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NCT03150719

A Study to Evaluate Safety, Efficacy, and Tolerability of TEZ/IVA in Orkambi® (Lumacaftor/Ivacaftor) -Experienced Subjects With Cystic Fibrosis (CF)

Completed Phase 3 Results posted Last updated 12 September 2019
What this trial tests

Phase 3 trial testing Tezacaftor/Ivacaftor in Cystic Fibrosis in 98 participants. Completed in 9 August 2018.

Timeline
24 May 2017
Primary endpoint
9 August 2018
9 August 2018

Quick facts

Lead sponsorVertex Pharmaceuticals Incorporated
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment98
Start date24 May 2017
Primary completion9 August 2018
Estimated completion9 August 2018
Sites53 locations across France, United States, Germany

Drugs / interventions tested

Conditions studied

Sponsor

Vertex Pharmaceuticals Incorporated — full company profile →

Who can join

12 and older, any sex, with Cystic Fibrosis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Incidence of Respiratory Adverse Events of Special Interest (RAESIs) Primary · Day 1 up to Day 84

RAESIs included chest discomfort, dyspnea (shortness of breath), respiration abnormal (chest tightness), asthma, bronchial hyperreactivity, bronchospasm, and wheezing.

GroupValue95% CI
Placebo10
TEZ/IVA7
Absolute Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Average of Day 28 and Day 56 Measurements Secondary · Baseline, Day 28 and Day 56

FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.

GroupValue95% CI
Placebo-0.6± 3.4
TEZ/IVA2.2± 4.8
Relative Change From Baseline in ppFEV1 at Average of Day 28 and Day 56 Measurements Secondary · Baseline, Day 28 and Day 56

FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.

GroupValue95% CI
Placebo-1.5± 8.1
TEZ/IVA5.2± 12.0
Absolute Change From Baseline in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Average of Day 28 and Day 56 Measurements Secondary · Baseline, Day 28 and Day 56

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.

GroupValue95% CI
Placebo4.7± 15.4
TEZ/IVA5.7± 14.2
Tolerability as Assessed by Number of Participants Who Discontinued Treatment Secondary · Day 1 through Day 56
GroupValue95% CI
Placebo2
TEZ/IVA2
Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) Secondary · Day 1 up to Day 84
Participants with AEs
GroupValue95% CI
Placebo39
TEZ/IVA37
Participants with SAEs
GroupValue95% CI
Placebo9
TEZ/IVA5

Adverse events — posted to ClinicalTrials.gov

Time frame: Day 1 up to Day 84. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 9/47 (19%)
Deaths: 0/47
TEZ/IVA
Serious: 5/50 (10%)
Deaths: 1/50

Serious adverse events (9 terms)

ReactionSystemPlaceboTEZ/IVA
Infective pulmonary exacerbation of cystic fibrosisInfections and infestations
SepsisInfections and infestations
Lower respiratory tract infectionInfections and infestations
ConstipationGastrointestinal disorders
Multiple organ dysfunction syndromeGeneral disorders
Suicidal ideationPsychiatric disorders
Pericardial effusionCardiac disorders
Musculoskeletal chest painMusculoskeletal and connective tissue disorders
Pleuritic painRespiratory, thoracic and mediastinal disorders
Other adverse events (16 terms — click to expand)

ReactionSystemPlaceboTEZ/IVA
CoughRespiratory, thoracic and mediastinal disorders
Infective pulmonary exacerbation of cystic fibrosisInfections and infestations
HeadacheNervous system disorders
NasopharyngitisInfections and infestations
DyspnoeaRespiratory, thoracic and mediastinal disorders
Sputum increasedRespiratory, thoracic and mediastinal disorders
Abdominal pain upperGastrointestinal disorders
ConstipationGastrointestinal disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
HaemoptysisRespiratory, thoracic and mediastinal disorders
Respiration abnormalRespiratory, thoracic and mediastinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
DiarrhoeaGastrointestinal disorders
Bacterial test positiveInvestigations
Decreased appetiteMetabolism and nutrition disorders

Most-reported serious reactions: Infective pulmonary exacerbation of cystic fibrosis, Sepsis, Lower respiratory tract infection, Constipation, Multiple organ dysfunction syndrome, Suicidal ideation, Pericardial effusion, Musculoskeletal chest pain.

Data from ClinicalTrials.gov NCT03150719 adverse events section.

Sponsor's own description

Study VX16-661-114 (Study 114) is a Phase 3b, randomized, double-blind, placebo-controlled, parallel-group, multicenter study in subjects aged 12 years and older with CF who are homozygous for the F508del mutation on the cystic fibrosis transmembrane conductance regulator gene (CFTR) gene and who discontinued treatment with Orkambi due to respiratory symptoms considered related to treatment. This study is designed to evaluate the safety and efficacy of Tezacaftor/Ivacaftor (TEZ/IVA).

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Correctors (specific therapies for class II CFTR mutations) for cystic fibrosis.
    Southern KW, Patel S, Sinha IP, Nevitt SJ. · · 2018 · cited 26× · PMID 30070364 · DOI 10.1002/14651858.cd010966.pub2
  2. Tezacaftor/ivacaftor in people with cystic fibrosis who stopped lumacaftor/ivacaftor due to respiratory adverse events.
    Schwarz C, Sutharsan S, Epaud R, Klingsberg RC, et al · · 2021 · cited 19× · PMID 32586736 · DOI 10.1016/j.jcf.2020.06.001
  3. The potential of antisense oligonucleotide therapies for inherited childhood lung diseases.
    Martinovich KM, Shaw NC, Kicic A, Schultz A, et al · · 2018 · cited 15× · PMID 29411170 · DOI 10.1186/s40348-018-0081-6
  4. Inhaled Biologicals for the Treatment of Cystic Fibrosis.
    Sala V, Murabito A, Ghigo A. · · 2019 · cited 9× · PMID 30318010 · DOI 10.2174/1872213x12666181012101444
  5. Comparative efficacy and safety of CFTR modulators for people with cystic fibrosis with phe508del mutation: a systematic review and bayesian network meta-analysis.
    Safeer V S M, Behl S, Vaidya PC, Tiwari P, et al · · 2025 · PMID 41377908 · DOI 10.1016/j.eclinm.2025.103655

Verify or expand the search:

Other recruiting trials for Cystic Fibrosis

Currently open trials in the same condition.

Other Vertex Pharmaceuticals Incorporated trials

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