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Evaluation of VX-121/Tezacaftor/Deutivacaftor in Cystic Fibrosis (CF) Participants 1 Through 11 Years of Age

Phase 3
Recruiting
Conditions
Cystic Fibrosis
Interventions
Drug: VX-121/TEZ/D-IVA
Registration Number
NCT05422222
Lead Sponsor
Vertex Pharmaceuticals Incorporated
Brief Summary

The purpose of this study is to evaluate the pharmacokinetics, safety, tolerability and efficacy of VX-121/tezacaftor/deutivacaftor (VX-121/TEZ/D-IVA) in CF participants with at least 1 triple combination responsive (TCR) mutation in the cystic fibrosis transmembrane conductance regulator (CFTR) gene.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
210
Inclusion Criteria
  • Participants with stable CF and at least 1 TCR mutation (including F508del) in the CFTR gene

Key

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Exclusion Criteria
  • History of solid organ, hematological transplantation, or cancer
  • 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

Other protocol defined Inclusion/Exclusion criteria may apply.

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Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Part A: VX-121/TEZ/D-IVAVX-121/TEZ/D-IVAParticipants will receive VX-121/TEZ/D-IVA in the morning.
Part B: VX-121/TEZ/D-IVAVX-121/TEZ/D-IVAParticipants will receive VX-121/TEZ/D-IVA in the morning with the dose(s) to be based on the outcome of Part A.
Primary Outcome Measures
NameTimeMethod
Part A: Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)From Day 1 up to Day 50
Part B: Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)From Day 1 up to Week 28
Part A: Observed Pre-dose Plasma Concentration (Ctrough) of VX-121, TEZ, D-IVA, and Relevant MetabolitesFrom Day 1 up to Day 22
Secondary Outcome Measures
NameTimeMethod
Part B: Absolute Change in Body Mass Index (BMI)From Baseline at Week 24
Part B: Absolute Change in BMI-for-age Z-scoreFrom Baseline at Week 24
Part B: Absolute Change in Weight-for-age Z-scoreFrom Baseline at Week 24
Part B: Observed Pre-dose Plasma Concentration (Ctrough) of VX-121, TEZ, D-IVA, and Relevant MetabolitesFrom Day 1 up to Week 16
Part B: Absolute Change in Percent Predicted Forced Expiratory Volume (ppFEV1)From Baseline Through Week 24
Part B: Proportion of Participants With SwCl <30 mmol/LFrom Baseline Through Week 24
Part B: Number of CF-Related HospitalizationsFrom Baseline Through Week 24
Part B: Absolute Change in WeightFrom Baseline at Week 24
Part B: Absolute Change in Weight-for-lengthFrom Baseline at Week 24
Part B: Absolute Change in HeightFrom Baseline at Week 24
Part B: Absolute Change in Height-for-age Z-scoreFrom Baseline at Week 24
Part B: Absolute Change in Sweat Chloride (SwCl)From Baseline Through Week 24
Part B: Drug Acceptability Assessment Using Modified Facial Hedonic ScaleAt Day 1 and Week 24
Part B: Number of Pulmonary Exacerbation (PEx)From Baseline Through Week 24
Part B: Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain (RD) ScoreFrom Baseline Through Week 24
Part B: Absolute Change in Weight-for-length Z-scoreFrom Baseline at Week 24
Part B: Absolute Change in LengthFrom Baseline at Week 24
Part B: Absolute Change in Length-for-age Z-scoreFrom Baseline at Week 24
Part B: Proportion of Participants With SwCl <60 millimole per liter (mmol/L)From Baseline Through Week 24

Trial Locations

Locations (34)

UPMC Children's Hospital of Pittsburgh

🇺🇸

Pittsburgh, Pennsylvania, United States

Women & Children's Hospital

🇦🇺

North Adelaide, Australia

Children's Hospital of Orange County

🇺🇸

Orange, California, United States

Inselspital - Universitaetsspital Bern

🇨🇭

Bern, Switzerland

The Emory Clinic / Children's Healthcare of Atlanta at Egleston

🇺🇸

Atlanta, Georgia, United States

Cohen Children's Medical Center

🇺🇸

New York, New York, United States

Kinderspital Zuerich

🇨🇭

Zürich, Switzerland

Great Ormond Street Hospital for Children

🇬🇧

London, United Kingdom

Kinderklinik III, Abt. fur Pneumologie

🇩🇪

Essen, Germany

Children and Young Adults Research Unit

🇬🇧

Cardiff, United Kingdom

Medizinische Hochschule Hannover

🇩🇪

Hannover, Germany

Stanford University

🇺🇸

Palo Alto, California, United States

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

🇺🇸

Saint Louis, Missouri, United States

Nationwide Children's Hospital

🇺🇸

Columbus, Ohio, United States

The Royal Children's Hospital

🇦🇺

Parkville, Australia

Erasmus Medical Center / Sophia Children's Hospital

🇳🇱

Rotterdam, Netherlands

Sahlgrenska Universitetssjukhuset

🇸🇪

Göteborg, Sweden

Telethon Kids Institute

🇦🇺

Nedlands, Australia

Queensland Children's Hospital

🇦🇺

South Brisbane, Australia

Hopital Necker, Enfants Malades

🇫🇷

Paris Cedex 15, France

Vermont Lung Center

🇺🇸

Colchester, Vermont, United States

American Family Childrens Hospital

🇺🇸

Madison, Wisconsin, United States

CHU Lyon - Hopital Femme Mere-Enfant

🇫🇷

Bron Cedex, France

Charite Paediatric Pulmonology Department

🇩🇪

Berlin, Germany

Children's Hospital of Colorado

🇺🇸

Aurora, Colorado, United States

Boston Children's Hospital

🇺🇸

Boston, Massachusetts, United States

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

🇺🇸

Cleveland, Ohio, United States

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

🇺🇸

Chicago, Illinois, United States

Children's Respiratory and Critical Care Specialists, P.A., Children's Hospitals and Clinics of Minnesota

🇺🇸

Minneapolis, Minnesota, United States

The Children's Mercy Hospital

🇺🇸

Kansas City, Missouri, United States

Riley Hospital for Children at Indiana University Health

🇺🇸

Indianapolis, Indiana, United States

Cincinnati Children's Hospital Medical Center

🇺🇸

Cincinnati, Ohio, United States

Texas Children's Hospital - Baylor College of Medicine

🇺🇸

Houston, Texas, United States

Oregon Health & Science University

🇺🇸

Portland, Oregon, United States

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