The primary objective of this study is to determine the long-term safety and tolerability of ataluren in participants with nonsense mutation cystic fibrosis (nmCF) who completed participation in the double-blind study PTC124-GD-009-CF (NCT00803205), as assessed by adverse events and laboratory abnormalities. The secondary objective of this study includes the assessment of the efficacy of ataluren, as measured by forced expiratory volume in 1 second (FEV1) and pulmonary exacerbation rate, and other safety parameters (for example, 12-lead electrocardiogram \[ECG\] measurements, vital signs).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
61
Ataluren will be administered per dose and schedule specified in the arm.
University of Alabama-Birmingham
Birmingham, Alabama, United States
Miller Children's Hospital Long Beach
Long Beach, California, United States
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
AE: any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Severity of an AE was classified as: mild (does not interfere with usual function), moderate (interferes to some extent with usual function), severe (interferes significantly with usual function), life threatening (results in potential threat to life), and fatal AEs. Drug-related AEs: AEs with a possible or probable relationship to study drug. Serious AEs: death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized participant and required medical intervention. TEAE: AE that occurred or worsened from first dose of study drug to 4 weeks after last dose of study drug. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Time frame: Baseline (Day 1) up to end of study (Week 196)
Number of Participants With Clinically Significant Laboratory Abnormalities
Laboratory parameters tests included hematology, biochemistry assay (hepatic, renal, and serum electrolyte values), adrenal assays, and urinalysis. Clinical significance was defined as per investigator's judgement.
Time frame: Baseline (Day 1) up to end of study (Week 196)
Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) at the End of Treatment (Week 192), as Assessed by Spirometry
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. Percent of predicted FEV1 = (observed value)/(predicted value) \* 100%. Change from baseline in percent predicted FEV1 at the end of treatment was reported.
Time frame: Baseline, Week 192
Percentage of Participants With Pulmonary Exacerbation, As Assessed by Modified Fuchs Criteria
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Denver Children's Hospital
Aurora, Colorado, United States
Children's Hospital Chicago
Chicago, Illinois, United States
Children's Hospital Boston
Boston, Massachusetts, United States
Beth Israel Medical Center
New York, New York, United States
Rainbow Babies & Children's Hospital
Cleveland, Ohio, United States
Hôpital Universitaire des Enfants Reine Fabiola
Brussels, Belgium
University Hospital Brussels
Brussels, Belgium
University Hospital Leuven
Leuven, Belgium
...and 7 more locations
The modified Fuchs' criteria defined exacerbation as the presence of at least 4 of the following 12 Fuchs' signs and symptoms without the requirement for treatment with antibiotics: change in sputum; new or increased hemoptysis; increased cough; increased dyspnea; fatigue; temperature greater than (\>) 38 degrees celsius (°C); anorexia; sinus pain; change in sinus discharge; change in physical examination of the chest; decrease in pulmonary function by 10 percent or more from a previously recorded value; or radiographic changes indicative of pulmonary function.
Time frame: Baseline up to Week 192
Percentage of Participants With Pulmonary Exacerbation, As Assessed by Expanded Fuchs' Criteria
The expanded Fuchs' criteria defined exacerbation as the presence of at least 4 of the following 12 Fuchs' signs and symptoms requiring any form of antibiotic treatment (inhaled, oral, or intravenous): change in sputum; new or increased hemoptysis; increased cough; increased dyspnea; fatigue; temperature \>38°C; anorexia; sinus pain; change in sinus discharge; change in physical examination of the chest; decrease in pulmonary function by 10 percent or more from a previously recorded value; or radiographic changes indicative of pulmonary function.
Time frame: Baseline up to Week 192
Percentage of Participants With Pulmonary Exacerbation, As Assessed by Classic Fuchs' Criteria
The Classic Fuchs' criteria defined exacerbation as the presence of at least 4 of the following 12 Fuchs' signs and symptoms requiring treatment with parenteral antibiotics: change in sputum; new or increased hemoptysis; increased cough; increased dyspnea; fatigue; temperature \>38°C; anorexia; sinus pain; change in sinus discharge; change in physical examination of the chest; decrease in pulmonary function by 10 percent or more from a previously recorded value; or radiographic changes indicative of pulmonary function.
Time frame: Baseline up to Week 192
Change From Baseline in 12-Lead Electrocardiogram (ECG) Parameters at Final Visit (Week 196)
ECG parameters included RR duration, PR duration, QRS duration, QT duration, QTCB (Bazett's correction formula) duration, QTCF (Fridericia's correction formula) duration.
Time frame: Baseline, Week 196
Change From Baseline in Heart Rate at Final Visit (Week 196), as Assessed by 12-Lead ECG
Heart rate was measured using 12-lead ECG.
Time frame: Baseline, Week 196
Change From Baseline in Vital Signs at Final Visit (Week 196)
Vital Signs included systolic blood pressure (SBP) and diastolic blood pressure (DBP).
Time frame: Baseline, Week 196