Diabetes Clinical Trial
Official title:
A Study of the Effect of Combination Lumacaftor and Ivacaftor on Glucose Tolerance in Persons With Cystic Fibrosis Who Are Homozygous for the Phe508del Cystic Fibrosis Transmembrane Conductance Regulator Mutation.
The purpose of this research study is to find out if the combined therapy lumacaftor-ivacaftor effects how people with cystic fibrosis respond to an oral glucose tolerance test, a test for diabetes.
This is a single center, open label study with crossover in patients with Cystic Fibrosis
(CF). Patients will have 2-3 visits at the Diabetes Center at Massachusetts General Hospital
(MGH).
The participants will have been previously screened clinically to make sure they are
candidates for starting the combination drug, lumacaftor-ivacaftor. These patients will be
contacted prior to their first visit to discuss enrollment in the study.
At the first study visit (Visit 1), the participant will come to the Diabetes Center after an
overnight fast of at least 8 hours. The following will occur at this study visit: informed
consent; brief medical history; weight and height; vital signs and blood pressure; blood draw
for DNA extraction, and an extra research tube for storage; administration of 75g Glucola
load as per a standard oral glucose tolerance test (OGTT) protocol; and blood work for
glucose and insulin at 30, 60, 90 and 120 minutes after the glucose load. This will be
scheduled at a time that is convenient to the patient, with an attempt to coordinate with the
patient's visit to the CF clinic prior to starting lumacaftor-ivacaftor combination drug.
At the 2nd study visit (Visit 2), which will take place 3 months after starting the
combination drug, the participant will again come to the Diabetes Center after an overnight
fast of at least 8 hours. The participant will undergo a second OGTT as in the first visit.
The 3rd study visit (Visit 3) will be 6 months after initiation of the drug, and will have a
repeat administration of an OGTT. If a participant starts the combination drug before
enrolling in the study, he/she can still participate in the study as long as he or she has
had a clinical OGTT performed within 6 months of starting the combination drug. In these
cases, the informed consent, brief medical history, weight and height and vital signs and
blood pressure, as well as blood draw for DNA will occur on the Visit 2, which will be the
first study visit for these participants. If a clinical OGTT had been performed prior to but
within 6 months of starting the combination therapy, this OGTT can be used in analysis of the
data, although will not have the full amount of data as the study OGTT.
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