Skip to content

Study of VX-809 Alone and in Combination With VX-770 in Cystic Fibrosis (CF) Patients Homozygous or Heterozygous for the F508del-CFTR Mutation

A Phase 2, Multicenter, Double-Blinded, Placebo-Controlled, Multiple-Dose Study to Evaluate Safety, Tolerability, Efficacy, Pharmacokinetics, and Pharmacodynamics of Lumacaftor Monotherapy, and Lumacaftor and Ivacaftor Combination Therapy in Subjects With Cystic Fibrosis, Homozygous or Heterozygous for the F508del-CFTR Mutation

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01225211
Enrollment
312
Registered
2010-10-20
Start date
2010-10-31
Completion date
2014-04-30
Last updated
2015-10-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cystic Fibrosis

Brief summary

The purpose of this study is to evaluate of the safety, efficacy, pharmacokinetics (PK) and pharmacodynamic (PD) effects of lumacaftor (VX-809) alone and when coadministered with ivacaftor (VX-770) in participants with cystic fibrosis, homozygous or heterozygous for the F508del-CFTR mutation.

Interventions

Tablet

DRUGIvacaftor

Tablet.

Matching placebo tablet.

Matching placebo tablet.

Sponsors

Vertex Pharmaceuticals Incorporated
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Male or female participants with confirmed diagnosis of CF * Must have the F508del-CFTR mutation on at least 1 allele. * FEV1 greater than equal (\>=) 40% of predicted normal for age, gender, and height (Knudson standards)(Cohort 1, 2, and 3); FEV1 40-90% of predicted normal for age, gender, and height (Hankinson standards (Cohort 4) * Participant of child-bearing potential and who are sexually active must meet the contraception requirements

Exclusion criteria

* History of any illness or condition that, in the opinion of the investigator might confound the results of the study or pose an additional risk in administering study drug to the participant (e.g., cirrhosis with portal hypertension). * An acute illness including acute upper or lower respiratory infection, pulmonary exacerbation or changes in therapy (including antibiotics) for pulmonary disease within 14 days (Cohort 1, 2, and 3) or 28 days (Cohort 4) before receiving the first dose of study drug. * History of solid organ or hematological transplantation. * History of alcohol abuse or drug addiction in the past year, including cannabis, cocaine, and opiates. * Ongoing participation in another therapeutic clinical study, or prior participation in an investigational drug study without appropriate washout * Pregnant or nursing females; females of childbearing potential who are unwilling or unable to use an acceptable method of non-hormonal contraception * Participants enrolled in Cohort 1 or Cohort 2 will not be eligible for Cohort 3 * Ongoing or prior participation in an investigational drug study within 30 days of the Screening Visit * Heterozygous participants who participated in Cohort 2 and meet the eligibility criteria for Cohort 4 may participate in Cohort 4 * Evidence of lens opacity or cataract as determined by the ophthalmologic examination (Cohort 4 only)

Design outcomes

Primary

MeasureTime frameDescription
Cohort 1: Safety and Tolerability Based on Adverse Events (AEs)Cohort 1: Day 1 up to 28 days after last dose (Last dose = Day 21)AE: any untoward medical occurrence in a participant during study; irrespective of relationship with treatment. This includes any newly occurring event or previous condition that has increased in severity or frequency after informed consent. AE includes serious AEs (SAEs) as well as Non-SAEs. SAE (subset of AE): medical event or condition, which falls into any of the following categories, regardless of its relationship to study drug: death, life threatening adverse experience, in-patient hospitalization/prolongation of hospitalization, persistent/significant disability or incapacity, congenital anomaly/birth defect, important medical event. Number of participants with AEs and SAEs are reported. AE that started at/after initial dosing of study drug, or increased in severity after initial dosing of study drug is considered treatment-emergent. Results are reported separately for monotherapy period (Period 1: Day 1 to Day 14) and combination therapy period (Period 2: Day 15 to Day 21).
Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Cohort 2 and 3: Day 1 up to 28 days after last dose (Last dose = Day 56)Detailed description is provided in Outcome Measure 1. Results are reported separately for monotherapy period (Period 1: Day 1 to Day 28) and combination therapy period (Period 2: Day 29 to Day 56).
Cohort 4: Safety and Tolerability Assessed by Number of Participants With AEs and SAEsCohort 4: Day 1 up to 28 days after last dose (Last dose = Day 56)AEs and SAEs are defined in Outcome Measure 1.
Cohort 1: Absolute Change From Day 14 in Sweat Chloride at Day 21Cohort 1: Day 14, Day 21
Cohort 2 And 3: Absolute Change From Day 28 in Sweat Chloride at Day 56Cohort 2 and 3: Day 28, Day 56
Cohort 4: Absolute Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Day 56Cohort 4: Baseline, Day 56FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. ppFEV1 (predicted for age, gender, and height) was calculated using the Hankinson method.

Secondary

MeasureTime frameDescription
Cohort 2 and 3: Relative Change From Day 28 in ppFEV1 at Day 56Cohort 2 and 3: Day 28, Day 56FEV1 and ppFEV1 are defined in Outcome Measure 6.
Cohort 2 and 3: Absolute Change From Baseline in ppFEV1 at Day 28 and 56Cohort 2 and 3: Baseline, Day 28 and 56FEV1 and ppFEV1 are defined in Outcome Measure 6.
Cohort 2 and 3: Relative Change From Baseline in FEV1 at Day 28 and 56Cohort 2 and 3: Baseline, Day 28 and 56FEV1 and ppFEV1 are defined in Outcome Measure 6.
Cohort 4: Relative Change From Baseline in Percent Predicted FEV1 at Day 56Cohort 4: Baseline, Day 56FEV1 and ppFEV1 are defined in Outcome Measure 6.
Cohort 1: Absolute Change From Baseline in Sweat Chloride at Day 14Cohort 1: Baseline, Day 14
Cohort 4: Absolute Change From Baseline in CFQ-R Respiratory Domain Score at Day 56Cohort 4: Baseline, Day 56CFQ-R respiratory domain is defined in Outcome Measure 17.
Cohort 4: Absolute Change From Baseline in Body Mass Index (BMI) at Day 56Cohort 4: Baseline, Day 56BMI was defined as weight in kilogram (kg) divided by height\*height in square meter (m\^2).
Cohort 4: Absolute Change From Baseline in Weight at Day 56Cohort 4: Baseline, Day 56
Cohort 2 and 3: Absolute Change From Day 28 in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Day 56Cohort 2 and 3: Day 28, Day 56The CFQ-R is a validated participant-reported outcome measuring health-related quality of life for subjects with cystic fibrosis. Respiratory domain assessed respiratory symptoms (for example, coughing, congestion, wheezing), score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life.
Cohort 2 And 3: Absolute Change From Baseline in Sweat Chloride at Day 14Cohort 2: Baseline, Day 14
Cohort 4: Absolute Change From Baseline in Sweat Chloride at Day 56Cohort 4: Baseline, Day 56
Cohort 1: Absolute Change From Day 14 in FEV1 at Day 21Cohort 1: Day 14, Day 21FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
Cohort 1: Absolute Change From Day 14 in ppFEV1 at Day 21Cohort 1: Day 14, Day 21FEV1 and ppFEV1 are defined in Outcome Measure 6.
Cohort 2 and 3: Absolute Change From Day 28 in ppFEV1 at Day 56Cohort 2 and 3: Day 28, Day 56FEV1 and ppFEV1 are defined in Outcome Measure 6.

Countries

Australia, Belgium, France, Germany, New Zealand, United Kingdom, United States

Participant flow

Recruitment details

Participants in each cohort are mutually exclusive. A total of 312 participants were randomized of which one participant did not receive any treatment and a total of 311 participants were treated.

Pre-assignment details

Study included 4 cohorts which were studied in sequential manner. For results reporting, combined placebo arm was reported for Cohort 2 and 3 and results for these 2 cohorts are reported collectively.

Participants by arm

ArmCount
Cohort 1: Placebo
Participants homozygous for the F508del-CFTR mutation received lumacaftor matched placebo qd (Day 1 through Day 14), followed by lumacaftor matched placebo qd in combination with ivacaftor matched placebo q12h (Day 15 through Day 21).
21
Cohort 1: LUM 200 mg qd/LUM 200 mg qd+IVA 150 mg q12h
Participants homozygous for the F508del-CFTR mutation received 200 mg of lumacaftor alone qd (Day 1 through Day 14), followed by 200 mg of lumacaftor qd in combination with 150 mg of ivacaftor q12h (Day 15 through Day 21).
20
Cohort 1: LUM 200 mg qd/LUM 200 mg qd+IVA 250 mg q12h
Participants homozygous for the F508del-CFTR mutation received 200 mg of lumacaftor alone qd (Day 1 through Day 14), followed by 200 mg of lumacaftor qd in combination with 250 mg of ivacaftor q12h (Day 15 through Day 21).
21
Cohort 2 and 3: Placebo (HO and HE)
Participants homozygous or heterozygous for the F508del-CFTR mutation received lumacaftor matched placebo qd (Day 1 through Day 28), followed by lumacaftor matched placebo in combination with ivacaftor matched placebo q12h (Day 29 through Day 56).
27
Cohort 2: LUM 200 mg qd/LUM 200 mg qd+IVA 250 mg q12h (HO)
Participants homozygous for the F508del-CFTR mutation received 200 mg of lumacaftor alone qd (Day 1 through Day 28), followed by 200 mg of lumacaftor qd in combination with 250 mg of ivacaftor q12h (Day 29 through Day 56).
23
Cohort 2: LUM 400 mg qd/LUM 400 mg qd+IVA 250 mg q12h (HO)
Participants homozygous for the F508del-CFTR mutation received 400 mg of lumacaftor alone qd (Day 1 through Day 28), followed by 400 mg of lumacaftor qd in combination with 250 mg of ivacaftor q12h (Day 29 through Day 56).
21
Cohort 2: LUM 600 mg qd/LUM 600 mg qd+IVA 250 mg q12h (HO&HE)
Participants homozygous or heterozygous for the F508del-CFTR mutation received 600 mg of lumacaftor alone qd (Day 1 through Day 28), followed by 600 mg of lumacaftor qd in combination with 250 mg of ivacaftor q12h (Day 29 through Day 56).
42
Cohort 3: LUM 400 mg q12h/LUM 400 mg q12h+IVA 250 mg q12h (HO)
Participants homozygous for the F508del-CFTR mutation received 400 mg of lumacaftor alone q12h (Day 1 through Day 28), followed by 400 mg of lumacaftor q12h in combination with 250 mg of ivacaftor q12h (Day 29 through Day 56).
11
Cohort 4: Placebo
Participants heterozygous for the F508del-CFTR mutation received lumacaftor in combination with ivacaftor matched placebo q12h (Day 1 through Day 56).
63
Cohort 4: LUM 400 mg q12h+IVA 250 mg q12h
Participants heterozygous for the F508del-CFTR mutation received 400 mg of lumacaftor q12h in combination with 250 mg of ivacaftor q12h (Day 1 through Day 56).
62
Total311

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009
Overall StudyAdverse Event0010000001
Overall StudyOther0000000001
Overall StudyWithdrawal by Subject0000001013

Baseline characteristics

CharacteristicCohort 1: PlaceboCohort 1: LUM 200 mg qd/LUM 200 mg qd+IVA 150 mg q12hCohort 1: LUM 200 mg qd/LUM 200 mg qd+IVA 250 mg q12hCohort 2 and 3: Placebo (HO and HE)Cohort 2: LUM 200 mg qd/LUM 200 mg qd+IVA 250 mg q12h (HO)Cohort 2: LUM 400 mg qd/LUM 400 mg qd+IVA 250 mg q12h (HO)Cohort 2: LUM 600 mg qd/LUM 600 mg qd+IVA 250 mg q12h (HO&HE)Cohort 3: LUM 400 mg q12h/LUM 400 mg q12h+IVA 250 mg q12h (HO)Cohort 4: PlaceboCohort 4: LUM 400 mg q12h+IVA 250 mg q12hTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
21 Participants20 Participants21 Participants27 Participants23 Participants21 Participants42 Participants11 Participants63 Participants62 Participants311 Participants
Sex: Female, Male
Female
10 Participants8 Participants13 Participants9 Participants11 Participants9 Participants19 Participants5 Participants31 Participants29 Participants144 Participants
Sex: Female, Male
Male
11 Participants12 Participants8 Participants18 Participants12 Participants12 Participants23 Participants6 Participants32 Participants33 Participants167 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
EG010
affected / at risk
EG011
affected / at risk
EG012
affected / at risk
EG013
affected / at risk
EG014
affected / at risk
EG015
affected / at risk
EG016
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
29 / 4114 / 2012 / 2012 / 2115 / 2117 / 2318 / 2137 / 426 / 1123 / 2712 / 2115 / 2026 / 3810 / 1120 / 2753 / 6351 / 62
serious
Total, serious adverse events
0 / 410 / 200 / 200 / 210 / 212 / 230 / 213 / 422 / 111 / 270 / 211 / 204 / 381 / 114 / 275 / 639 / 62

Outcome results

Primary

Cohort 1: Absolute Change From Day 14 in Sweat Chloride at Day 21

Time frame: Cohort 1: Day 14, Day 21

Population: Cohort 1 Full Analysis Set included all randomized participants who received at least 1 dose of study drug in Cohort 1. Number of participants analysed signifies participants evaluable for this outcome.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Cohort 1: Placebo - Period 1Cohort 1: Absolute Change From Day 14 in Sweat Chloride at Day 21-2.131 millimole per liter (mmol/L)
Cohort 1: LUM 200 mg qd - Period 1Cohort 1: Absolute Change From Day 14 in Sweat Chloride at Day 21-9.128 millimole per liter (mmol/L)
Cohort 1: Placebo - Period 2Cohort 1: Absolute Change From Day 14 in Sweat Chloride at Day 210.548 millimole per liter (mmol/L)
p-value: 0.26795% CI: [-7.484, 2.125]ANCOVA
p-value: <0.00195% CI: [-14.801, -4.551]ANCOVA
Primary

Cohort 1: Safety and Tolerability Based on Adverse Events (AEs)

AE: any untoward medical occurrence in a participant during study; irrespective of relationship with treatment. This includes any newly occurring event or previous condition that has increased in severity or frequency after informed consent. AE includes serious AEs (SAEs) as well as Non-SAEs. SAE (subset of AE): medical event or condition, which falls into any of the following categories, regardless of its relationship to study drug: death, life threatening adverse experience, in-patient hospitalization/prolongation of hospitalization, persistent/significant disability or incapacity, congenital anomaly/birth defect, important medical event. Number of participants with AEs and SAEs are reported. AE that started at/after initial dosing of study drug, or increased in severity after initial dosing of study drug is considered treatment-emergent. Results are reported separately for monotherapy period (Period 1: Day 1 to Day 14) and combination therapy period (Period 2: Day 15 to Day 21).

Time frame: Cohort 1: Day 1 up to 28 days after last dose (Last dose = Day 21)

Population: Cohort 1 Safety Set included all participants who received at least 1 dose of study drug in Cohort 1. Number of participants analysed signifies participants evaluable for this outcome.

ArmMeasureGroupValue (NUMBER)
Cohort 1: Placebo - Period 1Cohort 1: Safety and Tolerability Based on Adverse Events (AEs)Participants with any AEs12 participants
Cohort 1: Placebo - Period 1Cohort 1: Safety and Tolerability Based on Adverse Events (AEs)Participants with SAEs0 participants
Cohort 1: LUM 200 mg qd - Period 1Cohort 1: Safety and Tolerability Based on Adverse Events (AEs)Participants with any AEs29 participants
Cohort 1: LUM 200 mg qd - Period 1Cohort 1: Safety and Tolerability Based on Adverse Events (AEs)Participants with SAEs0 participants
Cohort 1: Placebo - Period 2Cohort 1: Safety and Tolerability Based on Adverse Events (AEs)Participants with any AEs15 participants
Cohort 1: Placebo - Period 2Cohort 1: Safety and Tolerability Based on Adverse Events (AEs)Participants with SAEs0 participants
Cohort 1: LUM 200 mg qd+IVA 150 mg q12h - Period 2Cohort 1: Safety and Tolerability Based on Adverse Events (AEs)Participants with SAEs0 participants
Cohort 1: LUM 200 mg qd+IVA 150 mg q12h - Period 2Cohort 1: Safety and Tolerability Based on Adverse Events (AEs)Participants with any AEs14 participants
Cohort 1: LUM 200 mg qd+IVA 250 mg q12h - Period 2Cohort 1: Safety and Tolerability Based on Adverse Events (AEs)Participants with any AEs12 participants
Cohort 1: LUM 200 mg qd+IVA 250 mg q12h - Period 2Cohort 1: Safety and Tolerability Based on Adverse Events (AEs)Participants with SAEs0 participants
Primary

Cohort 2 And 3: Absolute Change From Day 28 in Sweat Chloride at Day 56

Time frame: Cohort 2 and 3: Day 28, Day 56

Population: Cohort 2 and 3 Full Analysis Set included all randomized participants who received at least 1 dose of study drug in Cohort 2 or 3. Number of participants analysed signifies participants evaluable for this outcome.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Cohort 1: Placebo - Period 1Cohort 2 And 3: Absolute Change From Day 28 in Sweat Chloride at Day 560.321 mmol/L
Cohort 1: LUM 200 mg qd - Period 1Cohort 2 And 3: Absolute Change From Day 28 in Sweat Chloride at Day 56-1.043 mmol/L
Cohort 1: Placebo - Period 2Cohort 2 And 3: Absolute Change From Day 28 in Sweat Chloride at Day 56-2.900 mmol/L
Cohort 1: LUM 200 mg qd+IVA 150 mg q12h - Period 2Cohort 2 And 3: Absolute Change From Day 28 in Sweat Chloride at Day 56-1.240 mmol/L
Cohort 1: LUM 200 mg qd+IVA 250 mg q12h - Period 2Cohort 2 And 3: Absolute Change From Day 28 in Sweat Chloride at Day 56-2.154 mmol/L
Cohort 2 and 3: Placebo (HO and HE) - Period 2Cohort 2 And 3: Absolute Change From Day 28 in Sweat Chloride at Day 561.627 mmol/L
p-value: 0.6895% CI: [-7.565, 4.953]ANCOVA
p-value: 0.40995% CI: [-9.053, 3.712]ANCOVA
p-value: 0.16195% CI: [-10.888, 1.835]ANCOVA
p-value: 0.39695% CI: [-9.543, 3.81]ANCOVA
p-value: 0.36595% CI: [-12.028, 4.467]ANCOVA
Primary

Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)

Detailed description is provided in Outcome Measure 1. Results are reported separately for monotherapy period (Period 1: Day 1 to Day 28) and combination therapy period (Period 2: Day 29 to Day 56).

Time frame: Cohort 2 and 3: Day 1 up to 28 days after last dose (Last dose = Day 56)

Population: Cohort 2 and 3 Safety Set included all participants who received at least 1 dose of study drug in Cohort 2 or 3. Number of participants analysed signifies participants evaluable for this outcome.

ArmMeasureGroupValue (NUMBER)
Cohort 1: Placebo - Period 1Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Participants with any AEs23 participants
Cohort 1: Placebo - Period 1Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Participants with SAEs1 participants
Cohort 1: LUM 200 mg qd - Period 1Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Participants with any AEs18 participants
Cohort 1: LUM 200 mg qd - Period 1Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Participants with SAEs2 participants
Cohort 1: Placebo - Period 2Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Participants with any AEs18 participants
Cohort 1: Placebo - Period 2Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Participants with SAEs0 participants
Cohort 1: LUM 200 mg qd+IVA 150 mg q12h - Period 2Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Participants with any AEs37 participants
Cohort 1: LUM 200 mg qd+IVA 150 mg q12h - Period 2Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Participants with SAEs3 participants
Cohort 1: LUM 200 mg qd+IVA 250 mg q12h - Period 2Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Participants with SAEs2 participants
Cohort 1: LUM 200 mg qd+IVA 250 mg q12h - Period 2Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Participants with any AEs7 participants
Cohort 2 and 3: Placebo (HO and HE) - Period 2Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Participants with SAEs4 participants
Cohort 2 and 3: Placebo (HO and HE) - Period 2Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Participants with any AEs20 participants
Cohort 2: LUM 200 mg qd+IVA 250 mg q12h (HO) - Period 2Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Participants with SAEs0 participants
Cohort 2: LUM 200 mg qd+IVA 250 mg q12h (HO) - Period 2Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Participants with any AEs12 participants
Cohort 2: LUM 400 mg qd+IVA 250 mg q12h (HO) - Period 2Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Participants with any AEs15 participants
Cohort 2: LUM 400 mg qd+IVA 250 mg q12h (HO) - Period 2Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Participants with SAEs1 participants
Cohort 2: LUM 600 mg qd+IVA 250 mg q12h (HO&HE) - Period 2Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Participants with any AEs26 participants
Cohort 2: LUM 600 mg qd+IVA 250 mg q12h (HO&HE) - Period 2Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Participants with SAEs4 participants
Cohort 3: LUM 400 mg q12h+IVA 250 mg q12h (HO) - Period 2Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Participants with any AEs10 participants
Cohort 3: LUM 400 mg q12h+IVA 250 mg q12h (HO) - Period 2Cohort 2 and 3: Safety and Tolerability Based on Adverse Events (AEs)Participants with SAEs1 participants
Primary

Cohort 4: Absolute Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Day 56

FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. ppFEV1 (predicted for age, gender, and height) was calculated using the Hankinson method.

Time frame: Cohort 4: Baseline, Day 56

Population: Cohort 4 Full Analysis Set included all randomized participants who received any amount of study drug in Cohort 4. Number of participants analysed signifies participants evaluable for this outcome.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Cohort 1: Placebo - Period 1Cohort 4: Absolute Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Day 56-1.23 percent predicted of FEV1Standard Error 0.801
Cohort 1: LUM 200 mg qd - Period 1Cohort 4: Absolute Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Day 56-0.62 percent predicted of FEV1Standard Error 0.829
p-value: 0.597895% CI: [-1.66, 2.86]Mixed Model Repeated Measure (MMRM)
Primary

Cohort 4: Safety and Tolerability Assessed by Number of Participants With AEs and SAEs

AEs and SAEs are defined in Outcome Measure 1.

Time frame: Cohort 4: Day 1 up to 28 days after last dose (Last dose = Day 56)

Population: Cohort 4 Safety Set included all participants who received at least 1 dose of study drug in Cohort 4.

ArmMeasureGroupValue (NUMBER)
Cohort 1: Placebo - Period 1Cohort 4: Safety and Tolerability Assessed by Number of Participants With AEs and SAEsParticipants with any AEs53 participants
Cohort 1: Placebo - Period 1Cohort 4: Safety and Tolerability Assessed by Number of Participants With AEs and SAEsParticipants with SAEs5 participants
Cohort 1: LUM 200 mg qd - Period 1Cohort 4: Safety and Tolerability Assessed by Number of Participants With AEs and SAEsParticipants with any AEs52 participants
Cohort 1: LUM 200 mg qd - Period 1Cohort 4: Safety and Tolerability Assessed by Number of Participants With AEs and SAEsParticipants with SAEs9 participants
Secondary

Cohort 1: Absolute Change From Baseline in Sweat Chloride at Day 14

Time frame: Cohort 1: Baseline, Day 14

Population: Cohort 1 Full Analysis Set included all randomized participants who received at least 1 dose of study drug in Cohort 1. Number of participants analysed signifies participants evaluable for this outcome.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Cohort 1: Placebo - Period 1Cohort 1: Absolute Change From Baseline in Sweat Chloride at Day 14-4.442 mmol/L
Cohort 1: LUM 200 mg qd - Period 1Cohort 1: Absolute Change From Baseline in Sweat Chloride at Day 14-1.668 mmol/L
Secondary

Cohort 1: Absolute Change From Day 14 in FEV1 at Day 21

FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.

Time frame: Cohort 1: Day 14, Day 21

Population: Cohort 1 Full Analysis Set included all randomized participants who received at least 1 dose of study drug in Cohort 1. Number of participants analysed signifies participants evaluable for this outcome.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Cohort 1: Placebo - Period 1Cohort 1: Absolute Change From Day 14 in FEV1 at Day 210.128 liters
Cohort 1: LUM 200 mg qd - Period 1Cohort 1: Absolute Change From Day 14 in FEV1 at Day 210.015 liters
Cohort 1: Placebo - Period 2Cohort 1: Absolute Change From Day 14 in FEV1 at Day 21-0.046 liters
Secondary

Cohort 1: Absolute Change From Day 14 in ppFEV1 at Day 21

FEV1 and ppFEV1 are defined in Outcome Measure 6.

Time frame: Cohort 1: Day 14, Day 21

Population: Cohort 1 Full Analysis Set included all randomized participants who received at least 1 dose of study drug in Cohort 1. Number of participants analysed signifies participants evaluable for this outcome.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Cohort 1: Placebo - Period 1Cohort 1: Absolute Change From Day 14 in ppFEV1 at Day 213.46 percent predicted of FEV1
Cohort 1: LUM 200 mg qd - Period 1Cohort 1: Absolute Change From Day 14 in ppFEV1 at Day 210.63 percent predicted of FEV1
Cohort 1: Placebo - Period 2Cohort 1: Absolute Change From Day 14 in ppFEV1 at Day 21-1.44 percent predicted of FEV1
Secondary

Cohort 2 and 3: Absolute Change From Baseline in ppFEV1 at Day 28 and 56

FEV1 and ppFEV1 are defined in Outcome Measure 6.

Time frame: Cohort 2 and 3: Baseline, Day 28 and 56

Population: Cohort 2 and 3 Full Analysis Set included all randomized participants who received at least 1 dose of study drug in Cohort 2 or 3. Here, n = participants evaluable for specified category for each arm, respectively. Number of participants analysed signifies participants evaluable for this outcome.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
Cohort 1: Placebo - Period 1Cohort 2 and 3: Absolute Change From Baseline in ppFEV1 at Day 28 and 56Day 28: (n= 21, 20, 20, 18, 11, 27)0.21 percent predicted of FEV1
Cohort 1: Placebo - Period 1Cohort 2 and 3: Absolute Change From Baseline in ppFEV1 at Day 28 and 56Day 56: (n= 21, 20, 20, 17, 10, 24)1.82 percent predicted of FEV1
Cohort 1: LUM 200 mg qd - Period 1Cohort 2 and 3: Absolute Change From Baseline in ppFEV1 at Day 28 and 56Day 28: (n= 21, 20, 20, 18, 11, 27)-1.35 percent predicted of FEV1
Cohort 1: LUM 200 mg qd - Period 1Cohort 2 and 3: Absolute Change From Baseline in ppFEV1 at Day 28 and 56Day 56: (n= 21, 20, 20, 17, 10, 24)0.64 percent predicted of FEV1
Cohort 1: Placebo - Period 2Cohort 2 and 3: Absolute Change From Baseline in ppFEV1 at Day 28 and 56Day 28: (n= 21, 20, 20, 18, 11, 27)-2.62 percent predicted of FEV1
Cohort 1: Placebo - Period 2Cohort 2 and 3: Absolute Change From Baseline in ppFEV1 at Day 28 and 56Day 56: (n= 21, 20, 20, 17, 10, 24)3.59 percent predicted of FEV1
Cohort 1: LUM 200 mg qd+IVA 150 mg q12h - Period 2Cohort 2 and 3: Absolute Change From Baseline in ppFEV1 at Day 28 and 56Day 28: (n= 21, 20, 20, 18, 11, 27)-3.82 percent predicted of FEV1
Cohort 1: LUM 200 mg qd+IVA 150 mg q12h - Period 2Cohort 2 and 3: Absolute Change From Baseline in ppFEV1 at Day 28 and 56Day 56: (n= 21, 20, 20, 17, 10, 24)-1.68 percent predicted of FEV1
Cohort 1: LUM 200 mg qd+IVA 250 mg q12h - Period 2Cohort 2 and 3: Absolute Change From Baseline in ppFEV1 at Day 28 and 56Day 28: (n= 21, 20, 20, 18, 11, 27)-4.52 percent predicted of FEV1
Cohort 1: LUM 200 mg qd+IVA 250 mg q12h - Period 2Cohort 2 and 3: Absolute Change From Baseline in ppFEV1 at Day 28 and 56Day 56: (n= 21, 20, 20, 17, 10, 24)2.16 percent predicted of FEV1
Cohort 2 and 3: Placebo (HO and HE) - Period 2Cohort 2 and 3: Absolute Change From Baseline in ppFEV1 at Day 28 and 56Day 28: (n= 21, 20, 20, 18, 11, 27)-0.03 percent predicted of FEV1
Cohort 2 and 3: Placebo (HO and HE) - Period 2Cohort 2 and 3: Absolute Change From Baseline in ppFEV1 at Day 28 and 56Day 56: (n= 21, 20, 20, 17, 10, 24)-2.02 percent predicted of FEV1
Secondary

Cohort 2 And 3: Absolute Change From Baseline in Sweat Chloride at Day 14

Time frame: Cohort 2: Baseline, Day 14

Population: Cohort 2 and 3 Full Analysis Set included all randomized participants who received at least 1 dose of study drug in Cohort 2 or 3. Number of participants analysed signifies participants evaluable for this outcome.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Cohort 1: Placebo - Period 1Cohort 2 And 3: Absolute Change From Baseline in Sweat Chloride at Day 14-6.490 mmol/L
Cohort 1: LUM 200 mg qd - Period 1Cohort 2 And 3: Absolute Change From Baseline in Sweat Chloride at Day 14-5.901 mmol/L
Cohort 1: Placebo - Period 2Cohort 2 And 3: Absolute Change From Baseline in Sweat Chloride at Day 14-9.442 mmol/L
Cohort 1: LUM 200 mg qd+IVA 150 mg q12h - Period 2Cohort 2 And 3: Absolute Change From Baseline in Sweat Chloride at Day 14-3.137 mmol/L
Cohort 1: LUM 200 mg qd+IVA 250 mg q12h - Period 2Cohort 2 And 3: Absolute Change From Baseline in Sweat Chloride at Day 14-9.179 mmol/L
Cohort 2 and 3: Placebo (HO and HE) - Period 2Cohort 2 And 3: Absolute Change From Baseline in Sweat Chloride at Day 140.048 mmol/L
Secondary

Cohort 2 and 3: Absolute Change From Day 28 in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Day 56

The CFQ-R is a validated participant-reported outcome measuring health-related quality of life for subjects with cystic fibrosis. Respiratory domain assessed respiratory symptoms (for example, coughing, congestion, wheezing), score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life.

Time frame: Cohort 2 and 3: Day 28, Day 56

Population: Cohort 2 and 3 Full Analysis Set included all randomized participants who received at least 1 dose of study drug in Cohort 2 or 3. Number of participants analysed signifies participants evaluable for this outcome.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Cohort 1: Placebo - Period 1Cohort 2 and 3: Absolute Change From Day 28 in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Day 563.3 units on a scale
Cohort 1: LUM 200 mg qd - Period 1Cohort 2 and 3: Absolute Change From Day 28 in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Day 567.9 units on a scale
Cohort 1: Placebo - Period 2Cohort 2 and 3: Absolute Change From Day 28 in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Day 568.9 units on a scale
Cohort 1: LUM 200 mg qd+IVA 150 mg q12h - Period 2Cohort 2 and 3: Absolute Change From Day 28 in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Day 565.5 units on a scale
Cohort 1: LUM 200 mg qd+IVA 250 mg q12h - Period 2Cohort 2 and 3: Absolute Change From Day 28 in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Day 5611.2 units on a scale
Cohort 2 and 3: Placebo (HO and HE) - Period 2Cohort 2 and 3: Absolute Change From Day 28 in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Day 56-8.6 units on a scale
Secondary

Cohort 2 and 3: Absolute Change From Day 28 in ppFEV1 at Day 56

FEV1 and ppFEV1 are defined in Outcome Measure 6.

Time frame: Cohort 2 and 3: Day 28, Day 56

Population: Cohort 2 and 3 Full Analysis Set included all randomized participants who received at least 1 dose of study drug in Cohort 2 or 3. Number of participants analysed signifies participants evaluable for this outcome.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Cohort 1: Placebo - Period 1Cohort 2 and 3: Absolute Change From Day 28 in ppFEV1 at Day 561.96 percent predicted of FEV1
Cohort 1: LUM 200 mg qd - Period 1Cohort 2 and 3: Absolute Change From Day 28 in ppFEV1 at Day 561.99 percent predicted of FEV1
Cohort 1: Placebo - Period 2Cohort 2 and 3: Absolute Change From Day 28 in ppFEV1 at Day 566.15 percent predicted of FEV1
Cohort 1: LUM 200 mg qd+IVA 150 mg q12h - Period 2Cohort 2 and 3: Absolute Change From Day 28 in ppFEV1 at Day 562.29 percent predicted of FEV1
Cohort 1: LUM 200 mg qd+IVA 250 mg q12h - Period 2Cohort 2 and 3: Absolute Change From Day 28 in ppFEV1 at Day 566.09 percent predicted of FEV1
Cohort 2 and 3: Placebo (HO and HE) - Period 2Cohort 2 and 3: Absolute Change From Day 28 in ppFEV1 at Day 56-1.57 percent predicted of FEV1
Secondary

Cohort 2 and 3: Relative Change From Baseline in FEV1 at Day 28 and 56

FEV1 and ppFEV1 are defined in Outcome Measure 6.

Time frame: Cohort 2 and 3: Baseline, Day 28 and 56

Population: Cohort 2 and 3 Full Analysis Set included all randomized participants who received at least 1 dose of study drug in Cohort 2 or 3. Here, n = participants evaluable for specified category for each arm, respectively. Number of participants analysed signifies participants evaluable for this outcome.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
Cohort 1: Placebo - Period 1Cohort 2 and 3: Relative Change From Baseline in FEV1 at Day 28 and 56Day 28: (n= 21, 20, 20, 18, 11, 27)0.24 percent change
Cohort 1: Placebo - Period 1Cohort 2 and 3: Relative Change From Baseline in FEV1 at Day 28 and 56Day 56: (n= 21, 20, 20, 17, 10, 24)2.51 percent change
Cohort 1: LUM 200 mg qd - Period 1Cohort 2 and 3: Relative Change From Baseline in FEV1 at Day 28 and 56Day 28: (n= 21, 20, 20, 18, 11, 27)-1.15 percent change
Cohort 1: LUM 200 mg qd - Period 1Cohort 2 and 3: Relative Change From Baseline in FEV1 at Day 28 and 56Day 56: (n= 21, 20, 20, 17, 10, 24)1.72 percent change
Cohort 1: Placebo - Period 2Cohort 2 and 3: Relative Change From Baseline in FEV1 at Day 28 and 56Day 28: (n= 21, 20, 20, 18, 11, 27)-3.13 percent change
Cohort 1: Placebo - Period 2Cohort 2 and 3: Relative Change From Baseline in FEV1 at Day 28 and 56Day 56: (n= 21, 20, 20, 17, 10, 24)5.55 percent change
Cohort 1: LUM 200 mg qd+IVA 150 mg q12h - Period 2Cohort 2 and 3: Relative Change From Baseline in FEV1 at Day 28 and 56Day 28: (n= 21, 20, 20, 18, 11, 27)-5.46 percent change
Cohort 1: LUM 200 mg qd+IVA 150 mg q12h - Period 2Cohort 2 and 3: Relative Change From Baseline in FEV1 at Day 28 and 56Day 56: (n= 21, 20, 20, 17, 10, 24)-2.34 percent change
Cohort 1: LUM 200 mg qd+IVA 250 mg q12h - Period 2Cohort 2 and 3: Relative Change From Baseline in FEV1 at Day 28 and 56Day 28: (n= 21, 20, 20, 18, 11, 27)-6.39 percent change
Cohort 1: LUM 200 mg qd+IVA 250 mg q12h - Period 2Cohort 2 and 3: Relative Change From Baseline in FEV1 at Day 28 and 56Day 56: (n= 21, 20, 20, 17, 10, 24)2.96 percent change
Cohort 2 and 3: Placebo (HO and HE) - Period 2Cohort 2 and 3: Relative Change From Baseline in FEV1 at Day 28 and 56Day 28: (n= 21, 20, 20, 18, 11, 27)1.89 percent change
Cohort 2 and 3: Placebo (HO and HE) - Period 2Cohort 2 and 3: Relative Change From Baseline in FEV1 at Day 28 and 56Day 56: (n= 21, 20, 20, 17, 10, 24)-2.42 percent change
Secondary

Cohort 2 and 3: Relative Change From Day 28 in ppFEV1 at Day 56

FEV1 and ppFEV1 are defined in Outcome Measure 6.

Time frame: Cohort 2 and 3: Day 28, Day 56

Population: Cohort 2 and 3 Full Analysis Set included all randomized participants who received at least 1 dose of study drug in Cohort 2 or 3. Number of participants analysed signifies participants evaluable for this outcome.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Cohort 1: Placebo - Period 1Cohort 2 and 3: Relative Change From Day 28 in ppFEV1 at Day 563.13 percent change
Cohort 1: LUM 200 mg qd - Period 1Cohort 2 and 3: Relative Change From Day 28 in ppFEV1 at Day 562.98 percent change
Cohort 1: Placebo - Period 2Cohort 2 and 3: Relative Change From Day 28 in ppFEV1 at Day 569.70 percent change
Cohort 1: LUM 200 mg qd+IVA 150 mg q12h - Period 2Cohort 2 and 3: Relative Change From Day 28 in ppFEV1 at Day 564.30 percent change
Cohort 1: LUM 200 mg qd+IVA 250 mg q12h - Period 2Cohort 2 and 3: Relative Change From Day 28 in ppFEV1 at Day 568.24 percent change
Cohort 2 and 3: Placebo (HO and HE) - Period 2Cohort 2 and 3: Relative Change From Day 28 in ppFEV1 at Day 56-2.05 percent change
Secondary

Cohort 4: Absolute Change From Baseline in Body Mass Index (BMI) at Day 56

BMI was defined as weight in kilogram (kg) divided by height\*height in square meter (m\^2).

Time frame: Cohort 4: Baseline, Day 56

Population: Cohort 4 Full Analysis Set included all randomized participants who received any amount of study drug in Cohort 4. Number of participants analysed signifies participants evaluable for this outcome.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Cohort 1: Placebo - Period 1Cohort 4: Absolute Change From Baseline in Body Mass Index (BMI) at Day 560.08 kg/m^2Standard Error 0.075
Cohort 1: LUM 200 mg qd - Period 1Cohort 4: Absolute Change From Baseline in Body Mass Index (BMI) at Day 56-0.04 kg/m^2Standard Error 0.077
Secondary

Cohort 4: Absolute Change From Baseline in CFQ-R Respiratory Domain Score at Day 56

CFQ-R respiratory domain is defined in Outcome Measure 17.

Time frame: Cohort 4: Baseline, Day 56

Population: Cohort 4 Full Analysis Set included all randomized participants who received any amount of study drug in Cohort 4. Number of participants analysed signifies participants evaluable for this outcome.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Cohort 1: Placebo - Period 1Cohort 4: Absolute Change From Baseline in CFQ-R Respiratory Domain Score at Day 56-0.82 units on a scaleStandard Error 1.802
Cohort 1: LUM 200 mg qd - Period 1Cohort 4: Absolute Change From Baseline in CFQ-R Respiratory Domain Score at Day 565.66 units on a scaleStandard Error 1.864
Secondary

Cohort 4: Absolute Change From Baseline in Sweat Chloride at Day 56

Time frame: Cohort 4: Baseline, Day 56

Population: Cohort 4 Full Analysis Set included all randomized participants who received any amount of study drug in Cohort 4. Number of participants analysed signifies participants evaluable for this outcome.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Cohort 1: Placebo - Period 1Cohort 4: Absolute Change From Baseline in Sweat Chloride at Day 56-0.78 mmol/LStandard Error 1.23
Cohort 1: LUM 200 mg qd - Period 1Cohort 4: Absolute Change From Baseline in Sweat Chloride at Day 56-11.82 mmol/LStandard Error 1.281
Secondary

Cohort 4: Absolute Change From Baseline in Weight at Day 56

Time frame: Cohort 4: Baseline, Day 56

Population: Cohort 4 Full Analysis Set included all randomized participants who received any amount of study drug in Cohort 4. Number of participants analysed signifies participants evaluable for this outcome.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Cohort 1: Placebo - Period 1Cohort 4: Absolute Change From Baseline in Weight at Day 560.16 kgStandard Error 0.211
Cohort 1: LUM 200 mg qd - Period 1Cohort 4: Absolute Change From Baseline in Weight at Day 56-0.11 kgStandard Error 0.216
Secondary

Cohort 4: Relative Change From Baseline in Percent Predicted FEV1 at Day 56

FEV1 and ppFEV1 are defined in Outcome Measure 6.

Time frame: Cohort 4: Baseline, Day 56

Population: Cohort 4 Full Analysis Set included all randomized participants who received any amount of study drug in Cohort 4. Number of participants analysed signifies participants evaluable for this outcome.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Cohort 1: Placebo - Period 1Cohort 4: Relative Change From Baseline in Percent Predicted FEV1 at Day 56-2.20 percent changeStandard Error 1.373
Cohort 1: LUM 200 mg qd - Period 1Cohort 4: Relative Change From Baseline in Percent Predicted FEV1 at Day 56-0.69 percent changeStandard Error 1.423

Source: ClinicalTrials.gov · Data processed: Mar 20, 2026