 (0%)
    General disorders
    Pyrexia 0/143 (0%) 1/96 (1%) 0/6 (0%) 0/10 (0%)
    Hepatobiliary disorders
    Autoimmune hepatitis 0/143 (0%) 1/96 (1%) 0/6 (0%) 0/10 (0%)
    Infections and infestations
    Infective pulmonary exacerbation of cystic fibrosis 34/143 (23.8%) 15/96 (15.6%) 1/6 (16.7%) 0/10 (0%)
    Bronchopulmonary aspergillosis allergic 2/143 (1.4%) 0/96 (0%) 0/6 (0%) 0/10 (0%)
    Pneumonia 1/143 (0.7%) 1/96 (1%) 0/6 (0%) 0/10 (0%)
    Appendicitis 0/143 (0%) 1/96 (1%) 0/6 (0%) 0/10 (0%)
    Atypical mycobacterial lower respiratory tract infection 1/143 (0.7%) 0/96 (0%) 0/6 (0%) 0/10 (0%)
    Gastroenteritis viral 0/143 (0%) 1/96 (1%) 0/6 (0%) 0/10 (0%)
    Lower respiratory tract infection bacterial 1/143 (0.7%) 0/96 (0%) 0/6 (0%) 0/10 (0%)
    Viral upper respiratory tract infection 0/143 (0%) 1/96 (1%) 0/6 (0%) 0/10 (0%)
    Injury, poisoning and procedural complications
    Intentional overdose 1/143 (0.7%) 0/96 (0%) 0/6 (0%) 0/10 (0%)
    Investigations
    Pulmonary function test decreased 2/143 (1.4%) 2/96 (2.1%) 0/6 (0%) 0/10 (0%)
    Alanine aminotransferase increased 0/143 (0%) 2/96 (2.1%) 0/6 (0%) 0/10 (0%)
    Aspartate aminotransferase increased 0/143 (0%) 2/96 (2.1%) 0/6 (0%) 0/10 (0%)
    Pseudomonas test positive 1/143 (0.7%) 1/96 (1%) 0/6 (0%) 0/10 (0%)
    Atypical mycobacterium test positive 1/143 (0.7%) 0/96 (0%) 0/6 (0%) 0/10 (0%)
    Oxygen saturation decreased 1/143 (0.7%) 0/96 (0%) 0/6 (0%) 0/10 (0%)
    Metabolism and nutrition disorders
    Diabetic ketoacidosis 1/143 (0.7%) 0/96 (0%) 0/6 (0%) 0/10 (0%)
    Hyperglycaemia 0/143 (0%) 1/96 (1%) 0/6 (0%) 0/10 (0%)
    Renal and urinary disorders
    Nephrolithiasis 0/143 (0%) 1/96 (1%) 0/6 (0%) 0/10 (0%)
    Respiratory, thoracic and mediastinal disorders
    Haemoptysis 1/143 (0.7%) 0/96 (0%) 0/6 (0%) 0/10 (0%)
    Pleuritic pain 1/143 (0.7%) 0/96 (0%) 0/6 (0%) 0/10 (0%)
    Sinus disorder 0/143 (0%) 1/96 (1%) 0/6 (0%) 0/10 (0%)
    Other (Not Including Serious) Adverse Events
    Treatment Period 1: LUM/IVA to LUM/IVA Treatment Period 1: PBO to LUM/IVA Treatment Period 1: Observational Cohort Treatment Period 2: LUM/IVA
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 141/143 (98.6%) 93/96 (96.9%) 0/0 (NaN) 9/10 (90%)
    Ear and labyrinth disorders
    Ear pain 12/143 (8.4%) 4/96 (4.2%) 4/0 (Infinity) 0/10 (0%)
    Eye disorders
    Eyelid oedema 0/143 (0%) 0/96 (0%) 0/0 (NaN) 1/10 (10%)
    Gastrointestinal disorders
    Vomiting 30/143 (21%) 15/96 (15.6%) 15/0 (Infinity) 0/10 (0%)
    Abdominal pain upper 22/143 (15.4%) 20/96 (20.8%) 20/0 (Infinity) 0/10 (0%)
    Abdominal pain 17/143 (11.9%) 19/96 (19.8%) 19/0 (Infinity) 1/10 (10%)
    Diarrhoea 16/143 (11.2%) 8/96 (8.3%) 8/0 (Infinity) 1/10 (10%)
    Nausea 13/143 (9.1%) 11/96 (11.5%) 11/0 (Infinity) 1/10 (10%)
    Constipation 11/143 (7.7%) 11/96 (11.5%) 11/0 (Infinity) 1/10 (10%)
    Flatulence 4/143 (2.8%) 6/96 (6.3%) 6/0 (Infinity) 0/10 (0%)
    Dyspepsia 1/143 (0.7%) 0/96 (0%) 0/0 (NaN) 1/10 (10%)
    Gastritis 0/143 (0%) 1/96 (1%) 1/0 (Infinity) 1/10 (10%)
    General disorders
    Pyrexia 45/143 (31.5%) 27/96 (28.1%) 27/0 (Infinity) 1/10 (10%)
    Fatigue 10/143 (7%) 11/96 (11.5%) 11/0 (Infinity) 0/10 (0%)
    Chest pain 2/143 (1.4%) 5/96 (5.2%) 5/0 (Infinity) 0/10 (0%)
    Hepatobiliary disorders
    Hepatomegaly 1/143 (0.7%) 0/96 (0%) 0/0 (NaN) 1/10 (10%)
    Immune system disorders
    Seasonal allergy 8/143 (5.6%) 5/96 (5.2%) 5/0 (Infinity) 0/10 (0%)
    Infections and infestations
    Infective pulmonary exacerbation of cystic fibrosis 59/143 (41.3%) 34/96 (35.4%) 34/0 (Infinity) 4/10 (40%)
    Upper respiratory tract infection 36/143 (25.2%) 13/96 (13.5%) 13/0 (Infinity) 0/10 (0%)
    Nasopharyngitis 21/143 (14.7%) 16/96 (16.7%) 16/0 (Infinity) 3/10 (30%)
    Viral upper respiratory tract infection 21/143 (14.7%) 14/96 (14.6%) 14/0 (Infinity) 0/10 (0%)
    Sinusitis 17/143 (11.9%) 8/96 (8.3%) 8/0 (Infinity) 0/10 (0%)
    Otitis media 13/143 (9.1%) 8/96 (8.3%) 8/0 (Infinity) 0/10 (0%)
    Pharyngitis streptococcal 12/143 (8.4%) 6/96 (6.3%) 6/0 (Infinity) 0/10 (0%)
    Bacterial disease carrier 11/143 (7.7%) 6/96 (6.3%) 6/0 (Infinity) 2/10 (20%)
    Influenza 11/143 (7.7%) 6/96 (6.3%) 6/0 (Infinity) 0/10 (0%)
    Ear infection 9/143 (6.3%) 7/96 (7.3%) 7/0 (Infinity) 1/10 (10%)
    Rhinitis 9/143 (6.3%) 7/96 (7.3%) 7/0 (Infinity) 6/10 (60%)
    Upper respiratory tract infection bacterial 8/143 (5.6%) 1/96 (1%) 1/0 (Infinity) 0/10 (0%)
    Bronchitis 7/143 (4.9%) 7/96 (7.3%) 7/0 (Infinity) 2/10 (20%)
    Pharyngitis 5/143 (3.5%) 7/96 (7.3%) 7/0 (Infinity) 0/10 (0%)
    Gastroenteritis 7/143 (4.9%) 4/96 (4.2%) 4/0 (Infinity) 1/10 (10%)
    Oral fungal infection 2/143 (1.4%) 0/96 (0%) 0/0 (NaN) 1/10 (10%)
    Respiratory tract infection bacterial 3/143 (2.1%) 1/96 (1%) 1/0 (Infinity) 1/10 (10%)
    Injury, poisoning and procedural complications
    Ligament sprain 4/143 (2.8%) 2/96 (2.1%) 2/0 (Infinity) 1/10 (10%)
    Investigations
    Bacterial test positive 30/143 (21%) 16/96 (16.7%) 16/0 (Infinity) 0/10 (0%)
    Alanine aminotransferase increased 22/143 (15.4%) 21/96 (21.9%) 21/0 (Infinity) 0/10 (0%)
    Aspartate aminotransferase increased 17/143 (11.9%) 13/96 (13.5%) 13/0 (Infinity) 0/10 (0%)
    Pseudomonas test positive 10/143 (7%) 3/96 (3.1%) 3/0 (Infinity) 0/10 (0%)
    Pulmonary function test decreased 8/143 (5.6%) 11/96 (11.5%) 11/0 (Infinity) 0/10 (0%)
    Activated partial thromboplastin time prolonged 6/143 (4.2%) 6/96 (6.3%) 6/0 (Infinity) 0/10 (0%)
    Forced expiratory volume decreased 6/143 (4.2%) 13/96 (13.5%) 13/0 (Infinity) 1/10 (10%)
    International normalised ratio increased 4/143 (2.8%) 6/96 (6.3%) 6/0 (Infinity) 0/10 (0%)
    Prothrombin time prolonged 3/143 (2.1%) 6/96 (6.3%) 6/0 (Infinity) 0/10 (0%)
    Weight decreased 1/143 (0.7%) 5/96 (5.2%) 5/0 (Infinity) 1/10 (10%)
    Pulmonary imaging procedure abnormal 0/143 (0%) 0/96 (0%) 0/0 (NaN) 1/10 (10%)
    Metabolism and nutrition disorders
    Decreased appetite 3/143 (2.1%) 6/96 (6.3%) 6/0 (Infinity) 0/10 (0%)
    Glucose tolerance impaired 1/143 (0.7%) 1/96 (1%) 1/0 (Infinity) 1/10 (10%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 5/143 (3.5%) 5/96 (5.2%) 5/0 (Infinity) 1/10 (10%)
    Nervous system disorders
    Headache 29/143 (20.3%) 26/96 (27.1%) 26/0 (Infinity) 1/10 (10%)
    Dizziness 6/143 (4.2%) 5/96 (5.2%) 5/0 (Infinity) 0/10 (0%)
    Respiratory, thoracic and mediastinal disorders
    Cough 91/143 (63.6%) 64/96 (66.7%) 64/0 (Infinity) 2/10 (20%)
    Nasal congestion 34/143 (23.8%) 21/96 (21.9%) 21/0 (Infinity) 0/10 (0%)
    Oropharyngeal pain 32/143 (22.4%) 18/96 (18.8%) 18/0 (Infinity) 0/10 (0%)
    Rhinorrhoea 24/143 (16.8%) 13/96 (13.5%) 13/0 (Infinity) 0/10 (0%)
    Productive cough 19/143 (13.3%) 15/96 (15.6%) 15/0 (Infinity) 0/10 (0%)
    Sputum increased 18/143 (12.6%) 7/96 (7.3%) 7/0 (Infinity) 0/10 (0%)
    Sinus congestion 12/143 (8.4%) 4/96 (4.2%) 4/0 (Infinity) 0/10 (0%)
    Nasal polyps 9/143 (6.3%) 3/96 (3.1%) 3/0 (Infinity) 0/10 (0%)
    Haemoptysis 8/143 (5.6%) 1/96 (1%) 1/0 (Infinity) 0/10 (0%)
    Wheezing 8/143 (5.6%) 4/96 (4.2%) 4/0 (Infinity) 1/10 (10%)
    Respiration abnormal 7/143 (4.9%) 7/96 (7.3%) 7/0 (Infinity) 0/10 (0%)
    Asthma 5/143 (3.5%) 5/96 (5.2%) 5/0 (Infinity) 0/10 (0%)
    Dyspnoea 4/143 (2.8%) 6/96 (6.3%) 6/0 (Infinity) 0/10 (0%)
    Bronchiectasis 0/143 (0%) 1/96 (1%) 1/0 (Infinity) 1/10 (10%)
    Epistaxis 5/143 (3.5%) 2/96 (2.1%) 2/0 (Infinity) 2/10 (20%)
    Lower respiratory tract congestion 1/143 (0.7%) 1/96 (1%) 1/0 (Infinity) 1/10 (10%)
    Paranasal sinus hypersecretion 4/143 (2.8%) 2/96 (2.1%) 2/0 (Infinity) 1/10 (10%)
    Rales 2/143 (1.4%) 1/96 (1%) 1/0 (Infinity) 1/10 (10%)
    Rhinitis allergic 4/143 (2.8%) 4/96 (4.2%) 4/0 (Infinity) 1/10 (10%)
    Skin and subcutaneous tissue disorders
    Rash 10/143 (7%) 10/96 (10.4%) 10/0 (Infinity) 0/10 (0%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    Results Point of Contact

    Name/Title Medical Monitor
    Organization Vertex Pharmaceuticals Incorporated
    Phone 617-341-6777
    Email medicalinfo@vrtx.com
    Responsible Party:
    Vertex Pharmaceuticals Incorporated
    ClinicalTrials.gov Identifier:
    NCT02544451
    Other Study ID Numbers:
    • VX15-809-110
    First Posted:
    Sep 9, 2015
    Last Update Posted:
    May 24, 2021
    Last Verified:
    Feb 1, 2021