Last reviewed · How we verify

NCT03911713

A Phase 2 Study to Evaluate Efficacy and Safety of VX-561 in Subjects Aged 18 Years and Older With Cystic Fibrosis

Completed Phase 2 Results posted Last updated 25 January 2022
What this trial tests

Phase 2 trial testing VX-561 in Cystic Fibrosis in 77 participants. Completed in 20 August 2020.

Timeline
17 April 2019
Primary endpoint
20 August 2020
20 August 2020

Quick facts

Lead sponsorVertex Pharmaceuticals Incorporated
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment77
Start date17 April 2019
Primary completion20 August 2020
Estimated completion20 August 2020
Sites48 locations across Netherlands, Belgium, Ireland, United Kingdom, Germany, Australia, United States

Drugs / interventions tested

Conditions studied

Sponsor

Vertex Pharmaceuticals Incorporated — full company profile →

Who can join

18 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.

Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) Primary · From Baseline at Week 12

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

GroupValue95% CI
Ivacaftor-0.8-6.2 – 4.7
VX-561: 150 mg3.1-0.8 – 7.0
VX-561: 250 mg2.7-1.0 – 6.5
Absolute Change in Sweat Chloride (SwCl) Secondary · From Baseline at Week 12

Sweat samples were collected using an approved collection device.

GroupValue95% CI
Ivacaftor0.9-9.5 – 11.3
VX-561: 150 mg3.3-4.6 – 11.2
VX-561: 250 mg-6.5-14.1 – 1.2
Observed Pre-Dose Concentration (Ctrough) of VX-561 and Its Metabolites (M1-VX-561 and M6-VX-561) and IVA and Its Metabolites (M1-IVA and M6-IVA) Secondary · At Week 4
VX-561: Week 4
GroupValue95% CI
VX-561: 25 mg26.1± 24.7
VX-561: 50 mg123± 61.6
VX-561: 150 mg458± 273
VX-561: 250 mg1100± 856
M1-VX-561: Week 4
GroupValue95% CI
VX-561: 25 mg18.1± 17.7
VX-561: 50 mg108± 58.6
VX-561: 150 mg378± 213
VX-561: 250 mg739± 407
M6-VX-561: Week 4
GroupValue95% CI
VX-561: 25 mgNA± NA
VX-561: 50 mg59.8± 34.0
VX-561: 150 mg211± 189
VX-561: 250 mg370± 233
IVA: Week 4
GroupValue95% CI
Ivacaftor952± 766
M1-IVA: Week 4
GroupValue95% CI
Ivacaftor1330± 774
M6-IVA: Week 4
GroupValue95% CI
Ivacaftor662± 398
Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) Secondary · Baseline up to Week 16
Participants with AEs
GroupValue95% CI
Ivacaftor8
VX-561: 25 mg4
VX-561: 50 mg8
VX-561: 150 mg21
VX-561: 250 mg23
Participants with SAEs
GroupValue95% CI
Ivacaftor1
VX-561: 25 mg2
VX-561: 50 mg2
VX-561: 150 mg2
VX-561: 250 mg1

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline up to Week 16. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Ivacaftor
Serious: 1/11 (9%)
Deaths: 0/11
VX-561: 25 mg
Serious: 2/6 (33%)
Deaths: 0/6
VX-561: 50 mg
Serious: 2/11 (18%)
Deaths: 0/11
VX-561: 150 mg
Serious: 2/23 (9%)
Deaths: 0/23
VX-561: 250 mg
Serious: 1/24 (4%)
Deaths: 0/24

Serious adverse events (3 terms)

ReactionSystemIvacaftorVX-561: 25 mgVX-561: 50 mgVX-561: 150 mgVX-561: 250 mg
Infective pulmonary exacerbation of cystic fibrosisInfections and infestations
Distal intestinal obstruction syndromeGastrointestinal disorders
Forced expiratory volume decreasedInvestigations
Other adverse events (63 terms — click to expand)

ReactionSystemIvacaftorVX-561: 25 mgVX-561: 50 mgVX-561: 150 mgVX-561: 250 mg
CoughRespiratory, thoracic and mediastinal disorders
Infective pulmonary exacerbation of cystic fibrosisInfections and infestations
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Respiration abnormalRespiratory, thoracic and mediastinal disorders
Sputum increasedRespiratory, thoracic and mediastinal disorders
NasopharyngitisInfections and infestations
HaemoptysisRespiratory, thoracic and mediastinal disorders
Abdominal distensionGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
SinusitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
Aspartate aminotransferase increasedInvestigations
Blood creatine phosphokinase increasedInvestigations
Back painMusculoskeletal and connective tissue disorders
MigraineNervous system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Lower respiratory tract congestionRespiratory, thoracic and mediastinal disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
HyperhidrosisSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
LeukocytosisBlood and lymphatic system disorders
PalpitationsCardiac disorders
Ear painEar and labyrinth disorders
TinnitusEar and labyrinth disorders
GlaucomaEye disorders
Abdominal painGastrointestinal disorders
Abdominal pain lowerGastrointestinal disorders
ConstipationGastrointestinal disorders
DuodenitisGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Chest discomfortGeneral disorders
FatigueGeneral disorders
MalaiseGeneral disorders
PyrexiaGeneral disorders
Bronchopulmonary aspergillosis allergicInfections and infestations
EpididymitisInfections and infestations
Fungal skin infectionInfections and infestations
Oral candidiasisInfections and infestations

Most-reported serious reactions: Infective pulmonary exacerbation of cystic fibrosis, Distal intestinal obstruction syndrome, Forced expiratory volume decreased.

Data from ClinicalTrials.gov NCT03911713 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the efficacy, safety, pharmacodynamic (PD) and pharmacokinetic (PK) effect of VX-561.

Publications & conference data

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

  1. CFTR Modulators: The Changing Face of Cystic Fibrosis in the Era of Precision Medicine.
    Lopes-Pacheco M. · · 2019 · cited 349× · PMID 32153386 · DOI 10.3389/fphar.2019.01662
  2. Elexacaftor-Tezacaftor-Ivacaftor: The First Triple-Combination Cystic Fibrosis Transmembrane Conductance Regulator Modulating Therapy.
    Ridley K, Condren M. · · 2020 · cited 90× · PMID 32265602 · DOI 10.5863/1551-6776-25.3.192
  3. Safety and efficacy of vanzacaftor-tezacaftor-deutivacaftor in adults with cystic fibrosis: randomised, double-blind, controlled, phase 2 trials.
    Uluer AZ, MacGregor G, Azevedo P, Indihar V, et al · · 2023 · cited 51× · PMID 36842446 · DOI 10.1016/s2213-2600(22)00504-5
  4. Pharmacological Modulation of Ion Channels for the Treatment of Cystic Fibrosis.
    Pinto MC, Silva IAL, Figueira MF, Amaral MD, et al · · 2021 · cited 37× · PMID 34326672 · DOI 10.2147/jep.s255377
  5. Corrector therapies (with or without potentiators) for people with cystic fibrosis with class II CFTR gene variants (most commonly F508del).
    Southern KW, Murphy J, Sinha IP, Nevitt SJ. · · 2020 · cited 32× · PMID 33331662 · DOI 10.1002/14651858.cd010966.pub3
  6. State of the Art on Approved Cystic Fibrosis Transmembrane Conductance Regulator (<i>CFTR</i>) Modulators and Triple-Combination Therapy.
    Meoli A, Fainardi V, Deolmi M, Chiopris G, et al · · 2021 · cited 26× · PMID 34577628 · DOI 10.3390/ph14090928
  7. Building global development strategies for cf therapeutics during a transitional cftr modulator era.
    Mayer-Hamblett N, van Koningsbruggen-Rietschel S, Nichols DP, VanDevanter DR, et al · · 2020 · cited 26× · PMID 32522463 · DOI 10.1016/j.jcf.2020.05.011
  8. The Distribution and Role of the CFTR Protein in the Intracellular Compartments.
    Lukasiak A, Zajac M. · · 2021 · cited 23× · PMID 34832033 · DOI 10.3390/membranes11110804

Verify or expand the search:

Other trials of VX-561

Trials testing the same drug.

Other recruiting trials for Cystic Fibrosis

Currently open trials in the same condition.

Other Vertex Pharmaceuticals Incorporated trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03911713.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing