Clinical trial Recruiting at 35 sites Observational Ages Any age to 10

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.

More Cystic Fibrosis trials

Quick facts

Study typeObservational
AgesAny age to 10 Years
SexAll
Enrollment210 (estimated)
SponsorSeattle Children's Hospital
Academic / other
Locations35 sites (Birmingham, Alabama and 34 other locations)
StatusRecruiting
StartedNovember 18, 2020
Main results expectedDecember 31, 2027
Study endsDecember 31, 2027
Registry record updatedJuly 8, 2026
Trial IDNCT04509050 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.