A Study of VX-445 in Healthy Subjects and Subjects With Cystic Fibrosis
A Phase 1/2 Study of VX-445 in Healthy Subjects and Subjects With Cystic Fibrosis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
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Brisbane, Australia
- Mater Adult Hospital
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Sydney, Australia
- Royal Prince Alfred Hospital
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Sydney, Australia
- Westmead Hospital
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Victoria
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Clayton, Victoria, Australia
- Monash Medical Center
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Melbourne, Victoria, Australia
- The Alfred Hospital
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Parkville, Victoria, Australia
- The Royal Children's Hospital Melbourne
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Edegem, Belgium
- Antwerp University Hospital
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Gent, Belgium
- Universitair Ziekenhuis Gent
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Amsterdam, Netherlands
- Academic Medical Centre
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Den Haag, Netherlands
- HagaZiekenhuis van Den Haag
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Nijmegen, Netherlands
- Radboud UMC
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Rotterdam, Netherlands
- Erasmus Medical Center
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Arizona
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Tucson, Arizona, United States, 85724
- Banner University of Arizona Medical Center
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Arkansas
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Little Rock, Arkansas, United States, 72205
- University of Arkansas for Medical Sciences
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California
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Madera, California, United States, 93636
- Valley Children's Healthcare
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Oakland, California, United States, 96411
- (Kaiser Permanente) Oakland Medical Center
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Colorado
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Denver, Colorado, United States, 80206
- National Jewish Health
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Florida
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Orlando, Florida, United States, 32803
- Central Florida Pulmonary Group
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Tampa, Florida, United States, 33606
- Tampa General Hospital Cardiac and Lung Transplant Clinic
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Georgia
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Atlanta, Georgia, United States, 30324
- Children's Specialty Services at North Druid Hills
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Illinois
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Chicago, Illinois, United States, 60611
- Northwestern Memorial Hospital
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Indiana
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Evansville, Indiana, United States, 47710
- Covance Clinical Research Unit Inc., Evansville Clinic [Parts A, B, C only]
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Kansas
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Kansas City, Kansas, United States, 66160
- University of Kansas Medical Center
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Louisiana
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New Orleans, Louisiana, United States, 70112
- Tulane Medical Center
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Michigan
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Detroit, Michigan, United States, 48201
- Harper University Hospital
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Minnesota
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Minneapolis, Minnesota, United States, 55404
- Children's Respiratory and Critical Care Specialists, P.A., Children's Hospitals and Clinics of Minn
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New Jersey
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Morristown, New Jersey, United States, 07960
- Morristown Medical Center
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New Mexico
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Albuquerque, New Mexico, United States, 87131
- University of New Mexico School of Medicine
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Ohio
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Cincinnati, Ohio, United States, 45267
- UC Health Office of Clinical Research
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Cleveland, Ohio, United States, 44106
- University Hospitals Cleveland Medical Center/Rainbow Babies and Children's Hospital
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Columbus, Ohio, United States, 43205
- Nationwide Children's Hospital
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Texas
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Austin, Texas, United States, 78723
- Austin Children's Chest Associates
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Vermont
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Burlington, Vermont, United States, 05401
- The University of Vermont
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Virginia
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Charlottesville, Virginia, United States, 22908
- University of Virginia Health System
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Morgantown, Virginia, United States, 26506
- West Virginia University Hospitals
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Norfolk, Virginia, United States, 23507
- Children's Hospital of The King's Daughters
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Richmond, Virginia, United States, 23298
- Virginia Commonwealth University
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Wisconsin
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Milwaukee, Wisconsin, United States, 53226
- Medical College of Wisconsin
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Key Inclusion Criteria:
Parts A, B, and C:
- Female subjects must be of non-childbearing potential.
- Between the ages of 18 and 55 years, inclusive.
- Body mass index (BMI) of 18.0 to 32.0 kg/m2, inclusive, and a total body weight >50 kg
Parts D, E, and F:
- Body weight ≥35 kg.
Subjects must have an eligible CFTR genotype:
- Parts D and F: Heterozygous for F508del and an MF mutation (F/MF)
- Part E: Homozygous for F508del (F/F)
- FEV1 value ≥40% and ≤90% of predicted mean for age, sex, and height.
Key Exclusion Criteria:
Parts A, B, and C:
- Any condition possibly affecting drug absorption.
- History of febrile illness within 14 days before the first study drug dose.
- Glucose-6-phosphate dehydrogenase (G6PD) deficiency.
Parts D, E, and F:
- History of clinically significant cirrhosis with or without portal hypertension.
- Glucose-6-phosphate dehydrogenase (G6PD) deficiency.
- Lung infection with organisms associated with a more rapid decline in pulmonary status.
- History of solid organ or hematological transplantation.
Other protocol defined Inclusion/Exclusion criteria may apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Placebo Comparator: Part A: Pooled Placebo (Except Cohort A7)
Participants without CF who received single dose of placebo matched to VX-445 in Cohort A1 to A5.
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Matched placebo.
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Experimental: Part A: VX-445 (Except Cohort A7)
Participants without CF who received single ascending dose of VX-445 tablet starting from 20 milligrams (mg) to 360 mg in Cohort A1 to A5.
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VX-445 tablet for oral administration.
Other Names:
VX-445 IV injection
Other Names:
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Experimental: Part A: VX-445 (Cohort A7)
Participants without CF who received single dose of VX-445 100 mg tablet on Day 1 in fasted state and on Day 7 in fed state, followed by VX-445 20 mg intravenous (IV) injection on Day 13 in fed state in Cohort A7.
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VX-445 tablet for oral administration.
Other Names:
VX-445 IV injection
Other Names:
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Placebo Comparator: Part B: Pooled Placebo (Cohort B1 to B4)
Participants without CF who received multiple doses of placebo matched to VX-445 once daily (qd) for 10 days in Cohort B1 to B4.
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Matched placebo.
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Experimental: Part B: VX-445 (Cohort B1 to B4)
Participants without CF who received VX-445 tablet qd for 10 days in Cohort B1 (60 mg), B2 (120 mg), B3 (240 mg) and B4 (340 mg).
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VX-445 tablet for oral administration.
Other Names:
VX-445 IV injection
Other Names:
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Placebo Comparator: Part C: Pooled Placebo (Cohort C1 to C3)
Participants without CF who received placebo matched to VX-445/TEZ/IVA triple combination (TC) qd in the morning and placebo matched to IVA in the evening for 14 days.
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Matched placebo.
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Experimental: Part C: VX-445/TEZ/IVA TC (Cohort C1 to C3)
Participants without CF who received VX-445 200 mg qd/TEZ 100 mg qd/IVA 150 mg q12h in Cohort C1; VX-445 280 mg qd/TEZ 100 mg qd/IVA 150 mg q12h in Cohort C2 and VX-445 100 mg qd/TEZ 100 mg qd/IVA 150 mg q12h in Cohort C3 for 14 days.
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VX-445 tablet for oral administration.
Other Names:
VX-445 IV injection
Other Names:
IVA tablet for oral administration
Other Names:
TEZ/IVA fixed-dose combination for oral administration.
Other Names:
|
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Placebo Comparator: Part D: Placebo
Participants with CF, F/MF genotype who received placebo matched to VX-445/TEZ/IVA TC qd in the morning and placebo matched to IVA qd in the evening for 4 weeks in the TC treatment period.
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Matched placebo.
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Experimental: Part D: VX-445/TEZ/IVA TC - Low Dose
Participants with CF, F/MF genotype who received VX-445 50 mg qd/TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks in the TC treatment period.
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VX-445 tablet for oral administration.
Other Names:
VX-445 IV injection
Other Names:
IVA tablet for oral administration
Other Names:
TEZ/IVA fixed-dose combination for oral administration.
Other Names:
|
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Experimental: Part D: VX-445/TEZ/IVA TC - Medium Dose
Participants with CF, F/MF genotype who received VX-445 100 mg qd/TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks in the TC treatment period.
|
VX-445 tablet for oral administration.
Other Names:
VX-445 IV injection
Other Names:
IVA tablet for oral administration
Other Names:
TEZ/IVA fixed-dose combination for oral administration.
Other Names:
|
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Experimental: Part D: VX-445/TEZ/IVA TC - High Dose
Participants with CF, F/MF genotype who received VX-445 200 mg qd/TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks in the TC treatment period.
|
VX-445 tablet for oral administration.
Other Names:
VX-445 IV injection
Other Names:
IVA tablet for oral administration
Other Names:
TEZ/IVA fixed-dose combination for oral administration.
Other Names:
|
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Active Comparator: Part E: TEZ/IVA
Following run-in period of 4 weeks with TEZ/IVA, participants with CF, F/F genotype who received TEZ 100 mg qd/IVA 150 mg q12h and placebo matched to VX-445 for 4 weeks in the TC treatment period.
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TEZ/IVA fixed-dose combination for oral administration.
Other Names:
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Experimental: Part E: VX-445/TEZ/IVA TC
Following run-in period of 4 weeks with TEZ/IVA, participants with CF, F/F genotype who received VX-445 200 mg qd/TEZ 100 mg qd /IVA 150 mg q12h for 4 weeks in the TC treatment period.
|
VX-445 tablet for oral administration.
Other Names:
VX-445 IV injection
Other Names:
IVA tablet for oral administration
Other Names:
TEZ/IVA fixed-dose combination for oral administration.
Other Names:
|
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Placebo Comparator: Part F: Placebo
Participants with CF, F/MF genotype who received placebo matched to VX-445/TEZ/VX-561 for 4 weeks in the TC treatment period.
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Matched placebo.
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Experimental: Part F: VX-445/TEZ/VX-561 TC
Participants with CF, F/MF genotype who received VX-445 200 mg qd/TEZ 100 mg qd/VX-561 150 mg qd for 4 weeks in the TC treatment period.
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VX-445 tablet for oral administration.
Other Names:
VX-445 IV injection
Other Names:
Tablet for oral administration.
Other Names:
Tablet for oral administration.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Parts A, B and C: Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time Frame: From first dose of study drug in treatment period up to safety follow-up (up to 28 days)
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From first dose of study drug in treatment period up to safety follow-up (up to 28 days)
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Parts D, E and F: Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time Frame: From first dose of study drug in TC treatment period up to 28 days after last dose of study drug (up to 5 weeks)
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From first dose of study drug in TC treatment period up to 28 days after last dose of study drug (up to 5 weeks)
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Part D: Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
Time Frame: From Baseline through Day 29
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FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
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From Baseline through Day 29
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Part E: Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
Time Frame: From Baseline through Day 29
|
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
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From Baseline through Day 29
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Part F: Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
Time Frame: From Baseline through Day 29
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FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
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From Baseline through Day 29
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Part A: Maximum Observed Concentration (Cmax) of VX-445
Time Frame: Cohort A1-A5: Pre-dose to 96 hours post-dose; Cohort A7: Pre-dose to 120 hours post-dose
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Cohort A1-A5: Pre-dose to 96 hours post-dose; Cohort A7: Pre-dose to 120 hours post-dose
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Part A: Area Under Plasma Concentration Time Curve From Time of Dosing to Last Measurable Concentration (AUC0-tlast) of VX-445
Time Frame: Cohort A1-5: Pre-dose to 96 hours post-dose; Cohort A7: Pre-dose to 120 hours post-dose
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Cohort A1-5: Pre-dose to 96 hours post-dose; Cohort A7: Pre-dose to 120 hours post-dose
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Part B: Maximum Observed Concentration (Cmax) of VX-445
Time Frame: Pre-dose to 96 hours post-dose on Day 1 and Day 10
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Pre-dose to 96 hours post-dose on Day 1 and Day 10
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Part B: Area Under Plasma Concentration Time Curve From Time of Dosing to Last Measurable Concentration (AUC0-tlast) of VX-445
Time Frame: Pre-dose to 96 hours post-dose on Day 1 and Day 10
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Pre-dose to 96 hours post-dose on Day 1 and Day 10
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Part B: Observed Pre-dose Plasma Concentration (Ctrough) of VX-445
Time Frame: Pre-dose on Day 10
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Pre-dose on Day 10
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Part C: Maximum Observed Concentration (Cmax) of VX-445, TEZ and Its Metabolites (M1-TEZ and M2-TEZ)
Time Frame: Pre-dose to 96 hours post-dose on Day 1, Day 7 and Day 14
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Pre-dose to 96 hours post-dose on Day 1, Day 7 and Day 14
|
|
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Part C: Area Under Plasma Concentration Time Curve From Time of Dosing to Last Measurable Concentration (AUC0-tlast) of VX-445, TEZ and Its Metabolites (M1-TEZ and M2-TEZ)
Time Frame: Pre-dose to 96 hours post-dose on Day 1, Day 7 and Day 14
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Pre-dose to 96 hours post-dose on Day 1, Day 7 and Day 14
|
|
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Part C: Maximum Observed Concentration (Cmax) of IVA and Its Metabolites (M1-IVA and M6-IVA)
Time Frame: Pre-dose to 96 hours post-dose on Day 1, Day 7 and Day 14
|
Pre-dose to 96 hours post-dose on Day 1, Day 7 and Day 14
|
|
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Part C: Area Under Plasma Concentration Time Curve From Time of Dosing to Last Measurable Concentration (AUC0-tlast) of IVA and Its Metabolites (M1-IVA and M6-IVA)
Time Frame: Pre-dose to 96 hours post-dose on Day 1, Day 7 and Day 14
|
Pre-dose to 96 hours post-dose on Day 1, Day 7 and Day 14
|
|
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Part C: Observed Pre-dose Concentration (Ctrough) of VX-445, TEZ and Its Metabolites (M1-TEZ and M2-TEZ)
Time Frame: Pre-dose on Day 7 and Day 14
|
Pre-dose on Day 7 and Day 14
|
|
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Part C: Observed Pre-dose Concentration (Ctrough) of IVA and Its Metabolites (M1-IVA and M6-IVA)
Time Frame: Pre-dose on Day 7 and Day 14
|
Pre-dose on Day 7 and Day 14
|
|
|
Part D: Observed Pre-dose Plasma Concentration (Ctrough) of VX-445, TEZ and Its Metabolite (M1-TEZ), IVA and Its Metabolite (M1-IVA)
Time Frame: Pre-dose on Day 15 and Day 29
|
Pre-dose on Day 15 and Day 29
|
|
|
Part E: Observed Pre-dose Concentration (Ctrough) of VX-445, TEZ and Its Metabolite (M1-TEZ) and IVA and Its Metabolite (M1-IVA)
Time Frame: Pre-dose on Day 15 and Day 29
|
Pre-dose on Day 15 and Day 29
|
|
|
Part F: Observed Pre-dose Concentration (Ctrough) of VX-445, TEZ and Its Metabolite (M1-TEZ) and VX-561
Time Frame: Pre-dose on Day 15 and Day 29
|
Pre-dose on Day 15 and Day 29
|
|
|
Part D: Absolute Change in Sweat Chloride Concentration
Time Frame: From Baseline through Day 29
|
Sweat samples were collected using an approved collection device.
|
From Baseline through Day 29
|
|
Part E: Absolute Change in Sweat Chloride Concentration
Time Frame: From Baseline through Day 29
|
Sweat samples were collected using an approved collection device.
|
From Baseline through Day 29
|
|
Part F: Absolute Change in Sweat Chloride Concentration
Time Frame: From Baseline through Day 29
|
Sweat samples were collected using an approved collection device.
|
From Baseline through Day 29
|
|
Part D: Relative Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
Time Frame: From Baseline through Day 29
|
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
|
From Baseline through Day 29
|
|
Part E: Relative Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
Time Frame: From Baseline through Day 29
|
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
|
From Baseline through Day 29
|
|
Part F: Relative Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
Time Frame: From Baseline through Day 29
|
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
|
From Baseline through Day 29
|
|
Part D: Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score
Time Frame: From Baseline through Day 29
|
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.
|
From Baseline through Day 29
|
|
Part E: Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score
Time Frame: From Baseline through Day 29
|
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.
|
From Baseline through Day 29
|
|
Part F: Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score
Time Frame: From Baseline through Day 29
|
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.
|
From Baseline through Day 29
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- 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. 2020 Dec 17;12:CD010966. doi: 10.1002/14651858.CD010966.pub3.
- Keating D, Marigowda G, Burr L, Daines C, Mall MA, McKone EF, Ramsey BW, Rowe SM, Sass LA, Tullis E, McKee CM, Moskowitz SM, Robertson S, Savage J, Simard C, Van Goor F, Waltz D, Xuan F, Young T, Taylor-Cousar JL; VX16-445-001 Study Group. VX-445-Tezacaftor-Ivacaftor in Patients with Cystic Fibrosis and One or Two Phe508del Alleles. N Engl J Med. 2018 Oct 25;379(17):1612-1620. doi: 10.1056/NEJMoa1807120. Epub 2018 Oct 18.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Pathologic Processes
- Respiratory Tract Diseases
- Lung Diseases
- Infant, Newborn, Diseases
- Genetic Diseases, Inborn
- Pancreatic Diseases
- Fibrosis
- Cystic Fibrosis
- Molecular Mechanisms of Pharmacological Action
- Membrane Transport Modulators
- Chloride Channel Agonists
- Ivacaftor
- Elexacaftor
Other Study ID Numbers
Other Study ID Numbers
- VX16-445-001
- 2017-000797-11 (EudraCT Number)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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