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NCT06504589Recruiting

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

Nicole Hamblett

Start Date

9/18/2024

Completion Date

8/14/2029

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.

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.

Eligibility Criteria

Age Range: 12 years to No maximum

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

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Conditions

Cystic Fibrosis

Locations

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

Birmingham, Alabama 35233

United States

Phoenix Children's Hospital

Phoenix, Arizona 85016

United States

Tucson Cystic Fibrosis Center

Tucson, Arizona 85724

United States

University of Arkansas for Medical Sciences

Little Rock, Arkansas 72205

United States

University of California San Diego

La Jolla, California 92093

United States

Childrens Hospital Los Angeles

Los Angeles, California 90027

United States

Stanford University Medical Center

Palo Alto, California 94304

United States

University of California, San Francisco - Adult Center

San Francisco, California 94143

United States

University of California, San Francisco - Peds Center

San Francisco, California 94158

United States

Children's Hospital Colorado

Aurora, Colorado 80045

United States

National Jewish Health

Denver, Colorado 80206

United States

University of Florida

Gainesville, Florida 32610

United States

University of Miami

Miami, Florida 33136

United States

Central Florida Pulmonary Group

Orlando, Florida 32803

United States

Tampa General Hospital

Tampa, Florida 33606

United States

Children's Healthcare of Atlanta and Emory University

Atlanta, Georgia 30329

United States

Augusta University

Augusta, Georgia 30912

United States

Saint Luke's Cystic Fibrosis Center of Idaho

Boise, Idaho 83702

United States

Northwestern University

Chicago, Illinois 60611

United States

Riley Hospital for Children

Indianapolis, Indiana 46202

United States

University of Kansas Medical Center

Kansas City, Kansas 66160

United States

University of Kentucky

Lexington, Kentucky 40506

United States

Tulane University

Metairie, Louisiana 70001

United States

John Hopkins Hospital

Baltimore, Maryland 21287

United States

Massachusetts General Hospital

Boston, Massachusetts 02114

United States

Boston Children's Hospital

Boston, Massachusetts 02115

United States

University of Massachusetts Memorial Health Care

Worcester, Massachusetts 01655

United States

University of Michigan, Michigan Medicine

Ann Arbor, Michigan 48109

United States

Wayne State University Harper University Hospital

Detroit, Michigan 48201

United States

Corewell Health Helen DeVos

Grand Rapids, Michigan 49503

United States

The Minnesota Cystic Fibrosis Center

Minneapolis, Minnesota 55455

United States

Washington University School of Medicine

St Louis, Missouri 63110

United States

Billings Clinic

Billings, Montana 59101

United States

University of Nebraska Medical Center

Omaha, Nebraska 69198

United States

Morristown Medical Center

Morristown, New Jersey 07960

United States

The Cystic Fibrosis Center of Western New York

Buffalo, New York 14203

United States

Cohen Children's Medical Center of New York

New Hyde Park, New York 11042

United States

Columbia University Cystic Fibrosis Program

New York, New York 10032

United States

University of Rochester Medical Center Strong Memorial

Rochester, New York 14642

United States

New York Medical College at Westchester Medical Center

Valhalla, New York 10595

United States

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina 27599

United States

Atrium Health Wake Forest Baptist

Winston-Salem, North Carolina 27157

United States

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio 45229

United States

Rainbow Babies and Children's Hospital/University Hospitals Cleveland Medical Center

Cleveland, Ohio 44106

United States

Cleveland Clinic Cystic Fibrosis Program

Cleveland, Ohio 44195

United States

Nationwide Children's Hospital

Columbus, Ohio 43205

United States

Dayton Children's Hospital

Dayton, Ohio 45404

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

University of Pennsylvania

Philadelphia, Pennsylvania 19104

United States

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania 15224

United States

Medical University of South Carolina

Charleston, South Carolina 29425

United States

Prisma Health Children's Hospital - Midlands

Columbia, South Carolina 29203

United States

Vanderbilt University Medical Center

Nashville, Tennessee 37232

United States

Dell Children's Medical Center of Central Texas

Austin, Texas 78723

United States

University of Texas Southwestern / Children's Health

Dallas, Texas 75207

United States

University of Texas Southwestern

Dallas, Texas 75390

United States

Cook Children's Medical Center

Fort Worth, Texas 76104

United States

Baylor College of Medicine

Houston, Texas 77030

United States

Adult Cystic Fibrosis Center at the University of Utah

Salt Lake City, Utah 84112

United States

Inova L.J. Murphy Pediatric CF Program

Fairfax, Virginia 22031

United States

Virginia Commonwealth University

Richmond, Virginia 23219

United States

Seattle Children's Hospital

Seattle, Washington 98105

United States

University of Washington Medical Center

Seattle, Washington 98195

United States

Providence Medical Group, Cystic Fibrosis Clinic

Spokane, Washington 99204

United States

West Virginia University - Morgantown

Morgantown, West Virginia 26507

United States

University of Wisconsin

Madison, Wisconsin 53792

United States