Vertex Pharmaceuticals Incorporated announced results from two Phase 3
studies of lumacaftor in combination with ivacaftor that showed
statistically significant improvements in lung function (percent
predicted forced expiratory volume in one second, or ppFEV1) in people
ages 12 and older with cystic fibrosis (CF) who have two copies
(homozygous) of the F508del mutation in the cystic fibrosis
transmembrane conductance regulator (CFTR) gene. All four 24-week
combination treatment arms in the studies, known as TRAFFIC and
TRANSPORT, met their primary endpoint of mean absolute improvement in
ppFEV1 from baseline compared to placebo at the end of treatment. Mean
absolute improvements in ppFEV1 of between 2.6 and 4.0 percentage points
from baseline compared to placebo were observed across the studies
(p=0.0004), with mean relative improvements of 4.3 percent to 6.7 per
cent (p=0.0007).
The combination regimens were generally well tolerated. The most common adverse events, regardless of treatment group, were infective pulmonary exacerbation, cough, headache and increased sputum. 4.2 per cent of patients who received the combination regimens discontinued treatment because of adverse events compared to 1.6 percent of those who received placebo. More than 1,000 patients have entered a rollover study to receive a combination regimen.
The combination regimens were generally well tolerated. The most common adverse events, regardless of treatment group, were infective pulmonary exacerbation, cough, headache and increased sputum. 4.2 per cent of patients who received the combination regimens discontinued treatment because of adverse events compared to 1.6 percent of those who received placebo. More than 1,000 patients have entered a rollover study to receive a combination regimen.
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