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CompletedNCT04362761Updated Jul 28, 2023Results posted

A Study Evaluating the Long-Term Safety of Elexacaftor Combination Therapy

A Phase 3 interventional study of ELX/TEZ/IVA and IVA in Cystic Fibrosis, sponsored by Vertex Pharmaceuticals Incorporated. Completed at 29 sites in 4 countries. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2023-07-28.

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

Phase
Phase 3
Study type
Interventional
Enrollment
172
Allocation
Not applicable
Ages
12 Years and older
Sex
All
01

Study summary

This study evaluate the long-term safety and tolerability of elexacaftor (ELX)/tezacaftor (TEZ)/ ivacaftor (IVA) triple combination (TC) in participants with cystic fibrosis (CF) who are homozygous for F508del.

02

Conditions studied

  • Cystic Fibrosis

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03

In context

Cystic Fibrosis

1,605 studies on the registry are indexed under Cystic Fibrosis; 196 are open to participants now.

This study's enrollment of 172 is above the median of 36 across 1,051 interventional studies indexed under Cystic Fibrosis.

Browse Cystic Fibrosis studies →

Lead sponsor

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.

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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 (VX18-445-109); 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
172 participants (actual)

Study arms

  • Experimental
    ELX/TEZ/IVA

    Part A: Participants received elexacaftor (ELX) 200 milligram (mg) once daily (qd)/tezacaftor (TEZ)100 mg qd/ivacaftor (IVA)150 mg every 12 hours (q12h) in the treatment period for 48 weeks. Part B: Participants received ELX 200 mg qd/TEZ 100 mg qd/IVA 150 mg q12h in the treatment period up to 86 weeks.

    Drug: ELX/TEZ/IVA · Drug: IVA

Interventions

  • DrugELX/TEZ/IVA

    Drug pages: Elexacaftor · Tezacaftor · Ivacaftor

    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 Day 1 up to Week 52

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

    Time frame: From Day 1 up to Week 86

07

Results

Posted Jul 28, 2023

Participant flow

Part A (48 Weeks)
Participant flow — Part A (48 Weeks)
MilestoneELX/TEZ/IVA
Started172
Completed159
Not completed13
Withdrew: Adverse event2
Withdrew: Withdrawal of consent (not due to ae)4
Withdrew: Commercial drug is available for participant2
Withdrew: Other5
Part B (86 Weeks)
Participant flow — Part B (86 Weeks)
MilestoneELX/TEZ/IVA
Started50
Completed0
Not completed50
Withdrew: Commercial drug is available for participant46
Withdrew: Other4

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 Day 1 up to Week 52
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 TEAEs160
Participants with SAEs26
PrimaryPart B: Safety and Tolerability as Assessed by Number of Participants With Treatment- Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Time frame:
From Day 1 up to Week 86
Reported as:
Count of participants · Participants
Part B: Safety and Tolerability as Assessed by Number of Participants With Treatment- Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
ParticipantsPart B: ELX/TEZ/IVA
Participants with TEAEs50
Participants with SAEs8

Adverse events

Collected over Day 1 up to Week 52 for Part A, Day 1 up to Week 86 for Part B. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Part A: ELX/TEZ/IVA0/172 (0%)26/172 (15.1%)127/172 (73.8%)
Part B: ELX/TEZ/IVA0/50 (0%)8/50 (16%)47/50 (94%)
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 infestations8/1725/50
CholecystitisHepatobiliary disorders0/1721/50
Limb traumatic amputationInjury, poisoning and procedural complications0/1721/50
Forced expiratory volume decreasedInvestigations0/1721/50
Productive coughRespiratory, thoracic and mediastinal disorders0/1721/50
Alanine aminotransferase increasedInvestigations2/1720/50
Aspartate aminotransferase increasedInvestigations2/1720/50
Atrial fibrillationCardiac disorders1/1720/50
Myocardial infarctionCardiac disorders1/1720/50
Sinus arrestCardiac disorders1/1720/50
Most frequent other events
Showing 10 of 29
Most frequent other events
EventPart A: ELX/TEZ/IVAPart B: ELX/TEZ/IVA
Infective pulmonary exacerbation of cystic fibrosisInfections and infestations17/17221/50
COVID-19Infections and infestations2/17217/50
NasopharyngitisInfections and infestations28/17216/50
HeadacheNervous system disorders42/17210/50
Upper respiratory tract infectionInfections and infestations10/17211/50
PyrexiaGeneral disorders7/1728/50
Immunisation reactionImmune system disorders0/1727/50
Vaccination complicationInjury, poisoning and procedural complications24/1720/50
CoughRespiratory, thoracic and mediastinal disorders23/1725/50
Productive coughRespiratory, thoracic and mediastinal disorders4/1726/50

Baseline characteristics

Baseline data is based on the parent study baseline, which is defined as the most recent non-missing measurements collected before the first dose of the study drug in the treatment period of parent studies. Baseline data is presented for participants who received at least 1 dose of study drug in this study.

Age, Continuous
Age, Continuous(years)ELX/TEZ/IVA
Part A27.9 ± 11.4
Part B25.6 ± 12.0
Sex: Female, Male
Sex: Female, Male(Participants)ELX/TEZ/IVA
Part A — Female87
Part A — Male85
Part B — Female26
Part B — Male24
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)ELX/TEZ/IVA
Part A — Hispanic or Latino3
Part A — Not Hispanic or Latino167
Part A — Not collected per local regulations2
Part B — Hispanic or Latino1
Part B — Not Hispanic or Latino49
Part B — Not collected per local regulations0
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)ELX/TEZ/IVA
Part A — White169
Part A — Black or African American0
Part A — Asian2
Part A — American Indian or Alaska Native0
Part A — Native Hawaiian or Other Pacific Islander0
Part A — White, Asian1
Part A — Not collected per local regulations0
Part B — White50
Part B — Black or African American0
Part B — Asian0
Part B — American Indian or Alaska Native0
Part B — Native Hawaiian or Other Pacific Islander0
Part B — White, Asian0
Part B — Not collected per local regulations0
08

Study locations

29 sites
  • The Prince Charles Hospital
    Chermside, Australia
  • Institute for Respiratory Health
    Nedlands, Australia
  • Telethon Kids Institute, Perth Children's Hospital
    Nedlands, Australia
  • The Royal Children's Hospital
    Parkville, VIC, Australia
  • Queensland Children's Hospital
    South Brisbane, Australia
  • Universitair Ziekenhuis Gent
    Ghent, Belgium
  • Universitair Ziekenhuizen Leuven - Campus Gasthuisberg
    Leuven, Belgium
  • Charite Paediatric Pulmonology Department
    Berlin, Germany
  • Universitaetsklinkum Koeln, CF-Studienzentrum
    Cologne, Germany
  • Ruhrlandklinik Westdeutsches Lungenzentrum am Klinikum Essen
    Essen, Germany
  • Universitatsklinikum Essen (AoR), Kinderklinik III, Abt. fur Pneumologie
    Essen, Germany
  • Mukeviszidose-Zentrum am Universitatsklinikum Jena, Klinik fuer Kinder- und Jugendmedizin
    Jena, Germany
  • Klinikum Innenstadt, University of Munich
    München, Germany
  • Belfast City Hospital
    Belfast, United Kingdom
  • University Hospitals Birmingham NHS Foundation Trust
    Birmingham, United Kingdom
  • University Hospitals Bristol and Weston NHS Foundation Trust, Bristol Royal Hospital
    Bristol, United Kingdom
  • Royal Papworth Hospital NHS Foundation Trust
    Cambridge, United Kingdom
  • Western General Hospital
    Edinburgh, 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
  • Leeds General Infirmary
    Leeds, United Kingdom
  • St. James University Hospital
    Leeds, United Kingdom
  • Alder Hey Children's NHS Foundation Trust
    Liverpool, United Kingdom
  • Great Ormond Street Hospital for Sick Children
    London, United Kingdom
  • London and St Bartholomew's Hospital
    London, United Kingdom
  • The Newcastle upon Tyne Hospitals NHS Foundation Trust, The Royal Victoria Infirmary
    Newcastle upon Tyne, United Kingdom
  • Nottingham University Hospitals NHS Trust, Queens Medical Center
    Nottingham, United Kingdom
  • All Wales Adult Cystic Fibrosis Centre, University Hospital Llandough
    Penarth, United Kingdom
  • Southampton General Hospital
    Southampton, United Kingdom
09

References and documents

Publications

  • Heneghan M, 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. 2023 Nov 20;11(11):CD010966. doi: 10.1002/14651858.CD010966.pub4. PubMed 37983082 ↗
  • 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 · Dec 21, 2021
  • Statistical analysis plan · Jan 18, 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.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 28, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04362761
Responsible party
Sponsor
First posted
Apr 27, 2020
Start date
May 4, 2020
Primary completion
Dec 21, 2022
Completion
Dec 21, 2022
Results posted
Jul 28, 2023
Last update
Jul 28, 2023

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 Jul 2023. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Elexacaftor · Tezacaftor · Ivacaftor

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