NCT04353817

Brief Summary

This study will evaluate the efficacy and safety of elexacaftor (ELX) / tezacaftor (TEZ) / ivacaftor (IVA) triple combination (TC) in subjects 6 through 11 years of age with cystic fibrosis (CF) who are heterozygous for F508del and a minimal function (MF) mutation (F/MF genotypes).

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
121

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Jun 2020

Shorter than P25 for phase_3

Geographic Reach
10 countries

34 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 16, 2020

Completed
4 days until next milestone

First Posted

Study publicly available on registry

April 20, 2020

Completed
2 months until next milestone

Study Start

First participant enrolled

June 19, 2020

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 17, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 17, 2021

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

July 26, 2022

Completed
Last Updated

July 26, 2022

Status Verified

July 1, 2022

Enrollment Period

11 months

First QC Date

April 16, 2020

Results QC Date

May 16, 2022

Last Update Submit

July 1, 2022

Conditions

Outcome Measures

Primary Outcomes (1)

  • Absolute Change in Lung Clearance Index 2.5 (LCI2.5)

    The LCI2.5 index is the number of lung turnovers required to reduce the end tidal inert gas concentration to 1/40th of its starting values and is calculated by dividing the sum of exhaled tidal breaths (cumulative exhaled volume (CEV)) by simultaneously measured functional residual capacity (FRC). An LCI of 7.5 and below is normal; values greater than 7.5 are abnormal. LCI is able to detect abnormalities in lung function earlier than more traditional modalities such as spirometry.

    From Baseline Through Week 24

Secondary Outcomes (2)

  • Absolute Change in Sweat Chloride (SwCl)

    From Baseline Through Week 24

  • Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    Day 1 up to Week 28

Study Arms (2)

Placebo

PLACEBO COMPARATOR

Participants received placebo matched to ELX/TEZ/IVA and placebo matched to IVA in the treatment period for 24 weeks.

Other: Placebo (matched to ELX/TEZ/IVA)Other: Placebo (matched to IVA)

ELX/TEZ/IVA

EXPERIMENTAL

Participants weighing less than (\<) 30 kilograms (kg) at screening received ELX 100 mg qd/TEZ 50 mg qd/IVA 75 mg every 12 hours (q12h) and participants weighing greater than equals to (\>=) 30 kg at screening received ELX 200 mg qd/TEZ 100 mg qd/IVA 150 mg q12h in the treatment period for 24 weeks.

Drug: ELX/TEZ/IVADrug: IVA

Interventions

Fixed-dose combination tablet for oral administration qd in the morning.

Also known as: VX-445/VX-661/VX-770, elexacaftor/tezacaftor/ivacaftor
ELX/TEZ/IVA
IVADRUG

Tablet for oral administration qd in the evening.

Also known as: VX-770, ivacaftor
ELX/TEZ/IVA

Placebo matched to ELX/TEZ/IVA for oral administration once daily (qd) in the morning.

Placebo

Placebo matched to IVA for oral administration qd in the evening.

Placebo

Eligibility Criteria

Age6 Years - 11 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Heterozygous for the F508del mutation (F/MF)
  • Forced expiratory volume in 1 second (FEV1) value greater than equal to(≥) 70%

You may not qualify if:

  • Clinically significant cirrhosis with or without portal hypertension
  • Lung infection with organisms associated with a more rapid decline in pulmonary status
  • Solid organ or hematological transplantation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (34)

Telethon Kids Institute

Nedlands, Australia

Location

Queensland Children's Hospital

South Brisbane, Australia

Location

The Children's Hospital at Westmead

Westmead, Australia

Location

McGill University Health Centre, Glen Site, Montreal Children's Hospital

Montreal, Canada

Location

The Hospital for Sick Children

Toronto, Canada

Location

British Columbia Children's Hospital

Vancouver, Canada

Location

Juliane Marie Center, Rigshospitalet

Copenhagen, Denmark

Location

Groupe Hospitaler Pellegrin, CHU De Bordeaux

Bordeaux, France

Location

CHU Lyon - Hopital Femme Mere-Enfant

Bron, France

Location

Hopital Necker, Enfants Malades

Paris, France

Location

Hopital Robert Debre

Paris, France

Location

Centre de Perharidy

Roscoff, France

Location

Charite Paediatric Pulmonology Department

Berlin, Germany

Location

Universitaetsklinkum Koeln, CF-Studienzentrum

Cologne, Germany

Location

Universitätsklinikum Essen

Essen, Germany

Location

Johann Wolfgang Goethe University

Frankfurt, Germany

Location

Justus-Liebig-Universität Gießen Zentrum fur Kinderheilkunde und Jugendmedizin

Giessen, Germany

Location

Medizinische Hochschule Hannover

Hanover, Germany

Location

Universitaetsklinikum Heidelberg, Zenter fuer Kinder-und Jugendmedizin

Heidelberg, Germany

Location

Hadassah University Hospital Mount Scopus

Jerusalem, Israel

Location

Schneider Children's Medical Center

Petah Tikva, Israel

Location

Universitair Medisch Centrum Groningen

Groningen, Netherlands

Location

Erasmus Medical Center / Sophia Children's Hospital

Rotterdam, Netherlands

Location

Hospital Universitari Vall d Hebron

Barcelona, Spain

Location

Hospital Virgen de la Arrixaca

Murcia, Spain

Location

Inselspital - Universitaetsspital Bern

Bern, Switzerland

Location

Kinderspital Zuerich

Zurich, Switzerland

Location

University Hospitals Bristol and Weston NHS Foundation Trust, Bristol Royal Hospital

Bristol, United Kingdom

Location

Children's Hospital of Wales

Cardiff, United Kingdom

Location

Royal Hospital for Sick Children

Edinburgh, United Kingdom

Location

Alder Hey Children's NHS Foundation Trust

Liverpool, United Kingdom

Location

Great Ormond Street Hospital for Sick Children

London, United Kingdom

Location

Royal Brompton & Harefield NHS Foundation Trust, Royal Brompton Hospital

London, United Kingdom

Location

Southampton General Hospital

Southampton, United Kingdom

Location

MeSH Terms

Conditions

Cystic Fibrosis

Interventions

elexacaftor, ivacaftor, tezacaftor drug combinationivacaftor

Condition Hierarchy (Ancestors)

Pancreatic DiseasesDigestive System DiseasesLung DiseasesRespiratory Tract DiseasesGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesInfant, Newborn, Diseases

Results Point of Contact

Title
Medical Monitor
Organization
Vertex Pharmaceuticals Incorporated

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 16, 2020

First Posted

April 20, 2020

Study Start

June 19, 2020

Primary Completion

May 17, 2021

Study Completion

May 17, 2021

Last Updated

July 26, 2022

Results First Posted

July 26, 2022

Record last verified: 2022-07

Data Sharing

IPD Sharing
Will not share

Details on Vertex data sharing criteria and process for requesting access can be found at: https://www.vrtx.com/independent-research/clinical-trial-data-sharing

Locations