Could a common CF drug help those with rare mutations?
NCT ID NCT03506061
First seen Jun 26, 2026 · Last updated Aug 12, 2026 · Updated 2 times
Summary
This study tested the drug Trikafta in 42 people with cystic fibrosis who have rare genetic mutations not currently approved for this treatment. Participants took Trikafta for about four weeks, and researchers measured lung function and sweat chloride levels. They also used skin or blood samples to grow stem cells into airway cells in the lab, aiming to see if those cells could predict how well a person would respond to the drug.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Trikafta (elexacaftor, tezacaftor, ivacaftor)
- What this could lead to
- If successful, this could expand Trikafta's approval to more people with cystic fibrosis who have rare mutations, offering them a treatment option.
- What could go wrong
- This is a small, early-phase study with only 42 participants, so results may not apply to everyone. The stem cell test is experimental and may not reliably predict real-world benefits.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
42 people
The number who actually took part.
- Started
-
Sep 2019
- Finished
-
Feb 2024
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
12 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Provision of signed and dated informed consent form or assent form * Stated willingness to comply with all study procedures and availability for the duration of the study * Male or female age ≥12 * A clinical diagnosis of CF or CFTR-related disease and either: 1) evidence for a partial function mutation not currently covered or likely to be covered for treatment with a CFTR modulator (Substudy 1), or 2) N1303K CFTR and a minimal function mutation (Substudy 2) * Sweat Chloride \< 80 mmol/L and/or pancreatic sufficiency (no exogenous pancreatic enzyme supplement therapy) or carrying the N1303K CFTR variant * Able to perform spirometry meeting American Thoracic Society (ATS) criteria for acceptability and repeatability * Clinically stable in the past 4 weeks with no evidence of CF exacerbation (prior to screening and study Day 1) * Willingness to use at least one form of acceptable birth control including abstinence or condom with spermicide. This will include birth control for at least one month prior to screening and agreement to use such a method during study participation for an additional four weeks after the last administration of study drug * Ability to take Trikafta * Agreement to adhere to all current medical therapies as designated by the CF care center physician Exclusion Criteria: * Documented history of drug or alcohol abuse within the last year * Subjects should not have a pulmonary exacerbation or changes in therapy for pulmonary disease in the 4 weeks prior to screening * Listed for lung or liver transplant at the time of screening * Cirrhosis or elevated liver transaminases \> 3 times the upper limit of normal * Pregnant or breastfeeding * Inhibitors or inducers of CYP3A4, including certain herbal medications and grapefruit/grapefruit juice, or other medicines known to negatively influence Trikafta administration * History of solid organ transplant * Active therapy for non-tuberculosis mycobacterial infection or any plan to initiate non-tuberculosis mycobacterial therapies during the study period * Known allergy to Trikafta * Treatment in the last 6 months with an approved CFTR modulator * Any other condition that in the opinion of the lead investigators might confound results of the study or pose an additional risk from administering study drug * Treatment with another investigational drug or other intervention within one month prior to enrollment, throughout the duration of study participation, and for an additional four weeks following final drug administration * Evidence of cataract/lens opacity determined to be clinically significant by an ophthalmologist at or within 3 months prior to the Screening Visit
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Emory Children's Center
Atlanta, Georgia, 30322, United States
-
University of Alabama Cystic Fibrosis Research Center
Birmingham, Alabama, 35233, United States
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