CClinicalTrials.gg
CompletedNCT04058366Updated Jan 16, 2024Results posted

Study Evaluating the Long-term Safety and Efficacy of VX-445 Combination Therapy

A Phase 3 interventional study of ELX/TEZ/IVA and IVA in Cystic Fibrosis, sponsored by Vertex Pharmaceuticals Incorporated. Completed at 84 sites in 12 countries. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2024-01-16.

Sponsored by Vertex Pharmaceuticals Incorporated · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
251
Allocation
Not applicable
Ages
12 Years and older
Sex
All
01

Study summary

This study evaluated the long-term safety, efficacy, and pharmacodynamics of elexacaftor (ELX, VX-445) in triple combination (TC) with tezacaftor (TEZ) and ivacaftor (IVA) in subjects with cystic fibrosis (CF) who are heterozygous for the F508del mutation and a gating or residual function mutation (F/G and F/RF genotypes).

02

Conditions studied

  • Cystic Fibrosis
03

In context

Cystic Fibrosis

1,581 studies on the registry are indexed under Cystic Fibrosis; 190 are open to participants now.

This study's enrollment of 251 is above the median of 36 across 1,034 interventional studies indexed under Cystic Fibrosis.

Browse Cystic Fibrosis studies →

Lead sponsor

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.

04

Who can participate

Ages eligible
12 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Completed study drug treatment in parent study (VX18-445-104); or had study drug interruption(s) in parent study but completed study visits up to the last scheduled visit of the Treatment Period in the parent study

Key Exclusion Criteria:

  • History of study drug intolerance in parent study

Other protocol defined Inclusion/Exclusion criteria may apply.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
251 participants (actual)

Study arms

  • Experimental
    ELX/TEZ/IVA

    Part A: Participants received ELX (elexacaftor) 200 milligram (mg) once daily (qd)/TEZ 100 mg qd/IVA 150 mg every 12 hours (q12h) in the treatment period for 96 weeks. Part B: Participants from certain countries participated in Part B and continued to receive ELX 200 mg qd /TEZ 100 mg qd/IVA 150 mg q12h in the treatment period for 48 weeks.

    Drug: ELX/TEZ/IVA · Drug: IVA

Interventions

  • DrugELX/TEZ/IVA

    Fixed-dose combination (FDC) tablet for oral administration.

    Also known as: VX-445/VX-661/VX-770, elexacaftor/tezacaftor/ivacaftor

  • DrugIVA

    Tablet for oral administration.

    Also known as: VX-770, ivacaftor

06

What researchers measure

Primary outcomes

  1. Part A: Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    Time frame: From Baseline up to Week 100

Secondary outcomes

  1. Part A: Absolute Change From Parent Study Baseline 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 96

  2. Part A: Absolute Change From Parent Study Baseline in Sweat Chloride (SwCl)

    Sweat samples were collected using an approved collection device.

    Time frame: From Baseline at Week 96

  3. Part A: Absolute Change From Parent Study Baseline 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 96

  4. Part A: Absolute Change From Parent Study Baseline in BMI Z-score

    BMI was defined as weight in kilogram (kg) divided by squared height in meters (m\^2). The z-score is a statistical measure to describe whether a value was above or below the standard. A z-score of 0 is equal to the standard. Lower numbers indicate values lower than the standard and higher numbers indicate values higher than the standard.

    Time frame: From Baseline at Week 96

  5. Part A: Absolute Change From Parent Study Baseline in Body Weight

    Time frame: From Baseline at Week 96

  6. Part A: Absolute Change From Parent Study Baseline 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 96

07

Results

Posted Jan 16, 2024

Participant flow

The study was conducted as a single part study (Part A) in countries including United States (US), and the protocol for other countries was amended as a regional protocol so that participants in these countries had the opportunity to participate for up to an additional 48 weeks in Part B.

Participant flow — Overall Study
MilestoneELX/TEZ/IVA
Started251
Completed215
Not completed36
Withdrew: Adverse event14
Withdrew: Withdrawal of consent (not due to ae)7
Withdrew: Commercial drug is available for participants6
Withdrew: Death1
Withdrew: Other non-compliance2
Withdrew: Other6

Outcome measures

PrimaryPart A: Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Time frame:
From Baseline up to Week 100
Reported as:
Count of participants · Participants
Part A: Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
ParticipantsPart A: ELX/TEZ/IVA
Participants with TEAEs241
Participants with SAEs38
SecondaryPart A: Absolute Change From Parent Study Baseline 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 96
Reported as:
Least squares mean · percentage points
Part A: Absolute Change From Parent Study Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
percentage pointsELX/TEZ/IVA
Control-IVA or TEZ/IVA: Change at Week 964.1 (2.5 to 5.7)
ELX/TEZ/IVA: Change at Week 963.7 (2.2 to 5.2)
SecondaryPart A: Absolute Change From Parent Study Baseline in Sweat Chloride (SwCl)

Sweat samples were collected using an approved collection device.

Time frame:
From Baseline at Week 96
Reported as:
Least squares mean · millimole per liter (mmol/L)
Part A: Absolute Change From Parent Study Baseline in Sweat Chloride (SwCl)
millimole per liter (mmol/L)ELX/TEZ/IVA
Control-IVA or TEZ/IVA: Change at Week 96-23.0 (-25.8 to -20.1)
ELX/TEZ/IVA: Change at Week 96-22.6 (-25.4 to -19.9)
SecondaryPart A: Absolute Change From Parent Study Baseline 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 96
Reported as:
Least squares mean · kg/m^2
Part A: Absolute Change From Parent Study Baseline in Body Mass Index (BMI)
kg/m^2ELX/TEZ/IVA
Control-IVA or TEZ/IVA: Change at Week 961.15 (0.84 to 1.45)
ELX/TEZ/IVA: Change at Week 960.83 (0.54 to 1.11)
SecondaryPart A: Absolute Change From Parent Study Baseline in BMI Z-score

BMI was defined as weight in kilogram (kg) divided by squared height in meters (m\^2). The z-score is a statistical measure to describe whether a value was above or below the standard. A z-score of 0 is equal to the standard. Lower numbers indicate values lower than the standard and higher numbers indicate values higher than the standard.

Time frame:
From Baseline at Week 96
Reported as:
Least squares mean · z-score
Part A: Absolute Change From Parent Study Baseline in BMI Z-score
z-scoreELX/TEZ/IVA
Control-IVA or TEZ/IVA: Change at Week 960.11 (-0.17 to 0.40)
ELX/TEZ/IVA: Change at Week 960.40 (0.17 to 0.62)
SecondaryPart A: Absolute Change From Parent Study Baseline in Body Weight
Time frame:
From Baseline at Week 96
Reported as:
Least squares mean · Kilogram (Kg)
Part A: Absolute Change From Parent Study Baseline in Body Weight
Kilogram (Kg)ELX/TEZ/IVA
Control-IVA or TEZ/IVA: Change at Week 963.6 (2.7 to 4.6)
ELX/TEZ/IVA: Change at Week 962.9 (2.0 to 3.8)
SecondaryPart A: Absolute Change From Parent Study Baseline 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 96
Reported as:
Least squares mean · units on a scale
Part A: Absolute Change From Parent Study Baseline in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score
units on a scaleELX/TEZ/IVA
Control-IVA or TEZ/IVA: Change at Week 967.2 (4.1 to 10.4)
ELX/TEZ/IVA: Change at Week 968.1 (5.1 to 11.1)

Adverse events

Collected over Day 1 through Safety follow-up (up to Week 100 for Part A and up to Week 52 for Part B). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Part A: ELX/TEZ/IVA1/251 (0.4%)38/251 (15.1%)223/251 (88.8%)
Part B: ELX/TEZ/IVA0/84 (0%)3/84 (3.6%)48/84 (57.1%)
Most frequent serious events
Showing 10 of 35
Most frequent serious events
EventPart A: ELX/TEZ/IVAPart B: ELX/TEZ/IVA
Infective pulmonary exacerbation of cystic fibrosisInfections and infestations16/2511/84
HaemoptysisRespiratory, thoracic and mediastinal disorders3/2510/84
NauseaGastrointestinal disorders0/2511/84
VomitingGastrointestinal disorders0/2511/84
Chest painGeneral disorders0/2511/84
DepressionPsychiatric disorders0/2511/84
Infective exacerbation of bronchiectasisInfections and infestations2/2510/84
NephrolithiasisRenal and urinary disorders2/2510/84
Pneumothorax spontaneousRespiratory, thoracic and mediastinal disorders2/2510/84
Atrial fibrillationCardiac disorders1/2510/84
Most frequent other events
Showing 10 of 33
Most frequent other events
EventPart A: ELX/TEZ/IVAPart B: ELX/TEZ/IVA
HeadacheNervous system disorders71/2514/84
CoughRespiratory, thoracic and mediastinal disorders65/2515/84
Infective pulmonary exacerbation of cystic fibrosisInfections and infestations61/25117/84
COVID-19Infections and infestations52/25117/84
DiarrhoeaGastrointestinal disorders48/2514/84
Oropharyngeal painRespiratory, thoracic and mediastinal disorders42/2515/84
FatigueGeneral disorders40/2510/84
NasopharyngitisInfections and infestations40/2517/84
PyrexiaGeneral disorders36/2512/84
Sputum increasedRespiratory, thoracic and mediastinal disorders34/2513/84

Baseline characteristics

The open label Full Analysis Set (OL-FAS) is defined as all enrolled participants who have received at least 1 dose of study drug in the open-label study.

Age, Continuous
Age, Continuous(years)ELX/TEZ/IVA
Mean37.9 ± 14.4
Sex: Female, Male
Sex: Female, Male(Participants)ELX/TEZ/IVA
Female124
Male127
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)ELX/TEZ/IVA
Hispanic or Latino9
Not Hispanic or Latino224
Not collected per local regulations18
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)ELX/TEZ/IVA
White225
Black or African American2
Other5
Not collected per local regulations18
More than one race1
08

Study locations

84 sites
  • Banner University of Arizona Medical Center
    Tucson, Arizona 85724, United States
  • Miller Children's Hospital / Long Beach Memorial
    Long Beach, California 90806, United States
  • Stanford University
    Palo Alto, California 94304, United States
  • University of California Davis Medical Center
    Sacramento, California 95817, United States
  • University of California San Francisco, Lung Transplant Program
    San Francisco, California 94143, United States
  • National Jewish Health
    Denver, Colorado 80206, United States
  • University of Miami Miller School of Medicine
    Miami, Florida 33136, United States
  • Central Florida Pulmonary Group, PA
    Orlando, Florida 32803, United States
  • Indiana University
    Indianapolis, Indiana 46202, United States
  • University of Kansas Medical Center
    Kansas City, Kansas 66160, United States
  • University of Kentucky
    Lexington, Kentucky 40536, United States
  • Massachusetts General Hospital Cystic Fibrosis Center Clinical Rsearch Center
    Boston, Massachusetts 02114, United States
  • Boston Children's Hospital
    Boston, Massachusetts 02115, United States
  • Michigan Medicine
    Ann Arbor, Michigan 48109-5212, United States
  • University of Minnesota
    Minneapolis, Minnesota 55455, United States
  • Washington University School of Medicine / St. Louis Children's Hospital
    Saint Louis, Missouri 63110, United States
  • Mount Sinai Beth Israel
    New York, New York 10003, United States
  • Columbia University Medical Center
    New York, New York 10032, United States
  • University of North Carolina Hospitals
    Chapel Hill, North Carolina 27514, United States
  • UC Health Holmes
    Cincinnati, Ohio 45220, United States
  • Rainbow Babies and Children's Hospital/University Hospitals Cleveland Medical Center
    Cleveland, Ohio 44106, United States
  • Nationwide Children's Hospital
    Columbus, Ohio 43205, United States
  • ProMedica Toledo Hospital/Toledo Children's Hospital/Pediatric Pulmonary & Cystic Fibrosis Center
    Toledo, Ohio 43606, United States
  • University of Oklahoma Health Sciences Center
    Oklahoma City, Oklahoma 73104, United States
  • Oregon Health & Science University
    Portland, Oregon 97239, United States
  • Children's Hospital of Philadelphia
    Philadelphia, Pennsylvania 19104, United States
  • Children's Hospital of Pittsburgh of UPMC
    Pittsburgh, Pennsylvania 15224, United States
  • Dell Children's Medical Group
    Austin, Texas 78723, United States
  • The University of Texas Southwestern Medical Center
    Dallas, Texas 75390, United States
  • Texas Children's Hospital
    Houston, Texas 77030, United States
  • University of Utah / Primary Children's Medical Center
    Salt Lake City, Utah 84132, United States
  • University of Washington Medical Center
    Seattle, Washington 98195, United States
  • University of Wisconsin Hospital and Clinics
    Madison, Wisconsin 53792, United States
  • The Prince Charles Hospital
    Chermside, Australia
  • Alfred Hospital
    Melbourne, Australia
  • Telethon Kids Institute
    Nedlands, Australia
  • The Royal Children's Hospital
    Parkville, Australia
  • Mater Adult Hospital
    South Brisbane, Australia
  • Queensland Children's Hospital
    South Brisbane, Australia
  • Westmead Hospital
    Westmead, Australia
  • Cliniques Universitaires de Bruxelles Hopital Erasme
    Brussels, Belgium
  • Universitair Ziekenhuis Brussel - Campus Jette
    Brussels, Belgium
  • Universitair Ziekenhuis Gent
    Gent, Belgium
  • Universitaire Ziekenhuizen Leuven - Campus Gasthuisberg
    Leuven, Belgium
  • McGill University Health Center
    Montréal, Canada
  • St. Paul's Hospital
    Vancouver, Canada
  • Juliane Marie Center, Rigshospitalet
    Copenhagen, Denmark
  • Centre Hospitalier Lyon Sud
    Benite Cedex, France
  • Groupe Hospitaler Pellegrin, CHU De Bordeaux
    Bordeaux cedex, France
  • CHRU de Lille - Hopital Albert Calmette
    Lille, France
  • CHU Marseille - Hopital Nord
    Marseille, France
  • CHU de Montpellier - Hopital Arnaud de Villeneuve
    Montpellier Cedex 5, France
  • Hopital Necker, Enfants Malades
    Paris Cedex 15, France
  • Hopital Cochin
    Paris, France
  • Hopital Pontchaillou CHU de Rennes
    Rennes Cedex, France
  • Charite Paediatric Pulmonology Department
    Berlin, Germany
  • Ruhrlandklinik Westdeutsches Lungenzentrum am Klinikum Essen
    Essen, Germany
  • Justus-Liebig-Universitaet Gießen Zentrum fur Kinderheilkunde und Jugendmedizin
    Giessen, Germany
  • Universitätsklinikum Halle (Saale) / Universitätsklinik und Poliklinik für Innere Medizin, Schwerpunkt Pneumologie
    Halle, Germany
  • Pneumologisches Studienzentrum Muenchen-West
    Muenchen, Germany
  • University Hospital Wuerzburg
    Würzburg, Germany
  • Beaumont Hospital
    Dublin, Ireland
  • Children's Health Ireland at Crumlin
    Dublin, Ireland
  • St. Vincent's University Hospital
    Dublin, Ireland
  • University Hospital Limerick (Adults)
    Limerick, Ireland
  • Azienda Ospedaliero Universitaria Ospedale Riuniti
    Ancona, Italy
  • IRCCS Istituto Giannina Gaslini-Ospedale Pediatrico
    Genova, Italy
  • Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
    Milano, Italy
  • Ospedale Pediatrico Bambino Gesu
    Rome, Italy
  • Azienda Ospedaliera di Verona-Ospedale Civile Maggiore
    Verona, Italy
  • Academic Medical Center
    Amsterdam, Netherlands
  • University Medical Center, Utrecht, Department of Pulmonology and Tuberculosis
    Heidelberglaan, Netherlands
  • Hospital Universitari Vall d´Hebron Servicio de Broncoscopia
    Barcelona, Spain
  • Hospital Virgen de la Arrixaca
    Murcia, Spain
  • Hospital Universitario Virgen del Rocio
    Sevilla, Spain
  • Hospital Universitario y Politecnico La Fe
    Valencia, Spain
  • Papworth Hospital NHS Foundation Trust, Papworth Everard
    Cambridge, United Kingdom
  • Royal Devon and Exeter NHS Foundation Trust, Royal Devon and Exeter Hospital
    Exeter, United Kingdom
  • Clinical Research Facility, Queen Elizabeth University Hospital
    Glasgow, United Kingdom
  • St. James University Hospital
    Leeds, United Kingdom
  • Liverpool Heart and Chest Hospital
    Liverpool, United Kingdom
  • Royal Brompton & Harefield NHS Foundation Trust, Royal Brompton Hospital
    London, United Kingdom
  • Wythenshawe Hospital
    Manchester, United Kingdom
  • Southampton General Hospital
    Southampton, United Kingdom
09

References and documents

Publications

  • Southern KW, Murphy J, Sinha IP, Nevitt SJ. Corrector therapies (with or without potentiators) for people with cystic fibrosis with class II CFTR gene variants (most commonly F508del). Cochrane Database Syst Rev. 2020 Dec 17;12(12):CD010966. doi: 10.1002/14651858.CD010966.pub3. PubMed 33331662 ↗

Study documents

  • Study protocol · Jul 29, 2020
  • Statistical analysis plan · Feb 2, 2022

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No — Details on Vertex data sharing criteria and process for requesting access can be found at: https://www.vrtx.com/independent research/clinical-trial-data-sharing.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 16, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04058366
Lead sponsor
Vertex Pharmaceuticals Incorporated
Responsible party
Sponsor
First posted
Aug 15, 2019
Start date
Dec 5, 2019
Primary completion
Dec 16, 2022
Completion
Dec 16, 2022
Results posted
Jan 16, 2024
Last update
Jan 16, 2024

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2023. You cannot join it, but the record below documents what was studied.

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