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A Phase 1/2 Study of VX-522 in Participants With Cystic Fibrosis (CF)

Phase 1
Suspended
Conditions
Cystic Fibrosis
Interventions
Drug: VX-522 mRNA therapy
Drug: IVA
Registration Number
NCT05668741
Lead Sponsor
Vertex Pharmaceuticals Incorporated
Brief Summary

The purpose of this study is to evaluate the safety, and tolerability and efficacy of VX-522 in participants 18 years of age and older with cystic fibrosis and a cystic fibrosis transmembrane conductance regulator (CFTR) genotype not responsive to CFTR modulator therapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
SUSPENDED
Sex
All
Target Recruitment
36
Inclusion Criteria
  • Body mass index is less than (<) 30.0 kilograms per meter square (kg/m^2)

  • A total body weight greater than (>) 50 kg

  • Stable CF disease

  • CFTR gene mutations on both alleles that are not responsive to CFTR modulator therapy

    o Example mutations include but are not limited to, mutations that do not produce CFTR protein (i.e., Class I): nonsense mutations (e.g., G542X, W1282X) and canonical splice mutations (e.g., 621+1G->T)

  • Forced expiratory volume in 1 second (FEV1) value for SAD: greater than or equal to (≥)40 percent (%), MAD: ≥ 40% to less than or equal to (≤) 90%

Key

Exclusion Criteria
  • History of uncontrolled asthma within a year prior to screening
  • History of solid organ or hematological transplantation
  • Hepatic cirrhosis with portal hypertension, moderate hepatic impairment (Child Pugh Score 7 to 9), or severe hepatic impairment (Child Pugh Score 10 to 15)
  • Arterial oxygen saturation on room air less than (<) 94% at screening

Other protocol defined Inclusion/Exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Single Ascending Dose (SAD)VX-522 mRNA therapyParticipants grouped into different cohorts will receive a single ascending dose of VX-522.
Multiple Ascending Dose (MAD) Arm 1: VX-522VX-522 mRNA therapyParticipants grouped into different cohorts will receive multiple ascending doses of VX-522 in treatment arm 1 (T1).
MAD Arm 2: VX522+ IVAVX-522 mRNA therapyFollowing run-in period with ivacaftor (IVA), participants grouped into different cohorts will receive multiple ascending doses of VX-522 with IVA in treatment arm (T2).
MAD Arm 2: VX522+ IVAIVAFollowing run-in period with ivacaftor (IVA), participants grouped into different cohorts will receive multiple ascending doses of VX-522 with IVA in treatment arm (T2).
Primary Outcome Measures
NameTimeMethod
Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)From Day 1 Through Safety Follow-up Visit [up to Week 24 for SAD, and Week 28 for T1 and T2 (MAD)]
Secondary Outcome Measures
NameTimeMethod
MAD: Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)From Baseline at Day 29

Trial Locations

Locations (41)

University of Alabama at Birmingham

🇺🇸

Birmingham, Alabama, United States

Miller Children's Hospital / Long Beach Memorial

🇺🇸

Long Beach, California, United States

Stanford University Clinical and Translational Research Unit

🇺🇸

Palo Alto, California, United States

National Jewish Health

🇺🇸

Denver, Colorado, United States

University of Florida, Shands Hospital

🇺🇸

Gainesville, Florida, United States

University of Kansas Medical Center

🇺🇸

Kansas City, Kansas, United States

Baltimore - Early Phase Clinical Unit

🇺🇸

Baltimore, Maryland, United States

Johns Hopkins Hospital

🇺🇸

Baltimore, Maryland, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

Boston Children's Hospital

🇺🇸

Boston, Massachusetts, United States

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University of Alabama at Birmingham
🇺🇸Birmingham, Alabama, United States

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