Cystic FibrosisPhase 3NCT03447262
A Study Evaluating the Long Term Safety and Efficacy of VX-659 Combination Therapy
A Phase 3 study testing VX-659/TEZ/IVA and IVA in people with Cystic Fibrosis, run by Vertex Pharmaceuticals Incorporated at 100 sites in 11 countries.
Trial summary
This study will evaluate the long-term safety and tolerability of VX-659 in triple combination (TC) with tezacaftor (TEZ) and ivacaftor (IVA) in subjects with cystic fibrosis (CF) who are homozygous or heterozygous for the F508del mutation. Read more about this study
- Who is it for?
- Ages 12 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?
- No, everyone receives an active treatment
- How many people
- 484 participants
- Where
- 100 sitesin 11 countries
- Study dates
- 13 Jul 2018to 9 Sep 2020
- Phase
- Phase 3
- 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 12 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Completed study drug treatment in a parent study; or had study drug interruption(s) in a parent study but completed study visits up to the last scheduled visit of the Treatment Period in the parent study.
Who cannot join
- History of drug intolerance in a parent study that would pose an additional risk to the subject in the opinion of the investigator.
- Current participation in an investigational drug trial (other than a parent study)
- Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
100 sites in 11 countries.
100 sites in 11 countries
United States48 sites
Albany Medical College
Albany, New York, 12208
Michigan Medicine
Ann Arbor, Michigan, 48109-5212
Children's Hospital Colorado
Aurora, Colorado, 80045
Johns Hopkins Hospital
Baltimore, Maryland, 21287
University of Alabama at Birmingham
Birmingham, Alabama, 35233
St. Luke's CF Center of Idaho
Boise, Idaho, 83712
Boston Children's Hospital
Boston, Massachusetts, 02115
CF Therapeutics Development Center of Western New York
Buffalo, New York, 14203
Clinical Research of Charlotte
Charlotte, North Carolina, 28277
Cincinnati Children's Hospital
Cincinnati, Ohio, 45229
Duke University Medical Center
Durham, North Carolina, 27710
Cook Children's Medical Center
Fort Worth, Texas, 76104
Cystic Fibrosis Center of Chicago
Glenview, Illinois, 60025
Spectrum Health Medical Group Adult Cystic Fibrosis Care Center
Grand Rapids, Michigan, 49546
Hartford Hospital
Hartford, Connecticut, 06102
Texas Children's Hospital
Houston, Texas, 77030
Indiana Clinical Research Center, IU Health University Hospital
Indianapolis, Indiana, 46202
The University of Iowa Hospitals and Clinics
Iowa City, Iowa, 52242
University of Mississippi Medical Center
Jackson, Mississippi, 39216
The Children's Mercy Hospital
Kansas City, Missouri, 64108
University of Tennessee Medical Center- Adult Cystic Fibrosis Clinic
Knoxville, Tennessee, 37920
University of Kentucky
Lexington, Kentucky, 40536
Kosair Charities Pediatric Clinical Research Unit
Louisville, Kentucky, 40202
Dartmouth Hitchcock, Manchester
Manchester, New Hampshire, 03104
Children's Foundation Research Center / Le Bonheur Children's Hospital
Memphis, Tennessee, 38103
University of Miami Miller School of Medicine
Miami, Florida, 33136
Nicklaus Children's Hospital
Miami, Florida, 33155
University of Minnesota
Minneapolis, Minnesota, 55455
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
Rutgers-Robert Wood Johnson Medical School
New Brunswick, New Jersey, 08901
Yale New Haven Medical Center
New Haven, Connecticut, 06511
Northwell Health, Long Island Jewish Medical Center
New Hyde Park, New York, 11040
Columbia University Medical Center
New York, New York, 10032
Advocate Children's Hospital - Park Ridge / North Suburban Pulmonary and Critical Care Consultants
Niles, Illinois, 60714
Santiago Reyes, M.D.
Oklahoma City, Oklahoma, 73112
Orlando Health, Inc.- Arnold Palmer Hospital for Children (APH)
Orlando, Florida, 32806
Stanford University
Palo Alto, California, 94304
Drexel University College of Medicine / Drexel Adult Cystic Fibrosis Center
Philadelphia, Pennsylvania, 19107
Children's Hospital of Pittsburgh of UPMC
Pittsburgh, Pennsylvania, 15224
Oregon Health & Science University
Portland, Oregon, 97239
University of Utah/ Primary Children's Medical Center
Salt Lake City, Utah, 84132
Seattle Children's Hospital
Seattle, Washington, 98105
Sanford Children's Specialty Clinic
Sioux Falls, South Dakota, 57105
Providence Pediatric Pulmonary & Cystic Fibrosis Clinic
Spokane, Washington, 99204
Washington University School of Medicine/ St. Louis Children's Hospital
St Louis, Missouri, 63110
Johns Hopkins All Children's Hospital Outpatient Care Center
St. Petersburg, Florida, 33701
SUNY Upstate Medical University
Syracuse, New York, 13210
UMass Memorial Medical Center
Worcester, Massachusetts, 01655
Germany9 sites
Charite Paediatric Pulmonology Department
Berlin
Universitaetsklinkum Koeln, CF-Studienzentrum
Cologne
Ruhrlandklinik Westdeutsches Lungenzentrum am Klinikum Essen
Essen
Clinic of J.W. Goethe University
Frankfurt
Medizinische Hochschule Hannover
Hanover
Mukeviszidose-Zentrum am Universitatsklinikum Jena, Klinik fuer Kinder- und Jugendmedizin
Jena
Universitatsklinikum Schleswig-Holstein, Klinik für Kinder- und Jugendmedizin
Lübeck
Klinikum Innenstadt, University of Munich
München
Pneumologische Praxis Pasing
München
United Kingdom9 sites
Papworth Hospital NHS Foundation Trust, Papworth Everard
Cambridge
Clinical Research Facility, Queen Elizabeth University Hospital
Glasgow
St. James University Hospital
Leeds
Liverpool Head and Chest Hospital
Liverpool
Royal Brompton & Harefield NHS Foundation Trust, Royal Brompton Hospital
London
Wythenshaw e Hospital
Manchester
The Newcastle upon Tyne Hospitals NHS Foundation Trust, The Royal Victoria Infirmary
Newcastle upon Tyne
Wolfson Cystic Fibrosis Unit, City Campus
Nottingham
All Wales Adult Cystic Fibrosis Centre, University Hospital Llandough
Penarth
Australia8 sites
Royal Adelaide Hospital
Adelaide
The Prince Charles Hospital
Chermside
Alfred Hospital
Melbourne
Institute for Respiratory Health, Sir Charles Gairdner Hospital
Nedlands
John Hunter Hospital & Hunter Medical Research Institute and John Hunter Children's Hospital
New Lambton
Telethon Kids Institute
Perth
Sydney Children's Hospital
Randwick
Lady Cilento Children's Hospital
South Brisbane
Ireland7 sites
Cork University Hospital
Cork
Beaumont Hospital
Dublin
Our Lady's Children's Hospital
Dublin
St. Vincent's University Hospital
Dublin
Temple Street Children's University Hospital
Dublin
University Hospital Galway
Galway
University Hospital Limerick
Limerick
Spain7 sites
Hospital Universitari Vall d Hebron
Barcelona
Hospital Universitari Vall d´Hebron Servicio de Broncoscopia
Barcelona
Hospital Universitario 12 de Octubre
Madrid
Hospital Universitario Infantil La Paz
Madrid
Parc Tauli Sabadell Hospital Universitari
Sabadell
Hospital Universitario Virgen del Rocio
Seville
Hospital Universitario y Politecnico La Fe
Valencia
Israel5 sites
Lady Davis Carmel Medical Center
Haifa
Rambam Health Care Campus, Liver Unit
Haifa
Pediatrics Hadassah Medical Center
Jerusalem
Schneider Children's Medical Center
Petah Tikva
Sheba Medical Center
Tel HaShomer
Canada3 sites
Stollery Children's Hospital
Edmonton
Queen Elizabeth II Health Sciences Center
Halifax
St. Michael's Hospital
Toronto
Switzerland2 sites
Lindenhofspital - Quartier Bleu
Bern
Kinderspital Zuerich
Zurich
Poland1 site
Klinika Mukowiscydozy IMD Oddozial Chorob Pluc Szpzoz IM. Dzieci WarszaWY
Łomianki
About this study
Official title: A Phase 3, Open-label Study Evaluating the Long Term Safety and Efficacy of VX-659 Combination Therapy in Subjects With Cystic Fibrosis Who Are Homozygous or Heterozygous for the F508del Mutation
This study will evaluate the long-term safety and tolerability of VX-659 in triple combination (TC) with tezacaftor (TEZ) and ivacaftor (IVA) in subjects with cystic fibrosis (CF) who are homozygous or heterozygous for the F508del mutation.
- Conditions
- Cystic Fibrosis
- Being tested
- VX-659/TEZ/IVA, IVA
- 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-659/TEZ/IVADrug
Also called VX-659/VX-661/VX-770, VX-659/tezacaftor/ivacaftor
Fixed-dose combination tablets for oral administration qd in the morning.
IVADrug
Also called VX-770, ivacaftor
IVA tablet qd in the evening.
| Study group | Role | What they receive |
|---|---|---|
| VX-659/TEZ/IVA TC | Experimental | Participants from parent studies VX17-659-102 (NCT03447249) or VX17-659-103 (NCT03460990) were administered VX-659 240 milligrams (mg) once daily (qd)/TEZ 100 mg qd/IVA 150 mg every 12 hours (q12h) in the TC treatment period for up to 96 weeks in the current study VX17-659-105. Receives: Drug: VX-659/TEZ/IVA; Drug: IVA |
What is being measured
The primary outcome is the main question the study is designed to answer.
Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Measured: From Day 1 up to 28 Days After Last Dose of Study Drug or to the Completion of Study Participation Date, Whichever Occurs First in the Current Study 659-105 (up to Week 100)
Secondary outcomes (16)
Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for Participants From the Parent Study 659-102
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. The analysis was planned to be reported separately for Placebo - VX-659/TEZ/IVA category (participants who received placebo in the parent study 659-102 and VX-659/TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-102 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
Measured: From Baseline at Week 72 (Study 659-105)
Absolute Change in ppFEV1 for Participants From the Parent Study 659-103
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. The analysis was planned to be reported separately for TEZ/IVA - VX-659/TEZ/IVA category (participants who received TEZ/IVA in the parent study 659-103 and VX-659-TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-103 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
Measured: From Baseline at Week 72 (Study 659-105)
Absolute Change in Sweat Chloride (SwCl) for Participants From the Parent Study 659-102
Sweat samples were collected using an approved collection device. The analysis was planned to be reported separately for Placebo - VX-659/TEZ/IVA category (participants who received placebo in the parent study 659-102 and VX-659/TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-102 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
Measured: From Baseline at Week 24 (Study 659-105)
Absolute Change in SwCl for Participants From the Parent Study 659-103
Sweat samples were collected using an approved collection device. The analysis was planned to be reported separately for TEZ/IVA - VX-659/TEZ/IVA category (participants who received TEZ/IVA in the parent study 659-103 and VX-659-TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-103 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
Measured: From Baseline at Week 24 (Study 659-105)
Number of Pulmonary Exacerbations (PEx) for Participants From the Parent Study 659-102
PEx was defined as treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for at least 4 sinopulmonary signs/symptoms. The analysis was planned to be reported separately for Placebo - VX-659/TEZ/IVA category (participants who received placebo in the parent study 659-102 and VX-659/TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in the parent study 659-102 or/and VX-659/TEZ/IVA in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline except for Placebo - VX-659/TEZ/IVA category, for which the baseline was defined as study 659-105 baseline.
Measured: From Baseline up to Week 96 (Study 659-105)
Number of PEx for Participants From the Parent Study 659-103
PEx was defined as treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for at least 4 sinopulmonary signs/symptoms. The analysis was planned to be reported for overall participants from the parent study 659-103, that is combined for TEZ/IVA - VX-659/TEZ/IVA category (participants who received TEZ/IVA in the parent study 659-103 and VX-659-TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in the parent study 659-103 or/and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline except for TEZ/IVA - VX-659/TEZ/IVA category, for which the baseline was defined as study 659-105 baseline.
Measured: From Baseline up to Week 96 (Study 659-105)
Number of Participants With at Least One PEx for Participants From the Parent Study 659-102
PEx was defined as treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for at least 4 sinopulmonary signs/symptoms. The time-to-first-PEx data were planned to be estimated using the Kaplan-Meier (KM) method. However, because way less than 50% of participants had events, median time-to-first event data were not estimable. Instead, the number of participants with at least one PEx event was assessed and reported separately for those in Placebo - VX-659/TEZ/IVA category (participants who received placebo in the parent study 659-102 and VX-659/TEZ/IVA in the current study 659-105) and the VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in the parent study 659-102 or/and VX-659/TEZ/IVA in the current study 659-105). Baseline was defined as the parent study baseline except for Placebo - VX-659/TEZ/IVA category, for which the baseline was defined as study 659-105 baseline.
Measured: From Baseline up to Week 96 (Study 659-105)
Number of Participants With at Least One PEx for Participants From the Parent Study 659-103
PEx was defined as treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for at least 4 sinopulmonary signs/symptoms. The time-to-first-PEx data were planned to be estimated using the KM method. However, because way less than 50% of participants had events, median time-to-first-event data were not estimable. Instead, the number of participants with at least one PEx event was assessed and reported for all participants from the parent study 659-103, that is combined for those in the TEZ/IVA - VX-659/TEZ/IVA category (participants who received TEZ/IVA in the parent study 659-103 and VX-659-TEZ/IVA in the current study 659-105) and the VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in the parent study 659-103 or/and in the current study 659-105). Baseline was defined as the parent study baseline except for TEZ/IVA - VX-659/TEZ/IVA category, for which the baseline was defined as study 659-105 baseline.
Measured: From Baseline up to Week 96 (Study 659-105)
Absolute Change in Body Mass Index (BMI) for Participants From the Parent Study 659-102
BMI was defined as weight in kilograms (kg) divided by squared height in meters (m^2). The analysis was planned to be reported separately for Placebo - VX-659/TEZ/IVA category (participants who received placebo in the parent study 659-102 and VX-659/TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-102 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
Measured: From Baseline at Week 72 (Study 659-105)
Absolute Change in BMI for Participants From the Parent Study 659-103
BMI was defined as weight in kg divided by squared height in meters (m^2). The analysis was planned to be reported separately for TEZ/IVA - VX-659/TEZ/IVA category (participants who received TEZ/IVA in the parent study 659-103 and VX-659-TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-103 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
Measured: From Baseline at Week 72 (Study 659-105)
Absolute Change in BMI Z-score for Participants From the Parent Study 659-102 (Participants <=20 Years Old at Parent Study Baseline)
BMI was defined as weight in kg divided by squared height in meters (m^2). The z-score is a statistical measure to describe whether a value was above or below the standard. A z-score of 0 is equal to the standard. Lower numbers indicate values lower than the standard and higher numbers indicate values higher than the standard. The analysis was planned to be reported separately for Placebo - VX-659/TEZ/IVA category (participants who received placebo in the parent study 659-102 and VX-659/TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-102 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
Measured: From Baseline at Week 60 (Study 659-105)
Absolute Change in BMI Z-score for Participants From The Parent Study 659-103 (Participants <=20 Years Old at Parent Study Baseline)
BMI was defined as weight in kg divided by squared height in meters (m^2). The z-score is a statistical measure to describe whether a value was above or below the standard. A z-score of 0 is equal to the standard. Lower numbers indicate values lower than the standard and higher numbers indicate values higher than the standard. The analysis was planned to be reported separately for TEZ/IVA - VX-659/TEZ/IVA category (participants who received TEZ/IVA in the parent study 659-103 and VX-659-TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-103 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
Measured: From Baseline at Week 60 (Study 659-105)
Absolute Change in Body Weight for Participants From the Parent Study 659-102
The analysis was planned to be reported separately for Placebo - VX-659/TEZ/IVA category (participants who received placebo in the parent study 659-102 and VX-659/TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-102 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
Measured: From Baseline at Week 72 (Study 659-105)
Absolute Change in Body Weight for Participants From the Parent Study 659-103
The analysis was planned to be reported separately for TEZ/IVA - VX-659/TEZ/IVA category (participants who received TEZ/IVA in the parent study 659-103 and VX-659-TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-103 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
Measured: From Baseline at Week 72 (Study 659-105)
Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score for Participants From the Parent Study 659-102
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. The analysis was planned to be reported separately for Placebo - VX-659/TEZ/IVA category (participants who received placebo in the parent study 659-102 and VX-659/TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-102 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
Measured: From Baseline at Week 72 (Study 659-105)
Absolute Change in CFQ-R Respiratory Domain Score for Participants From the Parent Study 659-103
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. The analysis was planned to be reported separately for TEZ/IVA - VX-659/TEZ/IVA category (participants who received TEZ/IVA in the parent study 659-103 and VX-659-TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-103 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
Measured: From Baseline at Week 72 (Study 659-105)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Feb 2018
- Study start13 Jul 2018
- Primary completion9 Sep 2020
- Study completion9 Sep 2020
Why it stopped: At Sponsor's Discretion
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Cystic FibrosisStudies of the same condition, open and under way.
- More trials run by Vertex Pharmaceuticals IncorporatedThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 484 participants (actual)
Sponsor and investigators
- Lead sponsor
- Vertex Pharmaceuticals Incorporated
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03447262
- Sponsor's protocol ID
- VX17-659-105
- Other IDs
- 2017-004134-29, 2017
- Status last verified
- Dec 2021
- First submitted
- 21 Feb 2018
- Last updated
- 25 Jan 2022
- Results posted
- Yes, on ClinicalTrials.gov
- 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 37983082Southern 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
Study at a glance
From the registry record, last updated by the sponsor on 25 Jan 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Open-label Study Evaluating the Long Term Safety and Efficacy of VX-659 Combination Therapy in Subjects With Cystic Fibrosis Who Are Homozygous or Heterozygous for the F508del Mutation
- ClinicalTrials.gov ID
- NCT03447262
- Acronym / sponsor ID
- VX17-659-105
- Conditions
- Cystic Fibrosis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: At Sponsor's Discretion
- Enrolment
- 484 participants (actual)
- Lead sponsor
- Vertex Pharmaceuticals IncorporatedIndustry (pharma, biotech, devices)
- Study start
- 13 Jul 2018 (actual)
- Primary completion
- 9 Sep 2020 (actual)
- Study completion
- 9 Sep 2020 (actual)
- First posted
- 27 Feb 2018 (actual)
- Results
- Posted 25 Jan 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate the long-term safety and tolerability of VX-659 in triple combination (TC) with tezacaftor (TEZ) and ivacaftor (IVA) in subjects with cystic fibrosis (CF) who are homozygous or heterozygous for the F508del mutation.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| VX-659/TEZ/IVA TC | Experimental | Drug: VX-659/TEZ/IVA, Drug: IVAParticipants from parent studies VX17-659-102 (NCT03447249) or VX17-659-103 (NCT03460990) were administered VX-659 240 milligrams (mg) once daily (qd)/TEZ 100 mg qd/IVA 150 mg every 12 hours (q12h) in the TC treatment period for up to 96 weeks in the current study VX17-659-105. |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (1 listed)
- Completed study drug treatment in a parent study; or had study drug interruption(s) in a parent study but completed study visits up to the last scheduled visit of the Treatment Period in the parent study.
Key exclusion criteria (3 listed)
- History of drug intolerance in a parent study that would pose an additional risk to the subject in the opinion of the investigator.
- Current participation in an investigational drug trial (other than a parent study)
- Other protocol defined Inclusion/Exclusion criteria may apply.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| VX-659/TEZ/IVAAlso: VX-659/VX-661/VX-770, VX-659/tezacaftor/ivacaftorFixed-dose combination tablets for oral administration qd in the morning. | Drug | VX-659/TEZ/IVA TC |
| IVAAlso: VX-770, ivacaftorIVA tablet qd in the evening. | Drug | VX-659/TEZ/IVA TC |
Primary outcome
Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: From Day 1 up to 28 Days After Last Dose of Study Drug or to the Completion of Study Participation Date, Whichever Occurs First in the Current Study 659-105 (up to Week 100)
16 secondary outcomes
Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for Participants From the Parent Study 659-102
Time frame: From Baseline at Week 72 (Study 659-105)
Absolute Change in ppFEV1 for Participants From the Parent Study 659-103
Time frame: From Baseline at Week 72 (Study 659-105)
Absolute Change in Sweat Chloride (SwCl) for Participants From the Parent Study 659-102
Time frame: From Baseline at Week 24 (Study 659-105)
Absolute Change in SwCl for Participants From the Parent Study 659-103
Time frame: From Baseline at Week 24 (Study 659-105)
Number of Pulmonary Exacerbations (PEx) for Participants From the Parent Study 659-102
Time frame: From Baseline up to Week 96 (Study 659-105)
Number of PEx for Participants From the Parent Study 659-103
Time frame: From Baseline up to Week 96 (Study 659-105)
Number of Participants With at Least One PEx for Participants From the Parent Study 659-102
Time frame: From Baseline up to Week 96 (Study 659-105)
Number of Participants With at Least One PEx for Participants From the Parent Study 659-103
Time frame: From Baseline up to Week 96 (Study 659-105)
Absolute Change in Body Mass Index (BMI) for Participants From the Parent Study 659-102
Time frame: From Baseline at Week 72 (Study 659-105)
Absolute Change in BMI for Participants From the Parent Study 659-103
Time frame: From Baseline at Week 72 (Study 659-105)
Absolute Change in BMI Z-score for Participants From the Parent Study 659-102 (Participants <=20 Years Old at Parent Study Baseline)
Time frame: From Baseline at Week 60 (Study 659-105)
Absolute Change in BMI Z-score for Participants From The Parent Study 659-103 (Participants <=20 Years Old at Parent Study Baseline)
Time frame: From Baseline at Week 60 (Study 659-105)
Absolute Change in Body Weight for Participants From the Parent Study 659-102
Time frame: From Baseline at Week 72 (Study 659-105)
Absolute Change in Body Weight for Participants From the Parent Study 659-103
Time frame: From Baseline at Week 72 (Study 659-105)
Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score for Participants From the Parent Study 659-102
Time frame: From Baseline at Week 72 (Study 659-105)
Absolute Change in CFQ-R Respiratory Domain Score for Participants From the Parent Study 659-103
Time frame: From Baseline at Week 72 (Study 659-105)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Jan 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 37983082Heneghan 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.
- Derived from this study: PubMed 33331662Southern 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.
Related trials for Cystic Fibrosis
RecruitingObservational study
Natural History of Noncirrhotic Portal Hypertension
Cystic Fibrosis, Immunologic Deficiency Syndrome
RecruitingObservational study
Role of Genetic Factors in the Development of Lung Disease
Cystic Fibrosis, Pulmonary Fibrosis
RecruitingPhase 3
Compare Oral Itraconazole and Standard Care Versus Standard Care Alone in Patients With Non-cystic Fibrosis Related Bronchiectasis With Chronic Aspergillus Infection in Reducing Bronchiectasis Exacerbations
Bronchiectasis, Bronchiectasis Adult
Not yet recruitingObservational study
Type 2 Inflammation in Adults With Cystic Fibrosis
Cystic Fibrosis (CF), Type 2 Inflammatory Disorders
Active, not recruitingObservational study
Feasibility and Acceptance of SonoHeal for Airway Clearance and Preliminary Comparison With the Standard of Care
Cystic Fibrosis (CF), Non Cystic Fibrosis Bronchiectasis
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
100 sites in 11 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing VX-659/TEZ/IVA and IVA in people with Cystic Fibrosis, run by Vertex Pharmaceuticals Incorporated at 100 sites in 11 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 1 inclusion and 3 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: stopped early, as of the sponsor's last update on 25 Jan 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 100 sites in United States, Germany, United Kingdom, Australia, Ireland and 6 more countries. 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 25 Jan 2022). 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 (AEs) and Serious Adverse Events (SAEs) (time frame: From Day 1 up to 28 Days After Last Dose of Study Drug or to the Completion of Study Participation Date, Whichever Occurs First in the Current Study 659-105 (up to Week 100)). 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 NCT03447262, which also lists 2 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 25 Jan 2022.