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CompletedNCT01807949TRANSPORTUpdated Sep 27, 2016Results posted

A Study of Lumacaftor in Combination With Ivacaftor in Cystic Fibrosis Subjects Aged 12 Years and Older Who Are Homozygous for the F508del-CFTR Mutation

A Phase 3 interventional study of Placebo and Lumacaftor Plus Ivacaftor Combination in Cystic Fibrosis, Homozygous for the F508del CFTR Mutation, sponsored by Vertex Pharmaceuticals Incorporated. Completed at 82 sites in 10 countries. Open to participants aged 12 Years to 65 Years. Per ClinicalTrials.gov, last updated 2016-09-27.

Sponsored by Vertex Pharmaceuticals Incorporated · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
563
Allocation
Randomized
Ages
12 Years to 65 Years
Sex
All
01

Study summary

The primary objective of the study was to evaluate the efficacy of lumacaftor in combination with ivacaftor at Week 24 in participants aged 12 years and older with cystic fibrosis (CF) who are homozygous for the F508del mutation on the CF transmembrane conductance regulator (CFTR) gene.

Read the detailed description

This was a Phase 3, randomized, double-blind, placebo-controlled, parallel-group multicenter study of orally administered lumacaftor in combination with ivacaftor in participants aged 12 years and older with CF who are homozygous for the F508del-CFTR mutation.

The study included a Screening Period (Day -28 through Day -1), a Treatment Period (Day 1 [first dose of study drug] to Week 24 ± 5 days), and a Safety Follow-up Visit (4 weeks ± 7 days after the Week 24 Visit).

02

Conditions studied

  • Cystic Fibrosis, Homozygous for the F508del CFTR Mutation
03

In context

Cystic Fibrosis

1,581 studies on the registry are indexed under Cystic Fibrosis; 190 are open to participants now.

This study's enrollment of 563 is above the median of 36 across 1,034 interventional studies indexed under Cystic Fibrosis.

Browse Cystic Fibrosis studies →

Lead sponsor

Vertex Pharmaceuticals Incorporated is the lead sponsor of 243 studies on the registry; 19 are open to participants now.

Of its 102 completed or terminated interventional studies of FDA-regulated products, 49 (48%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
12 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Confirmed diagnosis of CF
  • Homozygous for the F508del CFTR mutation
  • Forced expiratory volume in 1 second (FEV1) greater than or equal to (>=) 40 percent (%) and less than or equal to (=\<) 90% of predicted normal for age, sex, and height
  • Willing to remain on a stable CF medication regimen through Week 24 or, if applicable, the Safety Follow up Visit

Exclusion criteria

Exclusion Criteria:

  • An acute upper or lower respiratory infection, pulmonary exacerbation, or changes in therapy (including antibiotics) for pulmonary disease within 4 weeks before first dose of study drug
  • History of solid organ or hematological transplantation
  • History of alcohol or drug abuse in the past year
  • Ongoing or prior participation in an investigational drug study (including studies investigating lumacaftor and/or ivacaftor) within 30 days of screening.
  • Use of strong inhibitors, moderate inducers, or strong inducers of Cytochrome P450 3A (CYP3A) within 14 days before Day 1 of dosing
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
563 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Placebo matched to lumacaftor (LUM, VX-809) and ivacaftor (IVA, VX-770) tablet every 12 hours (q12h), up to Week 24.

    Drug: Placebo

  • Experimental
    LUM 600 mg qd/IVA 250 mg q12h

    LUM 600 milligram (mg) plus IVA 250 mg fixed-dose combination (FDC) tablet in the morning and IVA 250 mg film-coated tablet in the evening, up to Week 24.

    Drug: Lumacaftor Plus Ivacaftor Combination · Drug: Ivacaftor

  • Experimental
    LUM 400 mg q12h/ IVA 250 mg q12h

    LUM 400 mg plus IVA 250 mg FDC tablet in the morning and in the evening, up to Week 24.

    Drug: Lumacaftor Plus Ivacaftor Combination

Interventions

  • DrugPlacebo

    Matching placebo tablet

  • DrugLumacaftor Plus Ivacaftor Combination

    Fixed dose combination tablet

    Also known as: VX-809+VX-770, LUM+IVA

  • DrugIvacaftor

    Film-coated tablet

    Also known as: VX-770, IVA

06

What researchers measure

Primary outcomes

  1. Absolute Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) at Week 24

    Absolute change from baseline at week 24 was assessed as the average treatment effect at Week 16 and at Week 24. FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. Hankinson and Wang standards were used to calculate percent predicted FEV1 (for age, gender, race, and height). The Hankinson standard was used for male participants 18 years and older and female participants 16 years and older. The Wang standard was used for male participants aged 12 to 17 years and for female participants aged 12 to 15 years.

    Time frame: Baseline, Week 16 and 24

Secondary outcomes

  1. Relative Change From Baseline in Percent Predicted FEV1 at Week 24

    Assessed as the average treatment effect at Week 16 and at Week 24. FEV1 and percent predicted FEV1 are defined in Outcome Measure (OM) 1.

    Time frame: Baseline, Week 16 and 24

  2. Absolute Change From Baseline in Body Mass Index (BMI) at Week 24

    BMI was defined as weight in kilogram (kg) divided by height\*height in square meter (m\^2).

    Time frame: Baseline, Week 24

  3. Absolute Change From Baseline in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Week 24

    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 (for example, coughing, congestion, wheezing), the scaled score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life.

    Time frame: Baseline, Week 24

  4. Percentage of Participants With Response Based on Percent Predicted FEV1

    A participant was considered as a responder if the participant had \>=5% increase from baseline in average percent predicted FEV1 at Week 16 and at Week 24 (relative change). FEV1 and percent predicted FEV1 are defined in OM 1. A participant with a missing average relative change from baseline in percent predicted FEV1 at Week 16 and at Week 24 was considered as a non-responder.

    Time frame: Week 16 and 24

  5. Number of Pulmonary Exacerbation Events

    The total number of days on study is equal to the Week 24 date or the last dose date (whichever occurred last) minus the first dose date plus 1. The total number of years (48 weeks) on study is equal to the number of days on study divided by 336. Pulmonary exacerbation events per year (48 weeks) are reported.

    Time frame: through Week 24

  6. Absolute Change From Baseline in Weight at Week 24

    Time frame: Baseline, Week 24

  7. Absolute Change From Baseline in BMI-for-age Z-score at Week 24

    Z-Score is a statistical measure to evaluate how a single data point compares to a standard. It describes whether a mean was above or below the standard and how unusual the measurement is with range from -infinity to +infinity; 0: same mean, \>0: a greater mean, and \<0: a lesser mean than the standard. BMI-for-age z-score was calculated by using centers for disease control and prevention (CDC) growth charts for the pediatric population.

    Time frame: Baseline, Week 24

  8. Time-to-First Pulmonary Exacerbation

    Time to first pulmonary exacerbation was assessed using Cox Regression method. For participants who completed 24 weeks of treatment, participants without a pulmonary exacerbation before treatment completion were considered censored at the time of treatment completion or at the Week 24 Visit (whichever occurred last). For participants who prematurely discontinued study treatment, participants without a pulmonary exacerbation through the Week 24 Visit were considered censored at the time of the Week 24 Visit.

    Time frame: through Week 24

  9. Percentage of Participants With At Least 1 Pulmonary Exacerbation Event

    Time frame: through Week 24

  10. Absolute Change From Baseline in Euro Quality of Life Scale (EuroQol) 5-Dimension-3 Level (EQ-5D-3L) Index Score at Week 24

    EQ-5D-3L: participant rated questionnaire to assess health-related quality of life. It consists of EQ-5D descriptive system and EQ-5D Visual Analog Scale (VAS). EQ-5D-3L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems (1), some problems (2), and extreme problems (3). The 5 dimensional 3-level systems are converted into a single index utility score. Values for theoretically possible health states are calculated using a regression model and weighted according to the social preferences of the Unites States (US) general population. For this population, the possible EQ-5D-3L index scores ranges from -0.11 (that is, 3 for all 5 dimensions) to 1.0 (that is, 1 for all 5 dimensions), where higher scores indicate a better health state.

    Time frame: Baseline, Week 24

  11. Absolute Change From Baseline in EQ-5D-3L VAS Score at Week 24

    The EQ-5D-3L VAS records the participant's self-rated health on a vertical, visual analogue scale where the best state a participant can imagine is marked 100 and the worst state a participant can imagine is marked 0, higher scores indicates a better health state.

    Time frame: Baseline, Week 24

  12. Absolute Change From Baseline in Treatment Satisfaction Questionnaire for Medication (TSQM) Domain Scores at Week 24

    The TSQM is a 14-item self-administered questionnaire which measures participants' experiences with their medication on four dimensions: effectiveness, side effects, convenience and global satisfaction. For each dimension, responses are added and transformed to a scale from 0 to 100, where higher scores indicate greater satisfaction.

    Time frame: Baseline, Week 24

  13. Number of Participants With Treatment-Emergent Adverse Events (AEs) and Treatment-Emergent Serious Adverse Events (SAEs)

    AE: any untoward medical occurrence in a participant during the study; the event does not necessarily have a causal relationship with the treatment. This includes any newly occurring event or previous condition that has increased in severity or frequency after the informed consent form is signed. AE includes serious as well as Non-serious AEs. SAE (subset of AE): medical event or condition, which falls into any of the following categories, regardless of its relationship to the study drug: death, life threatening adverse experience, in-patient hospitalization/prolongation of hospitalization, persistent/significant disability or incapacity, congenital anomaly/birth defect, important medical event. Any AE that increased in severity or that was newly developed at or after the initial dosing of study drug to 28 days after the last dose of study drug is considered treatment-emergent.

    Time frame: up to Week 28

  14. Pre-dose Concentration (Ctrough), Average Pre-dose Concentration (Ctrough,Avg), 3 to 6 Hours Post-dose Concentration (C3-6h), and Average 3 to 6 Hours Post-dose Concentration (C3-6h,Avg)

    Ctrough, Ctrough,avg, C3-6h, and C3-6h,avg for lumacaftor, M28 lumacaftor (lumacaftor metabolite), ivacaftor, M1 ivacaftor (ivacaftor metabolite), and M6 ivacaftor (ivacaftor metabolite) were calculated. C3-6h,avg is average of individual 3 to 6 hours post-dose observed concentrations across Day 15, and Weeks 4 and 8 and Ctrough,avg is average of individual pre-dose observed concentrations across Weeks 4, 8, and 16. This outcome was not planned to be assessed in Placebo arm.

    Time frame: For C3-6h: 3 to 6 hours after morning dose on Day 1 and 15, Week 4 and 8; For C3-6h,avg 3 to 6 hours after morning dose on Day 15, Week 4 and 8; For Ctrough and Ctrough,avg: before morning dose on Week 4, 8, and 16

07

Results

Posted Sep 1, 2015

Participant flow

Participant flow — Overall Study
MilestonePlaceboLUM 600 mg qd/IVA 250 mg q12hLUM 400 mg q12h/ IVA 250 mg q12h
Started187187189
Completed185180180
Not completed279
Withdrew: Adverse event122
Withdrew: Withdrawal by subject122
Withdrew: Non-compliance001
Withdrew: Undefined012
Withdrew: Randomized but not treated022

Outcome measures

PrimaryAbsolute Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) at Week 24

Absolute change from baseline at week 24 was assessed as the average treatment effect at Week 16 and at Week 24. FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. Hankinson and Wang standards were used to calculate percent predicted FEV1 (for age, gender, race, and height). The Hankinson standard was used for male participants 18 years and older and female participants 16 years and older. The Wang standard was used for male participants aged 12 to 17 years and for female participants aged 12 to 15 years.

Time frame:
Baseline, Week 16 and 24
Reported as:
Least squares mean · percent predicted of FEV1
Absolute Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) at Week 24
percent predicted of FEV1PlaceboLUM 600 mg qd/IVA 250 mg q12hLUM 400 mg q12h/ IVA 250 mg q12h
Absolute Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) at Week 24-0.15 ± 0.5392.46 ± 0.5402.85 ± 0.540
Statistical analysis
  • Placebo vs LUM 600 mg qd/IVA 250 mg q12h · MMRM · p = 0.0004 · Least squares (ls) mean difference: 2.62 · 95% CI 1.18 to 4.06
  • Placebo vs LUM 400 mg q12h/ IVA 250 mg q12h · MMRM · p = <0.0001 · Ls mean difference: 3.00 · 95% CI 1.56 to 4.44
SecondaryRelative Change From Baseline in Percent Predicted FEV1 at Week 24

Assessed as the average treatment effect at Week 16 and at Week 24. FEV1 and percent predicted FEV1 are defined in Outcome Measure (OM) 1.

Time frame:
Baseline, Week 16 and 24
Reported as:
Least squares mean · percent change
Relative Change From Baseline in Percent Predicted FEV1 at Week 24
percent changePlaceboLUM 600 mg qd/IVA 250 mg q12hLUM 400 mg q12h/ IVA 250 mg q12h
Relative Change From Baseline in Percent Predicted FEV1 at Week 240.00 ± 0.9604.42 ± 0.9615.25 ± 0.961
Statistical analysis
  • Placebo vs LUM 600 mg qd/IVA 250 mg q12h · MMRM · p = 0.0007 · Ls mean difference: 4.42 · 95% CI 1.86 to 6.98
  • Placebo vs LUM 400 mg q12h/ IVA 250 mg q12h · MMRM · p = <0.0001 · Ls mean difference: 5.25 · 95% CI 2.69 to 7.81
SecondaryAbsolute Change From Baseline in Body Mass Index (BMI) at Week 24

BMI was defined as weight in kilogram (kg) divided by height\*height in square meter (m\^2).

Time frame:
Baseline, Week 24
Reported as:
Least squares mean · kilogram per square meter (kg/m^2)
Absolute Change From Baseline in Body Mass Index (BMI) at Week 24
kilogram per square meter (kg/m^2)PlaceboLUM 600 mg qd/IVA 250 mg q12hLUM 400 mg q12h/ IVA 250 mg q12h
Absolute Change From Baseline in Body Mass Index (BMI) at Week 240.07 ± 0.0660.48 ± 0.0660.43 ± 0.066
Statistical analysis
  • Placebo vs LUM 600 mg qd/IVA 250 mg q12h · MMRM · p = <0.0001 · Ls mean difference: 0.41 · 95% CI 0.23 to 0.59
  • Placebo vs LUM 400 mg q12h/ IVA 250 mg q12h · MMRM · p = 0.0001 · Ls mean difference: 0.36 · 95% CI 0.17 to 0.54
SecondaryAbsolute Change From Baseline in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Week 24

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 (for example, coughing, congestion, wheezing), the scaled score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life.

Time frame:
Baseline, Week 24
Reported as:
Least squares mean · units on a scale
Absolute Change From Baseline in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Week 24
units on a scalePlaceboLUM 600 mg qd/IVA 250 mg q12hLUM 400 mg q12h/ IVA 250 mg q12h
Absolute Change From Baseline in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Week 242.81 ± 1.1535.02 ± 1.1665.66 ± 1.169
Statistical analysis
  • Placebo vs LUM 600 mg qd/IVA 250 mg q12h · MMRM · p = 0.1651 · Ls mean difference: 2.21 · 95% CI -0.91 to 5.33
  • Placebo vs LUM 400 mg q12h/ IVA 250 mg q12h · MMRM · p = 0.0736 · Ls mean difference: 2.85 · 95% CI -0.27 to 5.98
SecondaryPercentage of Participants With Response Based on Percent Predicted FEV1

A participant was considered as a responder if the participant had \>=5% increase from baseline in average percent predicted FEV1 at Week 16 and at Week 24 (relative change). FEV1 and percent predicted FEV1 are defined in OM 1. A participant with a missing average relative change from baseline in percent predicted FEV1 at Week 16 and at Week 24 was considered as a non-responder.

Time frame:
Week 16 and 24
Reported as:
Number · percentage of participants
Percentage of Participants With Response Based on Percent Predicted FEV1
percentage of participantsPlaceboLUM 600 mg qd/IVA 250 mg q12hLUM 400 mg q12h/ IVA 250 mg q12h
Percentage of Participants With Response Based on Percent Predicted FEV122.545.941.2
Statistical analysis
  • Placebo vs LUM 600 mg qd/IVA 250 mg q12h · Cochran-Mantel-Haenszel · p = <0.0001 (This test is considered nominally significant because a hierarchical procedure was used and was broken prior to this test.) · Odds ratio (or): 2.9568 · 95% CI 1.8829 to 4.6431
  • Placebo vs LUM 400 mg q12h/ IVA 250 mg q12h · Cochran-Mantel-Haenszel · p = 0.0001 (This test is considered nominally significant because a hierarchical procedure was used and was broken prior to this test.) · Odds ratio (or): 2.3834 · 95% CI 1.5234 to 3.7286
SecondaryNumber of Pulmonary Exacerbation Events

The total number of days on study is equal to the Week 24 date or the last dose date (whichever occurred last) minus the first dose date plus 1. The total number of years (48 weeks) on study is equal to the number of days on study divided by 336. Pulmonary exacerbation events per year (48 weeks) are reported.

Time frame:
through Week 24
Reported as:
Number · pulmonary exacerbation events per year
Number of Pulmonary Exacerbation Events
pulmonary exacerbation events per yearPlaceboLUM 600 mg qd/IVA 250 mg q12hLUM 400 mg q12h/ IVA 250 mg q12h
Number of Pulmonary Exacerbation Events1.180.820.67
Statistical analysis
  • Placebo vs LUM 600 mg qd/IVA 250 mg q12h · Negative Binomial Regression · p = 0.0116 (This test is considered nominally significant because a hierarchical procedure was used and was broken prior to this test.) · Event rate ratio: 0.6912 · 95% CI 0.5187 to 0.9209
  • Placebo vs LUM 400 mg q12h/ IVA 250 mg q12h · Negative Binomial Regression · p = 0.0002 (This test is considered nominally significant because a hierarchical procedure was used and was broken prior to this test.) · Event rate ratio: 0.5659 · 95% CI 0.4191 to 0.7641
SecondaryAbsolute Change From Baseline in Weight at Week 24
Time frame:
Baseline, Week 24
Reported as:
Least squares mean · kilograms (kg)
Absolute Change From Baseline in Weight at Week 24
kilograms (kg)PlaceboLUM 600 mg qd/IVA 250 mg q12hLUM 400 mg q12h/ IVA 250 mg q12h
Absolute Change From Baseline in Weight at Week 240.44 ± 0.1871.57 ± 0.1881.38 ± 0.187
Statistical analysis
  • Placebo vs LUM 600 mg qd/IVA 250 mg q12h · MMRM · p = <0.0001 · Ls mean difference: 1.13 · 95% CI 0.62 to 1.64
  • Placebo vs LUM 400 mg q12h/ IVA 250 mg q12h · MMRM · p = 0.0003 · Ls mean difference: 0.95 · 95% CI 0.43 to 1.46
SecondaryAbsolute Change From Baseline in BMI-for-age Z-score at Week 24

Z-Score is a statistical measure to evaluate how a single data point compares to a standard. It describes whether a mean was above or below the standard and how unusual the measurement is with range from -infinity to +infinity; 0: same mean, \>0: a greater mean, and \<0: a lesser mean than the standard. BMI-for-age z-score was calculated by using centers for disease control and prevention (CDC) growth charts for the pediatric population.

Time frame:
Baseline, Week 24
Reported as:
Least squares mean · z-score
Absolute Change From Baseline in BMI-for-age Z-score at Week 24
z-scorePlaceboLUM 600 mg qd/IVA 250 mg q12hLUM 400 mg q12h/ IVA 250 mg q12h
Absolute Change From Baseline in BMI-for-age Z-score at Week 24-0.0674 ± 0.047060.1640 ± 0.046520.1544 ± 0.04513
Statistical analysis
  • Placebo vs LUM 600 mg qd/IVA 250 mg q12h · MMRM · p = 0.0005 · Ls mean difference: 0.2313 · 95% CI 0.1037 to 0.3589
  • Placebo vs LUM 400 mg q12h/ IVA 250 mg q12h · MMRM · p = 0.0006 · Ls mean difference: 0.2217 · 95% CI 0.0961 to 0.3473
SecondaryTime-to-First Pulmonary Exacerbation

Time to first pulmonary exacerbation was assessed using Cox Regression method. For participants who completed 24 weeks of treatment, participants without a pulmonary exacerbation before treatment completion were considered censored at the time of treatment completion or at the Week 24 Visit (whichever occurred last). For participants who prematurely discontinued study treatment, participants without a pulmonary exacerbation through the Week 24 Visit were considered censored at the time of the Week 24 Visit.

Time frame:
through Week 24
Reported as:
Median · days
Time-to-First Pulmonary Exacerbation
daysPlaceboLUM 600 mg qd/IVA 250 mg q12hLUM 400 mg q12h/ IVA 250 mg q12h
Time-to-First Pulmonary ExacerbationNA (NA to NA)NA (NA to NA)NA (NA to NA)
Statistical analysis
  • Placebo vs LUM 600 mg qd/IVA 250 mg q12h · Cox Proportional Hazard Regression · p = 0.0384 · Hazard ratio (hr): 0.716
  • Placebo vs LUM 400 mg q12h/ IVA 250 mg q12h · Cox Proportional Hazard Regression · p = 0.0003 · Hazard ratio (hr): 0.533
SecondaryPercentage of Participants With At Least 1 Pulmonary Exacerbation Event
Time frame:
through Week 24
Reported as:
Number · percentage of participants
Percentage of Participants With At Least 1 Pulmonary Exacerbation Event
percentage of participantsPlaceboLUM 600 mg qd/IVA 250 mg q12hLUM 400 mg q12h/ IVA 250 mg q12h
Percentage of Participants With At Least 1 Pulmonary Exacerbation Event47.136.828.9
Statistical analysis
  • Placebo vs LUM 600 mg qd/IVA 250 mg q12h · Cochran-Mantel-Haenszel · p = 0.0393 · Odds ratio (or): 0.6373 · 95% CI 0.4160 to 0.9764
  • Placebo vs LUM 400 mg q12h/ IVA 250 mg q12h · Cochran-Mantel-Haenszel · p = 0.0002 · Odds ratio (or): 0.4429 · 95% CI 0.2863 to 0.6851
SecondaryAbsolute Change From Baseline in Euro Quality of Life Scale (EuroQol) 5-Dimension-3 Level (EQ-5D-3L) Index Score at Week 24

EQ-5D-3L: participant rated questionnaire to assess health-related quality of life. It consists of EQ-5D descriptive system and EQ-5D Visual Analog Scale (VAS). EQ-5D-3L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 3 levels: no problems (1), some problems (2), and extreme problems (3). The 5 dimensional 3-level systems are converted into a single index utility score. Values for theoretically possible health states are calculated using a regression model and weighted according to the social preferences of the Unites States (US) general population. For this population, the possible EQ-5D-3L index scores ranges from -0.11 (that is, 3 for all 5 dimensions) to 1.0 (that is, 1 for all 5 dimensions), where higher scores indicate a better health state.

Time frame:
Baseline, Week 24
Reported as:
Least squares mean · units on a scale
Absolute Change From Baseline in Euro Quality of Life Scale (EuroQol) 5-Dimension-3 Level (EQ-5D-3L) Index Score at Week 24
units on a scalePlaceboLUM 600 mg qd/IVA 250 mg q12hLUM 400 mg q12h/ IVA 250 mg q12h
Absolute Change From Baseline in Euro Quality of Life Scale (EuroQol) 5-Dimension-3 Level (EQ-5D-3L) Index Score at Week 240.0117 ± 0.006730.0090 ± 0.006820.0108 ± 0.00683
Statistical analysis
  • Placebo vs LUM 600 mg qd/IVA 250 mg q12h · MMRM · p = 0.7679 · Ls mean difference: -0.0028 · 95% CI -0.0211 to 0.0156
  • Placebo vs LUM 400 mg q12h/ IVA 250 mg q12h · MMRM · p = 0.9214 · Ls mean difference: -0.0009 · 95% CI -0.0192 to 0.0174
SecondaryAbsolute Change From Baseline in EQ-5D-3L VAS Score at Week 24

The EQ-5D-3L VAS records the participant's self-rated health on a vertical, visual analogue scale where the best state a participant can imagine is marked 100 and the worst state a participant can imagine is marked 0, higher scores indicates a better health state.

Time frame:
Baseline, Week 24
Reported as:
Least squares mean · units on a scale
Absolute Change From Baseline in EQ-5D-3L VAS Score at Week 24
units on a scalePlaceboLUM 600 mg qd/IVA 250 mg q12hLUM 400 mg q12h/ IVA 250 mg q12h
Absolute Change From Baseline in EQ-5D-3L VAS Score at Week 243.3 ± 1.075.7 ± 1.086.6 ± 1.08
Statistical analysis
  • Placebo vs LUM 600 mg qd/IVA 250 mg q12h · MMRM · p = 0.1034 · Ls mean difference: 2.4 · 95% CI -0.5 to 5.3
  • Placebo vs LUM 400 mg q12h/ IVA 250 mg q12h · MMRM · p = 0.0262 · Ls mean difference: 3.3 · 95% CI 0.4 to 6.2
SecondaryAbsolute Change From Baseline in Treatment Satisfaction Questionnaire for Medication (TSQM) Domain Scores at Week 24

The TSQM is a 14-item self-administered questionnaire which measures participants' experiences with their medication on four dimensions: effectiveness, side effects, convenience and global satisfaction. For each dimension, responses are added and transformed to a scale from 0 to 100, where higher scores indicate greater satisfaction.

Time frame:
Baseline, Week 24
Reported as:
Least squares mean · units on a scale
Absolute Change From Baseline in Treatment Satisfaction Questionnaire for Medication (TSQM) Domain Scores at Week 24
units on a scalePlaceboLUM 600 mg qd/IVA 250 mg q12hLUM 400 mg q12h/ IVA 250 mg q12h
Effectiveness (n = 159, 161, 161)-8.49 ± 1.8140.15 ± 1.8073.12 ± 1.793
Side Effects (n = 157, 159, 161)2.03 ± 1.144-1.14 ± 1.137-2.26 ± 1.121
Convenience (n = 158, 160, 161)4.57 ± 1.5254.57 ± 1.5234.88 ± 1.501
Global Satisfaction (n= 158, 160, 161)-9.62 ± 1.841-4.98 ± 1.845-2.46 ± 1.814
Statistical analysis
  • Placebo vs LUM 600 mg qd/IVA 250 mg q12h · MMRM · p = 0.0005 · Ls mean difference: 8.64 · 95% CI 3.77 to 13.51
  • Placebo vs LUM 400 mg q12h/ IVA 250 mg q12h · MMRM · p = <0.0001 · Ls mean difference: 11.61 · 95% CI 6.75 to 16.48
  • Placebo vs LUM 600 mg qd/IVA 250 mg q12h · MMRM · p = 0.0403 · Ls mean difference: -3.18 · 95% CI -6.21 to -0.14
  • Placebo vs LUM 400 mg q12h/ IVA 250 mg q12h · MMRM · p = 0.0054 · Ls mean difference: -4.29 · 95% CI -7.31 to -1.28
  • Placebo vs LUM 600 mg qd/IVA 250 mg q12h · MMRM · p = 1.0000 · Ls mean difference: 0.00 · 95% CI -4.07 to 4.07
  • Placebo vs LUM 400 mg q12h/ IVA 250 mg q12h · MMRM · p = 0.8777 · Ls mean difference: 0.32 · 95% CI -3.74 to 4.37
  • Placebo vs LUM 600 mg qd/IVA 250 mg q12h · MMRM · p = 0.0668 · Ls mean difference: 4.64 · 95% CI -0.32 to 9.61
  • Placebo vs LUM 400 mg q12h/ IVA 250 mg q12h · MMRM · p = 0.0045 · Ls mean difference: 7.16 · 95% CI 2.23 to 12.08
SecondaryNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Treatment-Emergent Serious Adverse Events (SAEs)

AE: any untoward medical occurrence in a participant during the study; the event does not necessarily have a causal relationship with the treatment. This includes any newly occurring event or previous condition that has increased in severity or frequency after the informed consent form is signed. AE includes serious as well as Non-serious AEs. SAE (subset of AE): medical event or condition, which falls into any of the following categories, regardless of its relationship to the study drug: death, life threatening adverse experience, in-patient hospitalization/prolongation of hospitalization, persistent/significant disability or incapacity, congenital anomaly/birth defect, important medical event. Any AE that increased in severity or that was newly developed at or after the initial dosing of study drug to 28 days after the last dose of study drug is considered treatment-emergent.

Time frame:
up to Week 28
Reported as:
Number · participants
Number of Participants With Treatment-Emergent Adverse Events (AEs) and Treatment-Emergent Serious Adverse Events (SAEs)
participantsPlaceboLUM 600 mg qd/IVA 250 mg q12hLUM 400 mg q12h/ IVA 250 mg q12h
Participants With Treatment-Emergent AEs181181177
Participants With Treatment-Emergent SAEs575131
SecondaryPre-dose Concentration (Ctrough), Average Pre-dose Concentration (Ctrough,Avg), 3 to 6 Hours Post-dose Concentration (C3-6h), and Average 3 to 6 Hours Post-dose Concentration (C3-6h,Avg)

Ctrough, Ctrough,avg, C3-6h, and C3-6h,avg for lumacaftor, M28 lumacaftor (lumacaftor metabolite), ivacaftor, M1 ivacaftor (ivacaftor metabolite), and M6 ivacaftor (ivacaftor metabolite) were calculated. C3-6h,avg is average of individual 3 to 6 hours post-dose observed concentrations across Day 15, and Weeks 4 and 8 and Ctrough,avg is average of individual pre-dose observed concentrations across Weeks 4, 8, and 16. This outcome was not planned to be assessed in Placebo arm.

Time frame:
For C3-6h: 3 to 6 hours after morning dose on Day 1 and 15, Week 4 and 8; For C3-6h,avg 3 to 6 hours after morning dose on Day 15, Week 4 and 8; For Ctrough and Ctrough,avg: before morning dose on Week 4, 8, and 16
Reported as:
Mean · microgram per milliliter (mcg/mL)
Pre-dose Concentration (Ctrough), Average Pre-dose Concentration (Ctrough,Avg), 3 to 6 Hours Post-dose Concentration (C3-6h), and Average 3 to 6 Hours Post-dose Concentration (C3-6h,Avg)
microgram per milliliter (mcg/mL)LUM 600 mg qd/IVA 250 mg q12hLUM 400 mg q12h/ IVA 250 mg q12h
LUM, Day 1: C3-6h (n = 181, 180)30.8 ± 12.620.2 ± 8.33
LUM, Day 15: C3-6h (n = 174, 176)30.4 ± 11.223.9 ± 8.87
LUM, Week 4: Ctrough (n = 174, 179)8.11 ± 5.2113.2 ± 6.28
LUM, Week 4: C3-6h (n = 164, 168)29.2 ± 12.124.5 ± 8.75
LUM, Week 8: Ctrough (n = 177, 177)7.87 ± 5.7112.4 ± 6.87
LUM, Week 8: C3-6h (n = 174, 170)30.4 ± 11.624.9 ± 9.79
LUM, Week 16: Ctrough (n = 171, 173)7.53 ± 6.0512.2 ± 6.87
M-28 LUM, Day 1: C3-6h (n = 181, 180)0.226 ± 0.1030.181 ± 0.0790
M-28 LUM, Day 15: C3-6h (n = 174, 176)1.43 ± 0.5881.39 ± 0.606
M-28 LUM, Week 4: Ctrough (n = 174, 179)1.32 ± 0.6801.42 ± 0.661
M-28 LUM, Week 4: C3-6h (n = 164, 168)1.39 ± 0.6571.45 ± 0.675
M-28 LUM, Week 8: Ctrough (n = 177, 177)1.34 ± 0.7141.44 ± 0.722
M-28 LUM, Week 8: C3-6h (n = 174, 170)1.41 ± 0.7021.48 ± 0.711
M-28 LUM, Week 16: Ctrough (n = 171, 173)1.27 ± 0.7631.43 ± 0.775
IVA, Day 1: C3-6h (n = 181, 180)1.34 ± 0.6431.36 ± 0.647
IVA, Day 15: C3-6h (n = 174, 176)0.647 ± 0.4920.469 ± 0.282
IVA, Week 4: Ctrough (n = 174, 179)0.164 ± 0.2070.108 ± 0.112
IVA, Week 4: C3-6h (n = 164, 168)0.636 ± 0.3800.473 ± 0.239
IVA, Week 8: Ctrough (n = 177, 177)0.182 ± 0.2930.102 ± 0.130
IVA, Week 8: C3-6h (n = 174, 170)0.710 ± 0.5670.513 ± 0.277
IVA, Week 16: Ctrough (n = 171, 173)0.163 ± 0.2370.113 ± 0.218
M-1 IVA, Day 1: C3-6h (n = 181, 180)2.51 ± 1.302.65 ± 1.29
M-1 IVA, Day 15: C3-6h (n = 174, 176)2.21 ± 1.081.85 ± 0.860
M-1 IVA, Week 4: Ctrough (n = 174, 179)0.676 ± 0.6120.501 ± 0.455
M-1 IVA, Week 4: C3-6h (n = 164, 168)2.11 ± 1.121.88 ± 0.953
M-1 IVA, Week 8: Ctrough (n = 177, 177)0.672 ± 0.7040.463 ± 0.495
M-1 IVA, Week 8: C3-6h (n = 174, 170)2.15 ± 1.191.91 ± 0.910
M-1 IVA, Week 16: Ctrough (n = 171, 173)0.643 ± 0.5940.465 ± 0.449
M-6 IVA, Day 1: C3-6h (n = 181, 180)0.993 ± 0.8200.996 ± 0.797
M-6 IVA, Day 15: C3-6h (n = 174, 176)3.62 ± 2.182.99 ± 1.68
M-6 IVA, Week 4: Ctrough (n = 174, 179)1.73 ± 1.341.64 ± 1.20
M-6 IVA, Week 4: C3-6h (n = 164, 168)3.07 ± 1.842.64 ± 1.45
M-6 IVA, Week 8: Ctrough (n = 177, 177)1.60 ± 1.221.47 ± 1.17
M-6 IVA, Week 8: C3-6h (n = 174, 170)3.00 ± 2.012.56 ± 1.48
M-6 IVA, Week 16: Ctrough (n = 171, 173)1.51 ± 1.291.42 ± 1.05
LUM: Ctrough,avg (n = 179, 182)7.81 ± 4.2612.7 ± 5.60
LUM: C3-6h,avg (n = 182, 181)29.9 ± 9.1924.3 ± 7.72
M-28 LUM: Ctrough,avg (n = 179, 182)1.31 ± 0.6721.42 ± 0.676
M-28 LUM: C3-6h,avg (n = 182, 181)1.41 ± 0.6201.43 ± 0.640
IVA: Ctrough,avg (n = 179, 182)0.170 ± 0.1960.110 ± 0.124
IVA: C3-6h,avg (n = 182, 181)0.668 ± 0.3920.484 ± 0.210
M1-IVA: Ctrough,avg (n = 179, 182)0.660 ± 0.5040.484 ± 0.391
M1-IVA: C3-6h,avg (n = 182, 181)2.14 ± 0.9511.87 ± 0.710
M6-IVA: Ctrough,avg (n = 179, 182)1.60 ± 1.081.50 ± 0.897
M6-IVA: C3-6h,avg (n = 182, 181)3.18 ± 1.652.70 ± 1.23

Adverse events

Collected over up to Week 28. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo—57/186 (30.6%)181/186 (97.3%)
LUM 600 mg qd/IVA 250 mg q12h—51/186 (27.4%)179/186 (96.2%)
LUM 400 mg q12h/ IVA 250 mg q12h—31/187 (16.6%)175/187 (93.6%)
Most frequent serious events
Showing 10 of 46
Most frequent serious events
EventPlaceboLUM 600 mg qd/IVA 250 mg q12hLUM 400 mg q12h/ IVA 250 mg q12h
Infective pulmonary exacerbation of cystic fibrosisInfections and infestations48/18636/18624/187
HaemoptysisRespiratory, thoracic and mediastinal disorders1/1864/1860/187
Distal intestinal obstruction syndromeGastrointestinal disorders3/1860/1860/187
BronchitisInfections and infestations2/1861/1860/187
Bronchopulmonary aspergillosis allergicInfections and infestations0/1862/1860/187
NephrolithiasisRenal and urinary disorders2/1861/1860/187
Medical device complicationGeneral disorders0/1862/1860/187
Blood creatine phosphokinase increasedInvestigations0/1860/1862/187
BronchopneumoniaInfections and infestations0/1861/1861/187
AppendicitisInfections and infestations0/1861/1860/187
Most frequent other events
Showing 10 of 456
Most frequent other events
EventPlaceboLUM 600 mg qd/IVA 250 mg q12hLUM 400 mg q12h/ IVA 250 mg q12h
CoughRespiratory, thoracic and mediastinal disorders82/18669/18656/187
Infective pulmonary exacerbation of cystic fibrosisInfections and infestations74/18658/18650/187
Sputum increasedRespiratory, thoracic and mediastinal disorders47/18640/18629/187
HeadacheNervous system disorders33/18630/18629/187
DyspnoeaRespiratory, thoracic and mediastinal disorders15/18632/18631/187
NauseaGastrointestinal disorders17/18620/18632/187
HaemoptysisRespiratory, thoracic and mediastinal disorders26/18628/18620/187
Nasal congestionRespiratory, thoracic and mediastinal disorders19/18624/18613/187
PyrexiaGeneral disorders22/18622/18616/187
NasopharyngitisInfections and infestations20/18614/18622/187

Baseline characteristics

Full Analysis Set (FAS) included all randomized participants who received any amount of study drug.

Age, Continuous
Age, Continuous(years)PlaceboLUM 600 mg qd/IVA 250 mg q12hLUM 400 mg q12h/ IVA 250 mg q12hTotal
Mean25.7 ± 10.0224.3 ± 8.3125.0 ± 9.0325.0 ± 9.16
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboLUM 600 mg qd/IVA 250 mg q12hLUM 400 mg q12h/ IVA 250 mg q12hTotal
Female979698291
Male908989268
08

Study locations

82 sites
  • Oakland, California, United States
  • Sacramento, California, United States
  • Aurora, Colorado, United States
  • Hartford, Connecticut, United States
  • New Haven, Connecticut, United States
  • Jacksonville, Florida, United States
  • Miami, Florida, United States
  • Indianapolis, Indiana, United States
  • Iowa City, Iowa, United States
  • Kansas City, Kansas, United States
  • Lexington, Kentucky, United States
  • Portland, Maine, United States
  • Worcester, Massachusetts, United States
  • Detroit, Michigan, United States
  • Grand Rapids, Michigan, United States
  • Minneapolis, Minnesota, United States
  • Jackson, Mississippi, United States
  • St. Louis, Missouri, United States
  • Omaha, Nebraska, United States
  • Morristown, New Jersey, United States
  • New Brunswick, New Jersey, United States
  • Alburquerque, New Mexico, United States
  • Albany, New York, United States
  • Buffalo, New York, United States
  • New York, New York, United States
  • Rochester, New York, United States
  • Syracuse, New York, United States
  • Cleveland, Ohio, United States
  • Columbus, Ohio, United States
  • Toledo, Ohio, United States
  • Oklahoma City, Oklahoma, United States
  • Philadelphia, Pennsylvania, United States
  • Pittsburgh, Pennsylvania, United States
  • Charleston, South Carolina, United States
  • Sioux Falls, South Dakota, United States
  • Memphis, Tennessee, United States
  • Nashville, Tennessee, United States
  • Dallas, Texas, United States
  • Fort Worth, Texas, United States
  • Houston, Texas, United States
  • San Antonio, Texas, United States
  • Salt Lake City, Utah, United States
  • Richmond, Virginia, United States
  • Seattle, Washington, United States
  • Spokane, Washington, United States
  • Milwaukee, Wisconsin, United States
  • Brisbane, Queensland, Australia
  • Chermside, Queensland, Australia
  • Herston, Queensland, Australia
  • South Brisbane, Queensland, Australia
  • Nedlands, Western Australia, Australia
  • Subiaco, Western Australia, Australia
  • Innsbruck, Austria
  • Wels, Austria
  • Bruxelles, Belgium
  • Gent, Belgium
  • Leuven, Belgium
  • Liège, Belgium
  • Calgary, Alberta, Canada
  • Edmonton, Alberta, Canada
  • Vancouver, British Columbia, Canada
  • Montreal, Quebec, Canada
  • København Ø, Denmark
  • Marseille, Bouches-du-Rhône, France
  • Toulouse cedex 9, Haute Garonne, France
  • Montpellier cedex 5, Herault, France
  • Lille, Nord, France
  • Bordeaux Cedex, France
  • Paris, France
  • Muenchen, Bayern, Germany
  • Frankfurt, Hessen, Germany
  • Giessen, Hessen, Germany
  • Hannover, Niederachsen, Germany
  • Bochum, Nordrhein Westfalen, Germany
  • Jena, Thueringen, Germany
  • Barcelona, Spain
  • Valencia, Spain
  • Bristol, Avon, United Kingdom
  • London, Greater London, United Kingdom
  • Liverpool, Merseyside, United Kingdom
  • Newcastle upon Tyne, Tyne & Wear, United Kingdom
  • Leeds, West Yorkshire, United Kingdom
09

References and documents

Publications

  • Southern KW, Murphy J, Sinha IP, Nevitt SJ. Corrector therapies (with or without potentiators) for people with cystic fibrosis with class II CFTR gene variants (most commonly F508del). Cochrane Database Syst Rev. 2020 Dec 17;12(12):CD010966. doi: 10.1002/14651858.CD010966.pub3. PubMed 33331662 ↗
  • Flume PA, Suthoff ED, Kosinski M, Marigowda G, Quittner AL. Measuring recovery in health-related quality of life during and after pulmonary exacerbations in patients with cystic fibrosis. J Cyst Fibros. 2019 Sep;18(5):737-742. doi: 10.1016/j.jcf.2018.12.004. Epub 2018 Dec 23. PubMed 30587335 ↗
  • McColley SA, Konstan MW, Ramsey BW, Stuart Elborn J, Boyle MP, Wainwright CE, Waltz D, Vera-Llonch M, Marigowda G, Jiang JG, Rubin JL. Lumacaftor/Ivacaftor reduces pulmonary exacerbations in patients irrespective of initial changes in FEV1. J Cyst Fibros. 2019 Jan;18(1):94-101. doi: 10.1016/j.jcf.2018.07.011. Epub 2018 Aug 23. PubMed 30146268 ↗
  • Elborn JS, Ramsey BW, Boyle MP, Konstan MW, Huang X, Marigowda G, Waltz D, Wainwright CE; VX-809 TRAFFIC and TRANSPORT study groups. Efficacy and safety of lumacaftor/ivacaftor combination therapy in patients with cystic fibrosis homozygous for Phe508del CFTR by pulmonary function subgroup: a pooled analysis. Lancet Respir Med. 2016 Aug;4(8):617-626. doi: 10.1016/S2213-2600(16)30121-7. Epub 2016 Jun 10. PubMed 27298017 ↗
  • Wainwright CE, Elborn JS, Ramsey BW, Marigowda G, Huang X, Cipolli M, Colombo C, Davies JC, De Boeck K, Flume PA, Konstan MW, McColley SA, McCoy K, McKone EF, Munck A, Ratjen F, Rowe SM, Waltz D, Boyle MP; TRAFFIC Study Group; TRANSPORT Study Group. Lumacaftor-Ivacaftor in Patients with Cystic Fibrosis Homozygous for Phe508del CFTR. N Engl J Med. 2015 Jul 16;373(3):220-31. doi: 10.1056/NEJMoa1409547. Epub 2015 May 17. PubMed 25981758 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 27, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01807949
Lead sponsor
Vertex Pharmaceuticals Incorporated
Responsible party
Sponsor
First posted
Mar 8, 2013
Start date
Apr 2013
Primary completion
Apr 2014
Completion
Apr 2014
Results posted
Sep 1, 2015
Last update
Sep 27, 2016

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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