A Study of VX-121 Combination Therapy in Participants With Cystic Fibrosis (CF) Who Are Homozygous for F508del, Heterozygous for F508del and a Gating (F/G) or Residual Function (F/RF) Mutation, or Have At Least 1 Other Triple Combination Responsive (TCR) CFTR Mutation and No F508del Mutation

Registration Number
NCT05076149
Lead Sponsor
Vertex Pharmaceuticals Incorporated
Brief Summary

The purpose of this study is to evaluate the efficacy and safety of VX-121/tezacaftor/deutivacaftor (VX-121/TEZ/D-IVA) in CF participants who are homozygous for F508del, heterozygous for F508del and a gating (F/G) or residual function (F/RF) mutation, or have at least 1 other TCR CF transmembrane conductance regulator (CFTR) gene mutation and no F508del muta...

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
597
Inclusion Criteria
  • Participant has one of the following genotypes:

    • Homozygous for F508del;
    • Heterozygous for F508del and a gating (F/G) mutation;
    • Heterozygous for F508del and a residual function (F/RF) mutation;
    • At least 1 other TCR CFTR gene mutation identified as responsive to ELX/TEZ/IVA and no F508del mutation
  • Forced expiratory volume in 1 second (FEV1) value >=40% and <=90% of predicted mean for age, sex, and height for participants currently receiving CFTR protein modulator therapy; FEV1 >=40% and <=80% for participants not currently receiving CFTR protein modulator therapy

Key

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Exclusion Criteria
  • 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)
  • Lung infection with organisms associated with a more rapid decline in pulmonary status
  • Pregnant or breast-feeding females

Other protocol defined Inclusion/Exclusion criteria may apply.

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ELX/TEZ/IVAELX/TEZ/IVAFollowing elexacftor/tezacaftor/ivacaftor (ELX/TEZ/IVA) run-in period of 4 weeks, participants received ELX 200 milligram (mg) once daily (qd) /TEZ 100 mg qd/IVA 150 mg every 12 hours (q12h) in the treatment period for 52 weeks.
ELX/TEZ/IVAIVAFollowing elexacftor/tezacaftor/ivacaftor (ELX/TEZ/IVA) run-in period of 4 weeks, participants received ELX 200 milligram (mg) once daily (qd) /TEZ 100 mg qd/IVA 150 mg every 12 hours (q12h) in the treatment period for 52 weeks.
ELX/TEZ/IVAPlacebo (matched to VX-121/TEZ/D-IVA)Following elexacftor/tezacaftor/ivacaftor (ELX/TEZ/IVA) run-in period of 4 weeks, participants received ELX 200 milligram (mg) once daily (qd) /TEZ 100 mg qd/IVA 150 mg every 12 hours (q12h) in the treatment period for 52 weeks.
VX-121/TEZ/D-IVAVX-121/TEZ/D-IVAFollowing ELX/TEZ/IVA run-in period of 4 weeks, participants received VX-121 20 mg qd/TEZ 100 mg qd/D-IVA 250 mg qd in the treatment period for 52 weeks.
VX-121/TEZ/D-IVAPlacebo (matched to ELX/TEZ/IVA)Following ELX/TEZ/IVA run-in period of 4 weeks, participants received VX-121 20 mg qd/TEZ 100 mg qd/D-IVA 250 mg qd in the treatment period for 52 weeks.
VX-121/TEZ/D-IVAPlacebo (matched to IVA)Following ELX/TEZ/IVA run-in period of 4 weeks, participants received VX-121 20 mg qd/TEZ 100 mg qd/D-IVA 250 mg qd in the treatment period for 52 weeks.
Primary Outcome Measures
NameTimeMethod
Absolute Change in Percent Predicted Forced Expiratory Volume in 1second (ppFEV1)From Baseline Through Week 24

FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.

Secondary Outcome Measures
NameTimeMethod
Absolute Change in Sweat Chloride (SwCl)From Baseline Through Week 24

Sweat samples were collected using an approved collection device.

Percentage of Participants With SwCl <60 Millimole Per Liter (mmol/L) (Pooled With Data From Study VX20-121-102)From Baseline Through Week 24

Sweat samples were collected using an approved collection device.

Percentage of Participants With SwCl <30 mmol/L (Pooled With Data From Study VX20-121-102)From Baseline Through Week 24

Sweat samples were collected using an approved collection device.

Trial Locations

Locations (170)

Yale New Haven Hospital

🇺🇸

New Haven, Connecticut, United States

Central Florida Pulmonary Group, PA

🇺🇸

Orlando, Florida, United States

Tulane Medical Center

🇺🇸

New Orleans, Louisiana, United States

Michigan Medicine

🇺🇸

Ann Arbor, Michigan, United States

Pediatric Hospital Polanki named of Maciej Płażyński

🇵🇱

Gdańsk, Poland

Boston Children's Hospital

🇺🇸

Boston, Massachusetts, United States

University of Miami Miller School of Medicine

🇺🇸

Miami, Florida, United States

Indiana University

🇺🇸

Indianapolis, Indiana, United States

Riley Hospital for Children at Indiana University Health

🇺🇸

Indianapolis, Indiana, United States

University of Washington Medical Center

🇺🇸

Seattle, Washington, United States

Vanderbilt University Medical Center

🇺🇸

Nashville, Tennessee, United States

Abteilung fuer Pulmologie Klinikum Wels-Grieskirchen

🇦🇹

Wels, Austria

St. Vincent's University Hospital

🇮🇪

Dublin, Ireland

Children's Hospital Los Angeles

🇺🇸

Los Angeles, California, United States

Dayton Children's Hospital

🇺🇸

Dayton, Ohio, United States

Cork University Hospital

🇮🇪

Cork, Ireland

Medizinische Universität Wien

🇦🇹

Vienna, Austria

The University of Texas Southwestern Medical Center

🇺🇸

Dallas, Texas, United States

University of Mississippi Medical Center

🇺🇸

Jackson, Mississippi, United States

University Hospital Limerick (Pediatrics)

🇮🇪

Limerick, Ireland

Juliane Marie Center, Rigshospitalet

🇩🇰

Copenhagen, Denmark

University of Alabama at Birmingham

🇺🇸

Birmingham, Alabama, United States

National Jewish Health

🇺🇸

Denver, Colorado, United States

University of Oklahoma Health Sciences Center

🇺🇸

Oklahoma City, Oklahoma, United States

Harper University Hospital

🇺🇸

Detroit, Michigan, United States

Santiago Reyes, M.D.

🇺🇸

Oklahoma City, Oklahoma, United States

Oregon Health & Science University

🇺🇸

Portland, Oregon, United States

Children's Hospital of Colorado

🇺🇸

Aurora, Colorado, United States

University of Kentucky

🇺🇸

Lexington, Kentucky, United States

Morristown Medical Center

🇺🇸

Morristown, New Jersey, United States

Banner University of Arizona Medical Center

🇺🇸

Tucson, Arizona, United States

University of Arkansas for Medical Sciences

🇺🇸

Little Rock, Arkansas, United States

Nemours Children's Specialty Care, Pensacola

🇺🇸

Pensacola, Florida, United States

St. Luke's Cystic Fibrosis Center of Idaho

🇺🇸

Boise, Idaho, United States

Ann & Robert H. Lurie Children's Hospital of Chicago

🇺🇸

Chicago, Illinois, United States

Northwestern Memorial Hospital

🇺🇸

Chicago, Illinois, United States

Massachusetts General Hospital Cystic Fibrosis Center Clinical Rsearch Center

🇺🇸

Boston, Massachusetts, United States

CF Therapeutics Development Center of Western New York

🇺🇸

Buffalo, New York, United States

Billings Clinic

🇺🇸

Billings, Montana, United States

ProMedica Toledo Hospital/Toledo Children's Hospital/Pediatric Pulmonary & Cystic Fibrosis Center

🇺🇸

Toledo, Ohio, United States

SUNY Upstate Medical University

🇺🇸

Syracuse, New York, United States

Nationwide Children's Hospital

🇺🇸

Columbus, Ohio, United States

University of Tennessee Medical Center

🇺🇸

Knoxville, Tennessee, United States

Children's Hospital of the King's Daughters

🇺🇸

Norfolk, Virginia, United States

Royal Prince Alfred Hospital

🇦🇺

Camperdown, Australia

Institute for Respiratory Health

🇦🇺

Nedlands, Australia

Telethon Kids Institute

🇦🇺

Nedlands, Australia

The Royal Children's Hospital

🇦🇺

Parkville, VIC, Australia

Sydney Children's Hospital

🇦🇺

Randwick, Australia

Mater Adult Hospital

🇦🇺

South Brisbane, Australia

Queensland Children's Hospital

🇦🇺

South Brisbane, Australia

Westmead Hospital

🇦🇺

Westmead, Australia

Uniklinikum Salzburg - Universitätsklinik für Pneumologie/Lungenheilkunde

🇦🇹

Salzburg, Austria

University of Graz

🇦🇹

Graz, Austria

Universitair Ziekenhuis Brussel - Campus Jette

🇧🇪

Brussel, Belgium

Cliniques Universitaires de Bruxelles Hopital Erasme

🇧🇪

Brussel, Belgium

Universitair Ziekenhuis Gent

🇧🇪

Gent, Belgium

Cliniques Universitaires Saint-Luc

🇧🇪

Woluwe-Saint-Lambert, Belgium

Stollery Children's Hospital

🇨🇦

Edmonton, Canada

University of Calgary Medical Clinic of the Foothills Medical Centre

🇨🇦

Calgary, Canada

St. Joseph's Health Care London

🇨🇦

London, Canada

Centre Hospitalier de l'Universite de Montreal (CHUM) Hotel-Dieu

🇨🇦

Montreal, Canada

McGill University Health Centre, Glen Site, Montreal Children's Hospital

🇨🇦

Montréal, Canada

Institut Universitaire de Cardiologie et Pneumologie de Quebec - Universite Laval

🇨🇦

Québec, Canada

St. Michael's Hospital

🇨🇦

Toronto, Canada

British Columbia Children's Hospital

🇨🇦

Vancouver, Canada

Children's Hospital of Philadelphia

🇺🇸

Philadelphia, Pennsylvania, United States

St. Paul's Hospital

🇨🇦

Vancouver, Canada

Aarhus University Hospital

🇩🇰

Aarhus, Denmark

Groupe Hospitaler Pellegrin, CHU De Bordeaux

🇫🇷

Bordeaux cedex, France

Centre Hospitalier Universitaire (CHU) de Nice - Hopital Pasteur

🇫🇷

Nice, France

CHU Lyon - Hopital Femme Mere-Enfant

🇫🇷

Bron Cedex, France

Centre Hospitalier Intercommunal Creteil

🇫🇷

Créteil, France

Institut Cœur Poumon, CHU de Lille

🇫🇷

Lille, France

Hopital Cochin

🇫🇷

Paris, France

Hopital Robert Debre

🇫🇷

Paris, France

Hopital Necker, Enfants Malades

🇫🇷

Paris Cedex 15, France

Centre Hospitalier Lyon Sud

🇫🇷

Pierre-Bénite, France

Centre de Perharidy

🇫🇷

Roscoff cedex, France

CHU de Rouen - Hopital Charles Nicolle

🇫🇷

Rouen Cedex, Seine Maritime, France

Hôpital de Hautepierre, AX5

🇫🇷

Strasbourg, France

Hopital Foch (Suresnes), Hopital Foch, Adultes

🇫🇷

Suresnes, France

Charite Paediatric Pulmonology Department

🇩🇪

Berlin, Germany

Hopital Bretonneau

🇫🇷

Tours, France

Ruhrlandklinik Westdeutsches Lungenzentrum am Klinikum Essen

🇩🇪

Essen, Germany

Justus-Liebig-Universität Gießen Zentrum für Kinderheilkunde und Jugendmedizin

🇩🇪

Gießen, Germany

Universitatsklinikum Essen (AoR), Kinderklinik III, Abt. fur Pneumologie

🇩🇪

Essen, Germany

General Hospital of Thessaloniki 'Hippokratio', 3rd Pediatrics Department of Aristotle University of Thessaloniki

🇬🇷

Thessaloníki, Greece

National Koranyi Institute for TBC and Pulmonology

🇭🇺

Budapest, Hungary

General Hospital of Thessaloniki "Papanikolaou"

🇬🇷

Pilea Chortiatis, Greece

Children's Health Ireland at Crumlin

🇮🇪

Dublin, Ireland

Pulmonology Institute Torokbalint

🇭🇺

Torokbalint, Hungary

Sheba Medical Center - The Edmond and Lili Safra Children's Hospital

🇮🇱

Tel HaShomer, Israel

Schneider Children's Medical Center of Israel

🇮🇱

Petach Tikvah, Israel

Children's University Hospital, Dublin

🇮🇪

Dublin, Ireland

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico

🇮🇹

Milano, Italy

Azienda Ospedaliero Universitaria Ospedale Riuniti

🇮🇹

Ancona, Italy

IRCCS Istituto Giannina Gaslini-Ospedale Pediatrico

🇮🇹

Genova, Italy

Academisch Medisch Centrum (Academic Medical Centre)

🇳🇱

Amsterdam, Netherlands

Azienda Ospedaliero Universitaria Ospedale Pediatrico Meyer

🇮🇹

Firenze, Italy

UMC St. Radboud

🇳🇱

Nijmegen, Netherlands

Centro Regionale Fibrosi Cistica, A.O. Ospedale San Carlo

🇮🇹

Potenza, Italy

Azienda Ospedaliera di Verona - Ospedale Civile Maggiore

🇮🇹

Verona, Italy

Canterbury Respiratory Research Group

🇳🇿

Christchurch Hospital, New Zealand

Oslo University Hospital, Department of Paediatric Medicine

🇳🇴

Oslo, Norway

Waikato Hospital

🇳🇿

Hamilton, New Zealand

Institute of Tuberculosis and Lung Diseases

🇵🇱

Rabka Zdrój, Poland

Haukeland Universitetssjukehus (CF)

🇳🇴

Bergen, Norway

Birmingham Children's Hospital

🇬🇧

Birmingham, United Kingdom

St. James University Hospital

🇬🇧

Leeds, United Kingdom

Clinical Research Facility, Queen Elizabeth University Hospital

🇬🇧

Glasgow, United Kingdom

Leeds General Infirmary

🇬🇧

Leeds, United Kingdom

King's College Hospital

🇬🇧

London, United Kingdom

All Wales Adult Cystic Fibrosis Centre, University Hospital Llandough

🇬🇧

Penarth, United Kingdom

Cook Children's Health Care System

🇺🇸

Fort Worth, Texas, United States

University Hospital and UW Health Clinics

🇺🇸

Madison, Wisconsin, United States

West Virginia University

🇺🇸

Morgantown, West Virginia, United States

UMass Memorial Medical Center

🇺🇸

Worcester, Massachusetts, United States

Johns Hopkins All Children's Hospital Outpatient Care Center

🇺🇸

Saint Petersburg, Florida, United States

The Emory Clinic at Chantilly

🇺🇸

Atlanta, Georgia, United States

Maine Medical Partners

🇺🇸

Portland, Maine, United States

Columbia University Medical Center

🇺🇸

New York, New York, United States

Akron Children's Hospital

🇺🇸

Akron, Ohio, United States

Sanford Children's Speciality Clinic

🇺🇸

Sioux Falls, South Dakota, United States

University of Utah - Primary Children's Medical Center

🇺🇸

Salt Lake City, Utah, United States

Providence Pediatric Pulmonary & Cystic Fibrosis Clinic

🇺🇸

Spokane, Washington, United States

Universitaire Ziekenhuizen Leuven - Campus Gasthuisberg

🇧🇪

Leuven, Belgium

Hopital Arnaud de Villeneuve

🇫🇷

Montpellier Cedex 5, France

Friedrich-Alexander University of Erlangen-Nuremberg, University Children's Hospital

🇩🇪

Erlangen, Germany

Children's Health Ireland at Tallaght

🇮🇪

Dublin, Ireland

Hadassah Medical Organization

🇮🇱

Jerusalem, Israel

University Hospital Limerick (Adults)

🇮🇪

Limerick, Ireland

Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena

🇮🇹

Milan, Italy

Malattie Apparato Respiratorio 2 - Centro Fibrosi Cistica

🇮🇹

Orbassano, Italy

University Medical Center, Utrecht, Department of Pulmonology and Tuberculosis

🇳🇱

Utrecht, Netherlands

HagaZiekenhuis van den Haag

🇳🇱

Den Haag, Netherlands

Erasmus Medical Center

🇳🇱

Rotterdam, Netherlands

Greenlane Clinical Centre

🇳🇿

Auckland, New Zealand

Karolinska Universitetssjukhuset, Huddinge

🇸🇪

Stockholm, Sweden

Lund University Skanes Universitetssjukhus

🇸🇪

Malmoe, Sweden

Sahlgrenska Universitetssjukhuset

🇸🇪

Göteborg, Sweden

Réseau Hospitalier Neuchâtelois

🇨🇭

Neuchâtel, Switzerland

Klinika Mukowiscydozy IMD Oddozial Chorob Pluc Szpzoz IM. Dzieci WarszaWY

🇵🇱

Łomianki, Poland

Kinderspital Zuerich

🇨🇭

Zürich, Switzerland

Royal Manchester Children's Hospital

🇬🇧

Manchester, United Kingdom

Lindenhofspital - Quartier Bleu

🇨🇭

Bern, Switzerland

Nemours Children's Specialty Care

🇺🇸

Jacksonville, Florida, United States

Children's Hospital of Orange County

🇺🇸

Orange, California, United States

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

UPMC Children's Hospital of Pittsburgh

🇺🇸

Pittsburgh, Pennsylvania, United States

Spectrum Health Medical Group Adult Cystic Fibrosis Care Center

🇺🇸

Grand Rapids, Michigan, United States

Centre Hospitalier Universitaire De Nantes - G. R. Laennec

🇫🇷

Nantes, France

St. Bartholomew's Hospital

🇬🇧

London, United Kingdom

Prisma Health Richland Campus

🇺🇸

Columbia, South Carolina, United States

Northwell Health- Long Island Jewish Medical Center

🇺🇸

New Hyde Park, New York, United States

Alfred Hospital

🇦🇺

Melbourne, VIC, Australia

Centre hospitalier universitaire de Nancy, Hôpital de Braboi

🇫🇷

Vandoeuvre Les Nancy, France

University of Virginia Health System

🇺🇸

Charlottesville, Virginia, United States

Southampton General Hospital

🇬🇧

Southampton, United Kingdom

Vermont Lung Center

🇺🇸

Colchester, Vermont, United States

The Prince Charles Hospital

🇦🇺

Chermside, Australia

Pneumologisches Studienzentrum Muenchen-West

🇩🇪

Muenchen, Germany

Royal Papworth Hospital NHS Foundation Trust

🇬🇧

Cambridge, United Kingdom

Starship Children's Hospital

🇳🇿

Auckland, New Zealand

Wythenshawe Hospital

🇬🇧

Manchester, United Kingdom

University of California Davis Medical Center

🇺🇸

Sacramento, California, United States

The Children's Mercy Hospital

🇺🇸

Kansas City, Missouri, United States

Wake Forest Baptist Health

🇺🇸

Winston-Salem, North Carolina, United States

Royal Brompton Hospital

🇬🇧

London, United Kingdom

Medizinische Universität Innsbruck

🇦🇹

Innsbruck, Austria

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