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

Phase 1
Recruiting
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
RECRUITING
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 (โ‰ฅ)40 percent (%), MAD: โ‰ฅ 40% to less than or equal to (โ‰ค) 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)

UC Health Holmes

๐Ÿ‡บ๐Ÿ‡ธ

Cincinnati, Ohio, United States

Azienda Ospedaliera di Verona - Ospedale Civile Maggiore

๐Ÿ‡ฎ๐Ÿ‡น

Verona, Italy

University Medical Center, Utrecht, Department of Pulmonology and Tuberculosis

๐Ÿ‡ณ๐Ÿ‡ฑ

Utrecht, Netherlands

Hospital Universitari Vall dยดHebron Servicio de Broncoscopia

๐Ÿ‡ช๐Ÿ‡ธ

Barcelona, Spain

Hospital Universitario Virgen del Rocio

๐Ÿ‡ช๐Ÿ‡ธ

Sevilla, Spain

Hospital Universitario y Politecnico La Fe

๐Ÿ‡ช๐Ÿ‡ธ

Valencia, Spain

Karolinska Universitetssjukhuset, Huddinge

๐Ÿ‡ธ๐Ÿ‡ช

Stockholm, Sweden

Royal Hospital for Children

๐Ÿ‡ฌ๐Ÿ‡ง

Glasgow, United Kingdom

University of Alabama at Birmingham

๐Ÿ‡บ๐Ÿ‡ธ

Birmingham, Alabama, United States

Miller Children's Hospital / Long Beach Memorial

๐Ÿ‡บ๐Ÿ‡ธ

Long Beach, California, United States

Stanford University Clinical and Translational Research Unit

๐Ÿ‡บ๐Ÿ‡ธ

Palo Alto, California, United States

National Jewish Health

๐Ÿ‡บ๐Ÿ‡ธ

Denver, Colorado, United States

University of Florida, Shands Hospital

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Gainesville, Florida, United States

University of Kansas Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Kansas City, Kansas, United States

Baltimore - Early Phase Clinical Unit

๐Ÿ‡บ๐Ÿ‡ธ

Baltimore, Maryland, United States

Johns Hopkins Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Baltimore, Maryland, United States

Massachusetts General Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Boston, Massachusetts, United States

Boston Children's Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Boston, Massachusetts, United States

University of Minnesota

๐Ÿ‡บ๐Ÿ‡ธ

Minneapolis, Minnesota, United States

Washington University School of Medicine / St. Louis Children's Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Saint Louis, Missouri, United States

Lenox Hill Hospital

๐Ÿ‡บ๐Ÿ‡ธ

New York, New York, United States

Columbia University Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

New York, New York, United States

Rainbow Babies and Children's Hospital/University Hospitals Cleveland Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Cleveland, Ohio, United States

Nationwide Children's Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Columbus, Ohio, United States

UPMC Children's Hospital of Pittsburgh

๐Ÿ‡บ๐Ÿ‡ธ

Pittsburgh, Pennsylvania, United States

Medical University of South Carolina - Nexus Research Clinic

๐Ÿ‡บ๐Ÿ‡ธ

Charleston, South Carolina, United States

Vanderbilt University Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Nashville, Tennessee, United States

Baylor College of Medicine

๐Ÿ‡บ๐Ÿ‡ธ

Houston, Texas, United States

University of Utah

๐Ÿ‡บ๐Ÿ‡ธ

Salt Lake City, Utah, United States

University of Wisconsin Hospital and Clinics

๐Ÿ‡บ๐Ÿ‡ธ

Madison, Wisconsin, United States

Alfred Hospital

๐Ÿ‡ฆ๐Ÿ‡บ

Melbourne, Australia

Universitair Ziekenhuis Gent

๐Ÿ‡ง๐Ÿ‡ช

Gent, Belgium

University of Calgary Medical Clinic of the Foothills Medical Centre

๐Ÿ‡จ๐Ÿ‡ฆ

Calgary, Canada

Institut Universitaire de Cardiologie et Pneumologie de Quebec - Universite Laval

๐Ÿ‡จ๐Ÿ‡ฆ

Quebec, Canada

Ruhrlandklinik Westdeutsches Lungenzentrum am Klinikum Essen

๐Ÿ‡ฉ๐Ÿ‡ช

Essen, Germany

IRCCS Istituto Giannina Gaslini-Ospedale Pediatrico

๐Ÿ‡ฎ๐Ÿ‡น

Genova, Italy

Royal Papworth Hospital NHS Foundation Trust

๐Ÿ‡ฌ๐Ÿ‡ง

Cambridge, United Kingdom

Royal Brompton Hospital

๐Ÿ‡ฌ๐Ÿ‡ง

London, United Kingdom

Wythenshawe Hospital

๐Ÿ‡ฌ๐Ÿ‡ง

Manchester, United Kingdom

All Wales Adult Cystic Fibrosis Centre, University Hospital Llandough

๐Ÿ‡ฌ๐Ÿ‡ง

Penarth, United Kingdom

Southampton General Hospital

๐Ÿ‡ฌ๐Ÿ‡ง

Southampton, United Kingdom

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