A Phase 3 interventional study of ELX/TEZ/IVA and IVA in Cystic Fibrosis, sponsored by Vertex Pharmaceuticals Incorporated. Completed at 34 sites in 10 countries. Open to participants aged 6 Years and older. Per ClinicalTrials.gov, last updated 2024-05-08.
Sponsored by Vertex Pharmaceuticals Incorporated · Phase 3, Interventional, and Treatment
The study evaluates the long-term safety and efficacy of elexacaftor (ELX)/tezacaftor (TEZ)/ivacaftor (IVA) triple combination (TC) in participants with CF who are 6 years of age and older with 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 120 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:
Key Exclusion Criteria:
Other protocol defined Inclusion/Exclusion criteria may apply
Participants 6 to less than \<12 year of age and weighing \<30 kilogram (kg) at Day 1 received ELX 100 milligram (mg)/TEZ 50 mg /IVA 75 mg as fixed dose combination (FDC) tablets in the morning and IVA as mono tablet in the evening and those weighing more than or equal to (≥) 30 kg at Day 1 received ELX 200 mg/TEZ 100 mg /IVA 150 mg as FDC tablets in the morning and IVA as mono tablet in the evening for 96 weeks. Doses were adjusted upward with subsequent changes in weight. Participants ≥12 years age at Day 1 received ELX 200 mg/TEZ 100 mg/IVA 150 mg as FDC tablets in the morning and IVA as mono tablet in the evening for 96 weeks.
Drug: ELX/TEZ/IVA · Drug: IVA
Fixed dose combination (FDC) tablets for oral administration.
Also known as: VX-445/VX-661/VX-770, elexacaftor/tezacaftor/ivacaftor
Tablet for oral administration.
Also known as: VX-770, ivacaftor
Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: From Baseline up to Week 100
Absolute Change From Parent Study Baseline in Sweat Chloride (SwCl)
Sweat samples were collected using an approved collection device.
Time frame: From Parent Study Baseline to Week 96
Absolute Change From Parent Study Baseline in Lung Clearance Index 2.5 (LCI2.5)
The LCI2.5 index is the number of lung turnovers required to reduce the end tidal inert gas concentration to 1/40th of its starting values and is calculated by dividing the sum of exhaled tidal breaths (cumulative exhaled volume (CEV)) by simultaneously measured functional residual capacity (FRC). An LCI of 7.5 and below is normal; values greater than 7.5 are abnormal. LCI is able to detect abnormalities in lung function earlier than more traditional modalities such as spirometry.
Time frame: From Parent Study Baseline to Week 96
| Milestone | ELX/TEZ/IVA |
|---|---|
| Started | 120 |
| Placebo-elx/tez/iva | 61 |
| Elx/tez/iva-elx/tez/iva | 59 |
| Completed | 110 |
| Not completed | 10 |
| Withdrew: Adverse event | 1 |
| Withdrew: Withdrawal of consent (not due to ae) | 2 |
| Withdrew: Commercial drug is available for participant | 7 |
| Participants | ELX/TEZ/IVA |
|---|---|
| Participants with TEAEs | 118 |
| Participants with SAEs | 13 |
Sweat samples were collected using an approved collection device.
| millimole per liter (mmol/L) | ELX/TEZ/IVA |
|---|---|
| Placebo (Parent study)-ELX/TEZ/IVA (Current study) | -57.3 ± 2.2 |
| ELX/TEZ/IVA (Parent study)-ELX/TEZ/IVA (Current study) | -57.5 ± 2.3 |
The LCI2.5 index is the number of lung turnovers required to reduce the end tidal inert gas concentration to 1/40th of its starting values and is calculated by dividing the sum of exhaled tidal breaths (cumulative exhaled volume (CEV)) by simultaneously measured functional residual capacity (FRC). An LCI of 7.5 and below is normal; values greater than 7.5 are abnormal. LCI is able to detect abnormalities in lung function earlier than more traditional modalities such as spirometry.
| Index | ELX/TEZ/IVA |
|---|---|
| Placebo (Parent study)-ELX/TEZ/IVA (Current study) | -1.74 ± 0.18 |
| ELX/TEZ/IVA (Parent study)-ELX/TEZ/IVA (Current study) | -2.35 ± 0.19 |
Collected over Day 1 up to Week 100. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| ELX/TEZ/IVA | 0/120 (0%) | 13/120 (10.8%) | 118/120 (98.3%) |
| Event | ELX/TEZ/IVA |
|---|---|
| Infective pulmonary exacerbation of cystic fibrosisInfections and infestations | 2/120 |
| ConstipationGastrointestinal disorders | 1/120 |
| EnteritisGastrointestinal disorders | 1/120 |
| Ileus paralyticGastrointestinal disorders | 1/120 |
| Intestinal obstructionGastrointestinal disorders | 1/120 |
| SteatorrhoeaGastrointestinal disorders | 1/120 |
| General physical health deteriorationGeneral disorders | 1/120 |
| Bacterial disease carrierInfections and infestations | 1/120 |
| Pneumonia pseudomonalInfections and infestations | 1/120 |
| Pneumonia staphylococcalInfections and infestations | 1/120 |
| Event | ELX/TEZ/IVA |
|---|---|
| COVID-19Infections and infestations | 70/120 |
| CoughRespiratory, thoracic and mediastinal disorders | 62/120 |
| NasopharyngitisInfections and infestations | 54/120 |
| PyrexiaGeneral disorders | 48/120 |
| HeadacheNervous system disorders | 45/120 |
| Upper respiratory tract infectionInfections and infestations | 37/120 |
| Oropharyngeal painRespiratory, thoracic and mediastinal disorders | 32/120 |
| RhinitisInfections and infestations | 29/120 |
| Abdominal painGastrointestinal disorders | 27/120 |
| VomitingGastrointestinal disorders | 24/120 |
Baseline data for the long-term safety analysis is based on the parent study baseline, which is defined as the most recent non-missing measurement collected before the first dose of study drug in the treatment period of parent study.
| Age, Continuous(years) | ELX/TEZ/IVA |
|---|---|
| Mean | 9.1 ± 1.7 |
| Sex: Female, Male(Participants) | ELX/TEZ/IVA |
|---|---|
| Female | 69 |
| Male | 51 |
| Race/Ethnicity, Customized(Participants) | ELX/TEZ/IVA |
|---|---|
| Hispanic or Latino | 1 |
| Not Hispanic or Latino | 90 |
| Not collected per local regulations | 29 |
| Race/Ethnicity, Customized(Participants) | ELX/TEZ/IVA |
|---|---|
| White | 87 |
| Black or African American | 1 |
| Asian | 1 |
| American Indian or Alaska Native | 1 |
| Other | 1 |
| Not collected per local Regulations | 28 |
| Multiracial | 1 |
Documents are hosted by the registry — open the source record to download them.
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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