Cystic FibrosisPhase 3NCT05331183
Study to Evaluate Elexacaftor/Tezacaftor/Ivacaftor (ELX/TEZ/IVA) Long-term Safety and Efficacy in Subjects Without F508del
A Phase 3 study testing ELX/TEZ/IVA and IVA in people with Cystic Fibrosis, run by Vertex Pharmaceuticals Incorporated at 81 sites in 15 countries.
Trial summary
This study will evaluate the long-term safety, efficacy and pharmacodynamics of ELX/TEZ/IVA in participants with cystic fibrosis (CF) with at least 1 non-F508del ELX/TEZ/IVA-responsive CF transmembrane conductance regulator (CFTR) gene mutation. Read more about this study
- Who is it for?
- Ages 6 years and older
- Conditions the study is for
- Cystic Fibrosis
- What is being tested?
- ELX/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
- 297 participants
- Where
- 81 sitesin 15 countries
- Study dates
- 23 Nov 2022to 6 Apr 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 6 years and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Part A: Completed study drug treatment in parent study or had study drug interruption(s) in parent study but completed study visits up to the last scheduled visit of the treatment period in the parent study
- Part B: Completed study drug treatment in Part A or had study drug interruption(s) in Part A but completed study visits up to the last scheduled visit of the treatment period of Part A
Who cannot join
- History of study drug intolerance in the parent study
- Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
81 sites in 15 countries.
81 sites in 15 countries
France16 sites
Hopital Femme Mere-Enfant
Bron
Centre Hospitalier Intercommunal Creteil - Pulmonology
Créteil
Institut Cœur Poumon, CHU de Lille
Lille
Hopital Nord
Marseille
Hopital Arnaud de Villeneuve - Service de Pneumologie et Maladies Respiratoires
Montpellier
Hôpital Nord Laennec
Nantes
CHU de Nice - Hôpital Pasteur 2
Nice
Hopital Cochin - Pulmonology
Paris
Hopital Necker Enfants Malades - Pulmonology
Paris
Hopital Robert Debre - Pulmonology
Paris
Hôpital Lyon Sud - Pulmonology
Pierre-Bénite
Hôpital américain de Reims - Département de pédiatrie A
Reims
Hôpital Sud - Rennes
Rennes
Centre de Perharidy, Roscoff
Roscoff
Hopital Larrey
Toulouse
Hopital Bretonneau
Tours
Germany14 sites
Charité - Paediatric Pulmonology Department
Berlin
University Hospital Cologne (Koeln) - CF-Studienzentrum
Cologne
Ruhrlandklinik
Essen
Klinikum der Johann-Wolfgang-Goethe Universitaet - Pulmonology
Frankfurt
Justus-Liebig-Universität Gießen
Giessen
Universitätsklinikum Halle (Saale) / Universitätsklinik und Poliklinik für Innere Medizin, Schwerpunkt Pneumologie
Halle
Medizinische Hochschule Hannover - Clinic for Pediatric Pneumology, Allergology and Neonatology, CF-Centre
Hanover
Medizinische Hochschule Hannover
Hanover
Mukoviszidose-Zentrum am Universitätsklinikum Jena
Jena
Johannes Gutenberg-Universitaet
Mainz
Dr. von Haunersches Kinderspital - Pulmonology
München
Lungenheilkunde Munchen - Pasing
München
Klinik für Kinder- und Jugendmedizin
Münster
Klinikum Westbrandenburg (CF)
Potsdam
Spain12 sites
Hospital de Cruces
Barakaldo
Hospital Saint Joan de Deu
Barcelona
Hospital Universitari Vall d´Hebron Servicio de Broncoscopia
Barcelona
Hospital Universitario de Jerez de la Frontera
Jerez de la Frontera
Hospital Infantil Universitario Nino Jesus
Madrid
Hospital Universitario 12 de Octubre - Pulmonology
Madrid
Hospital Universitario Ramon y Cajal - Pulmonology
Madrid
La Paz Infantil
Madrid
Hospital Virgen de la Arrixaca
Murcia
Institut d´Investigacio i Innovacio Parc Tauli
Sabadell
Hospital Universitario Virgen del Rocio
Seville
Hospital Universitario y Politecnico La Fe - Pulmonology
Valencia
Italy11 sites
Azienda Ospedaliero Universitaria delle Marche
Ancona
Azienda Ospedaliero Universitaria Ospedale Meyer
Florence
IRCCS Istituto Giannina Gaslini-Ospedale Pediatrico
Genova
Policlinico Universitario G. Martino
Messina
Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena
Milan
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
Milan
Azienda Ospedaliero Universitaria Federico II Napoli
Naples
Azienda Ospedaliero Universitaria (AOU) San Luigi Gonzaga
Orbassano
Azienda Ospedaliera Regionale 'San Carlo', Potenza
Potenza
IRCSS Ospedale Pediatrico Bambino Gesu - Pulmonology
Rome
Azienda Ospedaliera di Verona - Ospedale Civile Maggiore
Verona
Belgium6 sites
CUB Hôpital Erasme
Brussels
UZ Brussel - Campus Jette
Brussels
Universitair Ziekenhuis Antwerpen (UZA) - Antwerp University Hospital
Edegem
Universitair Ziekenhuis Gent
Ghent
Universitaire Ziekenhuizen Leuven - Campus Gasthuisberg
Leuven
Universite Catholique de Louvain - Pulmonology
Woluwe-Saint-Lambert
Canada6 sites
Stollery Children's Hospital
Edmonton
Le Centre de recherche du CHUM (CRCHUM)
Montreal
McGill University Health Centre, Glen Site, Montreal Children's Hospital
Montreal
Hospital for Sick Children - Pulmonology
Toronto
British Columbia Children's Hospital
Vancouver
St. Paul's Hospital - Pulmonology
Vancouver
Netherlands5 sites
Amsterdam UMC - locatie AMC - Afdeling Longgeneeskunde
Amsterdam
Radboud University Medical Center - Pulmonology
Nijmegen
Erasmus Medisch Centrum - Pulmonology
Rotterdam
HagaZiekenhuis
The Hague
UMCU, Locatie Wilhelmina Kinderziekenhuis
Utrecht
Czechia2 sites
Klinika Detskych Infekcnich Nemoci
Brno
Motol University Hospital
Prague
Poland2 sites
Pediatric Hospital Polanki named of Maciej Płażyński
Gdansk
Instytut Matki i Dziecka, Klinika Mukowiscydozy IMiD, Oddział Chorób Płuc SZPZOZ im.Dzieci Warszawy w Dziekanowie Leśnym
Łomianki
Sweden2 sites
Sahlgrenska Universitetssjukhuset - Göteborg CF-center
Gothenburg
Karolinska University Hospital - Pulmonology
Stockholm
Austria1 site
Medizinische Universität Innsbruck - Heilstättenschule Universitätsklinik
Innsbruck
Portugal1 site
Unidade Local de Saúde de Santa Maria, E.P.E. - Pulmonology
Lisbon
About this study
Official title: A Phase 3 Open-label Study Evaluating the Long-term Safety and Efficacy of Elexacaftor/Tezacaftor/Ivacaftor in Cystic Fibrosis Subjects With Non-F508del CFTR Genotypes
This study will evaluate the long-term safety, efficacy and pharmacodynamics of ELX/TEZ/IVA in participants with cystic fibrosis (CF) with at least 1 non-F508del ELX/TEZ/IVA-responsive CF transmembrane conductance regulator (CFTR) gene mutation.
- Conditions
- Cystic Fibrosis
- Being tested
- ELX/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.
ELX/TEZ/IVADrug
Also called VX-445/VX-661/VX-770, elexacaftor/tezacaftor/ivacaftor
Fixed-dose combination (FDC) tablets for oral administration.
IVADrug
Also called VX-770, ivacaftor
Tablets for oral administration.
| Study group | Role | What they receive |
|---|---|---|
| ELX/TEZ/IVA | Experimental | Part A: Participants will receive ELX/TEZ/IVA in the morning and IVA in the evening for 96 weeks.
Part B: Participants will receive ELX/TEZ/IVA in the morning and IVA in the evening for an additional 96 weeks. Receives: Drug: ELX/TEZ/IVA; Drug: IVA |
What is being measured
The primary outcome is the main question the study is designed to answer.
Parts A and B: Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Measured: Day 1 up to Week 196
Secondary outcomes (6)
Part A: Absolute Change in Percent Predicted Forced Expiratory Volume in 1 second (ppFEV1)
Measured: From Baseline up to Week 96
Part A: Absolute Change in Sweat Chloride (SwCl)
Measured: From Baseline up to Week 96
Part A: Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain (RD) Score
Measured: From Baseline up to Week 96
Part A: Absolute Change in Body Mass Index (BMI)
Measured: From Baseline up to Week 96
Part A: Absolute Change in Weight
Measured: From Baseline up to Week 96
Part A: Number of Pulmonary Exacerbations (PEx)
Measured: From Baseline up to Week 96
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Apr 2022
- Study start23 Nov 2022
- Primary completion6 Apr 2027 (estimated)
- Study completion6 Apr 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- 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
- 297 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
- NCT05331183
- Sponsor's protocol ID
- VX21-445-125
- Other IDs
- 2021-005914-33, 2024-515637-14-00
- Status last verified
- Oct 2026
- First submitted
- 8 Apr 2022
- Last updated
- 27 Oct 2026
- Results posted
- No
- 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/our-science/clinical-trials-data-sharing/
Study at a glance
From the registry record, last updated by the sponsor on 27 Oct 2026. 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 Elexacaftor/Tezacaftor/Ivacaftor in Cystic Fibrosis Subjects With Non-F508del CFTR Genotypes
- ClinicalTrials.gov ID
- NCT05331183
- Acronym / sponsor ID
- VX21-445-125
- Conditions
- Cystic Fibrosis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 297 participants (actual)
- Lead sponsor
- Vertex Pharmaceuticals IncorporatedIndustry (pharma, biotech, devices)
- Study start
- 23 Nov 2022 (actual)
- Primary completion
- 6 Apr 2027 (estimated)
- Study completion
- 6 Apr 2027 (estimated)
- First posted
- 15 Apr 2022 (actual)
- Results
- Not posted in the source record
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, efficacy and pharmacodynamics of ELX/TEZ/IVA in participants with cystic fibrosis (CF) with at least 1 non-F508del ELX/TEZ/IVA-responsive CF transmembrane conductance regulator (CFTR) gene mutation.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| ELX/TEZ/IVA | Experimental | Drug: ELX/TEZ/IVA, Drug: IVAPart A: Participants will receive ELX/TEZ/IVA in the morning and IVA in the evening for 96 weeks. Part B: Participants will receive ELX/TEZ/IVA in the morning and IVA in the evening for an additional 96 weeks. |
Who may qualify
- Ages
- 6 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (2 listed)
- Part A: Completed study drug treatment in parent study or had study drug interruption(s) in parent study but completed study visits up to the last scheduled visit of the treatment period in the parent study
- Part B: Completed study drug treatment in Part A or had study drug interruption(s) in Part A but completed study visits up to the last scheduled visit of the treatment period of Part A
Key exclusion criteria (2 listed)
- History of study drug intolerance in the 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 |
|---|---|---|
| ELX/TEZ/IVAAlso: VX-445/VX-661/VX-770, elexacaftor/tezacaftor/ivacaftorFixed-dose combination (FDC) tablets for oral administration. | Drug | ELX/TEZ/IVA |
| IVAAlso: VX-770, ivacaftorTablets for oral administration. | Drug | ELX/TEZ/IVA |
Primary outcome
Parts A and B: Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time frame: Day 1 up to Week 196
6 secondary outcomes
Part A: Absolute Change in Percent Predicted Forced Expiratory Volume in 1 second (ppFEV1)
Time frame: From Baseline up to Week 96
Part A: Absolute Change in Sweat Chloride (SwCl)
Time frame: From Baseline up to Week 96
Part A: Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain (RD) Score
Time frame: From Baseline up to Week 96
Part A: Absolute Change in Body Mass Index (BMI)
Time frame: From Baseline up to Week 96
Part A: Absolute Change in Weight
Time frame: From Baseline up to Week 96
Part A: Number of Pulmonary Exacerbations (PEx)
Time frame: From Baseline up to Week 96
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Oct 2026.
- Individual participant dataSharing planned: No. Details on Vertex data sharing criteria and process for requesting access can be found at: https://www.vrtx.com/our-science/clinical-trials-data-sharing/
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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.
81 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing ELX/TEZ/IVA and IVA in people with Cystic Fibrosis, run by Vertex Pharmaceuticals Incorporated at 81 sites in 15 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 2 inclusion and 2 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: under way, not looking for participants, as of the sponsor's last update on 27 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 81 sites in France, Germany, Spain, Italy, Belgium and 10 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?
This study is still under way. Results are not available in the source record yet.
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?
Parts A and B: Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) (time frame: Day 1 up to Week 196). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 27 Oct 2026.