A Study to Evaluate the Safety and Efficacy of VX-121 Combination Therapy in Subjects With Cystic Fibrosis
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ClinicalTrials.gov Identifier: NCT03912233 |
Recruitment Status :
Completed
First Posted : April 11, 2019
Results First Posted : April 20, 2023
Last Update Posted : April 20, 2023
|
Sponsor:
Vertex Pharmaceuticals Incorporated
Information provided by (Responsible Party):
Vertex Pharmaceuticals Incorporated
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Sequential Assignment; Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor); Primary Purpose: Treatment |
Condition |
Cystic Fibrosis |
Interventions |
Drug: VX-121 Drug: TEZ Drug: VX-561 Drug: TEZ/IVA Drug: IVA Drug: Placebo |
Enrollment | 87 |
Participant Flow
Recruitment Details | Three parts were planned for this study, only Parts 1 (participants heterozygous for F508del and a minimal function mutation [F/MF genotypes]) and 2 (participants homozygous for F508del [F/F genotypes]) were conducted. Part 3 was optional and not conducted at sponsor's discretion. |
Pre-assignment Details | A total of 87 participants were enrolled in this study (58 participants in Part 1 and 29 participants in Part 2 run-in Period), 1 participant in Part 2 run-in period discontinued from the study and was not randomized in the treatment period. Therefore, results are presented for 86 participants in this study. |
Arm/Group Title | Part 1: Placebo | Part 1: VX-121/TEZ/VX-561 TC - Low Dose | Part 1: VX-121/TEZ/VX-561 TC - Medium Dose | Part 1: VX-121/TEZ/VX-561 TC - High Dose | Part 2: TEZ/IVA | Part 2: VX-121/TEZ/VX-561 TC - High Dose |
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Arm/Group Description | Participants received placebo matched to VX-121/tezacaftor (TEZ)/VX-561 triple combination (TC) for 4 weeks in the treatment period and placebo matched to TEZ/VX-561 for 18 days in the washout period. | Participants received VX-121 5 milligram (mg) once daily (qd)/TEZ 100 mg qd/VX-561 150 mg qd TC for 4 weeks in the treatment period and TEZ 100 mg qd/VX-561 150 mg qd for 18 days in the washout period. | Participants received VX-121 10 mg qd/TEZ 100 mg qd/VX-561 150 mg qd TC for 4 weeks in the treatment period and TEZ 100 mg qd/VX-561 150 mg qd for 18 days in the washout period. | Participants received VX-121 20 mg qd/TEZ 100 mg qd/VX-561 150 mg qd TC for 4 weeks in the treatment period and TEZ 100 mg qd/VX-561 150 mg qd for 18 days in the washout period. | Following run-in period with TEZ 100 mg qd/ivacaftor (IVA)150 mg every 12 hours (q12h) for 4 weeks, participants received TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks in the treatment period and TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks in the washout period. | Following run-in period with TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks, participants received VX-121 20 mg qd/TEZ 100 mg qd/VX-561 150 mg qd TC for 4 weeks in the treatment period and TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks in the washout period. |
Period Title: Overall Study | ||||||
Started | 10 | 9 | 19 | 20 | 10 | 18 |
Completed | 8 | 9 | 19 | 20 | 3 | 6 |
Not Completed | 2 | 0 | 0 | 0 | 7 | 12 |
Reason Not Completed | ||||||
Adverse Event | 1 | 0 | 0 | 0 | 0 | 0 |
Physician Decision | 1 | 0 | 0 | 0 | 0 | 0 |
Other | 0 | 0 | 0 | 0 | 7 | 12 |
Baseline Characteristics
Arm/Group Title | Part 1: Placebo | Part 1: VX-121/TEZ/VX-561 TC - Low Dose | Part 1: VX-121/TEZ/VX-561 TC - Medium Dose | Part 1: VX-121/TEZ/VX-561 TC - High Dose | Part 2: TEZ/IVA | Part 2: VX-121/TEZ/VX-561 TC - High Dose | Total | |
---|---|---|---|---|---|---|---|---|
Arm/Group Description | Participants received placebo matched to VX-121/TEZ/VX-561 TC for 4 weeks in the treatment period and placebo matched to TEZ/VX-561 for 18 days in the washout period. | Participants received VX-121 5 mg qd/TEZ 100 mg qd/VX-561 150 mg qd TC for 4 weeks in the treatment period and TEZ 100 mg qd/VX-561 150 mg qd for 18 days in the washout period. | Participants received VX-121 10 mg qd/TEZ 100 mg qd/VX-561 150 mg qd TC for 4 weeks in the treatment period and TEZ 100 mg qd/VX-561 150 mg qd for 18 days in the washout period. | Participants received VX-121 20 mg qd/TEZ 100 mg qd/VX-561 150 mg qd TC for 4 weeks in the treatment period and TEZ 100 mg qd/VX-561 150 mg qd for 18 days in the washout period. | Following run-in period with TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks, participants received TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks in the treatment period and TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks in the washout period. | Following run-in period with TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks, participants received VX-121 20 mg qd/TEZ 100 mg qd/VX-561 150 mg qd TC for 4 weeks in the treatment period and TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks in the washout period. | Total of all reporting groups | |
Overall Number of Baseline Participants | 10 | 9 | 19 | 20 | 10 | 18 | 86 | |
Baseline Analysis Population Description |
[Not Specified]
|
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Age, Categorical
Measure Type: Count of Participants Unit of measure: Participants |
||||||||
Number Analyzed | 10 participants | 9 participants | 19 participants | 20 participants | 10 participants | 18 participants | 86 participants | |
<=18 years |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Between 18 and 65 years |
10 100.0%
|
9 100.0%
|
19 100.0%
|
20 100.0%
|
10 100.0%
|
18 100.0%
|
86 100.0%
|
|
>=65 years |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
||||||||
Number Analyzed | 10 participants | 9 participants | 19 participants | 20 participants | 10 participants | 18 participants | 86 participants | |
Female |
2 20.0%
|
4 44.4%
|
3 15.8%
|
9 45.0%
|
2 20.0%
|
7 38.9%
|
27 31.4%
|
|
Male |
8 80.0%
|
5 55.6%
|
16 84.2%
|
11 55.0%
|
8 80.0%
|
11 61.1%
|
59 68.6%
|
|
Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
||||||||
Number Analyzed | 10 participants | 9 participants | 19 participants | 20 participants | 10 participants | 18 participants | 86 participants | |
Hispanic or Latino |
0 0.0%
|
0 0.0%
|
0 0.0%
|
2 10.0%
|
1 10.0%
|
0 0.0%
|
3 3.5%
|
|
Not Hispanic or Latino |
10 100.0%
|
8 88.9%
|
19 100.0%
|
17 85.0%
|
8 80.0%
|
18 100.0%
|
80 93.0%
|
|
Unknown or Not Reported |
0 0.0%
|
1 11.1%
|
0 0.0%
|
1 5.0%
|
1 10.0%
|
0 0.0%
|
3 3.5%
|
|
Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
||||||||
Number Analyzed | 10 participants | 9 participants | 19 participants | 20 participants | 10 participants | 18 participants | 86 participants | |
American Indian or Alaska Native |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Asian |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Native Hawaiian or Other Pacific Islander |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Black or African American |
0 0.0%
|
0 0.0%
|
1 5.3%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 1.2%
|
|
White |
9 90.0%
|
8 88.9%
|
18 94.7%
|
17 85.0%
|
9 90.0%
|
18 100.0%
|
79 91.9%
|
|
More than one race |
1 10.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 1.2%
|
|
Unknown or Not Reported |
0 0.0%
|
1 11.1%
|
0 0.0%
|
3 15.0%
|
1 10.0%
|
0 0.0%
|
5 5.8%
|
|
Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
[1] Measure Type: Count of Participants Unit of measure: Participants |
||||||||
Number Analyzed | 10 participants | 9 participants | 19 participants | 20 participants | 10 participants | 18 participants | 86 participants | |
<40 percent |
1 10.0%
|
1 11.1%
|
1 5.3%
|
0 0.0%
|
1 10.0%
|
2 11.1%
|
6 7.0%
|
|
>=40 to <70 percent |
9 90.0%
|
6 66.7%
|
14 73.7%
|
17 85.0%
|
6 60.0%
|
11 61.1%
|
63 73.3%
|
|
>=70 to <=90 percent |
0 0.0%
|
2 22.2%
|
4 21.1%
|
3 15.0%
|
3 30.0%
|
5 27.8%
|
17 19.8%
|
|
[1]
Measure Description: FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
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Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Results Point of Contact
Name/Title: | Medical Monitor |
Organization: | Vertex Pharmaceuticals Incorporated |
Phone: | 617-341-6777 |
EMail: | medicalinfo@vrtx.com |
Responsible Party: | Vertex Pharmaceuticals Incorporated |
ClinicalTrials.gov Identifier: | NCT03912233 |
Other Study ID Numbers: |
VX18-121-101 |
First Submitted: | April 10, 2019 |
First Posted: | April 11, 2019 |
Results First Submitted: | October 13, 2021 |
Results First Posted: | April 20, 2023 |
Last Update Posted: | April 20, 2023 |