This is a two-part, multi-center, prospective longitudinal, exploratory study of highly effective cystic fibrosis transmembrane conductance regulator (CFTR) modulators and their impact on children with cystic fibrosis (CF).
This is a two-part, multi-center, prospective longitudinal, exploratory study of highly effective cystic fibrosis transmembrane conductance regulator (CFTR) modulators and their impact in children with cystic fibrosis (CF) on endocrine growth factors and height, gastrointestinal function and gut microbiome, lung function and respiratory microbiome, liver and pancreatic function, sweat chloride, inflammatory markers, and bone health. Total duration of the study is expected to be 10 years. Part A will be a prospective cross-sequential study to describe the natural history of hormonal growth factors in early childhood and assess the feasibility of additional measurements. In Part A, subjects will have up to 8 visits over a period of up to 5 years. Part B will be a prospective longitudinal study to observe the effects of administration of either ivacaftor or elexacaftor/tezacaftor/ivacaftor (elex/tez/iva) on growth. In Part B, subjects will have 1 "before ivacaftor or elex/tez/iva" visit within 30 days before initiation of the therapy and 8 "after ivacaftor or elex/tez/iva" visits over a 60-month follow-up period.
Study Type
OBSERVATIONAL
Enrollment
210
In Part B, approved CFTR modulator as prescribed at the discretion of the treating physician -not dictated by the BEGIN investigators
Part A Primary Outcome Measure: Change in weight-for-age z-scores
Weight-for-age z-scores over time
Time frame: Baseline to 12 months
Part A Primary Outcome Measure: Change in height-for-age z-scores
Height-for-age z-scores over time
Time frame: Baseline to 12 months
Part B Primary Outcome Measure: Change in weight-for-age z-scores
Change in weight-for-age z-scores from baseline
Time frame: Baseline to 12 months
Part B Primary Outcome Measure: Change in height-for-age z-scores
Change in height-for-age z-scores from baseline
Time frame: Baseline to 12 months
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The Children's Hospital Alabama, University of Alabama at Birmingham
Birmingham, Alabama, United States
RECRUITINGStanford University Medical Center
Palo Alto, California, United States
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Aurora, Colorado, United States
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Jacksonville, Florida, United States
RECRUITINGUniversity of Miami
Miami, Florida, United States
RECRUITINGThe Nemours Children's Clinic - Orlando
Orlando, Florida, United States
RECRUITINGRiley Hospital for Children
Indianapolis, Indiana, United States
RECRUITINGUniversity of Iowa
Iowa City, Iowa, United States
RECRUITINGUniversity of Kansas Medical Center
Kansas City, Kansas, United States
RECRUITINGBoston Children's Hospital
Boston, Massachusetts, United States
RECRUITING...and 25 more locations