Mode
Text Size
Log in / Sign up
Phase 3 N=238 Randomized Quadruple-blind Treatment

Study of Ataluren (PTC124™) in Cystic Fibrosis

Cystic Fibrosis

Enrolled (actual)
238
Serious AEs
40.3%
Results posted
May 2020
Primary outcome: Primary: Percentage of Predicted Function (Percent-Predicted) of Forced Expiratory Volume in One Second (FEV1) at Baseline — 62.092; 60.232 percentage of predicted FEV1 — p=0.3264

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Ataluren (Drug); Placebo (Drug)
Age
Pediatric, Adult, Older Adult · 6+ yrs
Sex
All
Sponsor
PTC Therapeutics
Primary completion
Nov 2011

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Predicted Function (Percent-Predicted) of Forced Expiratory Volume in One Second (FEV1) at Baseline
62.092; 60.232 0.3264
PRIMARY
Percentage Change From Baseline in Percent-Predicted of FEV1 at Week 48
-2.534; -5.500 0.1235
SECONDARY
Rate of Pulmonary Exacerbations as Defined by Modified Fuch's Criteria Over 48 Weeks
1.42; 1.78
SECONDARY
Change From Baseline in Awake Cough Hourly Rate at Week 48
28.218; 24.472; -0.595; 0.882
SECONDARY
Change From Baseline in the Respiratory Domain Score of the Revised Cystic Fibrosis Questionnaire (CFQ-R) at Week 48
77.78; 79.49; -0.69; -3.57; 70.06; 65.95
SECONDARY
Percent-Predicted of Forced Vital Capacity (FVC) at Baseline
78.332; 76.609
SECONDARY
Percentage Change From Baseline in Percent-Predicted of FVC at Week 48
-2.139; -3.484

Summary

Cystic fibrosis (CF) is a genetic disorder caused by a mutation in the gene that makes the cystic fibrosis transmembrane conductance regulator (CFTR) protein. A specific type of mutation called a nonsense (premature stop codon) mutation is the cause of CF in approximately 10% of patients with the disease. Ataluren is an orally delivered investigational drug that has the potential to overcome the effects of the nonsense mutation. This study is a Phase 3 trial that will evaluate the clinical benefit of ataluren in adult and pediatric participants with CF due to a nonsense mutation. The main goals of the study are to understand whether ataluren can improve pulmonary function and whether the drug can safely be given for a long period of time. The study will also assess the effects of ataluren on CF pulmonary exacerbation frequency, cough frequency, health-related quality of life, antibiotic use for CF-related infections, CF-related disruptions to daily living, body weight, and CF pathophysiology.

Eligibility Criteria

Inclusion Criteria

  • Ability to provide written informed consent (parental/guardian consent and participant assent if 40 milliequivalents/liter (mEq/L)
  • Documentation of the simultaneous presence of a nonsense mutation in at least 1 allele of the CFTR gene and a CF-causing mutation in the other CFTR allele, as determined by gene sequencing from a laboratory certified by the College of American Pathologists (CAP), under the Clinical Laboratory Improvement Act/Amendment (CLIA), or by an equivalent organization
  • Verification that a blood sample has been drawn for confirmation of the presence of a nonsense mutation in the CFTR gene
  • Ability to perform a valid, reproducible spirometry test using the study-specific spirometer with demonstration of an FEV1 ≥40% and ≤90% of predicted for age, gender, and height
  • Resting oxygen saturation (as measured by pulse oximetry) ≥92% on room air
  • Documentation by VivoMetrics that the participant has satisfactorily completed a 24-hour LifeShirt® cough frequency assessment
  • Confirmed screening laboratory values within the central laboratory ranges (hepatic, adrenal, renal, serum electrolytes, and reproduction [women only] parameters)
  • In participants who are sexually active, willingness to abstain from sexual intercourse or employ a barrier or medical method of contraception during the study drug administration and 4-week follow-up period
  • Willingness and ability to comply with scheduled visits, drug administration plan, study restrictions, and study procedures

Exclusion Criteria

  • Known hypersensitivity to any of the ingredients or excipients of the study drug
  • Any change (initiation, change in type of drug, dose modification, schedule modification, interruption, discontinuation, or reinitiation) in a chronic treatment/prophylaxis regimen for CF or for CF-related conditions within 4 weeks prior to start of study treatment
  • Exposure to another investigational drug within 4 weeks prior to start of study treatment
  • Treatment with systemic aminoglycoside antibiotics at the time of the Baseline TEPD assessment
  • Treatment with intravenous antibiotics within 3 weeks prior to start of study treatment
  • History of solid organ or hematological transplantation
  • Ongoing immunosuppressive therapy (other than corticosteroids)
  • Ongoing warfarin, phenytoin, or tolbutamide therapy
  • Ongoing participation in any other therapeutic clinical trial
  • Major complications of lung disease (including massive hemoptysis, pneumothorax, or pleural effusion) within 8 weeks prior to start of study treatment
  • Evidence of pulmonary exacerbation or acute upper or lower respiratory tract infection (including viral illnesses) within 3 weeks prior to randomization
  • Known portal hypertension
  • Positive hepatitis B surface antigen, hepatitis C antibody test, or human immunodeficiency virus (HIV) test
  • Pregnancy or breast-feeding
  • Current smoker or a smoking history of ≥10 pack-years (number of cigarette packs/day * number of years smoked)
  • Prior or ongoing medical condition (for example, concomitant illness, alcoholism, drug abuse, psychiatric condition), medical history, physical findings, electrocardiography findings, or laboratory abnormality that, in the Investigator's opinion, could adversely affect the safety of the participant, makes it unlikely that the course of treatment or follow-up would be completed, or could impair the assessment of study results.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00803205). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

Back to search