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NCT04509050Recruiting

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

Sonya Heltshe

Start Date

11/18/2020

Completion Date

12/31/2027

Summary

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

Detailed Description

This is a two-part, multi-center, prospective longitudinal, exploratory study of highly effective cystic fibrosis transmembrane conductance regulator (CFTR) modulators and their impact in children with cystic fibrosis (CF) on endocrine growth factors and height, gastrointestinal function and gut microbiome, lung function and respiratory microbiome, liver and pancreatic function, sweat chloride, inflammatory markers, and bone health. Total duration of the study is expected to be 10 years. Part A will be a prospective cross-sequential study to describe the natural history of hormonal growth factors in early childhood and assess the feasibility of additional measurements. In Part A, subjects will have up to 8 visits over a period of up to 5 years. Part B will be a prospective longitudinal study to observe the effects of administration of either ivacaftor or elexacaftor/tezacaftor/ivacaftor (elex/tez/iva) on growth. In Part B, subjects will have 1 "before ivacaftor or elex/tez/iva" visit within 30 days before initiation of the therapy and 8 "after ivacaftor or elex/tez/iva" visits over a 60-month follow-up period.

Eligibility Criteria

Age Range: No minimum to 10 years

Inclusion Criteria: * Part A: * Less than 10 years of age at the first study visit. * Documentation of a CF diagnosis. Part B: * Participated in Part A OR less than 7 years of age at the first study visit. * Documentation of a CF diagnosis. * CFTR mutations consistent with FDA labeled indication of highly effective modulator therapy (ivacaftor or elexacaftor/tezacaftor/ivacaftor). * Physician intent to prescribe ivacaftor or elexacaftor/tezacaftor/ivacaftor. Exclusion Criteria: * Part A and Part B: * Use of an investigational drug within 28 days prior to and including the first study visit. * Use of ivacaftor or elexacaftor/tezacaftor/ivacaftor within the 28 days prior to and including the first study visit. * Use of chronic oral corticosteroids within the 28 days prior to and including the first study visit.

Interventions

DRUG

Ivacaftor or elexacaftor/tezacaftor/ivacaftor

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Conditions

Cystic Fibrosis

Locations

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

Birmingham, Alabama 35233

United States

Stanford University Medical Center

Palo Alto, California 94304

United States

Children's Hospital Colorado

Aurora, Colorado 80045

United States

Nemours Children's Clinic

Jacksonville, Florida 32207

United States

University of Miami

Miami, Florida 33136

United States

The Nemours Children's Clinic - Orlando

Orlando, Florida 32827

United States

Riley Hospital for Children

Indianapolis, Indiana 46202

United States

University of Iowa

Iowa City, Iowa 52242

United States

University of Kansas Medical Center

Kansas City, Kansas 66160

United States

Boston Children's Hospital

Boston, Massachusetts 02115

United States

University of Michigan, Michigan Medicine

Ann Arbor, Michigan 48109

United States

Helen DeVos Children's Hospital

Grand Rapids, Michigan 49503

United States

Children's Hospitals and Clinics of Minnesota

Minneapolis, Minnesota 55404

United States

The Minnesota Cystic Fibrosis Center

Minneapolis, Minnesota 55455

United States

Children's Mercy Kansas City

Kansas City, Missouri 64108

United States

St. Louis Children's Hospital

St Louis, Missouri 63110

United States

The Cystic Fibrosis Center of Western New York

Buffalo, New York 14203

United States

Children's Hospital of New York

New York, New York 10032

United States

SUNY Upstate Medical University

Syracuse, New York 13210

United States

New York Medical College at Westchester Medical Center

Valhalla, New York 10595

United States

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio 45229

United States

Nationwide Children's Hospital

Columbus, Ohio 43205

United States

Oklahoma Cystic Fibrosis Center

Oklahoma City, Oklahoma 73104

United States

Oregon Health Sciences University

Portland, Oregon 97239

United States

Hershey Medical Center Pennsylvania State University

Hershey, Pennsylvania 17033

United States

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania 19104

United States

Children's Hospital of Pittsburgh of UPMC

Pittsburgh, Pennsylvania 15224

United States

University of Texas Southwestern / Children's Health

Dallas, Texas 75207

United States

Cook Children's Medical Center

Fort Worth, Texas 76104

United States

Baylor College of Medicine

Houston, Texas 77030

United States

Primary Children's Cystic Fibrosis Center

Salt Lake City, Utah 84113

United States

Vermont Children's Hospital

Burlington, Vermont 05401

United States

University of Virginia

Charlottesville, Virginia 22903

United States

Seattle Children's Hospital

Seattle, Washington 98105

United States

University of Wisconsin

Madison, Wisconsin 53792

United States