Cystic FibrosisPhase 3NCT05076149
A Study of VX-121 Combination Therapy in Participants With Cystic Fibrosis (CF) Who Are Homozygous for F508del, Heterozygous for F508del and a Gating (F/G) or Residual Function (F/RF) Mutation, or Have At Least 1 Other Triple Combination Responsive (TCR) CFTR Mutation and No F508del Mutation
A Phase 3 study testing VX-121/TEZ/D-IVA, ELX/TEZ/IVA and IVA in people with Cystic Fibrosis, run by Vertex Pharmaceuticals Incorporated at 170 sites in 20 countries.
Trial summary
The purpose of this study is to evaluate the efficacy and safety of VX-121/tezacaftor/deutivacaftor (VX-121/TEZ/D-IVA) in CF participants who are homozygous for F508del, heterozygous for F508del and a gating (F/G) or residual function (F/RF) mutation, or have at least 1 other TCR CF transmembrane conductance regulator… 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-121/TEZ/D-IVA, ELX/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
- 597 participants
- Where
- 170 sitesin 20 countries
- Study dates
- 27 Oct 2021to 30 Nov 2023
- 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
- Participant has one of the following genotypes:
- Homozygous for F508del;
- Heterozygous for F508del and a gating (F/G) mutation;
- Heterozygous for F508del and a residual function (F/RF) mutation;
- At least 1 other TCR CFTR gene mutation identified as responsive to ELX/TEZ/IVA and no F508del mutation
- Forced expiratory volume in 1 second (FEV1) value >=40% and <=90% of predicted mean for age, sex, and height for participants currently receiving CFTR protein modulator therapy; FEV1 >=40% and <=80% for participants not currently receiving CFTR protein modulator therapy
Who cannot join
- History of solid organ or hematological transplantation
- 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
- Pregnant or breast-feeding females
- Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
170 sites in 20 countries.
170 sites in 20 countries
United States62 sites
Akron Children's Hospital
Akron, Ohio, 44308
Michigan Medicine
Ann Arbor, Michigan, 48109-5212
The Emory Clinic at Chantilly
Atlanta, Georgia, 30324
Children's Hospital of Colorado
Aurora, Colorado, 80045
Billings Clinic
Billings, Montana, 59101
University of Alabama at Birmingham
Birmingham, Alabama, 35233
St. Luke's Cystic Fibrosis Center of Idaho
Boise, Idaho, 83702
Massachusetts General Hospital Cystic Fibrosis Center Clinical Rsearch Center
Boston, Massachusetts, 02114
Boston Children's Hospital
Boston, Massachusetts, 02115
CF Therapeutics Development Center of Western New York
Buffalo, New York, 14203
University of Virginia Health System
Charlottesville, Virginia, 22908
Ann & Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, 60611
Northwestern Memorial Hospital
Chicago, Illinois, 60611
Vermont Lung Center
Colchester, Vermont, 05446
Prisma Health Richland Campus
Columbia, South Carolina, 29203
Nationwide Children's Hospital
Columbus, Ohio, 43205
The University of Texas Southwestern Medical Center
Dallas, Texas, 75390-8558
Dayton Children's Hospital
Dayton, Ohio, 45404
National Jewish Health
Denver, Colorado, 80206
Harper University Hospital
Detroit, Michigan, 48201
Cook Children's Health Care System
Fort Worth, Texas, 76104
Spectrum Health Medical Group Adult Cystic Fibrosis Care Center
Grand Rapids, Michigan, 49546
Indiana University
Indianapolis, Indiana, 46202
Riley Hospital for Children at Indiana University Health
Indianapolis, Indiana, 46202
University of Mississippi Medical Center
Jackson, Mississippi, 39216
Nemours Children's Specialty Care
Jacksonville, Florida, 32207
The Children's Mercy Hospital
Kansas City, Missouri, 64108
University of Tennessee Medical Center
Knoxville, Tennessee, 37920
University of Kentucky
Lexington, Kentucky, 40536
University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205
Children's Hospital Los Angeles
Los Angeles, California, 90027
University Hospital and UW Health Clinics
Madison, Wisconsin, 53792
University of Miami Miller School of Medicine
Miami, Florida, 33136
West Virginia University
Morgantown, West Virginia, 26506
Morristown Medical Center
Morristown, New Jersey, 07960
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
Yale New Haven Hospital
New Haven, Connecticut, 06510
Northwell Health- Long Island Jewish Medical Center
New Hyde Park, New York, 11040
Tulane Medical Center
New Orleans, Louisiana, 70112
Columbia University Medical Center
New York, New York, 10032
Children's Hospital of the King's Daughters
Norfolk, Virginia, 23507
University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma, 73104
Santiago Reyes, M.D.
Oklahoma City, Oklahoma, 73112
Children's Hospital of Orange County
Orange, California, 92868
Central Florida Pulmonary Group, PA
Orlando, Florida, 32803
Nemours Children's Specialty Care, Pensacola
Pensacola, Florida, 32514
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104
UPMC Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, 15224
Maine Medical Partners
Portland, Maine, 04102
Oregon Health & Science University
Portland, Oregon, 97239
University of California Davis Medical Center
Sacramento, California, 95817
University of Utah - Primary Children's Medical Center
Salt Lake City, Utah, 84132
University of Washington Medical Center
Seattle, Washington, 98195
Sanford Children's Speciality Clinic
Sioux Falls, South Dakota, 57105
Providence Pediatric Pulmonary & Cystic Fibrosis Clinic
Spokane, Washington, 99204
Washington University School of Medicine
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
ProMedica Toledo Hospital/Toledo Children's Hospital/Pediatric Pulmonary & Cystic Fibrosis Center
Toledo, Ohio, 43606
Banner University of Arizona Medical Center
Tucson, Arizona, 85724
Wake Forest Baptist Health
Winston-Salem, North Carolina, 27104
UMass Memorial Medical Center
Worcester, Massachusetts, 01655
France17 sites
Groupe Hospitaler Pellegrin, CHU De Bordeaux
Bordeaux
CHU Lyon - Hopital Femme Mere-Enfant
Bron
Centre Hospitalier Intercommunal Creteil
Créteil
Institut Cœur Poumon, CHU de Lille
Lille
Hopital Arnaud de Villeneuve
Montpellier
Centre Hospitalier Universitaire De Nantes - G. R. Laennec
Nantes
Centre Hospitalier Universitaire (CHU) de Nice - Hopital Pasteur
Nice
Hopital Cochin
Paris
Hopital Necker, Enfants Malades
Paris
Hopital Robert Debre
Paris
Centre Hospitalier Lyon Sud
Pierre-Bénite
Centre de Perharidy
Roscoff
CHU de Rouen - Hopital Charles Nicolle
Rouen Cedex, Seine Maritime
Hôpital de Hautepierre, AX5
Strasbourg
Hopital Foch (Suresnes), Hopital Foch, Adultes
Suresnes
Hopital Bretonneau
Tours
Centre hospitalier universitaire de Nancy, Hôpital de Braboi
Vandœuvre-lès-Nancy
United Kingdom12 sites
Birmingham Children's Hospital
Birmingham
Royal Papworth Hospital NHS Foundation Trust
Cambridge
Clinical Research Facility, Queen Elizabeth University Hospital
Glasgow
Leeds General Infirmary
Leeds
St. James University Hospital
Leeds
King's College Hospital
London
Royal Brompton Hospital
London
St. Bartholomew's Hospital
London
Royal Manchester Children's Hospital
Manchester
Wythenshawe Hospital
Manchester
All Wales Adult Cystic Fibrosis Centre, University Hospital Llandough
Penarth
Southampton General Hospital
Southampton
Australia10 sites
Royal Prince Alfred Hospital
Camperdown
The Prince Charles Hospital
Chermside
Alfred Hospital
Melbourne, VIC
Institute for Respiratory Health
Nedlands
Telethon Kids Institute
Nedlands
The Royal Children's Hospital
Parkville, VIC
Sydney Children's Hospital
Randwick
Mater Adult Hospital
South Brisbane
Queensland Children's Hospital
South Brisbane
Westmead Hospital
Westmead
Canada9 sites
University of Calgary Medical Clinic of the Foothills Medical Centre
Calgary
Stollery Children's Hospital
Edmonton
St. Joseph's Health Care London
London
Centre Hospitalier de l'Universite de Montreal (CHUM) Hotel-Dieu
Montreal
McGill University Health Centre, Glen Site, Montreal Children's Hospital
Montreal
Institut Universitaire de Cardiologie et Pneumologie de Quebec - Universite Laval
Québec
St. Michael's Hospital
Toronto
British Columbia Children's Hospital
Vancouver
St. Paul's Hospital
Vancouver
Italy8 sites
Azienda Ospedaliero Universitaria Ospedale Riuniti
Ancona
Azienda Ospedaliero Universitaria Ospedale Pediatrico Meyer
Florence
IRCCS Istituto Giannina Gaslini-Ospedale Pediatrico
Genova
Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena
Milan
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
Milan
Malattie Apparato Respiratorio 2 - Centro Fibrosi Cistica
Orbassano
Centro Regionale Fibrosi Cistica, A.O. Ospedale San Carlo
Potenza
Azienda Ospedaliera di Verona - Ospedale Civile Maggiore
Verona
Ireland7 sites
Cork University Hospital
Cork
Children's Health Ireland at Crumlin
Dublin
Children's Health Ireland at Tallaght
Dublin
Children's University Hospital, Dublin
Dublin
St. Vincent's University Hospital
Dublin
University Hospital Limerick (Adults)
Limerick
University Hospital Limerick (Pediatrics)
Limerick
Germany6 sites
Charite Paediatric Pulmonology Department
Berlin
Friedrich-Alexander University of Erlangen-Nuremberg, University Children's Hospital
Erlangen
Ruhrlandklinik Westdeutsches Lungenzentrum am Klinikum Essen
Essen
Universitatsklinikum Essen (AoR), Kinderklinik III, Abt. fur Pneumologie
Essen
Justus-Liebig-Universität Gießen Zentrum für Kinderheilkunde und Jugendmedizin
Giessen
Pneumologisches Studienzentrum Muenchen-West
München
Austria5 sites
University of Graz
Graz
Medizinische Universität Innsbruck
Innsbruck
Uniklinikum Salzburg - Universitätsklinik für Pneumologie/Lungenheilkunde
Salzburg
Medizinische Universität Wien
Vienna
Abteilung fuer Pulmologie Klinikum Wels-Grieskirchen
Wels
Belgium5 sites
Cliniques Universitaires de Bruxelles Hopital Erasme
Brussels
Universitair Ziekenhuis Brussel - Campus Jette
Brussels
Universitair Ziekenhuis Gent
Ghent
Universitaire Ziekenhuizen Leuven - Campus Gasthuisberg
Leuven
Cliniques Universitaires Saint-Luc
Woluwe-Saint-Lambert
Netherlands5 sites
Academisch Medisch Centrum (Academic Medical Centre)
Amsterdam
UMC St. Radboud
Nijmegen
Erasmus Medical Center
Rotterdam
HagaZiekenhuis van den Haag
The Hague
University Medical Center, Utrecht, Department of Pulmonology and Tuberculosis
Utrecht
New Zealand4 sites
Greenlane Clinical Centre
Auckland
Starship Children's Hospital
Auckland
Canterbury Respiratory Research Group
Christchurch Hospital
Waikato Hospital
Hamilton
Israel3 sites
Hadassah Medical Organization
Jerusalem
Schneider Children's Medical Center of Israel
Petach Tikvah
Sheba Medical Center - The Edmond and Lili Safra Children's Hospital
Tel HaShomer
Poland3 sites
Pediatric Hospital Polanki named of Maciej Płażyński
Gdansk
Klinika Mukowiscydozy IMD Oddozial Chorob Pluc Szpzoz IM. Dzieci WarszaWY
Łomianki
Institute of Tuberculosis and Lung Diseases
Rabka-Zdrój
Sweden3 sites
Sahlgrenska Universitetssjukhuset
Gothenburg
Lund University Skanes Universitetssjukhus
Malmö
Karolinska Universitetssjukhuset, Huddinge
Stockholm
Switzerland3 sites
Lindenhofspital - Quartier Bleu
Bern
Réseau Hospitalier Neuchâtelois
Neuchâtel
Kinderspital Zuerich
Zurich
Denmark2 sites
Aarhus University Hospital
Aarhus
Juliane Marie Center, Rigshospitalet
Copenhagen
Greece2 sites
General Hospital of Thessaloniki "Papanikolaou"
Pilea Chortiatis
General Hospital of Thessaloniki 'Hippokratio', 3rd Pediatrics Department of Aristotle University of Thessaloniki
Thessaloniki
Hungary2 sites
National Koranyi Institute for TBC and Pulmonology
Budapest
Pulmonology Institute Torokbalint
Törökbálint
Norway2 sites
Haukeland Universitetssjukehus (CF)
Bergen
Oslo University Hospital, Department of Paediatric Medicine
Oslo
About this study
Official title: A Phase 3, Randomized, Double-blind, Controlled Study Evaluating the Efficacy and Safety of VX-121 Combination Therapy in Subjects With Cystic Fibrosis Who Are Homozygous for F508del, Heterozygous for F508del and a Gating (F/G) or Residual Function (F/RF) Mutation, or Have At Least 1 Other Triple Combination Responsive CFTR Mutation and No F508del Mutation
The purpose of this study is to evaluate the efficacy and safety of VX-121/tezacaftor/deutivacaftor (VX-121/TEZ/D-IVA) in CF participants who are homozygous for F508del, heterozygous for F508del and a gating (F/G) or residual function (F/RF) mutation, or have at least 1 other TCR CF transmembrane conductance regulator (CFTR) gene mutation and no F508del mutation.
- Conditions
- Cystic Fibrosis
- Being tested
- VX-121/TEZ/D-IVA, ELX/TEZ/IVA, IVA, Placebo (matched to VX-121/TEZ/D-IVA), Placebo (matched to ELX/TEZ/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-121/TEZ/D-IVADrug
Also called VX-121/VX-661/CTP-656, VX-121/VX-661/VX-561, VX-121/tezacaftor/deutivacaftor
Fixed-dose combination tablets for oral administration.
ELX/TEZ/IVADrug
Also called VX-445/VX-661/VX-770, elexacaftor/tezacaftor/ivacaftor
Fixed-dose combination tablets for oral administration.
IVADrug
Also called VX-770, ivacaftor
Tablet for oral administration.
Placebo (matched to VX-121/TEZ/D-IVA)Drug
Placebo matched to VX-121/TEZ/D-IVA for oral administration.
Placebo (matched to ELX/TEZ/IVA)Drug
Placebo matched to ELX/TEZ/IVA for oral administration.
Placebo (matched to IVA)Drug
Placebo matched to IVA for oral administration.
| Study group | Role | What they receive |
|---|---|---|
| ELX/TEZ/IVA | Active comparator | Following elexacftor/tezacaftor/ivacaftor (ELX/TEZ/IVA) run-in period of 4 weeks, participants received ELX 200 milligram (mg) once daily (qd) /TEZ 100 mg qd/IVA 150 mg every 12 hours (q12h) in the treatment period for 52 weeks. Receives: Drug: ELX/TEZ/IVA; Drug: IVA; Drug: Placebo (matched to VX-121/TEZ/D-IVA) |
| VX-121/TEZ/D-IVA | Experimental | Following ELX/TEZ/IVA run-in period of 4 weeks, participants received VX-121 20 mg qd/TEZ 100 mg qd/D-IVA 250 mg qd in the treatment period for 52 weeks. Receives: Drug: VX-121/TEZ/D-IVA; Drug: Placebo (matched to ELX/TEZ/IVA); Drug: Placebo (matched to IVA) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Absolute Change in Percent Predicted Forced Expiratory Volume in 1second (ppFEV1)
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
Measured: From Baseline Through Week 24
Secondary outcomes (3)
Absolute Change in Sweat Chloride (SwCl)
Sweat samples were collected using an approved collection device.
Measured: From Baseline Through Week 24
Percentage of Participants With SwCl <60 Millimole Per Liter (mmol/L) (Pooled With Data From Study VX20-121-102)
Sweat samples were collected using an approved collection device.
Measured: From Baseline Through Week 24
Percentage of Participants With SwCl <30 mmol/L (Pooled With Data From Study VX20-121-102)
Sweat samples were collected using an approved collection device.
Measured: From Baseline Through Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Oct 2021
- Study start27 Oct 2021
- Primary completion18 May 2023
- Study completion30 Nov 2023
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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 597 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
- NCT05076149
- Sponsor's protocol ID
- VX20-121-103
- Other IDs
- 2021-000694-85
- Status last verified
- May 2024
- First submitted
- 29 Sep 2021
- Last updated
- 13 Jun 2024
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No: Details on Vertex data sharing criteria and process for requesting access can be found at: https://www.vrtx.com/independent-research/clinical-trial-data-sharing
Publications
Keating C, Yonker LM, Vermeulen F, Prais D, Linnemann RW, Trimble A, Kotsimbos T, Mermis J, Braun AT, O'Carroll M, Sutharsan S, Ramsey B, Mall MA, Taylor-Cousar JL, McKone EF, Tullis E, Floreth T, Michelson P, Sosnay PR, Nair N, Zahigian R, Martin H, Ahluwalia N, Lam A, Horsley A; VX20-121-102 Study Group; VX20-121-103 Study Group. Vanzacaftor-tezacaftor-deutivacaftor versus elexacaftor-tezacaftor-ivacaftor in individuals with cystic fibrosis aged 12 years and older (SKYLINE Trials VX20-121-102 and VX20-121-103): results from two randomised, active-controlled, phase 3 trials. Lancet Respir Med. 2025 Mar;13(3):256-271. doi: 10.1016/S2213-2600(24)00411-9. Epub 2025 Jan 2.
PubMed 39756424Heneghan 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
Study at a glance
From the registry record, last updated by the sponsor on 13 Jun 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Double-blind, Controlled Study Evaluating the Efficacy and Safety of VX-121 Combination Therapy in Subjects With Cystic Fibrosis Who Are Homozygous for F508del, Heterozygous for F508del and a Gating (F/G) or Residual Function (F/RF) Mutation, or Have At Least 1 Other Triple Combination Responsive CFTR Mutation and No F508del Mutation
- ClinicalTrials.gov ID
- NCT05076149
- Acronym / sponsor ID
- VX20-121-103
- Conditions
- Cystic Fibrosis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 597 participants (actual)
- Lead sponsor
- Vertex Pharmaceuticals IncorporatedIndustry (pharma, biotech, devices)
- Study start
- 27 Oct 2021 (actual)
- Primary completion
- 18 May 2023 (actual)
- Study completion
- 30 Nov 2023 (actual)
- First posted
- 13 Oct 2021 (actual)
- Results
- Posted 13 Jun 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy and safety of VX-121/tezacaftor/deutivacaftor (VX-121/TEZ/D-IVA) in CF participants who are homozygous for F508del, heterozygous for F508del and a gating (F/G) or residual function (F/RF) mutation, or have at least 1 other TCR CF transmembrane conductance regulator (CFTR) gene mutation and no F508del mutation.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| ELX/TEZ/IVA | Active comparator | Drug: ELX/TEZ/IVA, Drug: IVA, Drug: Placebo (matched to VX-121/TEZ/D-IVA)Following elexacftor/tezacaftor/ivacaftor (ELX/TEZ/IVA) run-in period of 4 weeks, participants received ELX 200 milligram (mg) once daily (qd) /TEZ 100 mg qd/IVA 150 mg every 12 hours (q12h) in the treatment period for 52 weeks. |
| VX-121/TEZ/D-IVA | Experimental | Drug: VX-121/TEZ/D-IVA, Drug: Placebo (matched to ELX/TEZ/IVA), Drug: Placebo (matched to IVA)Following ELX/TEZ/IVA run-in period of 4 weeks, participants received VX-121 20 mg qd/TEZ 100 mg qd/D-IVA 250 mg qd in the treatment period for 52 weeks. |
Who may qualify
- Ages
- 12 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (6 listed)
- Participant has one of the following genotypes:
- Forced expiratory volume in 1 second (FEV1) value >=40% and <=90% of predicted mean for age, sex, and height for participants currently receiving CFTR protein modulator therapy; FEV1 >=40% and <=80% for participants not currently receiving CFTR protein modulator therapy
Key exclusion criteria (5 listed)
- History of solid organ or hematological transplantation
- 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
- Pregnant or breast-feeding females
- 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-121/TEZ/D-IVAAlso: VX-121/VX-661/CTP-656, VX-121/VX-661/VX-561, VX-121/tezacaftor/deutivacaftorFixed-dose combination tablets for oral administration. | Drug | VX-121/TEZ/D-IVA |
| ELX/TEZ/IVAAlso: VX-445/VX-661/VX-770, elexacaftor/tezacaftor/ivacaftorFixed-dose combination tablets for oral administration. | Drug | ELX/TEZ/IVA |
| IVAAlso: VX-770, ivacaftorTablet for oral administration. | Drug | ELX/TEZ/IVA |
| Placebo (matched to VX-121/TEZ/D-IVA)Placebo matched to VX-121/TEZ/D-IVA for oral administration. | Drug | ELX/TEZ/IVA |
| Placebo (matched to ELX/TEZ/IVA)Placebo matched to ELX/TEZ/IVA for oral administration. | Drug | VX-121/TEZ/D-IVA |
| Placebo (matched to IVA)Placebo matched to IVA for oral administration. | Drug | VX-121/TEZ/D-IVA |
Primary outcome
Absolute Change in Percent Predicted Forced Expiratory Volume in 1second (ppFEV1)
Time frame: From Baseline Through Week 24
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
3 secondary outcomes
Absolute Change in Sweat Chloride (SwCl)
Time frame: From Baseline Through Week 24
Percentage of Participants With SwCl <60 Millimole Per Liter (mmol/L) (Pooled With Data From Study VX20-121-102)
Time frame: From Baseline Through Week 24
Percentage of Participants With SwCl <30 mmol/L (Pooled With Data From Study VX20-121-102)
Time frame: From Baseline Through Week 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Jun 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39756424Keating C, Yonker LM, Vermeulen F, Prais D, Linnemann RW, Trimble A, Kotsimbos T, Mermis J, Braun AT, O'Carroll M, Sutharsan S, Ramsey B, Mall MA, Taylor-Cousar JL, McKone EF, Tullis E, Floreth T, Michelson P, Sosnay PR, Nair N, Zahigian R, Martin H, Ahluwalia N, Lam A, Horsley A; VX20-121-102 Study Group; VX20-121-103 Study Group. Vanzacaftor-tezacaftor-deutivacaftor versus elexacaftor-tezacaftor-ivacaftor in individuals with cystic fibrosis aged 12 years and older (SKYLINE Trials VX20-121-102 and VX20-121-103): results from two randomised, active-controlled, phase 3 trials. Lancet Respir Med. 2025 Mar;13(3):256-271. doi: 10.1016/S2213-2600(24)00411-9. Epub 2025 Jan 2.
- 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.
- Individual participant dataSharing planned: No. Details on Vertex data sharing criteria and process for requesting access can be found at: https://www.vrtx.com/independent-research/clinical-trial-data-sharing
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RecruitingObservational study
Natural History of Bronchiectasis
Bronchiectasis, Cystic Fibrosis
RecruitingObservational study
Role of Genetic Factors in the Development of Lung Disease
Cystic Fibrosis, Pulmonary Fibrosis
RecruitingPhase 2
Early Study on Tamoxifen Safety/Tolerability in Cystic Fibrosis Patients Unable to Use CFTR Modulators.
Cystic Fibrosis - Complete
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.
170 sites in 20 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing VX-121/TEZ/D-IVA, ELX/TEZ/IVA and IVA in people with Cystic Fibrosis, run by Vertex Pharmaceuticals Incorporated at 170 sites in 20 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 6 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 13 Jun 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 170 sites in United States, France, United Kingdom, Australia, Canada and 15 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 13 Jun 2024). 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?
Absolute Change in Percent Predicted Forced Expiratory Volume in 1second (ppFEV1) (time frame: From Baseline Through Week 24). 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 NCT05076149, 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 13 Jun 2024.