A Phase 2 interventional study of VX-659 and TEZ/IVA in Cystic Fibrosis, sponsored by Vertex Pharmaceuticals Incorporated. Completed at 47 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-04-22.
Sponsored by Vertex Pharmaceuticals Incorporated · Phase 2, Interventional, and Treatment
This is a Phase 2, randomized, double-blind, placebo- and tezacaftor/ivacaftor (TEZ/IVA)-controlled, parallel-group, 3-part, multicenter study designed to evaluate the safety and efficacy of VX-659 in triple combination (TC) with TEZ and IVA in subjects with cystic fibrosis (CF) who are homozygous for the F508del mutation of the CF transmembrane conductance regulator (CFTR) gene (F/F genotype), or who are heterozygous for the F508del mutation and a minimal function (MF) CFTR mutation not likely to respond to TEZ, IVA, or TEZ/IVA (F/MF genotypes).
1,581 studies on the registry are indexed under Cystic Fibrosis; 190 are open to participants now.
This study's enrollment of 124 is above the median of 36 across 1,034 interventional studies indexed under Cystic Fibrosis.
Browse Cystic Fibrosis studies →Vertex Pharmaceuticals Incorporated is the lead sponsor of 243 studies on the registry; 19 are open to participants now.
Of its 102 completed or terminated interventional studies of FDA-regulated products, 49 (48%) have results posted.
Counted across the registry records on this site, refreshed daily.
Key Inclusion Criteria:
Subjects must have an eligibleCFTR genotype.
Key Exclusion Criteria:
Other protocol defined Inclusion/Exclusion criteria may apply.
Participants received placebo matched to VX-659/TEZ/IVA in TC treatment period for 4 weeks and placebo matched TEZ/IVA in washout period for 4 days.
Drug: Placebo (matched to VX-659/TEZ/IVA)
Participants received VX-659 80 milligram (mg) once daily (qd)/TEZ 100 mg qd/IVA 150 mg every 12 hours (q12h) in TC treatment period for 4 weeks and TEZ 100 mg qd/IVA 150 mg q12h in washout period for 4 days.
Drug: VX-659 · Drug: TEZ/IVA · Drug: IVA
Participants received VX-659 240 mg qd/TEZ 100 mg qd/IVA 150 mg q12h in TC treatment period for 4 weeks and TEZ 100 mg qd/IVA 150 mg q12h in washout period for 4 days.
Drug: VX-659 · Drug: TEZ/IVA · Drug: IVA
Participants received VX-659 400 mg qd/TEZ 100 mg qd/IVA 150 mg q12h in TC treatment period for 4 weeks and TEZ 100 mg qd/IVA 150 mg q12h in washout period for 4 days.
Drug: VX-659 · Drug: TEZ/IVA · Drug: IVA
Following run-in period with TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks, participants received TEZ 100 mg qd/IVA 150 mg q12h in TC treatment period for 4 weeks and TEZ 100 mg qd/IVA 150 mg q12h in washout period for 4 weeks.
Drug: TEZ/IVA · Drug: IVA
Following run-in period with TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks, participants received VX-659 400 mg qd/TEZ 100 mg qd/IVA 150 mg q12h in TC treatment period for 4 weeks and TEZ 100 mg qd/IVA 150 mg q12h in washout period for 4 weeks.
Drug: VX-659 · Drug: TEZ/IVA · Drug: IVA
Participants received placebo matched to VX-659/TEZ/VX-561 in TC treatment period for 4 weeks.
Drug: Placebo (matched to VX-659/TEZ/VX-561)
Participants received VX-659 400 mg qd/TEZ 100 mg qd/VX-561 200 mg qd in TC treatment period for 4 weeks.
Drug: VX-659 · Drug: TEZ · Drug: VX-561
Tablet for oral administration.
TEZ/IVA fixed-dose combination tablet for oral administration.
Also known as: VX-661/VX-770, Tezacaftor/Ivacaftor
Tablet for oral administration.
Also known as: VX-770, Ivacaftor
Placebo matched to VX-659 and TEZ/IVA.
Tablet for oral administration.
Also known as: VX-661, Tezacaftor
Tablet for oral administration.
Also known as: CTP-656
Placebo matched to VX-659, TEZ and VX-561.
Safety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Time frame: Day 1 Through Safety Follow-up (up to Day 61 for Part 1, Day 85 for Part 2 and Day 57 for Part 3)
Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
Time frame: From Baseline Through Day 29
Absolute Change in Sweat Chloride Concentrations
Sweat samples were collected using an approved collection device.
Time frame: From Baseline Through Day 29
Relative Change in ppFEV1
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
Time frame: From Baseline Through Day 29
Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score
The CFQ-R is a validated participant-reported outcome measuring health-related quality of life for participants with cystic fibrosis. Respiratory domain assessed respiratory symptoms, score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life.
Time frame: From Baseline at Day 29
Observed Pre-dose Concentration (Ctrough) of VX-659, TEZ, M1-TEZ, IVA, M1-IVA, and VX-561
Time frame: Pre-dose at Day 15 and Day 29
Total of 124 participants were enrolled in this study (63 in Part 1, 36 in Part 2 and 25 in Part C). Out of 36 participants enrolled in Part 2, 7 participants discontinued treatment in run-in period and were not randomized in triple combination (TC) treatment period. Therefore, below results are presented for 117 participants.
| Milestone | Part 1: Placebo | Part 1: VX-659/TEZ/IVA TC - Low Dose | Part 1: VX-659/TEZ/IVA TC - Medium Dose | Part 1: VX-659/TEZ/IVA TC - High Dose | Part 2: TEZ/IVA | Part 2: VX-659/TEZ/IVA TC | Part 3: Placebo | Part 3: VX-659/TEZ/VX-561 TC |
|---|---|---|---|---|---|---|---|---|
| Started | 10 | 11 | 20 | 22 | 11 | 18 | 6 | 19 |
| Completed | 10 | 11 | 20 | 22 | 11 | 18 | 6 | 19 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| participants | Part 1: Placebo | Part 1: VX-659/TEZ/IVA TC - Low Dose | Part 1: VX-659/TEZ/IVA TC - Medium Dose | Part 1: VX-659/TEZ/IVA TC - High Dose | Part 2: TEZ/IVA | Part 2: VX-659/TEZ/IVA TC | Part 3: Placebo | Part 3: VX-659/TEZ/VX-561 TC |
|---|---|---|---|---|---|---|---|---|
| Participants with TEAEs | 9 | 10 | 15 | 17 | 9 | 15 | 6 | 18 |
| Participants with SAEs | 3 | 1 | 4 | 1 | 2 | 1 | 3 | 2 |
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
| percentage points | Part 1: Placebo | Part 1: VX-659/TEZ/IVA TC - Low Dose | Part 1: VX-659/TEZ/IVA TC - Medium Dose | Part 1: VX-659/TEZ/IVA TC - High Dose | Part 2: TEZ/IVA | Part 2: VX-659/TEZ/IVA TC | Part 3: Placebo | Part 3: VX-659/TEZ/VX-561 TC |
|---|---|---|---|---|---|---|---|---|
| Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) | 0.4 (-5.3 to 6.1) | 10.2 (4.8 to 15.5) | 12.0 (8.0 to 16.0) | 13.3 (9.5 to 17.1) | 0.0 (-3.9 to 3.9) | 9.7 (6.6 to 12.7) | -5.0 (-12.2 to 2.1) | 12.2 (8.3 to 16.2) |
Sweat samples were collected using an approved collection device.
| millimole per liter (mmol/L) | Part 1: Placebo | Part 1: VX-659/TEZ/IVA TC - Low Dose | Part 1: VX-659/TEZ/IVA TC - Medium Dose | Part 1: VX-659/TEZ/IVA TC - High Dose | Part 2: TEZ/IVA | Part 2: VX-659/TEZ/IVA TC | Part 3: Placebo | Part 3: VX-659/TEZ/VX-561 TC |
|---|---|---|---|---|---|---|---|---|
| Absolute Change in Sweat Chloride Concentrations | 2.9 (-6.3 to 12.2) | -45.7 (-54.4 to -37.0) | -43.8 (-50.7 to -37.0) | -51.4 (-57.8 to -44.9) | 3.0 (-2.8 to 8.9) | -42.2 (-46.8 to -37.7) | -1.3 (-12.4 to 9.8) | -38.1 (-44.4 to -31.8) |
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
| percent change | Part 1: Placebo | Part 1: VX-659/TEZ/IVA TC - Low Dose | Part 1: VX-659/TEZ/IVA TC - Medium Dose | Part 1: VX-659/TEZ/IVA TC - High Dose | Part 2: TEZ/IVA | Part 2: VX-659/TEZ/IVA TC | Part 3: Placebo | Part 3: VX-659/TEZ/VX-561 TC |
|---|---|---|---|---|---|---|---|---|
| Relative Change in ppFEV1 | 0.0 (-10.5 to 10.4) | 18.8 (8.9 to 28.7) | 21.1 (13.8 to 28.5) | 24.6 (17.6 to 31.6) | 0.1 (-7.1 to 7.3) | 17.3 (11.7 to 23.0) | -11.3 (-23.7 to 1.1) | 21.5 (14.6 to 28.4) |
The CFQ-R is a validated participant-reported outcome measuring health-related quality of life for participants with cystic fibrosis. Respiratory domain assessed respiratory symptoms, score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life.
| units on a scale | Part 1: Placebo | Part 1: VX-659/TEZ/IVA TC - Low Dose | Part 1: VX-659/TEZ/IVA TC - Medium Dose | Part 1: VX-659/TEZ/IVA TC - High Dose | Part 2: TEZ/IVA | Part 2: VX-659/TEZ/IVA TC | Part 3: Placebo | Part 3: VX-659/TEZ/VX-561 TC |
|---|---|---|---|---|---|---|---|---|
| Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score | 4.7 (-7.5 to 16.8) | 24.6 (13.0 to 36.2) | 19.8 (11.0 to 28.6) | 21.8 (13.6 to 30.0) | 2.9 (-5.2 to 11.1) | 19.5 (13.1 to 25.9) | -4.1 (-17.8 to 9.6) | 14.7 (7.1 to 22.4) |
| nanogram per milliliter (ng/mL) | Part 1: VX-659/TEZ/IVA TC - Low Dose | Part 1: VX-659/TEZ/IVA TC - Medium Dose | Part 1: VX-659/TEZ/IVA TC - High Dose | Part 2: TEZ/IVA | Part 2: VX-659/TEZ/IVA TC | Part 3: VX-659/TEZ/VX-561 TC |
|---|---|---|---|---|---|---|
| VX-659: Day 15 | 393 ± 604 | 622 ± 429 | 1100 ± 731 | — | 835 ± 474 | 1140 ± 646 |
| VX-659: Day 29 | 566 ± 861 | 699 ± 489 | 1080 ± 582 | — | 1070 ± 914 | 923 ± 582 |
| TEZ: Day 15 | 1910 ± 1360 | 1250 ± 907 | 1110 ± 455 | 1050 ± 473 | 1350 ± 1440 | 1000 ± 305 |
| TEZ: Day 29 | 1910 ± 1230 | 1050 ± 553 | 1010 ± 479 | 1150 ± 480 | 955 ± 422 | 776 ± 321 |
| M1-TEZ: Day 15 | 4390 ± 949 | 3710 ± 1230 | 4280 ± 1190 | 4160 ± 1260 | 4010 ± 1210 | 4060 ± 660 |
| M1-TEZ: Day 29 | 4300 ± 774 | 3650 ± 1280 | 3870 ± 1020 | 3790 ± 1080 | 3810 ± 1120 | 3660 ± 1190 |
| IVA: Day 15 | 824 ± 781 | 522 ± 567 | 423 ± 261 | 458 ± 239 | 313 ± 158 | — |
| IVA: Day 29 | 719 ± 604 | 443 ± 398 | 371 ± 220 | 490 ± 179 | 296 ± 175 | — |
| M1-IVA: Day 15 | 1200 ± 711 | 1050 ± 852 | 1170 ± 674 | 1310 ± 684 | 844 ± 622 | — |
| M1-IVA Day 29 | 1130 ± 682 | 1140 ± 950 | 1030 ± 460 | 1240 ± 321 | 866 ± 691 | — |
| VX-561: Day 15 | — | — | — | — | — | 380 ± 240 |
| VX-561: Day 29 | — | — | — | — | — | 288 ± 165 |
Collected over Day 1 Through Safety Follow-up (up to Day 61 for Part 1, Day 85 for Part 2 and Day 57 for Part 3). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Part 1: Placebo | 0/10 (0%) | 3/10 (30%) | 8/10 (80%) |
| Part 1: VX-659/TEZ/IVA TC - Low Dose | 0/11 (0%) | 1/11 (9.1%) | 10/11 (90.9%) |
| Part 1: VX-659/TEZ/IVA TC - Medium Dose | 0/20 (0%) | 4/20 (20%) | 15/20 (75%) |
| Part 1: VX-659/TEZ/IVA TC - High Dose | 0/22 (0%) | 1/22 (4.5%) | 17/22 (77.3%) |
| Part 2: TEZ/IVA | 0/11 (0%) | 2/11 (18.2%) | 8/11 (72.7%) |
| Part 2: VX-659/TEZ/IVA TC | 0/18 (0%) | 1/18 (5.6%) | 15/18 (83.3%) |
| Part 3: Placebo | 0/6 (0%) | 3/6 (50%) | 5/6 (83.3%) |
| Part 3: VX-659/TEZ/VX-561 TC | 0/19 (0%) | 2/19 (10.5%) | 18/19 (94.7%) |
| Event | Part 1: Placebo | Part 1: VX-659/TEZ/IVA TC - Low Dose | Part 1: VX-659/TEZ/IVA TC - Medium Dose | Part 1: VX-659/TEZ/IVA TC - High Dose | Part 2: TEZ/IVA | Part 2: VX-659/TEZ/IVA TC | Part 3: Placebo | Part 3: VX-659/TEZ/VX-561 TC |
|---|---|---|---|---|---|---|---|---|
| Infective pulmonary exacerbation of cystic fibrosisInfections and infestations | 2/10 | 1/11 | 2/20 | 1/22 | 2/11 | 1/18 | 3/6 | 1/19 |
| Pulmonary function test decreasedInvestigations | 1/10 | 0/11 | 0/20 | 0/22 | 0/11 | 0/18 | 0/6 | 0/19 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 0/10 | 0/11 | 0/20 | 0/22 | 0/11 | 0/18 | 0/6 | 1/19 |
| Pleuritic painRespiratory, thoracic and mediastinal disorders | 0/10 | 0/11 | 0/20 | 0/22 | 0/11 | 0/18 | 0/6 | 1/19 |
| PyrexiaGeneral disorders | 0/10 | 0/11 | 0/20 | 0/22 | 0/11 | 0/18 | 0/6 | 1/19 |
| PneumoniaInfections and infestations | 0/10 | 0/11 | 0/20 | 0/22 | 0/11 | 0/18 | 0/6 | 1/19 |
| InfluenzaInfections and infestations | 0/10 | 0/11 | 1/20 | 0/22 | 0/11 | 0/18 | 0/6 | 0/19 |
| Respiratory tract infection viralInfections and infestations | 0/10 | 0/11 | 1/20 | 0/22 | 0/11 | 0/18 | 0/6 | 0/19 |
| Event | Part 1: Placebo | Part 1: VX-659/TEZ/IVA TC - Low Dose | Part 1: VX-659/TEZ/IVA TC - Medium Dose | Part 1: VX-659/TEZ/IVA TC - High Dose | Part 2: TEZ/IVA | Part 2: VX-659/TEZ/IVA TC | Part 3: Placebo | Part 3: VX-659/TEZ/VX-561 TC |
|---|---|---|---|---|---|---|---|---|
| CoughRespiratory, thoracic and mediastinal disorders | 1/10 | 3/11 | 6/20 | 4/22 | 2/11 | 4/18 | 2/6 | 4/19 |
| RalesRespiratory, thoracic and mediastinal disorders | 0/10 | 0/11 | 0/20 | 0/22 | 0/11 | 0/18 | 2/6 | 0/19 |
| Nasal congestionRespiratory, thoracic and mediastinal disorders | 0/10 | 0/11 | 1/20 | 0/22 | 0/11 | 4/18 | 0/6 | 0/19 |
| Infective pulmonary exacerbation of cystic fibrosisInfections and infestations | 1/10 | 2/11 | 1/20 | 3/22 | 1/11 | 4/18 | 0/6 | 2/19 |
| HeadacheNervous system disorders | 0/10 | 1/11 | 4/20 | 4/22 | 0/11 | 3/18 | 1/6 | 1/19 |
| FatigueGeneral disorders | 0/10 | 2/11 | 2/20 | 0/22 | 1/11 | 0/18 | 1/6 | 0/19 |
| Blood creatine phosphokinase increasedInvestigations | 0/10 | 1/11 | 1/20 | 3/22 | 2/11 | 1/18 | 0/6 | 0/19 |
| Sputum increasedRespiratory, thoracic and mediastinal disorders | 0/10 | 2/11 | 1/20 | 3/22 | 1/11 | 3/18 | 0/6 | 1/19 |
| Oropharyngeal painRespiratory, thoracic and mediastinal disorders | 0/10 | 0/11 | 3/20 | 4/22 | 0/11 | 2/18 | 0/6 | 2/19 |
| HaemoptysisRespiratory, thoracic and mediastinal disorders | 0/10 | 2/11 | 1/20 | 0/22 | 1/11 | 1/18 | 1/6 | 0/19 |
| Age, Customized(Participants) | Part 1: Placebo | Part 1: VX-659/TEZ/IVA TC - Low Dose | Part 1: VX-659/TEZ/IVA TC - Medium Dose | Part 1: VX-659/TEZ/IVA TC - High Dose | Part 2: TEZ/IVA | Part 2: VX-659/TEZ/IVA TC | Part 3: Placebo | Part 3: VX-659/TEZ/VX-561 TC | Total |
|---|---|---|---|---|---|---|---|---|---|
| <18 years | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| >=18 and <65 years | 10 | 11 | 20 | 22 | 11 | 18 | 6 | 19 | 117 |
| >=65 years | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Sex: Female, Male(Participants) | Part 1: Placebo | Part 1: VX-659/TEZ/IVA TC - Low Dose | Part 1: VX-659/TEZ/IVA TC - Medium Dose | Part 1: VX-659/TEZ/IVA TC - High Dose | Part 2: TEZ/IVA | Part 2: VX-659/TEZ/IVA TC | Part 3: Placebo | Part 3: VX-659/TEZ/VX-561 TC | Total |
|---|---|---|---|---|---|---|---|---|---|
| Female | 4 | 7 | 7 | 12 | 4 | 6 | 3 | 11 | 54 |
| Male | 6 | 4 | 13 | 10 | 7 | 12 | 3 | 8 | 63 |
| Ethnicity (NIH/OMB)(Participants) | Part 1: Placebo | Part 1: VX-659/TEZ/IVA TC - Low Dose | Part 1: VX-659/TEZ/IVA TC - Medium Dose | Part 1: VX-659/TEZ/IVA TC - High Dose | Part 2: TEZ/IVA | Part 2: VX-659/TEZ/IVA TC | Part 3: Placebo | Part 3: VX-659/TEZ/VX-561 TC | Total |
|---|---|---|---|---|---|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 2 | 0 | 1 | 1 | 1 | 1 | 6 |
| Not Hispanic or Latino | 10 | 11 | 18 | 22 | 10 | 17 | 5 | 18 | 111 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Part 1: Placebo | Part 1: VX-659/TEZ/IVA TC - Low Dose | Part 1: VX-659/TEZ/IVA TC - Medium Dose | Part 1: VX-659/TEZ/IVA TC - High Dose | Part 2: TEZ/IVA | Part 2: VX-659/TEZ/IVA TC | Part 3: Placebo | Part 3: VX-659/TEZ/VX-561 TC | Total |
|---|---|---|---|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 2 |
| White | 10 | 11 | 20 | 22 | 11 | 16 | 6 | 17 | 113 |
| More than one race | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 |
| Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)(Participants) | Part 1: Placebo | Part 1: VX-659/TEZ/IVA TC - Low Dose | Part 1: VX-659/TEZ/IVA TC - Medium Dose | Part 1: VX-659/TEZ/IVA TC - High Dose | Part 2: TEZ/IVA | Part 2: VX-659/TEZ/IVA TC | Part 3: Placebo | Part 3: VX-659/TEZ/VX-561 TC | Total |
|---|---|---|---|---|---|---|---|---|---|
| <40 percent | 2 | 0 | 1 | 2 | 0 | 1 | 0 | 2 | 8 |
| ≥40 to <70 percent | 6 | 9 | 13 | 13 | 8 | 12 | 5 | 13 | 79 |
| ≥70 to ≤90 percent | 2 | 2 | 6 | 7 | 3 | 5 | 1 | 4 | 30 |
| >90 percent | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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Vertex Pharmaceuticals Incorporated