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Cystic FibrosisPhase 2NCT03224351

A Study Evaluating the Safety and Efficacy of VX-659 Combination Therapy in Subjects With Cystic Fibrosis

A Phase 2 study testing VX-659, TEZ/IVA and IVA in people with Cystic Fibrosis, run by Vertex Pharmaceuticals Incorporated at 47 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a Phase 2, randomized, double-blind, placebo- and tezacaftor/ivacaftor (TEZ/IVA)-controlled, parallel-group, 3-part, multicenter study designed to evaluate the safety and efficacy of VX-659 in triple combination (TC) with TEZ and IVA in subjects with cystic fibrosis (CF) who are homozygous for the F508del… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cystic Fibrosis
What is being tested?
VX-659, TEZ/IVA and IVA
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
124 participants
Where
47 sitesin 4 countries
Study dates
8 Aug 2017to 28 Feb 2018
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Body weight ≥35 kg.
  • Subjects must have an eligibleCFTR genotype.
  • Part 1 and Part 3: Heterozygous for F508del and an MF mutation (F/MF)
  • Part 2: Homozygous for F508del (F/F)
  • FEV1 value ≥40% and ≤90% of predicted mean for age, sex, and height

Who cannot join

  • History of clinically significant cirrhosis with or without portal hypertension.
  • Glucose-6-phosphate dehydrogenase (G6PD) deficiency
  • Lung infection with organisms associated with a more rapid decline in pulmonary status.
  • History of solid organ or hematological transplantation.
  • Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

47 sites in 4 countries.

47 sites in 4 countries

United States25 sites
  • Albany Medical College

    Albany, New York, 12208

  • University of Michigan Health System

    Ann Arbor, Michigan, 48109

  • The Johns Hopkins Hospital/ Johns Hopkins Hospital, David Rubenstein Child Health Building

    Baltimore, Maryland, 21287

  • Boston Children's Hospital

    Boston, Massachusetts, 02155

  • Helen DeVos Children's Hospital CF Center

    Grand Rapids, Michigan, 49503

  • Indiana University Health

    Indianapolis, Indiana, 46202

  • The University of Iowa Hospitals and Clinics

    Iowa City, Iowa, 52242

  • Children's Mercy Hospital

    Kansas City, Missouri, 64108

  • University of Tennessee Medical Center-Adult Cystic Fibrosis Clinic

    Knoxville, Tennessee, 37920

  • Children's Foundation Research Center / Le Bonheur Children's Hospital

    Memphis, Tennessee, 38103

  • University of Miami/Miller School of Medicine

    Miami, Florida, 33136

  • Advocate Children's Hospital - Park Ridge / North Suburban Pulmonary and Critical Care Consultants

    Morton Grove, Illinois, 60053

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232

  • Rutgers-Robert Wood Johnson Medical School/ Rutgers-Robert Wood Johnson Medical School, Clinical Research Center

    New Brunswick, New Jersey, 08902

  • Yale New Haven Hospital

    New Haven, Connecticut, 06520

  • Northwell Health, Long Island Jewish Medical Center

    New Hyde Park, New York, 11040

  • Columbia University Medical Center

    New York, New York, 10032

  • Respiratory Diseases of Children & Adolescents

    Oklahoma City, Oklahoma, 73112

  • Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15224

  • University of Utah / Primary Children's Medical Center

    Salt Lake City, Utah, 84014

  • Seattle Children's Hospital

    Seattle, Washington, 98105

  • Sanford Research / USD

    Sioux Falls, South Dakota, 57104

  • Providence Pediatric Pulmonary & Allergy/Immunology Clinic

    Spokane, Washington, 99204

  • SUNY Upstate Medical University

    Syracuse, New York, 13210

  • University of Massachusetts Memorial Medical Center

    Worcester, Massachusetts, 01655

Other trials in United States

United Kingdom13 sites
  • Birmingham Heartlands Hospital

    Birmingham, B95SS

  • Papworth Hospital NHS Foundation Trust, Papworth Everard

    Cambridge

  • University Hospital Llandough in Cardiff

    Cardiff

  • Royal Devon and Exeter NHS Foundation Trust, Royal Devon and Exeter Hospital

    Devon

  • The Newcastle upon Tyne Hospitals NHS Foundation Trust, The Royal Victoria Infirmary

    Fulham

  • Greater Glasgow and Clyde NHS Board, Glasgow Clinical Research Facility

    Glasgow

  • Southampton University Hospitals NHS Foundation Trust

    Hampshire

  • Regional Respiratory Centre Belfast City Hospital

    London

  • Royal Brompton & Harefied NHS Foundation Trust

    London

  • University Hospital of South Manchester NHS Trust, North West Lung Centre

    Manchester

  • Liverpool Heart and Chest Hospital

    Merseyside

  • Nottingham University Hospitals NHS Trust

    Nottingham

  • Ruth Children's Hospital Rambam Health Care Campus

    Nottingham

Other trials in United Kingdom

Israel5 sites
  • Carmel Medical Center

    Haifa

  • Ruth Children's Hospital Rambam Health Care Campus

    Haifa

  • Hadassah Medical Organization

    Jerusalem

  • The Chaim Sheba medical center

    Ramat Gan

  • Schneider Children's Medical Center

    Tikvah

Other trials in Israel

Ireland4 sites
  • Cork University Hospital

    Cork

  • St. Vincent's University Hosptial

    Dublin

  • Galway University Hospitals

    Galway

  • University Hospital Limerick

    Limerick

Other trials in Ireland

About this study

Official title: A Phase 2, Randomized, Double-blind, Controlled Study to Evaluate the Safety and Efficacy of VX-659 Combination Therapy in Subjects Aged 18 Years and Older With Cystic Fibrosis

This is a Phase 2, randomized, double-blind, placebo- and tezacaftor/ivacaftor (TEZ/IVA)-controlled, parallel-group, 3-part, multicenter study designed to evaluate the safety and efficacy of VX-659 in triple combination (TC) with TEZ and IVA in subjects with cystic fibrosis (CF) who are homozygous for the F508del mutation of the CF transmembrane conductance regulator (CFTR) gene (F/F genotype), or who are heterozygous for the F508del mutation and a minimal function (MF) CFTR mutation not likely to respond to TEZ, IVA, or TEZ/IVA (F/MF genotypes).

Conditions
Cystic Fibrosis
Being tested
VX-659, TEZ/IVA, IVA, Placebo (matched to VX-659/TEZ/IVA), TEZ
Medical subject headings
Cystic Fibrosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • VX-659Drug

    Tablet for oral administration.

  • TEZ/IVADrug

    Also called VX-661/VX-770, Tezacaftor/Ivacaftor

    TEZ/IVA fixed-dose combination tablet for oral administration.

  • IVADrug

    Also called VX-770, Ivacaftor

    Tablet for oral administration.

  • Placebo (matched to VX-659/TEZ/IVA)Drug

    Placebo matched to VX-659 and TEZ/IVA.

  • TEZDrug

    Also called VX-661, Tezacaftor

    Tablet for oral administration.

  • VX-561Drug

    Also called CTP-656

    Tablet for oral administration.

  • Placebo (matched to VX-659/TEZ/VX-561)Drug

    Placebo matched to VX-659, TEZ and VX-561.

Study groups in NCT03224351
Study groupRoleWhat they receive
Part 1: PlaceboPlacebo comparatorParticipants received placebo matched to VX-659/TEZ/IVA in TC treatment period for 4 weeks and placebo matched TEZ/IVA in washout period for 4 days.
Receives: Drug: Placebo (matched to VX-659/TEZ/IVA)
Part 1: VX-659/TEZ/IVA TC - Low DoseExperimentalParticipants received VX-659 80 milligram (mg) once daily (qd)/TEZ 100 mg qd/IVA 150 mg every 12 hours (q12h) in TC treatment period for 4 weeks and TEZ 100 mg qd/IVA 150 mg q12h in washout period for 4 days.
Receives: Drug: VX-659; Drug: TEZ/IVA; Drug: IVA
Part 1: VX-659/TEZ/IVA TC - Medium DoseExperimentalParticipants received VX-659 240 mg qd/TEZ 100 mg qd/IVA 150 mg q12h in TC treatment period for 4 weeks and TEZ 100 mg qd/IVA 150 mg q12h in washout period for 4 days.
Receives: Drug: VX-659; Drug: TEZ/IVA; Drug: IVA
Part 1: VX-659/TEZ/IVA TC - High DoseExperimentalParticipants received VX-659 400 mg qd/TEZ 100 mg qd/IVA 150 mg q12h in TC treatment period for 4 weeks and TEZ 100 mg qd/IVA 150 mg q12h in washout period for 4 days.
Receives: Drug: VX-659; Drug: TEZ/IVA; Drug: IVA
Part 2: TEZ/IVAActive comparatorFollowing 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 in TC treatment period for 4 weeks and TEZ 100 mg qd/IVA 150 mg q12h in washout period for 4 weeks.
Receives: Drug: TEZ/IVA; Drug: IVA
Part 2: VX-659/TEZ/IVA TCExperimentalFollowing run-in period with TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks, participants received VX-659 400 mg qd/TEZ 100 mg qd/IVA 150 mg q12h in TC treatment period for 4 weeks and TEZ 100 mg qd/IVA 150 mg q12h in washout period for 4 weeks.
Receives: Drug: VX-659; Drug: TEZ/IVA; Drug: IVA
Part 3: PlaceboPlacebo comparatorParticipants received placebo matched to VX-659/TEZ/VX-561 in TC treatment period for 4 weeks.
Receives: Drug: Placebo (matched to VX-659/TEZ/VX-561)
Part 3: VX-659/TEZ/VX-561 TCExperimentalParticipants received VX-659 400 mg qd/TEZ 100 mg qd/VX-561 200 mg qd in TC treatment period for 4 weeks.
Receives: Drug: VX-659; Drug: TEZ; Drug: VX-561

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    Measured: Day 1 Through Safety Follow-up (up to Day 61 for Part 1, Day 85 for Part 2 and Day 57 for Part 3)

  2. Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)

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

    Measured: From Baseline Through Day 29

Secondary outcomes (4)
  1. Absolute Change in Sweat Chloride Concentrations

    Sweat samples were collected using an approved collection device.

    Measured: From Baseline Through Day 29

  2. Relative Change in ppFEV1

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

    Measured: From Baseline Through Day 29

  3. Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score

    The CFQ-R is a validated participant-reported outcome measuring health-related quality of life for participants with cystic fibrosis. Respiratory domain assessed respiratory symptoms, score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life.

    Measured: From Baseline at Day 29

  4. Observed Pre-dose Concentration (Ctrough) of VX-659, TEZ, M1-TEZ, IVA, M1-IVA, and VX-561

    Measured: Pre-dose at Day 15 and Day 29

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Jul 2017
  2. Study start8 Aug 2017
  3. Primary completion28 Feb 2018
  4. Study completion28 Feb 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
124 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03224351
Sponsor's protocol ID
VX16-659-101
Other IDs
2016-003585-11, 2016
Status last verified
Feb 2021
First submitted
18 Jul 2017
Last updated
22 Apr 2021
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Heneghan M, Southern KW, Murphy J, Sinha IP, Nevitt SJ. Corrector therapies (with or without potentiators) for people with cystic fibrosis with class II CFTR gene variants (most commonly F508del). Cochrane Database Syst Rev. 2023 Nov 20;11(11):CD010966. doi: 10.1002/14651858.CD010966.pub4.

    PubMed 37983082
  • Southern KW, Murphy J, Sinha IP, Nevitt SJ. Corrector therapies (with or without potentiators) for people with cystic fibrosis with class II CFTR gene variants (most commonly F508del). Cochrane Database Syst Rev. 2020 Dec 17;12(12):CD010966. doi: 10.1002/14651858.CD010966.pub3.

    PubMed 33331662
  • Davies JC, Moskowitz SM, Brown C, Horsley A, Mall MA, McKone EF, Plant BJ, Prais D, Ramsey BW, Taylor-Cousar JL, Tullis E, Uluer A, McKee CM, Robertson S, Shilling RA, Simard C, Van Goor F, Waltz D, Xuan F, Young T, Rowe SM; VX16-659-101 Study Group. VX-659-Tezacaftor-Ivacaftor in Patients with Cystic Fibrosis and One or Two Phe508del Alleles. N Engl J Med. 2018 Oct 25;379(17):1599-1611. doi: 10.1056/NEJMoa1807119. Epub 2018 Oct 18.

    PubMed 30334693

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing VX-659, TEZ/IVA and IVA in people with Cystic Fibrosis, run by Vertex Pharmaceuticals Incorporated at 47 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Apr 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 47 sites in United States, United Kingdom, Israel, Ireland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Apr 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) (time frame: Day 1 Through Safety Follow-up (up to Day 61 for Part 1, Day 85 for Part 2 and Day 57 for Part 3)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03224351, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Apr 2021; AzTrials last refreshed its copy on 6 Nov 2026.

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