Trial Outcomes & Findings for A Study to Evaluate Efficacy and Safety of VX-864 in Participants With the PiZZ Genotype (NCT NCT05643495)

NCT ID: NCT05643495

Last Updated: 2025-09-08

Results Overview

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

14 participants

Primary outcome timeframe

From Baseline at Week 48

Results posted on

2025-09-08

Participant Flow

This study had 2 Groups: Group A participants did not have a liver biopsy and Group B participants have 2 liver biopsies performed over the course of the study.

A total of 14 participants were enrolled from 23 February 2023 to 03 November 2023 in this study. Study drug dosing and efficacy assessments were terminated early due to Sponsor decision, therefore evaluation of efficacy outcome measure was not completed.

Participant milestones

Participant milestones
Measure
Group A VX-864 500 mg
Participants received VX-864 every 12 hours (q12h) for 48 weeks or until study drug dosing was terminated.
Group B VX-864 500 mg
Participants undergo a liver biopsy before receiving VX-864 q12h for 48 weeks or until study drug dosing was terminated and undergo a second liver biopsy at either Week 24 or Week 48.
Overall Study
STARTED
10
4
Overall Study
COMPLETED
9
2
Overall Study
NOT COMPLETED
1
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Group A VX-864 500 mg
Participants received VX-864 every 12 hours (q12h) for 48 weeks or until study drug dosing was terminated.
Group B VX-864 500 mg
Participants undergo a liver biopsy before receiving VX-864 q12h for 48 weeks or until study drug dosing was terminated and undergo a second liver biopsy at either Week 24 or Week 48.
Overall Study
Adverse Event
0
1
Overall Study
Withdrawal of consent (not due to AE)
1
1

Baseline Characteristics

A Study to Evaluate Efficacy and Safety of VX-864 in Participants With the PiZZ Genotype

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group A VX-864 500 mg
n=10 Participants
Participants received VX-864 q12h for 48 weeks or until study drug dosing was terminated.
Group B VX-864 500 mg
n=4 Participants
Participants undergo a liver biopsy before receiving VX-864 q12h for 48 weeks or until study drug dosing was terminated and undergo a second liver biopsy at either Week 24 or Week 48.
Total
n=14 Participants
Total of all reporting groups
Age, Continuous
52.8 years
STANDARD_DEVIATION 14.2 • n=5 Participants
50.8 years
STANDARD_DEVIATION 10.4 • n=7 Participants
52.2 years
STANDARD_DEVIATION 12.9 • n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
3 Participants
n=7 Participants
11 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race/Ethnicity, Customized
White
10 Participants
n=5 Participants
4 Participants
n=7 Participants
14 Participants
n=5 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
10 Participants
n=5 Participants
4 Participants
n=7 Participants
14 Participants
n=5 Participants

PRIMARY outcome

Timeframe: From Baseline at Week 48

Population: Data was not collected for this Outcome Measure as the study drug dosing was terminated prior to any participant reaching Week 48.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: From Baseline up to Week 48

Population: Data was not collected for this Outcome Measure as the study drug dosing was terminated prior to any participant reaching Week 48.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: From Baseline up to Week 48

Population: Data was not collected for this Outcome Measure as the study drug dosing was terminated prior to any participant reaching Week 48.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: From Baseline up to Week 48

Population: Data was not collected for this Outcome Measure as the study drug dosing was terminated prior to any participant reaching Week 48.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: From Baseline up to Week 48

Population: No participants in Group B underwent a second liver biopsy at week 24 or week 48 as the study drug dosing was terminated prior to any participant reaching week 24 or week 48. Therefore, data was not collected for this Outcome Measure.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day 1 up to Week 52

Population: Safety set included all participants who had received at least 1 dose of study drug in this study.

Outcome measures

Outcome measures
Measure
Group A VX-864 500 mg
n=10 Participants
Participants received VX-864 q12h for 48 weeks or until study drug dosing was terminated.
Group B VX-864 500 mg
n=4 Participants
Participants undergo a liver biopsy before receiving VX-864 q12h for 48 weeks or until study drug dosing was terminated and undergo a second liver biopsy at either Week 24 or Week 48.
Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Participants with TEAEs
10 Participants
4 Participants
Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Participants with SAEs
1 Participants
0 Participants

Adverse Events

Group A VX-864 500 mg

Serious events: 1 serious events
Other events: 10 other events
Deaths: 0 deaths

Group B VX-864 500 mg

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Group A VX-864 500 mg
n=10 participants at risk
Participants received VX-864 q12h for 48 weeks or until study drug dosing was terminated.
Group B VX-864 500 mg
n=4 participants at risk
Participants undergo a liver biopsy before receiving VX-864 q12h for 48 weeks or until study drug dosing was terminated and undergo a second liver biopsy at either Week 24 or Week 48.
Infections and infestations
Diverticulitis
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.

Other adverse events

Other adverse events
Measure
Group A VX-864 500 mg
n=10 participants at risk
Participants received VX-864 q12h for 48 weeks or until study drug dosing was terminated.
Group B VX-864 500 mg
n=4 participants at risk
Participants undergo a liver biopsy before receiving VX-864 q12h for 48 weeks or until study drug dosing was terminated and undergo a second liver biopsy at either Week 24 or Week 48.
Congenital, familial and genetic disorders
Porphyria non-acute
0.00%
0/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
25.0%
1/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Gastrointestinal disorders
Abdominal distension
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Gastrointestinal disorders
Abdominal pain
0.00%
0/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
25.0%
1/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Gastrointestinal disorders
Diarrhoea
20.0%
2/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
50.0%
2/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Gastrointestinal disorders
Mouth ulceration
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Gastrointestinal disorders
Nausea
30.0%
3/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
50.0%
2/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Gastrointestinal disorders
Paraesthesia oral
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Gastrointestinal disorders
Vomiting
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
25.0%
1/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Hepatobiliary disorders
Hypertransaminasaemia
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Infections and infestations
Bronchitis
0.00%
0/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
25.0%
1/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Infections and infestations
Diverticulitis
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Investigations
Blood creatine phosphokinase increased
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
25.0%
1/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Metabolism and nutrition disorders
Hypercholesterolaemia
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Musculoskeletal and connective tissue disorders
Arthralgia
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
25.0%
1/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Musculoskeletal and connective tissue disorders
Joint swelling
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Nervous system disorders
Dizziness
20.0%
2/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Nervous system disorders
Dysgeusia
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Nervous system disorders
Headache
0.00%
0/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
25.0%
1/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Nervous system disorders
Hyperaesthesia
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Psychiatric disorders
Irritability
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Reproductive system and breast disorders
Benign prostatic hyperplasia
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Skin and subcutaneous tissue disorders
Blister
20.0%
2/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Skin and subcutaneous tissue disorders
Dermatitis contact
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Skin and subcutaneous tissue disorders
Drug eruption
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Skin and subcutaneous tissue disorders
Dyshidrotic eczema
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Skin and subcutaneous tissue disorders
Photosensitivity reaction
30.0%
3/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Skin and subcutaneous tissue disorders
Post inflammatory pigmentation change
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Skin and subcutaneous tissue disorders
Pruritus
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Skin and subcutaneous tissue disorders
Pseudoporphyria
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Skin and subcutaneous tissue disorders
Rash
0.00%
0/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
25.0%
1/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
Skin and subcutaneous tissue disorders
Urticaria
10.0%
1/10 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.
0.00%
0/4 • Day 1 up to Week 52
Safety set included all participants who had received at least 1 dose of study drug in this study.

Additional Information

Medical Monitor

Vertex Pharmaceuticals Incorporated

Phone: 617-341-6777

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place