Clinical trial • Phase III • Respiratory

Elexacaftor; Tezacaftor; Ivacaftor for Cystic fibrosis

Phase III trial of Elexacaftor; Tezacaftor; Ivacaftor for Cystic fibrosis. open-label, none/not specified-controlled. 28 participants.

Overview

Trial Therapeutic Area
Respiratory
Trial Disease
Cystic fibrosis
Trial Stage
Phase III
Drug Modality
Small molecule
Paediatric Trial
Yes
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
19-09-2024
First CTIS Authorization Date
17-10-2024

Trial design

open-label, none/not specified-controlled Phase III trial.

Open Label
Yes
Comparator
None/Not specified
Target Sample Size
28

Eligibility

Recruits 28 paediatric patients.

Pregnancy Exclusion
Pregnant and nursing females. Females of childbearing potential (Section 11.5.6.1) must have a negative pregnancy test at the Day 1 Visit (in Part A and Part B) before receiving the first dose of study drug.
Vulnerable Population
Includes children and adolescents. Informed consent must be signed and dated by the subject or the subject’s legally appointed and authorized representative; assent forms are used when appropriate. For subjects <18 years of age the investigator must judge that the parent or legal guardian can understand protocol requirements and must be able to ensure that the subject will comply with and is likely to complete the study. Age-specific ICFs and assent forms (child, adolescent, parent) and extenuating-circumstances addenda are provided.

Inclusion criteria

  • {"criterion_text":"- Subject (or the subject’s legally appointed and authorized representative) will sign and date an informed consent form (ICF) and, when appropriate, an assent form."}
  • {"criterion_text":"- Willing and able to comply with scheduled visits, treatment plan, study restrictions, laboratory tests, contraceptive guidelines (as applicable), and other study procedures. •\tFor subjects <18 years of age: as judged by the investigator, parent or legal guardian must be able to understand protocol requirements, restrictions, and instructions and the parent or legal guardian should be able to ensure that the subject will comply with and is likely to complete the study as planned."}
  • {"criterion_text":"- Did not withdraw consent from the parent study."}
  • {"criterion_text":"- Part A: Meets at least 1 of the following criteria: •\tCompleted study drug treatment in the parent study. •\tHad study drug interruption(s) in the parent study, but completed study visits up to the last scheduled visit of the Treatment Period of the parent study. Part B: Meets at least 1 of the following criteria: •\tCompleted study drug treatment in Part A. •\tHad study drug interruption(s) in Part A, but completed study visits up to the last scheduled visit of the Treatment Period of Part A."}
  • {"criterion_text":"- Willing to remain on a stable CF treatment regimen (other than CFTR modulators, as defined in Section 9.5) through completion of study participation."}

Exclusion criteria

  • {"criterion_text":"- History of any illness or any clinical condition that might confound the results of the study or pose an additional risk in administering study drug(s) to the subject."}
  • {"criterion_text":"- History of drug intolerance in the parent study that would pose an additional risk to the subject. (e.g., subjects with a history of allergy or hypersensitivity to the study drug)."}
  • {"criterion_text":"- Pregnant and nursing females. Females of childbearing potential (Section 11.5.6.1) must have a negative pregnancy test at the Day 1 Visit (in Part A and Part B) before receiving the first dose of study drug."}
  • {"criterion_text":"- Current participation in an investigational drug trial (other than the parent study). Participation in a noninterventional study (including observational studies, registry studies, and studies requiring blood collections without administration of study drug) and screening for another Vertex study is permitted."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Parts A and B: Safety and tolerability based on adverse events (AEs), clinical laboratory values, ECGs, vital signs, and pulse oximetry","definition_or_measurement_approach":"Safety and tolerability measured by monitoring adverse events (AEs), clinical laboratory values, electrocardiograms (ECGs), vital signs, and pulse oximetry."}

Secondary endpoints

  • {"endpoint_text":"- Part A Only: Absolute change from baseline in percent predicted forced expiratory volume in 1 second (ppFEV1)","definition_or_measurement_approach":"Absolute change from baseline in percent predicted FEV1 (ppFEV1) measured by spirometry."}
  • {"endpoint_text":"- Absolute change from baseline in sweat chloride (SwCl)","definition_or_measurement_approach":"Absolute change from baseline in sweat chloride concentration using standard sweat chloride testing."}
  • {"endpoint_text":"- Absolute change from baseline in Cystic Fibrosis Questionnaire-Revised (CFQ-R) respiratory domain (RD) score","definition_or_measurement_approach":"Absolute change from baseline in CFQ-R respiratory domain score (patient-reported outcome instrument)."}
  • {"endpoint_text":"- Absolute change from baseline in body mass index (BMI)","definition_or_measurement_approach":"Absolute change from baseline in BMI calculated from measured weight and height."}
  • {"endpoint_text":"- Absolute change from baseline in weight","definition_or_measurement_approach":"Absolute change from baseline in body weight measured in kilograms."}
  • {"endpoint_text":"- Number of pulmonary exacerbations (PEx)","definition_or_measurement_approach":"Count of pulmonary exacerbations (PEx) as defined in the protocol (events meeting prespecified clinical criteria)."}

Recruitment

Planned Sample Size
295
Recruitment Window Months
55
Consent Approach
Informed consent is obtained from the subject or the subject’s legally appointed and authorized representative. Assent is obtained when appropriate for minors. Age-specific documents are provided (adult ICF, parent ICF, adolescent ICF for 12-13 and 14-17 years, child assent forms, and extenuating-circumstances addenda). Subject information and consent materials are available in multiple country/language versions as reflected in the submission (e.g., English, German, French, Spanish, Portuguese, Dutch, Polish, Italian, Swedish, Czech, Hungarian among others).

Geography

Total Number Of Participants
295

Sponsor

Primary sponsor

Full Name
Vertex Pharmaceuticals Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Investigational products

Investigational Product Name
VX-445/VX-661/VX-770 film-coated fixed-dose combination tablet
Active Substance
Elexacaftor; Tezacaftor; Ivacaftor
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
Oral
Authorisation Status
prodAuthStatus: 1; euMpNumber: PRD7400755
Orphan Designation
Yes
Maximum Dose
100 mg
Investigational Product Name
VX-445/VX-661/VX-770 fixed-dose combination tablet
Active Substance
Elexacaftor; Tezacaftor; Ivacaftor
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
Oral
Authorisation Status
prodAuthStatus: 1; euMpNumber: PRD7975086
Orphan Designation
Yes
Maximum Dose
50 mg
Investigational Product Name
Kaftrio 37.5 mg/25 mg/50 mg film-coated tablets
Active Substance
Elexacaftor; Tezacaftor; Ivacaftor
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
Oral
Authorisation Status
prodAuthStatus: 2; euMpNumber: PRD9418409; marketingAuthNumber: EU/1/20/1468/002
Orphan Designation
Yes
Maximum Dose
50 mg
Investigational Product Name
Kaftrio 75 mg/50 mg/100 mg film-coated tablets
Active Substance
Elexacaftor; Tezacaftor; Ivacaftor
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
Oral
Authorisation Status
prodAuthStatus: 2; euMpNumber: PRD8271954; marketingAuthNumber: EU/1/20/1468/001
Orphan Designation
Yes
Maximum Dose
100 mg
Investigational Product Name
VX-770 Film-coated tablet
Active Substance
Ivacaftor
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
Oral
Authorisation Status
prodAuthStatus: 1; euMpNumber: PRD7963761 or PRD7900328 (sponsor variants)
Orphan Designation
Yes
Maximum Dose
150 mg (product-specific)
Investigational Product Name
Kalydeco 150 mg film-coated tablets
Active Substance
Ivacaftor
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
Oral
Authorisation Status
prodAuthStatus: 2; euMpNumber: PRD3203571; marketingAuthNumber: EU/1/12/782/001
Orphan Designation
Yes
Maximum Dose
150 mg
Investigational Product Name
Kalydeco 75 mg film-coated tablets
Active Substance
Ivacaftor
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
Oral
Authorisation Status
prodAuthStatus: 2; euMpNumber: PRD8533015; marketingAuthNumber: EU/1/12/782/007
Orphan Designation
Yes
Maximum Dose
75 mg
Combination Treatment
Yes

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