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RecruitingNCT06504589Updated Oct 1, 2025

A Research Study to Advance the CF Therapeutics Pipeline for People Without Modulators

An observational study in Cystic Fibrosis, sponsored by Nicole Hamblett. Recruiting at 68 sites in United States. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2025-10-01.

Sponsored by Nicole Hamblett · Observational

From the registry’s dates

  • Started Sep 2024; still recruiting 2 years later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
400
Ages
12 Years and older
Sex
All
01

Study summary

The REACH study is for people with CF who do not take cystic fibrosis transmembrane conductance regulator (CFTR) modulators. The goal of the REACH study is to collect research data, including health data and specimens, from people with CF who do not take CFTR modulators. This data may be used to inform CF research, help design CF clinical trials and support the development of new treatments for people with CF who do not take CFTR modulators.

Another goal of this study is to learn about research involvement for people with CF who do not take CFTR modulators, engage them in research, and give them an opportunity to learn about what is involved in participating in a CF research study.

Read the detailed description

People with Cystic Fibrosis (pwCF) who are genetically ineligible and/or not taking cystic fibrosis transmembrane conductance regulator (CFTR) modulators currently face future health that is considerably different from the approximately 90% of pwCF in the United States who benefit from CFTR modulators. New treatments are being advanced for pwCF who are genetically ineligible or not taking CFTR modulators and these therapies will include both nucleic acid-based therapies (NABTs) to address the underlying defect in CFTR and symptomatic therapies aimed at targeting the symptoms of CF. A key concern for this limited and underserved patient population is being able to advance multiple therapeutic programs in parallel. To complete these studies, CF researchers will need to be able to reach this community effectively while also promoting the use of innovative trial designs.

The REACH Study is a prospective, longitudinal, observational research study to obtain research quality (i.e., monitored research) CF outcome data. Primary outcome endpoints of the Core study (collected across all study participants) are aligned with anticipated clinical trial outcome endpoints needed in overall development of therapies for the CF population unable to benefit from CFTR modulators. This study will also include sub-studies to obtain specialized measures which may help inform efficacy and safety evaluations of new therapies by providing CF control data. Finally, this study also seeks to assess research solicitation and research participation for the CF population that is modulator ineligible or not taking modulators. The observational data collected within this study may be used in characterizing this CF population, developing innovative trial designs, for comparison when evaluating new or experimental CF therapies, and/or in CF research.

02

Conditions studied

  • Cystic Fibrosis

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Keywords

  • ineligible and/or not taking CFTR modulators
  • People with CF
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 planned enrollment of 400 is above the median of 85 across 482 observational studies indexed under Cystic Fibrosis.

Browse Cystic Fibrosis studies →

Lead sponsor

Nicole Hamblett is the lead sponsor of 8 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
12 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

People with CF who are ineligible and/or not taking an approved CFTR modulator and who are not receiving an investigational therapy.

Eligibility criteria

Consent

A. Written informed consent (and assent when applicable) obtained from participant or participant's legal guardian

B. Is willing and able to adhere to the study visit schedule and other protocol requirements

Demographics

A. ≥ 12 years of age at Visit 1

Medical History

A. For persons of child-bearing potential: must not be pregnant at Visit 1 or plan to get pregnant during the 12-month study period

Disease History

A. Documentation of a CF diagnosis as evidenced by one or more clinical features consistent with the CF phenotype and one or more of the following criteria:

  • Sweat chloride ≥ 60 mEq/liter by quantitative pilocarpine iontophoresis test (QPIT)
  • Two well-characterized disease-causing pathogenic variants in the CFTR gene

or

  • One well-characterized disease-causing mutation and a second CFTR variant (with variable or uncharacterized disease-causing potential) and sweat ≥ 30 mmol/liter with permission of the study sponsor-investigators

B. Clinically stable with no significant changes in health status within the 28 days prior to and including Visit 1

C. Does not have a history of lung transplantation

Concomitant Medications

A. Not genetically eligible for a CFTR modulator according to product label indications and/or No use of CFTR modulator for 28 days prior to Visit 1 with no intent to start or restart during the study period

B. No use of an investigational drug within 90 days prior to and including Visit 1

C. Not currently participating in an interventional drug or device trial. Participation in long-term safety follow-up studies (without redosing) and/or behavioral intervention trials is allowed.

D. No initiation of new chronic therapy (e.g., ibuprofen, azithromycin, inhaled tobramycin, Cayston®) within 28 days prior to and including Visit 1

E. No acute use of antibiotics (oral, inhaled or IV) or acute use of systemic corticosteroids for respiratory tract symptoms within 28 days prior to and including Visit 1

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
400 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna
06

What researchers measure

Primary outcomes

  1. Change in ppFEV1 at 12 months

    Mean change (standard deviation) in percent predicted forced expiratory volume in 1 second (ppFEV1) as measured by in-clinic spirometry from baseline to 12 months post-baseline.

    Time frame: 12 months

Secondary outcomes

  1. Change in CFQ-R-RD at 12 months

    Mean change (standard deviation) in the Cystic Fibrosis Question - Revised Respiratory Domain (CFQ-R-RD) from Baseline to 12 months post-baseline. Scores for the CFQ-R-RD range from 0 to 100.

    Time frame: 12 months

  2. Change in home spirometry ppFEV1 at 12 months

    Mean change (standard deviation) in percent predicted forced expiratory volume in 1 second (ppFEV1) as measured by home spirometry from baseline to 12 months post-baseline.

    Time frame: 12 months

  3. Change in LCI 2.5% at 12 months

    Mean change (standard deviation) in lung clearance index (LCI) calculated as 1/40th of starting end-tidal concentration of N2 (LCI 2.5%) as measured by multiple breath washout (MBW) from baseline to 12 months post-baseline.

    Time frame: 12 months

  4. Change in LCI 5% at 12 months

    Mean change (standard deviation) in lung clearance index (LCI) calculated as 1/20th of starting end-tidal concentration of N2 (LCI 5%) as measured by multiple breath washout (MBW) from baseline to 12 months post-baseline.

    Time frame: 12 months

  5. Absolute 12-month change in MCC Index

    Mean change (standard deviation) in mucociliary clearance (MCC) index as by the MCC procedure per gamma scintigraphy from baseline to 12 months post-baseline.

    Time frame: 12 months

  6. Relative 12-month change in MCC Index

    Mean change (standard deviation) in mucociliary clearance (MCC) index as by the MCC procedure per gamma scintigraphy from baseline to 12 months post-baseline divided by the baseline MCC index.

    Time frame: 12 months

07

Study locations

64 of 68 sites recruiting
  • The Children's Hospital Alabama, University of Alabama at Birmingham
    Birmingham, Alabama 35233, United States
    Recruiting
  • Phoenix Children's Hospital
    Phoenix, Arizona 85016, United States
    Recruiting
  • Tucson Cystic Fibrosis Center
    Tucson, Arizona 85724, United States
    Recruiting
  • University of Arkansas for Medical Sciences
    Little Rock, Arkansas 72205, United States
    Recruiting
  • University of California San Diego
    La Jolla, California 92093, United States
    Not yet recruiting
  • Childrens Hospital Los Angeles
    Los Angeles, California 90027, United States
    Recruiting
  • Stanford University Medical Center
    Palo Alto, California 94304, United States
    Recruiting
  • University of California, San Francisco - Adult Center
    San Francisco, California 94143, United States
    Recruiting
  • University of California, San Francisco - Peds Center
    San Francisco, California 94158, United States
    Recruiting
  • Children's Hospital Colorado
    Aurora, Colorado 80045, United States
    Recruiting
  • National Jewish Health
    Denver, Colorado 80206, United States
    Recruiting
  • University of Florida
    Gainesville, Florida 32610, United States
    Recruiting
  • University of Miami
    Miami, Florida 33136, United States
    Recruiting
  • Central Florida Pulmonary Group
    Orlando, Florida 32803, United States
    Recruiting
  • Tampa General Hospital
    Tampa, Florida 33606, United States
    Recruiting
  • Children's Healthcare of Atlanta and Emory University
    Atlanta, Georgia 30329, United States
    Recruiting
  • Augusta University
    Augusta, Georgia 30912, United States
    Recruiting
  • Saint Luke's Cystic Fibrosis Center of Idaho
    Boise, Idaho 83702, United States
    Recruiting
  • Northwestern University
    Chicago, Illinois 60611, United States
    Recruiting
  • Riley Hospital for Children
    Indianapolis, Indiana 46202, United States
    Recruiting
  • University of Kansas Medical Center
    Kansas City, Kansas 66160, United States
    Recruiting
  • University of Kentucky
    Lexington, Kentucky 40506, United States
    Recruiting
  • Tulane University
    Metairie, Louisiana 70001, United States
    Recruiting
  • John Hopkins Hospital
    Baltimore, Maryland 21287, United States
    Not yet recruiting
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
    Recruiting
  • Boston Children's Hospital
    Boston, Massachusetts 02115, United States
    Recruiting
  • University of Massachusetts Memorial Health Care
    Worcester, Massachusetts 01655, United States
    Recruiting
  • University of Michigan, Michigan Medicine
    Ann Arbor, Michigan 48109, United States
    Recruiting
  • Wayne State University Harper University Hospital
    Detroit, Michigan 48201, United States
    Recruiting
  • Corewell Health Helen DeVos
    Grand Rapids, Michigan 49503, United States
    Recruiting
  • The Minnesota Cystic Fibrosis Center
    Minneapolis, Minnesota 55455, United States
    • CF Trials Contact University of Minnesota, Participant Contact · Contact · cftrials@umn.edu
    Recruiting
  • Washington University School of Medicine
    St Louis, Missouri 63110, United States
    Recruiting
  • Billings Clinic
    Billings, Montana 59101, United States
    Recruiting
  • University of Nebraska Medical Center
    Omaha, Nebraska 69198, United States
    Recruiting
  • Morristown Medical Center
    Morristown, New Jersey 07960, United States
    Recruiting
  • The Cystic Fibrosis Center of Western New York
    Buffalo, New York 14203, United States
    Not yet recruiting
  • Cohen Children's Medical Center of New York
    New Hyde Park, New York 11042, United States
    Recruiting
  • Columbia University Cystic Fibrosis Program
    New York, New York 10032, United States
    Recruiting
  • University of Rochester Medical Center Strong Memorial
    Rochester, New York 14642, United States
    Recruiting
  • New York Medical College at Westchester Medical Center
    Valhalla, New York 10595, United States
    Recruiting
  • University of North Carolina at Chapel Hill
    Chapel Hill, North Carolina 27599, United States
    Recruiting
  • Atrium Health Wake Forest Baptist
    Winston-Salem, North Carolina 27157, United States
    Recruiting
  • Cincinnati Children's Hospital Medical Center
    Cincinnati, Ohio 45229, United States
    Recruiting
  • Rainbow Babies and Children's Hospital/University Hospitals Cleveland Medical Center
    Cleveland, Ohio 44106, United States
    Recruiting
  • Cleveland Clinic Cystic Fibrosis Program
    Cleveland, Ohio 44195, United States
    Not yet recruiting
  • Nationwide Children's Hospital
    Columbus, Ohio 43205, United States
    Recruiting
  • Dayton Children's Hospital
    Dayton, Ohio 45404, United States
    Recruiting
  • Oregon Health & Sciences University
    Portland, Oregon 97239, United States
    Recruiting
  • Hershey Medical Center Pennsylvania State University
    Hershey, Pennsylvania 17033, United States
    Recruiting
  • Children's Hospital of Philadelphia
    Philadelphia, Pennsylvania 19104, United States
    Recruiting
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
    Recruiting
  • University of Pittsburgh Medical Center
    Pittsburgh, Pennsylvania 15224, United States
    Recruiting
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
    Recruiting
  • Prisma Health Children's Hospital - Midlands
    Columbia, South Carolina 29203, United States
    Recruiting
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37232, United States
    Recruiting
  • Dell Children's Medical Center of Central Texas
    Austin, Texas 78723, United States
    Recruiting
  • University of Texas Southwestern / Children's Health
    Dallas, Texas 75207, United States
    Recruiting
  • University of Texas Southwestern
    Dallas, Texas 75390, United States
    Recruiting
  • Cook Children's Medical Center
    Fort Worth, Texas 76104, United States
    Recruiting
  • Baylor College of Medicine
    Houston, Texas 77030, United States
    Recruiting
  • Adult Cystic Fibrosis Center at the University of Utah
    Salt Lake City, Utah 84112, United States
    Recruiting
  • Inova L.J. Murphy Pediatric CF Program
    Fairfax, Virginia 22031, United States
    Recruiting
  • Virginia Commonwealth University
    Richmond, Virginia 23219, United States
    Recruiting
  • Seattle Children's Hospital
    Seattle, Washington 98105, United States
    Recruiting
  • University of Washington Medical Center
    Seattle, Washington 98195, United States
    Recruiting
  • Providence Medical Group, Cystic Fibrosis Clinic
    Spokane, Washington 99204, United States
    Recruiting
  • West Virginia University - Morgantown
    Morgantown, West Virginia 26507, United States
    Recruiting
  • University of Wisconsin
    Madison, Wisconsin 53792, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 1, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06504589
Lead sponsor
Nicole Hamblett
Collaborators
Washington University School of Medicine, Florida State University, University of North Carolina, Chapel Hill, University of Toronto, Cystic Fibrosis Foundation
Responsible party
Nicole Hamblett (Professor of Pediatrics, Division of Pulmonary and Sleep Medicine, UW School of Medicine Adjunct Professor, Biostatistics, UW School of Medicine Co-Executive Director, CF Therapeutics Development Network, Seattle Children's Hospital) — Sponsor-investigator
First posted
Jul 17, 2024
Start date
Sep 18, 2024
Primary completion
Aug 14, 2029 (estimated)
Completion
Aug 14, 2029 (estimated)
Last update
Oct 1, 2025

Study contacts

Olena Boyarska
Contact
olena.boyarska@seattlechildrens.org
206-884-1681
Anna Mead
Contact
anna.mead@seattlechildrens.org
206-884-7531
Deepika Polineni, MD, MPH
principal investigator · Washington University School of Medicine
Nicole Mayer-Hamblett, PhD
principal investigator · Seattle Children's Hospital
Scott Donaldson, MD
principal investigator · University of North Carolina, Chapel Hill
Felix Ratjen, MD
principal investigator · University of Toronto

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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