Evaluating the effects of CFTR modulators in young children with cystic fibrosis
Official title: A Prospective Study to Evaluate Biological and Clinical Effects of Significantly Corrected CFTR Function in Infants and Young Children (BEGIN Study)
Run by Seattle Children's Hospital · NCT04509050 · Data updated 2026-11-12
This study is testing how CFTR modulators affect growth and health in young children with cystic fibrosis over five years.
Quick facts
| Study type | Observational |
|---|---|
| Ages | Any age to 10 Years |
| Sex | All |
| Enrollment | 210 (estimated) |
| Sponsor | Seattle Children's Hospital Academic / other |
| Locations | 35 sites (Birmingham, Alabama and 34 other locations) |
| Status | Recruiting |
| Started | November 18, 2020 |
| Main results expected | December 31, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | July 8, 2026 |
| Trial ID | NCT04509050 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include children under 10 years of age with a documented diagnosis of cystic fibrosis.
✕Probably not a fit
Patients who have recently used investigational drugs or CFTR modulators may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to explore the biological and clinical effects of CFTR modulators in infants and young children diagnosed with cystic fibrosis. It consists of two parts: the first part will track the natural history of hormonal growth factors and assess feasibility over a period of up to five years, while the second part will observe the impact of specific CFTR modulators on growth over a 60-month follow-up. Participants will undergo multiple visits to monitor various health parameters, including lung function and gastrointestinal health. The study is designed to provide insights into the long-term effects of these therapies in a pediatric population.
Why it matters
Potential benefit: If successful, this study could lead to improved management and outcomes for children with cystic fibrosis through enhanced understanding of CFTR modulator effects.
How similar studies have gone: Other studies have shown promising results with CFTR modulators in older populations, but this specific approach in young children is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Part A: * Less than 10 years of age at the first study visit. * Documentation of a CF diagnosis. Part B: * Participated in Part A OR less than 7 years of age at the first study visit. * Documentation of a CF diagnosis. * CFTR mutations consistent with FDA labeled indication of highly effective modulator therapy (ivacaftor or elexacaftor/tezacaftor/ivacaftor). * Physician intent to prescribe ivacaftor or elexacaftor/tezacaftor/ivacaftor. Exclusion Criteria: * Part A and Part B: * Use of an investigational drug within 28 days prior to and including the first study visit. * Use of ivacaftor or elexacaftor/tezacaftor/ivacaftor within the 28 days prior to and including the first study visit. * Use of chronic oral corticosteroids within the 28 days prior to and including the first study visit.
Where it's running
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The Children's Hospital Alabama, University of Alabama at Birmingham
Birmingham, Alabama, United States Recruiting -
Stanford University Medical Center
Palo Alto, California, United States Recruiting -
Children's Hospital Colorado
Aurora, Colorado, United States Recruiting -
Nemours Children's Clinic
Jacksonville, Florida, United States Recruiting -
University of Miami
Miami, Florida, United States Recruiting -
The Nemours Children's Clinic - Orlando
Orlando, Florida, United States Recruiting
Show 29 more locations
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Riley Hospital for Children
Indianapolis, Indiana, United States Recruiting -
University of Iowa
Iowa City, Iowa, United States Recruiting -
University of Kansas Medical Center
Kansas City, Kansas, United States Recruiting -
Boston Children's Hospital
Boston, Massachusetts, United States Recruiting -
University of Michigan, Michigan Medicine
Ann Arbor, Michigan, United States Recruiting -
Helen DeVos Children's Hospital
Grand Rapids, Michigan, United States Recruiting -
Children's Hospitals and Clinics of Minnesota
Minneapolis, Minnesota, United States Recruiting -
The Minnesota Cystic Fibrosis Center
Minneapolis, Minnesota, United States Recruiting -
Children's Mercy Kansas City
Kansas City, Missouri, United States Recruiting -
St. Louis Children's Hospital
St Louis, Missouri, United States Recruiting -
The Cystic Fibrosis Center of Western New York
Buffalo, New York, United States Recruiting -
Children's Hospital of New York
New York, New York, United States Recruiting -
SUNY Upstate Medical University
Syracuse, New York, United States Recruiting -
New York Medical College at Westchester Medical Center
Valhalla, New York, United States Recruiting -
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States Recruiting -
Nationwide Children's Hospital
Columbus, Ohio, United States Recruiting -
Oklahoma Cystic Fibrosis Center
Oklahoma City, Oklahoma, United States Recruiting -
Oregon Health Sciences University
Portland, Oregon, United States Recruiting -
Hershey Medical Center Pennsylvania State University
Hershey, Pennsylvania, United States Recruiting -
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States Recruiting -
Children's Hospital of Pittsburgh of UPMC
Pittsburgh, Pennsylvania, United States Recruiting -
University of Texas Southwestern / Children's Health
Dallas, Texas, United States Recruiting -
Cook Children's Medical Center
Fort Worth, Texas, United States Recruiting -
Baylor College of Medicine
Houston, Texas, United States Recruiting -
Primary Children's Cystic Fibrosis Center
Salt Lake City, Utah, United States Recruiting -
Vermont Children's Hospital
Burlington, Vermont, United States Recruiting -
University of Virginia
Charlottesville, Virginia, United States Recruiting -
Seattle Children's Hospital
Seattle, Washington, United States Recruiting -
University of Wisconsin
Madison, Wisconsin, United States Recruiting
Study contacts
- Principal investigator: Bonnie Ramsey, MD — Seattle Children's Hospital
- Study coordinator: Rachael Buckingham
- Email: rachael.buckingham@seattlechildrens.org
- Phone: 206-884-7517
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Inhaled CFTR mRNA for cystic fibrosis in Chinese patients aged 12 and older
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The trial will test increasing doses of VX-581 in healthy adults to see if it is safe and to measure how the body absorbs and clears the drug.
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PALMIRE cohort: phenotyping inflammatory lung diseases to enable personalized care
This project will collect clinical, imaging, and biological data from adults with asthma, COPD, bronchiectasis, cystic fibrosis, primary ciliary dyskinesia, or interstitial lung disease to try to identify disease subtypes and markers that could guide more personalized care.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.