Study of VX-121 in Healthy Subjects and in Subjects With Cystic Fibrosis

NCT ID: NCT03768089

Last Updated: 2022-07-14

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

115 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-20

Study Completion Date

2019-05-03

Brief Summary

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The purpose of this study is to evaluate safety and tolerability of VX-121 in healthy subjects and in subjects with cystic fibrosis (CF).

Detailed Description

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Conditions

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Cystic Fibrosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Part A: Pooled Placebo (Cohorts A1-5; Except A3)

Participants received single dose of placebo matched to VX-121.

Group Type PLACEBO_COMPARATOR

Placebo (matched to VX-121 suspension)

Intervention Type DRUG

Placebo matched to VX-121 suspension for oral administration.

Part A: VX-121 (Cohort A1)

Participants received single dose of VX-121 10 milligrams (mg).

Group Type EXPERIMENTAL

VX-121 (Suspension)

Intervention Type DRUG

Suspension for oral administration.

Part A: VX-121 (Cohort A2)

Participants received single dose of VX-121 20 mg.

Group Type EXPERIMENTAL

VX-121 (Suspension)

Intervention Type DRUG

Suspension for oral administration.

Part A: VX-121 (Cohort A3)

Participants received single dose of VX-121 5 mg or matched placebo without milk, followed by open label VX-121 5 mg with milk.

Group Type EXPERIMENTAL

Placebo (matched to VX-121 suspension)

Intervention Type DRUG

Placebo matched to VX-121 suspension for oral administration.

VX-121 (Suspension)

Intervention Type DRUG

Suspension for oral administration.

Part A: VX-121 (Cohort A4)

Participants received single dose of VX-121 40 mg.

Group Type EXPERIMENTAL

VX-121 (Suspension)

Intervention Type DRUG

Suspension for oral administration.

Part A: VX-121 (Cohort A5)

Participants received single dose of VX-121 60 mg.

Group Type EXPERIMENTAL

VX-121 (Suspension)

Intervention Type DRUG

Suspension for oral administration.

Part A: VX-121 (Cohort A9)

Participants received single dose of VX-121 10 mg suspension on Day 1, VX-121 10 mg tablet on Day 9, followed by VX-121 10 mg tablet with milk on Day 17.

Group Type EXPERIMENTAL

VX-121 (Suspension)

Intervention Type DRUG

Suspension for oral administration.

VX-121 (Tablet)

Intervention Type DRUG

Tablet for oral administration.

Part B: Pooled Placebo (Cohorts B1-4)

Participants received placebo matched to VX-121 for 10 days.

Group Type PLACEBO_COMPARATOR

Placebo (matched to VX-121 suspension)

Intervention Type DRUG

Placebo matched to VX-121 suspension for oral administration.

Part B: VX-121 (Cohort B1)

Participants received VX-121 10 mg once daily (qd) for 10 days.

Group Type EXPERIMENTAL

VX-121 (Suspension)

Intervention Type DRUG

Suspension for oral administration.

Part B: VX-121 (Cohort B2)

Participants received VX-121 20 mg qd for 10 days.

Group Type EXPERIMENTAL

VX-121 (Suspension)

Intervention Type DRUG

Suspension for oral administration.

Part B: VX-121 (Cohort B3)

Participants received VX-121 40 mg qd for 10 days.

Group Type EXPERIMENTAL

VX-121 (Suspension)

Intervention Type DRUG

Suspension for oral administration.

Part B: VX-121 (Cohort B4)

Participants received VX-121 60 mg qd for 10 days.

Group Type EXPERIMENTAL

VX-121 (Suspension)

Intervention Type DRUG

Suspension for oral administration.

Part C: Pooled Placebo (Cohorts C1-3)

Participants received placebo matched to VX-121/TEZ/IVA for 14 days.

Group Type PLACEBO_COMPARATOR

Placebo (matched to VX-121 suspension)

Intervention Type DRUG

Placebo matched to VX-121 suspension for oral administration.

Placebo (matched to TEZ/IVA)

Intervention Type DRUG

Placebo matched to TEZ/IVA for oral administration.

Placebo (matched to IVA)

Intervention Type DRUG

Placebo matched to IVA for oral administration.

Part C: VX-121 (Cohort C1)

Participants received VX-121 10 mg qd/TEZ 100 mg qd/IVA 150 mg every 12 hours (q12h) for 14 days.

Group Type EXPERIMENTAL

VX-121 (Suspension)

Intervention Type DRUG

Suspension for oral administration.

TEZ/IVA

Intervention Type DRUG

Fixed-dose combination tablet for oral administration.

IVA

Intervention Type DRUG

Tablet for oral administration.

Part C: VX-121 (Cohort C2)

Participants received VX-121 20 mg qd/TEZ 100 mg qd/IVA 150 mg q12h for 14 days.

Group Type EXPERIMENTAL

VX-121 (Suspension)

Intervention Type DRUG

Suspension for oral administration.

TEZ/IVA

Intervention Type DRUG

Fixed-dose combination tablet for oral administration.

IVA

Intervention Type DRUG

Tablet for oral administration.

Part C: VX-121 (Cohort C3)

Participants received VX-121 5 mg qd/TEZ 100 mg qd/IVA 150 mg q12h for 14 days.

Group Type EXPERIMENTAL

VX-121 (Suspension)

Intervention Type DRUG

Suspension for oral administration.

TEZ/IVA

Intervention Type DRUG

Fixed-dose combination tablet for oral administration.

IVA

Intervention Type DRUG

Tablet for oral administration.

Part D: Placebo

Participants received placebo matched to VX-121/TEZ/IVA for 4 weeks.

Group Type PLACEBO_COMPARATOR

Placebo (matched to TEZ/IVA)

Intervention Type DRUG

Placebo matched to TEZ/IVA for oral administration.

Placebo (matched to IVA)

Intervention Type DRUG

Placebo matched to IVA for oral administration.

Placebo (matched to VX-121 tablet)

Intervention Type DRUG

Placebo matched to VX-121 tablet for oral administration.

Part D: VX-121/TEZ/IVA

Participants received VX-121 5 mg qd/TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks.

Group Type EXPERIMENTAL

TEZ/IVA

Intervention Type DRUG

Fixed-dose combination tablet for oral administration.

IVA

Intervention Type DRUG

Tablet for oral administration.

VX-121 (Tablet)

Intervention Type DRUG

Tablet for oral administration.

Interventions

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Placebo (matched to VX-121 suspension)

Placebo matched to VX-121 suspension for oral administration.

Intervention Type DRUG

VX-121 (Suspension)

Suspension for oral administration.

Intervention Type DRUG

TEZ/IVA

Fixed-dose combination tablet for oral administration.

Intervention Type DRUG

IVA

Tablet for oral administration.

Intervention Type DRUG

Placebo (matched to TEZ/IVA)

Placebo matched to TEZ/IVA for oral administration.

Intervention Type DRUG

Placebo (matched to IVA)

Placebo matched to IVA for oral administration.

Intervention Type DRUG

VX-121 (Tablet)

Tablet for oral administration.

Intervention Type DRUG

Placebo (matched to VX-121 tablet)

Placebo matched to VX-121 tablet for oral administration.

Intervention Type DRUG

Other Intervention Names

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VX-661/VX-770 tezacaftor/ivacaftor VX-770 ivacaftor

Eligibility Criteria

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Inclusion Criteria

* Part A, B, and C: Healthy Volunteers

* 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
* Part D: Subjects with CF

* Heterozygous for F508del and an MF mutation (F/MF)
* FEV1 value ≥40% and ≤90% of predicted mean for age, sex, and height
* Body weight ≥35 kg

Exclusion Criteria

* Part A, B and C: Healthy Volunteers

* Any condition possibly affecting drug absorption
* History of febrile illness or other acute illness within 5 days before the first study drug dose
* Part D: Subjects with CF

* History of clinically significant cirrhosis with or without portal hypertension
* History of solid organ or hematological transplantation
* Lung infection with organisms associated with a more rapid decline in pulmonary status
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Vertex Pharmaceuticals Incorporated

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Academic Medical Center

Amsterdam, , Netherlands

Site Status

PRA Health Sciences Onderzoekscentrum UMCG

Groningen, , Netherlands

Site Status

UMC St. Radboud

Nijmegen, , Netherlands

Site Status

Erasmus Medical Center

Rotterdam, , Netherlands

Site Status

HagaZiekenhuis van den Haag

The Hague, , Netherlands

Site Status

Heart of England NHS Foundation Trust, Birmingham Heartlands Hospital

Birmingham, , United Kingdom

Site Status

The Medicines Evaluation Unit

Manchester, , United Kingdom

Site Status

Countries

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Netherlands United Kingdom

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2018-000126-55

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

VX17-121-001

Identifier Type: -

Identifier Source: org_study_id

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