Phase 3
N=279
Study of Ataluren in Nonsense Mutation Cystic Fibrosis (ACT CF)
Cystic Fibrosis
Bottom Line
View on ClinicalTrials.gov: NCT02139306 ↗Enrolled (actual)
279
Serious AEs
30.8%
Results posted
May 2020
Primary outcome: Primary: Absolute Change From Baseline in Percent-predicted Forced Expiratory Volume in One Second (ppFEV1) at Week 48 — -1.396; -1.992 Percentage of predicted FEV1 — p=0.5336
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Ataluren (PTC124®) (Drug); Placebo (Drug)
- Age
- Pediatric, Adult, Older Adult · 6+ yrs
- Sex
- All
- Sponsor
- PTC Therapeutics
- Primary completion
- Nov 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Absolute Change From Baseline in Percent-predicted Forced Expiratory Volume in One Second (ppFEV1) at Week 48 |
-1.396; -1.992 | 0.5336 |
| SECONDARY 48-week Rate of Pulmonary Exacerbations |
0.950; 1.127 | 0.4008 |
| SECONDARY Change From Baseline in the Cystic Fibrosis Questionnaire - Revised (CFQ-R) Respiratory Domain at Week 48 |
-0.760; -1.032 | 0.8881 |
| SECONDARY Change From Baseline in Body Mass Index (BMI) at Week 48 |
0.296; 0.361 | 0.6208 |
| SECONDARY Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (SAEs) |
133; 135; 40; 46 | — |
| SECONDARY Number of Participants With TEAEs by Severity and Relationship to Study Drugs |
26; 18; 88; 88; 19; 29 | — |
| SECONDARY Number of Participants With SAEs by Severity and Relationship to Study Drugs |
2; 1; 23; 20; 15; 25 | — |
| SECONDARY Number of Participants With Abnormal Vital Signs Reported as TEAEs |
0; 1 | — |
| SECONDARY Number of Participants With Abnormal Clinical Laboratory Parameters Reported as TEAEs |
32; 30 | — |
| SECONDARY Number of Participants With Abnormal Electrocardiogram Reported as TEAEs |
1; 0 | — |
Summary
This is a Phase 3, international, multicenter, randomized, double-blind, placebo-controlled, efficacy and safety study of ataluren in patients with nonsense mutation cystic fibrosis (nmCF) not receiving chronic inhaled aminoglycosides.
Eligibility Criteria
Inclusion Criteria
- Evidence of signed and dated informed consent/assent document(s) indicating that the subject (and/or his parent/legal guardian) has been informed of all pertinent aspects of the trial
- Age >=6 years.
- Body weight >=16 kg.
- Sweat chloride >60 milliequivalent per liter (mEq/L)
- Documentation of the presence of a nonsense mutation in at least 1 allele of the cystic fibrosis transmembrane conductance regulator (CFTR) gene, as determined by genotyping performed at a laboratory certified by the College of American Pathologists (CAP), or under the Clinical Laboratory Improvement Act/Amendment (CLIA), or by an equivalent organization
- Verification that a blood sample has been drawn for sequencing of the CFTR gene
- Ability to perform a valid, reproducible spirometry test using the study-specific spirometer with demonstration of an FEV1 >=40% and =92% on room air.
- Confirmed screening laboratory values within pre-specified ranges
- In subjects 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 60-day follow-up period
- Willingness and ability to comply with all study procedures and assessments, including scheduled visits, drug administration plan, study procedures, laboratory tests, and study restrictions
Exclusion Criteria
- Known hypersensitivity to any of the ingredients or excipients of the study drug
- Previous participation in the Phase 3 trial of ataluren (PTC124-GD-009-CF).
- Any change (initiation, change in type of drug, dose modification, schedule modification, interruption, discontinuation, or re-initiation) in a chronic treatment/prophylaxis regimen for Cystic Fibrosis (CF) or for CF-related conditions within 4 weeks prior to screening
- Chronic use of inhaled aminoglycosides (eg, tobramycin) or use of inhaled aminoglycosides within 4 weeks prior to screening.
- Exposure to another investigational drug within 4 weeks prior to screening
- Ongoing participation in any other therapeutic clinical trial
- Evidence of pulmonary exacerbation or acute upper or lower respiratory tract infection (including viral illnesses) within 3 weeks prior to screening
- Treatment with intravenous antibiotics within 3 weeks prior to screening
- Ongoing immunosuppressive therapy (other than corticosteroids)
- Ongoing warfarin, phenytoin, or tolbutamide therapy
- History of solid organ or hematological transplantation
- Major complications of lung disease (including massive hemoptysis, pneumothorax, or pleural effusion) within 8 weeks prior to screening
- 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 x number of years smoked).
- Prior or ongoing medical condition (eg, concomitant illness, alcoholism, drug abuse, psychiatric condition), medical history, physical findings, electrocardiogram (ECG) findings, or laboratory abnormality that, in the investigator's opinion, could adversely affect the safety of the subject, makes it unlikely that the course of treatment or follow-up would be completed, or could impair the assessment of study results
Data sourced from ClinicalTrials.gov (NCT02139306). 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.