A Study Evaluating the Safety and Efficacy of VX-440 Combination Therapy in Subjects With Cystic Fibrosis
Cystic Fibrosis
About this trial
This is an interventional treatment trial for Cystic Fibrosis
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.
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
Placebo Comparator
Experimental
Experimental
Experimental
Active Comparator
Experimental
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
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.