Status: Ongoing
First registered on:
15/09/2021
Last updated on:
19/04/2023
1. Study identification
EU PAS Register NumberEUPAS43022
Official titleReal-World Effects and Utilisation Patterns of Elexacaftor, Tezacaftor, and Ivacaftor Combination Therapy (ELX/TEZ/IVA) in Patients with Cystic Fibrosis (CF)
Study title acronym
Study typeObservational study
Brief description of the studyCystic fibrosis (CF) is an autosomal recessive disease with serious, chronically debilitating morbidities, and high premature mortality. ELX/TEZ/IVA is currently indicated for treatment of CF in patients 12 years and older in the EU who have specified CFTR mutations.
This 5-year observational post-authorisation safety study (PASS) will evaluate safety, effectiveness / CF disease progression, and pregnancy outcomes in patients with CF who are treated with ELX/TEZ/IVA, as well as its drug utilisation patterns using observational cohorts of patients receiving therapy in a real-world setting. Existing CF registries provide an established source to obtain data on long term effects in real world use for analysis. In the US Cystic Fibrosis Foundation Patient Registry (CFFPR) and German CF Registry, within-cohort evaluation of outcomes in the 5-year periods before and after treatment initiation will be performed. Evaluation of the outcome patterns and trends in the 5-year pre-treatment period will place into context the outcome patterns and trends observed in the post-treatment period. In addition, the European Cystic Fibrosis Society Patient Registry (ECFSPR) will be used to provide additional information for the evaluation of drug utilisation patterns in the European region.
Information regarding the safety profile of the therapy under the real-world conditions of use will be informative to patients, caregivers, and prescribers. Existing CF registries provide an established source from which to obtain these data.
Was this study requested by a regulator?Yes: EMA
Is the study required by a Risk Management Plan (RMP)?
EU RMP category 3 (required)
Regulatory procedure number (RMP Category 1 and 2 studies only)
Other study registration identification numbers and URLs as applicable
2. Research centres and Investigator details
Coordinating study entity
Centre nameVertex Pharmaceuticals Incorporated
Centre locationBoston, MA, USA
Details of (Primary) lead investigator
Title Dr
Last name Bower
First name Julie
Is this study being carried out with the collaboration of a research network?
No
Other centres where this study is being conducted
Multiple centres
In total how many centres are involved in this Study?3
German CF Register, Germany
ECFSPR, European region (multiple countries)
US CFF Patient Registry, United States
Countries in which this study is being conducted
International study
Germany
United States
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed31/08/202131/08/2021
Start date of data collection31/08/202131/08/2021
Start date of data analysis
Date of interim report, if expected31/12/202114/12/2021
Date of final study report31/12/2025
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesVertex Pharmaceuticals Incorporated100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Global Medical Information
First name Vertex Pharmaceuticals
Address line 12 Kingdom Street
Address line 2
Address line 3
CityLondon
PostcodeW2 6BD
CountryUnited Kingdom
Phone number (incl. country code)0035317617299
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Global Medical Information
First name Vertex Pharmaceuticals
Address line 12 Kingdom Street
Address line 2
Address line 3
CityLondon
PostcodeW2 6BD
CountryUnited Kingdom
Phone number (incl. country code)0035317617299
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Product NameKaftrio
CountryUnited States
Substance INN(s)Elexacaftor
Tezacaftor
Ivacaftor
7. Medical conditions to be studied
Medical condition(s)Yes
Cystic fibrosis
8. Population under study
Age
Children (2 - 11 years)
Adolescents (12 - 17 years)
Adults (18 - 44 years)
Adults (45 - 64 years)
Adults (65 - 74 years)
Adults (75 years and over)
Sex
Male
Female
Other population
Renal impaired
Hepatic impaired
Immunocompromised
Pregnant women
9. Number of subjects
Estimated total number of subjects21000
Additional information
The exact study size depends on patterns of use in routine clinical practice but is expected to be larger than any prior real-world study of the effects of CFTR modulators based on the broad indicated population.
For example, the potential eligible population in the German CF Registry is estimated to be >3,000 patients, and in the US CFFPR is estimated to be approximately 19,000 patients.
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources registered with ENCePP
Data sources not registered with ENCePP
US CF Foundation, United States
Sources of data
Disease/case registry
11. Scope of the study
What is the scope of the study?
Risk assessment
Drug utilisation study
Effectiveness evaluation
Primary scope : Risk assessment
12. Main objective(s)
What is the main objective of the study?
To evaluate, among patients treated with ELX/TEZ/IVA in the real-world setting:
1. Safety outcomes
2. Effectiveness outcomes / CF disease progression
3. Safety and effectiveness outcomes/ CF disease progression in genotype subgroups
4. Frequency and outcome of pregnancy in female patients
5. Drug utilisation patterns and characterise potential off-label use outside of the labelled indication
Are there primary outcomes?Yes
Safety analyses: death, organ transplant, hospitalisations, pulmonary exacerbations, CF complications, respiratory microbiology, liver function tests
Disease progression analyses: Percent predicted FEV1, BMI
Pregnancy analyses: pregnancy outcome, gestational age, congenital anomalies (data availability varies by registry)
Drug utilization analyses: ELX/TEZ/IVA use outside of labeled indications
Are there secondary outcomes?No
13. Study design
What is the design of the study?
Cohort study
Drug utilisation study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
Data will be analysed separately for each registry for 5 years (annual analyses from 2021 through 2025 based on data collected through 2024).
15. Data analysis plan
Please provide a brief summary of the analysis method
Data will be analysed separately for each registry over the course of the 5 year study. Results of analyses will be presented in annual study reports. Each annual report will include patient data collected through the end of the previous calendar year.
Descriptive statistics will be presented for all study outcomes. Continuous variables will be summarised using the following descriptive summary statistics where appropriate: the number of observations (n), mean, SD, SE, 95% CI, median, minimum value, maximum value, and 25th and 75th percentile values. Categorical variables will be summarised using counts, percentages, and 95% CIs as appropriate.
All safety outcomes, effectiveness / CF disease progression outcomes, and pregnancy outcomes will be evaluated in the ELX/TEZ/IVA Cohorts in the US CFFPR and German CF registry. In addition to these 2 registries, the ECFSPR will be used to provide additional information for the evaluation of drug utilisation patterns in the European region.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
18. Study Results
Not submitted
Please list the 5 most relevant publications using data from your study
ReferenceLink to web-publication
None
19. Other relevant documents
Conflict(s) of interest of
investigator(s)Not submitted
Composition of Steering Group and
ObserversNot submitted
Other documentsNot
submitted
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Not submitted
