Evidence map›Paper›PMID 22383668›Full record

Trial reportChest2012

Ivacaftor in subjects with cystic fibrosis who are homozygous for the F508del-CFTR mutation.

Patrick A Flume, Theodore G Liou, Drucy S Borowitz, Haihong Li, Karl Yen, Claudia L Ordoñez, David E Geller, VX 08-770-104 Study Group

2 registry-linked trialsAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Chest, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 128 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
128citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00953706 phase2terminatednot on this map

A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Safety and Efficacy of VX-770 in Subjects Aged 12 Years and Older With Cystic Fibrosis Who Are Homozygous for the F508del-CFTR Mutation

TypeinterventionalSponsorVertex Pharmaceuticals IncorporatedRan2009 to 2013Enrolled140ConditionsCystic FibrosisArmsIvacaftor, Placebo
NCT03795363 completednot on this mapstarted 2019, after this paper: background citation

Nutritional Impact of Orkambi Treatment in 2 to 5 Year Old Children Homozygous for F508del Mutations

TypeobservationalSponsorChildren's Hospital of PhiladelphiaRan2019 to 2021Enrolled28ConditionsCystic FibrosisArmsOrkambi
3 · Its place in the literature

Who cites it

128 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Analytical and biological variation in repeated sweat chloride concentrations in clinical trials for CFTR modulator therapy.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2018
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  15. Chronic and acute modulator treatment restore wild-type-like activity and stability to the primary cystic fibrosis-causingProceedings of the National Academy of Sciences of the United States of America · 2026
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68 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Patrick A FlumeDepartment of Medicine and Pediatrics, Medical University of South Carolina, Charleston, SC. Electronic address: flumepa@musc.edu.
Theodore G LiouUniversity of Utah, Salt Lake City, UT.
Drucy S BorowitzDepartment of Pediatrics, State University of New York at Buffalo, Buffalo, NY.
Haihong LiVertex Pharmaceuticals Incorporated, Cambridge, MA.
Karl YenVertex Pharmaceuticals Incorporated, Cambridge, MA.
Claudia L OrdoñezVertex Pharmaceuticals Incorporated, Cambridge, MA.
David E GellerDivisions of Biomedical Research and Pediatric Pulmonology, Nemours Children's Clinic, Orlando, FL.
VX 08-770-104 Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIvacaftor (VX-770) is a cystic fibrosis transmembrane conductance regulator (CFTR) potentiator that was approved in the United States for the treatment of cystic fibrosis (CF) in patients ≥ 6 years of age who have a G551D mutation; however, the most prevalent disease-causing CFTR mutation, F508del, causes a different functional defect. The objectives of this study were to evaluate the safety of ivacaftor in a larger population and for a longer time period than tested previously and to assess the efficacy of ivacaftor in subjects with CF who are homozygous for F508del-CFTR.

methodsThis was a phase 2 study with a 16-week randomized (4:1), double-blind, placebo-controlled period (part A) and an open-label extension (part B) for subjects who met prespecified criteria.

resultsPart A: The safety profile of ivacaftor was comparable to that of the placebo. The overall adverse event frequency was similar in the ivacaftor (87.5%) and placebo (89.3%) groups through 16 weeks. The difference in the change of FEV₁ % predicted from baseline through week 16 (primary end point) between the ivacaftor and placebo groups was 1.7% (P = .15). Sweat chloride, a biomarker of CFTR activity, showed a small reduction in the ivacaftor vs placebo groups of -2.9 mmol/L (P = .04) from baseline through week 16. Part B: No new safety signals were identified. The changes in FEV₁ or sweat chloride in part A were not sustained with ivacaftor treatment from week 16 to week 40.

conclusionsThese results expand the safety information for ivacaftor and support its continued evaluation. Lack of a clinical effect suggests that a CFTR potentiator alone is not an effective therapeutic approach for patients who have CF and are homozygous for F508del-CFTR. TRIAL REGISTRY: ClinicalTrials.gov; No.: NCT00953706; URL: www.clinicaltrials.gov.

Indexed as

HomozygoteAdolescentAdultAllelesAminophenolsBiomarkersChildChloridesCystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorDouble-Blind MethodFemaleHumansMaleMiddle AgedMutationAminophenolsBiomarkersChloridesCystic Fibrosis Transmembrane Conductance RegulatorivacaftorQuinolones

Identifiers

PMID22383668
PMCPMC3435140

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.