A Phase 3 interventional study of VX-659/TEZ/IVA and IVA in Cystic Fibrosis, sponsored by Vertex Pharmaceuticals Incorporated. Completed at 101 sites in 11 countries. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2020-03-13.
Sponsored by Vertex Pharmaceuticals Incorporated · Phase 3, Interventional, and Treatment
This study will evaluate the efficacy of VX-659 in triple combination (TC) with tezacaftor (TEZ) and ivacaftor (IVA) in subjects with cystic fibrosis (CF) who are heterozygous for F508del and a minimal function mutation (F/MF subjects).
1,605 studies on the registry are indexed under Cystic Fibrosis; 196 are open to participants now.
This study's enrollment of 385 is above the median of 36 across 1,051 interventional studies indexed under Cystic Fibrosis.
Browse Cystic Fibrosis studies →Vertex Pharmaceuticals Incorporated is the lead sponsor of 249 studies on the registry; 20 are open to participants now.
Of its 106 completed or terminated interventional studies of FDA-regulated products, 53 (50%) have results posted.
Counted across the registry records on this site, refreshed daily.
Key Inclusion Criteria:
Key Exclusion Criteria:
Other protocol defined Inclusion/Exclusion criteria may apply
Participants who received placebo matched to VX-659/TEZ/IVA for 24 weeks in the TC treatment period.
Drug: Placebo
Participants who received VX-659 240 mg/TEZ 100 mg/IVA 150 mg as fixed-dose combination (FDC) tablets in the morning and IVA 150 mg as mono tablet in the evening for 24 weeks in the TC treatment period.
Drug: VX-659/TEZ/IVA · Drug: IVA
Participants received VX-659/TEZ/IVA orally once daily in the morning.
Also known as: VX-659/VX-661/VX-770, VX-659/tezacaftor/ivacaftor
Participants received IVA orally once daily in the evening.
Also known as: VX-770, ivacaftor
Participants received placebo matched VX-659/TEZ/IVA orally once daily in the morning and placebo matched to IVA orally once daily in the evening.
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 at Week 4
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 Week 24
Number of Pulmonary Exacerbations (PEx)
Pulmonary exacerbation was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms.
Time frame: From Baseline through Week 24
Absolute Change in Sweat Chloride (SwCl)
Sweat samples were collected using an approved collection device.
Time frame: From Baseline through Week 24
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 through Week 24
Absolute Change in Body Mass Index (BMI)
BMI was defined as weight in kilogram (kg) divided by height in square meter (m\^2).
Time frame: From Baseline at Week 24
Absolute Change in Sweat Chloride
Sweat samples were collected using an approved collection device.
Time frame: From Baseline at Week 4
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 Week 4
Time-to-first Pulmonary Exacerbation (PEx)
Pulmonary exacerbation was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms.
Time frame: From Baseline through Week 24
Absolute Change in BMI Z-score for Participants <=20 Years of Age at Baseline
BMI was defined as weight in kg divided by height in m\^2. z-score is a statistical measure to describe whether a mean was above or below the standard. BMI, adjusted for age and sex, was analyzed as BMI-for-age z-score. A z-score of 0 is equal to the mean and is considered normal. Lower numbers indicate values lower than the mean and higher numbers indicate values higher than the mean. Higher values are indicative of higher BMI.
Time frame: From Baseline at Week 24
Absolute Change in Body Weight
Time frame: From Baseline at Week 24
Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: From first dose of study drug in TC treatment period up to 28 days after last dose of study drug or to the completion of study participation date, whichever occurs first (up to 28 weeks)
Observed Pre-dose Concentration (Ctrough) of VX-659, TEZ, M1-TEZ, and IVA
Time frame: Pre-dose on Week 4, 8, 12, and 16
A total of 385 participants were enrolled in the study, of which 3 participants were enrolled but were not dosed in the TC treatment period. Results are presented for 382 participants dosed in the TC treatment period.
| Milestone | Placebo | VX-659/TEZ/IVA TC |
|---|---|---|
| Started | 190 | 192 |
| Safety set | 189 | 193 |
| Completed | 185 | 192 |
| Not completed | 5 | 0 |
| Withdrew: Adverse event | 1 | 0 |
| Withdrew: Withdrawal of consent (not due to ae) | 1 | 0 |
| Withdrew: Other | 3 | 0 |
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
| percentage points | Placebo | VX-659/TEZ/IVA TC |
|---|---|---|
| Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) | -1.0 ± 0.6 | 13.0 ± 0.6 |
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
| percentage points | Placebo | VX-659/TEZ/IVA TC |
|---|---|---|
| Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) | -0.8 ± 0.6 | 13.4 ± 0.6 |
Pulmonary exacerbation was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms.
| pulmonary exacerbation events | Placebo | VX-659/TEZ/IVA TC |
|---|---|---|
| Number of Pulmonary Exacerbations (PEx) | 116 | 17 |
Sweat samples were collected using an approved collection device.
| millimole per liter (mmol/L) | Placebo | VX-659/TEZ/IVA TC |
|---|---|---|
| Absolute Change in Sweat Chloride (SwCl) | -0.1 ± 1.0 | -44.6 ± 0.9 |
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 | Placebo | VX-659/TEZ/IVA TC |
|---|---|---|
| Absolute Change in Cystic Fibrosis Questionnaire Revised (CFQ-R) Respiratory Domain Score | -1.5 ± 1.1 | 18.6 ± 1.0 |
BMI was defined as weight in kilogram (kg) divided by height in square meter (m\^2).
| kilogram per meter square (kg/m^2) | Placebo | VX-659/TEZ/IVA TC |
|---|---|---|
| Absolute Change in Body Mass Index (BMI) | -0.05 ± 0.07 | 1.06 ± 0.07 |
Sweat samples were collected using an approved collection device.
| mmol/L | Placebo | VX-659/TEZ/IVA TC |
|---|---|---|
| Absolute Change in Sweat Chloride | 0.0 ± 1.0 | -43.3 ± 1.0 |
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 | Placebo | VX-659/TEZ/IVA TC |
|---|---|---|
| Absolute Change in Cystic Fibrosis Questionnaire Revised (CFQ-R) Respiratory Domain Score | 0.1 ± 1.2 | 18.0 ± 1.2 |
Pulmonary exacerbation was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms.
| days | Placebo | VX-659/TEZ/IVA TC |
|---|---|---|
| Time-to-first Pulmonary Exacerbation (PEx) | NA (NA to NA) | NA (NA to NA) |
BMI was defined as weight in kg divided by height in m\^2. z-score is a statistical measure to describe whether a mean was above or below the standard. BMI, adjusted for age and sex, was analyzed as BMI-for-age z-score. A z-score of 0 is equal to the mean and is considered normal. Lower numbers indicate values lower than the mean and higher numbers indicate values higher than the mean. Higher values are indicative of higher BMI.
| kg/m^2 | Placebo | VX-659/TEZ/IVA TC |
|---|---|---|
| Absolute Change in BMI Z-score for Participants <=20 Years of Age at Baseline | -0.08 ± 0.05 | 0.31 ± 0.05 |
| kg | Placebo | VX-659/TEZ/IVA TC |
|---|---|---|
| Absolute Change in Body Weight | 0.1 ± 0.2 | 3.3 ± 0.2 |
| participants | Placebo | VX-659/TEZ/IVA TC |
|---|---|---|
| Participants with TEAEs | 175 | 173 |
| Participants with Serious TEAEs | 58 | 11 |
| nanogram per milliliter (ng/mL) | VX-659/TEZ/IVA TC |
|---|---|
| VX-659 (Week 4) | 662 ± 528 |
| VX-659 (Week 8) | 764 ± 1520 |
| VX-659 (Week 12) | 614 ± 519 |
| VX-659 (Week 16) | 638 ± 521 |
| TEZ (Week 4) | 1220 ± 645 |
| TEZ (Week 8) | 1390 ± 1250 |
| TEZ (Week 12) | 1290 ± 766 |
| TEZ (Week 16) | 1220 ± 654 |
| M1-TEZ (Week 4) | 4380 ± 1560 |
| M1-TEZ (Week 8) | 4580 ± 1480 |
| M1-TEZ (Week 12) | 4580 ± 1530 |
| M1-TEZ (Week 16) | 4420 ± 1520 |
| IVA (Week 4) | 442 ± 277 |
| IVA (Week 8) | 548 ± 1100 |
| IVA (Week 12) | 429 ± 327 |
| IVA (Week 16) | 416 ± 303 |
Collected over From first dose of study drug in TC treatment period up to 28 days after last dose of study drug or to the completion of study participation date, whichever occurs first (up to 28 weeks). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | 0/189 (0%) | 58/189 (30.7%) | 166/189 (87.8%) |
| VX-659/TEZ/IVA TC | 0/193 (0%) | 11/193 (5.7%) | 141/193 (73.1%) |
| Event | Placebo | VX-659/TEZ/IVA TC |
|---|---|---|
| Infective pulmonary exacerbation of cystic fibrosisInfections and infestations | 45/189 | 3/193 |
| HaemoptysisRespiratory, thoracic and mediastinal disorders | 3/189 | 0/193 |
| Distal intestinal obstruction syndromeGastrointestinal disorders | 2/189 | 0/193 |
| Lower respiratory tract infection bacterialInfections and infestations | 2/189 | 0/193 |
| Intentional self-injuryPsychiatric disorders | 1/189 | 0/193 |
| Pneumothorax traumaticInjury, poisoning and procedural complications | 1/189 | 0/193 |
| Forced expiratory volume decreasedInvestigations | 1/189 | 0/193 |
| Weight decreasedInvestigations | 1/189 | 0/193 |
| Pericardial effusionCardiac disorders | 1/189 | 0/193 |
| Right-to-left cardiac shuntCongenital, familial and genetic disorders | 1/189 | 0/193 |
| Event | Placebo | VX-659/TEZ/IVA TC |
|---|---|---|
| Infective pulmonary exacerbation of cystic fibrosisInfections and infestations | 79/189 | 21/193 |
| CoughRespiratory, thoracic and mediastinal disorders | 68/189 | 34/193 |
| Sputum increasedRespiratory, thoracic and mediastinal disorders | 38/189 | 28/193 |
| Upper respiratory tract infectionInfections and infestations | 7/189 | 35/193 |
| HeadacheNervous system disorders | 31/189 | 26/193 |
| NasopharyngitisInfections and infestations | 16/189 | 26/193 |
| NauseaGastrointestinal disorders | 24/189 | 8/193 |
| Oropharyngeal painRespiratory, thoracic and mediastinal disorders | 13/189 | 20/193 |
| HaemoptysisRespiratory, thoracic and mediastinal disorders | 19/189 | 6/193 |
| FatigueGeneral disorders | 19/189 | 9/193 |
All randomized participants who carried the intended CF transmembrane conductance regulator gene (CFTR) allele mutation and received at least 1 dose of study drug in the TC Treatment Period.
| Age, Continuous(years) | Placebo | VX-659/TEZ/IVA TC | Total |
|---|---|---|---|
| Mean | 27.1 ± 10.0 | 26.7 ± 9.8 | 26.9 ± 9.9 |
| Sex: Female, Male(Participants) | Placebo | VX-659/TEZ/IVA TC | Total |
|---|---|---|---|
| Female | 83 | 85 | 168 |
| Male | 107 | 107 | 214 |
| Ethnicity (NIH/OMB)(Participants) | Placebo | VX-659/TEZ/IVA TC | Total |
|---|---|---|---|
| Hispanic or Latino | 7 | 6 | 13 |
| Not Hispanic or Latino | 181 | 184 | 365 |
| Unknown or Not Reported | 2 | 2 | 4 |
| Race(Participants) | Placebo | VX-659/TEZ/IVA TC | Total |
|---|---|---|---|
| White | 187 | 188 | 375 |
| Black or African American | 1 | 2 | 3 |
| Both White and Black/African American | 2 | 2 | 4 |
| Forced Expiratory Volume in 1 Second (ppFEV1)(percentage points) | Placebo | VX-659/TEZ/IVA TC | Total |
|---|---|---|---|
| Mean | 60.4 ± 14.5 | 60.7 ± 15.4 | 60.6 ± 14.9 |
Showing the first 100 of 101 sites across 11 countries.
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