A Phase 3 Study of VX-121 Combination Therapy in Participants With Cystic Fibrosis (CF) Heterozygous for F508del and a Minimal Function Mutation (F/MF)

Purpose

The purpose of this study evaluates the efficacy and safety of VX-121/tezacaftor/deutivacaftor (VX-121/TEZ/D-IVA) in CF participants who were heterozygous for F508del and a minimal function mutation (F/MF participants).

Condition

  • Cystic Fibrosis

Eligibility

Eligible Ages
Over 12 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Heterozygous for F508del and a minimal function mutation (F/MF genotype) - Forced expiratory volume in 1 second (FEV1) value >=40% and <=90% of predicted mean for age, sex, and height for participants currently receiving ELX/TEZ/IVA therapy; FEV1 >=40% and <=80% for participants not currently receiving ELX/TEZ/IVA

Exclusion Criteria

  • 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

Study Design

Phase
Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Active Comparator
ELX/TEZ/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.
  • Drug: ELX/TEZ/IVA
    Fixed-dose combination tablets for oral administration.
    Other names:
    • VX-445/VX-661/VX-770
    • elexacaftor/tezacaftor/ivacaftor
  • Drug: IVA
    Tablet for oral administration.
    Other names:
    • VX-770
    • ivacaftor
  • Drug: Placebo (matched to VX-121/TEZ/D-IVA)
    Placebo matched to VX-121/TEZ/D-IVA for oral administration.
Experimental
VX-121/TEZ/D-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.
  • Drug: VX-121/TEZ/D-IVA
    Fixed-dose combination tablets for oral administration.
    Other names:
    • VX-121/VX-661/CTP-656
    • VX-121/VX-661/VX-561
    • VX-121/tezacaftor/deutivacaftor
  • Drug: Placebo (matched to ELX/TEZ/IVA)
    Placebo matched to ELX/TEZ/IVA for oral administration.
  • Drug: Placebo (matched to IVA)
    Placebo matched to IVA for oral administration.

More Details

Status
Completed
Sponsor
Vertex Pharmaceuticals Incorporated

Study Contact