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Long-term Study in US Cystic Fibrosis Patients Receiving Digestive Enzyme Supplements to Assess Narrowing of the Large Intestine Causing Adverse Intestinal Symptoms (Fibrosing Colonopathy)

A Long-Term Prospective Observational Safety Study of the Incidence of and Risk Factors for Fibrosing Colonopathy in US Patients With Cystic Fibrosis Treated With Pancreatic Enzyme Replacement Therapy: A Harmonized Protocol Across Sponsors(The CF-FC Study)

Status
Terminated
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT01652157
Enrollment
17
Registered
2012-07-27
Start date
2012-07-31
Completion date
2020-04-08
Last updated
2021-03-22

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

Conditions

Fibrosing Colonopathy

Keywords

prospective, observational, pancreatic insufficiency, pancreatic enzyme replacement therapy, fibrosing colonopathy, patients with cystic fibrosis

Brief summary

This is a long-term study in cystic fibrosis patients who are participating in the Cystic Fibrosis Patient Registry to assess the occurrence and risk factors for a rare bowel disorder called fibrosing colonopathy (narrowing of the large intestine). Patients will be followed at their regular clinical care visits over a 10-year period and approached if they develop symptoms of fibrosing colonopathy for collection and use of further detailed information.

Detailed description

This is a prospective, observational, population-based cohort study in US cystic fibrosis patients participating in the Cystic Fibrosis Patient Registry in order to assess the incidence of and risk factors for fibrosing colonopathy. Cystic fibrosis (CF) patients participating in the registry from participating sites, as well as new CF patients enrolled in the registry at these sites over a 2-year period, will serve as the base study population (estimated to include 24,500-25,000 cystic fibrosis patients between the first patient encounter documented in the registry from any participating site and the 31st of July 2014). Cystic fibrosis patients in the base study population will be followed at their regular clinical care visits and, any patients presenting over a 10-year period with signs and symptoms of suspected fibrosing colonopathy, based on a prospective definition, will be approached to obtain a study-specific informed consent for collection of additional data outside the standard registry data collection form in order to augment surveillance. Data routinely collected via the standard CF registry will be used to determine exposure to any specific pancreatic enzyme replacement therapy and to assess potential risk factors for the outcome of confirmed fibrosing colonopathy. An independent adjudication panel will be utilized to validate the diagnosis of fibrosing colonopathy based on a prospective case definition as well as decision rules.

Interventions

BIOLOGICALULTRESA

pancreatic enzyme replacement therapy

BIOLOGICALPANCREAZE

pancreatic enzyme replacement therapy

BIOLOGICALCREON

pancreatic enzyme replacement therapy

BIOLOGICALZENPEP

pancreatic enzyme replacement therapy

BIOLOGICALother non-sponsor pancreatic enzyme replacement therapy

pancreatic enzyme replacement therapy

BIOLOGICALPERTZYE

pancreatic enzyme replacement therapy

OTHERNo pancreatic enzyme replacement therapy

Cystic fibrosis patients in the cystic fibrosis registry not receiving any pancreatic enzyme replacement therapy (approximately 10%)

Sponsors

Cystic Fibrosis Foundation
CollaboratorOTHER
Digestive Care, Inc.
CollaboratorINDUSTRY
Nestle Health Science
CollaboratorINDUSTRY
VIVUS LLC
CollaboratorINDUSTRY
AbbVie
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
0 Months to 99 Years
Healthy volunteers
No

Inclusion criteria

The inclusion criteria for enrollment in the Base Study Population * Diagnosed with cystic fibrosis, * Enrolled in the Cystic Fibrosis Patient Registry * Receiving medical care at a Cystic Fibrosis Foundation-accredited care center providing data to the Cystic Fibrosis Patient Registry

Exclusion criteria

* None

Design outcomes

Primary

MeasureTime frameDescription
Incidence rate of fibrosing colonopathy confirmed by an independent adjudication panel in patients receiving non-sponsor pancreatic enzyme replacement therapyup to 10 yearsFibrosing colonopathy is confirmed by an independent adjudication panel based on prospectively defined criteria.
Incidence rate of fibrosing colonopathy confirmed by an independent adjudication panel in patients receiving ZENPEPup to 10 yearsFibrosing colonopathy is confirmed by an independent adjudication panel based on prospectively defined criteria.
Incidence rate of fibrosing colonopathy confirmed by an independent adjudication panel in patients receiving ULTRESAup to 10 yearsFibrosing colonopathy is confirmed by an independent adjudication panel based on prospectively defined criteria.
Incidence rate of fibrosing colonopathy confirmed by an independent adjudication panel in patients receiving PERTZYE.up to 10 yearsFibrosing colonopathy is confirmed by an independent adjudication panel based on prospectively defined criteria.
Incidence rate of fibrosing colonopathy confirmed by an independent adjudication panel in patients receiving CREONup to 10 yearsFibrosing colonopathy is confirmed by an independent adjudication panel based on prospectively defined criteria.
Incidence rate of fibrosing colonopathy confirmed by an independent adjudication panel in patients receiving PANCREAZEup to 10 yearsFibrosing colonopathy is confirmed by an independent adjudication panel based on prospectively defined criteria.
Incidence rate of fibrosing colonopathy confirmed by an independent adjudication panel in patients not receiving pancreatic enzyme therapy.up to 10 yearsFibrosing colonopathy is confirmed by an independent adjudication panel based on prospectively defined criteria.

Secondary

MeasureTime frameDescription
Odds ratio (95% confidence interval) to quantify the association between possible risk factors and confirmed fibrosing colonopathyup to 10 yearsPotential risk factors include demographics, medical history, and concurrent medications, including daily dosage and length of specific pancreatic enzyme replacement therapy.

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026