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Phase 3 Completed N=258 Randomized Quadruple-blind Treatment

A Phase 3 Study of VX-445 Combination Therapy in Cystic Fibrosis (CF) Subjects Heterozygous for F508del and a Gating or Residual Function Mutation (F/G and F/RF Genotypes)

Source: ClinicalTrials.gov NCT04058353 ↗
Enrolled (actual)
258
Serious AEs
6.2%
Results posted
Jul 2021
Primary outcomePrimary: Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for ELX/TEZ/IVA Group — 3.7 percentage points
◆ Published Evidence
Highly cited
274citations · ~55 / year
Triple Therapy for Cystic Fibrosis <i>Phe508del</i>-Gating and -Residual Function Genotypes.
The New England journal of medicine · 2021 · Open access · Likely link

Summary

This study will evaluate the efficacy, safety and pharmacodynamics of elexacaftor (ELX, VX-445) in triple combination (TC) with tezacaftor (TEZ) and ivacaftor (IVA) in subjects with cystic fibrosis (CF) who are heterozygous for F508del and a gating or residual function mutation (F/G and F/RF genotypes).

Linked Publications

  • Triple Therapy for Cystic Fibrosis <i>Phe508del</i>-Gating and -Residual Function Genotypes.
    The New England journal of medicine · 2021 · 274 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for ELX/TEZ/IVA Group
3.7
SECONDARY
Absolute Change in Sweat Chloride (SwCl) for ELX/TEZ/IVA Group
-22.3
SECONDARY
Absolute Change in ppFEV1 for the ELX/TEZ/IVA Group Compared to the Control Group
0.2; 3.7 <0.0001 sig
SECONDARY
Absolute Change in SwCl for ELX/TEZ/IVA Group Compared to the Control Group
0.7; -22.3 <0.0001 sig
SECONDARY
Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score for ELX/TEZ/IVA Group
10.3
SECONDARY
Absolute Change in CFQ-R Respiratory Domain Score for ELX/TEZ/IVA Group Compared to the Control Group
1.6; 10.3 <0.0001 sig
SECONDARY
Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
83; 88; 11; 5

Eligibility Criteria

Key Inclusion Criteria

  • Subject has a confirmed diagnosis of CF and is heterozygous for F508del and either a gating or residual function mutation (F/G and F/RF genotypes)
  • Forced expiratory volume in 1 second (FEV1) value ≥40% and ≤90% of predicted mean for age, sex, and height

Key Exclusion Criteria

  • Clinically significant cirrhosis with or without portal hypertension
  • Lung infection with organisms associated with a more rapid decline in pulmonary status
  • Solid organ or hematological transplantation

Other protocol defined Inclusion/Exclusion criteria may apply

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04058353) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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