search
Back to results

A Study Evaluating the Safety and Efficacy of VX-440 Combination Therapy in Subjects With Cystic Fibrosis

Primary Purpose

Cystic Fibrosis

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
TEZ
IVA
VX-440
Matched Placebo
Sponsored by
Vertex Pharmaceuticals Incorporated
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cystic Fibrosis

Eligibility Criteria

12 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Willing and able to comply with scheduled visits, treatment plan, study restrictions, laboratory tests, contraceptive guidelines, and other study procedures.
  • To prevent pregnancy, female participants of childbearing potential and their male partners will be required to use pre-specified, highly effective methods of non-hormonal contraception. Male participants with female partners of childbearing potential will be required to use a condom.
  • Body weight ≥35 kg.
  • Sweat chloride value ≥60 mmol/L from test results obtained during screening.
  • Subjects must have an eligible CFTR genotype:

    • Heterozygous for F508del and a minimal function (MF) mutation known or predicted not to be responsive to TEZ and/or IVA.
    • Homozygous for F508del
  • Subjects must have an FEV1 ≥40% and ≤90% of predicted normal for age, sex, and height at the Screening Visit
  • Stable CF disease as judged by the investigator.
  • Willing to remain on a stable CF medication regimen through the planned end of treatment or, if applicable, the Safety Follow up Visit.

Exclusion Criteria:

  • History of any comorbidity that, in the opinion of the investigator, might confound the results of the study or pose an additional risk in administering study drug to the subject.
  • History of cirrhosis with portal hypertension.
  • Risk factors for Torsade de Pointes
  • History of hemolysis.
  • Glucose-6-phosphate dehydrogenase (G6PD) deficiency assessed at Screening.
  • Clinically significant abnormal laboratory values at screening
  • An acute upper or lower respiratory infection, pulmonary exacerbation, or changes in therapy for pulmonary disease within 28 days before the first dose of study drug.
  • Lung infection with organisms associated with a more rapid decline in pulmonary status
  • An acute illness not related to CF within 14 days before the first dose of study drug
  • A standard digital ECG demonstrating QTc >450 msec at screening.
  • History of solid organ or hematological transplantation.
  • History or evidence of cataract or lens opacity determined to be clinically significant by the ophthalmologist or optometrist based on the ophthalmologic examination during the Screening Period.
  • History of alcohol or drug abuse in the past year, including but not limited to, cannabis, cocaine, and opiates, as deemed by the investigator.
  • Ongoing or prior participation in an investigational drug study, with certain exceptions. (e.g., ongoing participation in NCT02565914)
  • Use of commercially available CFTR modulator (e.g., Kalydeco, Orkambi) within 14 days before screening (applies only to the Heterozygous F508del/MF cohorts; does not apply to the Homozygous F508del/F508del Cohort).
  • Pregnant or nursing females: Females of childbearing potential must have a negative pregnancy test at screening and Day 1.

Sites / Locations

  • The Arizona Board of Regents on behalf of the University of Arizona
  • Stanford University
  • University of California
  • National Jewish Health
  • Joe Di Maggio Cystic Fibrosis & Pulmonary Center
  • Central Florida Pulmonary Group
  • St. Luke's CF Center of Idaho
  • Cystic Fibrosis Center of Chicago
  • The Johns Hopkins Hospital
  • Boston Children's Hospital
  • Massachusetts General Hospital Cystic Fibrosis Center
  • University of Minnesota
  • New York Medical College
  • Long Island Jewish Medical Center
  • Columbia University Medical Center
  • Nationwide Children's Hospital
  • Respiratory Diseases of Children and Adolescents
  • UPMC OSPARS Children's Hospital of Pittsburgh
  • Sanford Children's Specialty Clinic Sanford Research USD
  • The University of Texas Southwestern Center
  • Children's Hospital of the Kings Daughters
  • Seattle Children's Hospital
  • Royal Adelaide Hospital
  • Prince Charles Hospital
  • John Hunter Hospital & Hunter Medical Research Institute
  • Medizinische Universitat Innsbruck
  • Universitair Ziekenhuis Brussel
  • Universitaire Ziekenhuizen Leuven - Campus Gasthuisberg
  • St. Paul's Hopsital
  • St. Michael's Hospital
  • Juliane Marie Center, Righospitalet
  • Mukeviszidose-Zentrum am Universtitatsklinikum Jena
  • University Hospital Cologne
  • Pneumologische Praxis Pasing
  • Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
  • Hospital Universitari Vall d´Hebron Servicio de Broncoscopia
  • Hospital Universitario Virgen del Rocio
  • Heart of England NHS Foundation Trust
  • Royal Brompton & Harefield NHS Foundation Trust, Royal Brompton Hospital
  • Southampton University Hospitals NHS Foundation Trust

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Placebo Comparator

Experimental

Experimental

Experimental

Active Comparator

Experimental

Arm Label

Part 1: Placebo - Cohort 1A and 1B Combined

Part 1 Cohort 1A: Triple Combination (TC)

Part 1 Cohort 1B: TC Low Dose

Part 1 Cohort 1B: TC High Dose

Part 2: TEZ/IVA

Part 2: TC-2

Arm Description

Participants received placebo matched to VX-440/TEZ/IVA as triple combination for 4 weeks.

Participants received VX-440 200 milligram (mg) every 12 hours (q12h)/TEZ 100 mg once daily (qd)/IVA 150 mg q12h as triple combination for 4 weeks.

Participants received VX-440 200 mg q12h/TEZ 50 mg q12h/IVA 150 mg q12h as triple combination for 4 weeks.

Participants received VX-440 600 mg q12h/TEZ 50 mg q12h/IVA 300 mg q12h as triple combination for 4 weeks.

Following a 4-week run-in period on TEZ 100 mg qd/IVA150 mg q12h, participants received placebo matched to VX-440 and TEZ 50 mg q12h/IVA 300 mg q12h for 4 weeks in treatment period and TEZ 100 mg qd/IVA150 mg q12h for 4 weeks in washout period.

Following a 4-week run-in period on TEZ 100 mg qd/IVA150 mg q12h, participants received VX-440 600 mg q12h/ TEZ 50 mg q12h/IVA 300 mg q12h for 4 weeks for 4 weeks in treatment period and TEZ 100 mg qd/IVA150 mg q12h for 4 weeks in washout period.

Outcomes

Primary Outcome Measures

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

Secondary Outcome Measures

Absolute Change in Sweat Chloride Concentrations
Sweat samples were collected using an approved collection device.
Relative Change in ppFEV1
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
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.
Pre-dose Plasma Concentration (Ctrough) of VX-440, TEZ, M1-TEZ, IVA and M1-IVA

Full Information

First Posted
October 26, 2016
Last Updated
August 27, 2020
Sponsor
Vertex Pharmaceuticals Incorporated
search

1. Study Identification

Unique Protocol Identification Number
NCT02951182
Brief Title
A Study Evaluating the Safety and Efficacy of VX-440 Combination Therapy in Subjects With Cystic Fibrosis
Official Title
A Phase 2, Randomized, Double-blind, Controlled Study to Evaluate the Safety and Efficacy of VX-440 Combination Therapy in Subjects Aged 12 Years and Older With Cystic Fibrosis
Study Type
Interventional

2. Study Status

Record Verification Date
August 2020
Overall Recruitment Status
Completed
Study Start Date
October 2016 (Actual)
Primary Completion Date
August 2017 (Actual)
Study Completion Date
August 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Vertex Pharmaceuticals Incorporated

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a Phase 2, randomized, double-blind, placebo- and active-controlled, parallel group, multicenter study to evaluate the safety, tolerability, and efficacy of VX-440 in dual and triple combination with tezacaftor (TEZ; VX-661) and ivacaftor (IVA; VX-770) in subjects with cystic fibrosis (CF) who are homozygous for the F508del mutation of the CF transmembrane conductance regulator (CFTR) gene (F508del/F508del), or who are heterozygous for the F508del mutation and a minimal function (MF) CFTR mutation not likely to respond to TEZ and/or IVA therapy (F508del/MF).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cystic Fibrosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
74 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part 1: Placebo - Cohort 1A and 1B Combined
Arm Type
Placebo Comparator
Arm Description
Participants received placebo matched to VX-440/TEZ/IVA as triple combination for 4 weeks.
Arm Title
Part 1 Cohort 1A: Triple Combination (TC)
Arm Type
Experimental
Arm Description
Participants received VX-440 200 milligram (mg) every 12 hours (q12h)/TEZ 100 mg once daily (qd)/IVA 150 mg q12h as triple combination for 4 weeks.
Arm Title
Part 1 Cohort 1B: TC Low Dose
Arm Type
Experimental
Arm Description
Participants received VX-440 200 mg q12h/TEZ 50 mg q12h/IVA 150 mg q12h as triple combination for 4 weeks.
Arm Title
Part 1 Cohort 1B: TC High Dose
Arm Type
Experimental
Arm Description
Participants received VX-440 600 mg q12h/TEZ 50 mg q12h/IVA 300 mg q12h as triple combination for 4 weeks.
Arm Title
Part 2: TEZ/IVA
Arm Type
Active Comparator
Arm Description
Following a 4-week run-in period on TEZ 100 mg qd/IVA150 mg q12h, participants received placebo matched to VX-440 and TEZ 50 mg q12h/IVA 300 mg q12h for 4 weeks in treatment period and TEZ 100 mg qd/IVA150 mg q12h for 4 weeks in washout period.
Arm Title
Part 2: TC-2
Arm Type
Experimental
Arm Description
Following a 4-week run-in period on TEZ 100 mg qd/IVA150 mg q12h, participants received VX-440 600 mg q12h/ TEZ 50 mg q12h/IVA 300 mg q12h for 4 weeks for 4 weeks in treatment period and TEZ 100 mg qd/IVA150 mg q12h for 4 weeks in washout period.
Intervention Type
Drug
Intervention Name(s)
TEZ
Other Intervention Name(s)
tezacaftor, VX-661
Intervention Type
Drug
Intervention Name(s)
IVA
Other Intervention Name(s)
ivacaftor, VX-770
Intervention Type
Drug
Intervention Name(s)
VX-440
Intervention Type
Drug
Intervention Name(s)
Matched Placebo
Primary Outcome Measure Information:
Title
Safety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time Frame
From first dose of Study Drug in the Treatment Period through Safety Follow-up Visit (Up to Day 57 for Part 1 and Day 85 for Part 2)
Title
Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
Description
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
Time Frame
From Baseline through Day 29
Secondary Outcome Measure Information:
Title
Absolute Change in Sweat Chloride Concentrations
Description
Sweat samples were collected using an approved collection device.
Time Frame
From Baseline through Day 29
Title
Relative Change in ppFEV1
Description
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
Time Frame
From Baseline through Day 29
Title
Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score
Description
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.
Time Frame
From Baseline at Day 29
Title
Pre-dose Plasma Concentration (Ctrough) of VX-440, TEZ, M1-TEZ, IVA and M1-IVA
Time Frame
Predose at Day 8, Day 15 and Day 29

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Willing and able to comply with scheduled visits, treatment plan, study restrictions, laboratory tests, contraceptive guidelines, and other study procedures. To prevent pregnancy, female participants of childbearing potential and their male partners will be required to use pre-specified, highly effective methods of non-hormonal contraception. Male participants with female partners of childbearing potential will be required to use a condom. Body weight ≥35 kg. Sweat chloride value ≥60 mmol/L from test results obtained during screening. Subjects must have an eligible CFTR genotype: Heterozygous for F508del and a minimal function (MF) mutation known or predicted not to be responsive to TEZ and/or IVA. Homozygous for F508del Subjects must have an FEV1 ≥40% and ≤90% of predicted normal for age, sex, and height at the Screening Visit Stable CF disease as judged by the investigator. Willing to remain on a stable CF medication regimen through the planned end of treatment or, if applicable, the Safety Follow up Visit. Exclusion Criteria: History of any comorbidity that, in the opinion of the investigator, might confound the results of the study or pose an additional risk in administering study drug to the subject. History of cirrhosis with portal hypertension. Risk factors for Torsade de Pointes History of hemolysis. Glucose-6-phosphate dehydrogenase (G6PD) deficiency assessed at Screening. Clinically significant abnormal laboratory values at screening An acute upper or lower respiratory infection, pulmonary exacerbation, or changes in therapy for pulmonary disease within 28 days before the first dose of study drug. Lung infection with organisms associated with a more rapid decline in pulmonary status An acute illness not related to CF within 14 days before the first dose of study drug A standard digital ECG demonstrating QTc >450 msec at screening. History of solid organ or hematological transplantation. History or evidence of cataract or lens opacity determined to be clinically significant by the ophthalmologist or optometrist based on the ophthalmologic examination during the Screening Period. History of alcohol or drug abuse in the past year, including but not limited to, cannabis, cocaine, and opiates, as deemed by the investigator. Ongoing or prior participation in an investigational drug study, with certain exceptions. (e.g., ongoing participation in NCT02565914) Use of commercially available CFTR modulator (e.g., Kalydeco, Orkambi) within 14 days before screening (applies only to the Heterozygous F508del/MF cohorts; does not apply to the Homozygous F508del/F508del Cohort). Pregnant or nursing females: Females of childbearing potential must have a negative pregnancy test at screening and Day 1.
Facility Information:
Facility Name
The Arizona Board of Regents on behalf of the University of Arizona
City
Tucson
State/Province
Arizona
Country
United States
Facility Name
Stanford University
City
Palo Alto
State/Province
California
Country
United States
Facility Name
University of California
City
San Francisco
State/Province
California
Country
United States
Facility Name
National Jewish Health
City
Denver
State/Province
Colorado
Country
United States
Facility Name
Joe Di Maggio Cystic Fibrosis & Pulmonary Center
City
Hollywood
State/Province
Florida
Country
United States
Facility Name
Central Florida Pulmonary Group
City
Orlando
State/Province
Florida
Country
United States
Facility Name
St. Luke's CF Center of Idaho
City
Boise
State/Province
Idaho
Country
United States
Facility Name
Cystic Fibrosis Center of Chicago
City
Glenview
State/Province
Illinois
Country
United States
Facility Name
The Johns Hopkins Hospital
City
Baltimore
State/Province
Maryland
Country
United States
Facility Name
Boston Children's Hospital
City
Boston
State/Province
Massachusetts
Country
United States
Facility Name
Massachusetts General Hospital Cystic Fibrosis Center
City
Boston
State/Province
Massachusetts
Country
United States
Facility Name
University of Minnesota
City
Minneapolis
State/Province
Minnesota
Country
United States
Facility Name
New York Medical College
City
Hawthorne
State/Province
New York
Country
United States
Facility Name
Long Island Jewish Medical Center
City
New Hyde Park
State/Province
New York
Country
United States
Facility Name
Columbia University Medical Center
City
New York
State/Province
New York
Country
United States
Facility Name
Nationwide Children's Hospital
City
Columbus
State/Province
Ohio
Country
United States
Facility Name
Respiratory Diseases of Children and Adolescents
City
Oklahoma City
State/Province
Oklahoma
Country
United States
Facility Name
UPMC OSPARS Children's Hospital of Pittsburgh
City
Pittsburgh
State/Province
Pennsylvania
Country
United States
Facility Name
Sanford Children's Specialty Clinic Sanford Research USD
City
Sioux Falls
State/Province
South Dakota
Country
United States
Facility Name
The University of Texas Southwestern Center
City
Dallas
State/Province
Texas
Country
United States
Facility Name
Children's Hospital of the Kings Daughters
City
Norfolk
State/Province
Virginia
Country
United States
Facility Name
Seattle Children's Hospital
City
Seattle
State/Province
Washington
Country
United States
Facility Name
Royal Adelaide Hospital
City
Adelaide
Country
Australia
Facility Name
Prince Charles Hospital
City
Chermside
Country
Australia
Facility Name
John Hunter Hospital & Hunter Medical Research Institute
City
New Lambton Heights
Country
Australia
Facility Name
Medizinische Universitat Innsbruck
City
Innsbruck
Country
Austria
Facility Name
Universitair Ziekenhuis Brussel
City
Brussels
Country
Belgium
Facility Name
Universitaire Ziekenhuizen Leuven - Campus Gasthuisberg
City
Leuven
Country
Belgium
Facility Name
St. Paul's Hopsital
City
Vancouver
State/Province
British Columbia
Country
Canada
Facility Name
St. Michael's Hospital
City
Toronto
State/Province
Ontario
Country
Canada
Facility Name
Juliane Marie Center, Righospitalet
City
Copenhagen
Country
Denmark
Facility Name
Mukeviszidose-Zentrum am Universtitatsklinikum Jena
City
Jena
Country
Germany
Facility Name
University Hospital Cologne
City
Koeln
Country
Germany
Facility Name
Pneumologische Praxis Pasing
City
Muenchen
Country
Germany
Facility Name
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
City
Milano
Country
Italy
Facility Name
Hospital Universitari Vall d´Hebron Servicio de Broncoscopia
City
Barcelona
Country
Spain
Facility Name
Hospital Universitario Virgen del Rocio
City
Seville
Country
Spain
Facility Name
Heart of England NHS Foundation Trust
City
Birmingham
Country
United Kingdom
Facility Name
Royal Brompton & Harefield NHS Foundation Trust, Royal Brompton Hospital
City
London
Country
United Kingdom
Facility Name
Southampton University Hospitals NHS Foundation Trust
City
Southampton
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

A Study Evaluating the Safety and Efficacy of VX-440 Combination Therapy in Subjects With Cystic Fibrosis

We'll reach out to this number within 24 hrs