VX19-445-116 A study of three CFTR modulator medicines for how well they work together and their safety in people with cystic fibrosis aged 6 to 11 with one F508del mutation and one minimal function mutation

Details

CTAP badge
Therapeutic approach
Restore CFTR Function
Trial status
Closed with results Participating Centres
Trials Tracker ID
TT002086
Last updated
11/09/2020

Full title

A Phase 3b randomised, placebo-controlled study of the efficacy and safety of a triple combination therapy of elexacaftor (VX-445), tezacaftor and ivacaftor in people with cystic fibrosis aged 6 to 11 with one F508del mutation and one minimal function mutation

Study details

In order to take part in this study you will have one F508del mutation and one minimal function mutation, and be aged 6 to 11.

Elexacaftor (VX-445) is a medicine being studied for how well it works and how safe it is in people with cystic fibrosis. Your participation in this study will help us learn more about the safety of taking elexacaftor in combination with tezacaftor and ivacaftor.

All three of the medicines are CFTR modulators which means that they help the faulty CFTR protein to function properly. Tezacaftor is already approved for use and is what is known as a corrector. Ivacaftor is also already approved for use and is what is known as a potentiator. Elexacaftor is a corrector.

If you meet the rules for being in the study, you will take either:

• a combination of elexacaftor, tezacaftor and ivacaftor in the morning (in 2 tablets), and ivacaftor in the evening (1 tablet);

• or the same number of placebo tablets in the morning and evening.

You will not know whether you are taking the study medications or a placebo.

You will be asked to come into clinic around 9 times over up to 32 weeks. During visits, we will look for any changes in your health with bloods and other samples, vital signs and other investigations.

You will also receive 3 telephone consultations, each around half an hour, during this period. You do not have to come to clinics for these.


Study results

This study looked at the safety and effectiveness of ELX/TEZ/IVA treatment (also known as Kaftrio) in children aged 6 – 11 years with one F508del mutation and one minimal function mutation.

121 children took part in the study. They were split into two groups – one group received Kaftrio treatment for 24 weeks and one group received no treatment (placebo). 

People receiving Kaftrio treatment had improved lung function (measured using the Lung Clearance Index) and reductions in sweat chloride compared to the group not receiving treatment. The most common adverse events in the treatment group were headache and cough and most adverse events were considered mild or moderate.

Kaftrio treatment was generally safe and well tolerated in patients aged 6 – 11 years with one F508del mutation and one minimal function mutation. No new safety concerns were identified. These results support the use of Kaftrio in children with these gene variants.


Phase
Phase 3b
Recruitment target
0
CF sponsor
Vertex Pharmaceuticals Incorporated
CF sponsor type
Commercial

Who can take part?

Age range
6 to 11 years
Including people

6 Years to 11 Years

Heterozygous for the F508del mutation

FEV1 value greater than or equal to 70% of predicted

Excluding people

Cirrhosis with or without portal hypertension

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CF centres running this trial

Closed

Bristol Royal Hospital for Children

CTAP centre
NHS Trust
University Hospitals Bristol NHS Foundation Trust
Address
Upper Maudlin Street
BS2 8BJ
Local site investigator
Tom Hilliard
Trial Coordinators
Kate Alderton
Closed

Great Ormond Street Hospital for Children (London)

CTAP centre
NHS Trust
Great Ormond Street Hospital for Children NHS Foundation Trust
Address
Great Ormond Street
WC1N 3JH
Local site investigator
Rossa Brugha
Trial Coordinators
Lucy Holt
Closed

King's College Hospital (London)

CTAP centre
NHS Trust
King's College Hospital NHS Foundation Trust
Address
King's College Hospital
Denmark Hill
SE5 9RS
Local site investigator
Gary Ruiz
Trial Coordinators
Mélanie Le Sayec
Closed

Liverpool - Alder Hey Children's Hospital

CTAP centre
NHS Trust
Alder Hey Children's NHS Foundation Trust
Address
Eaton Road
West Derby
L12 2AP
Local site investigator
Rebecca Thursfield
Trial Coordinators
Victoria King
Closed

Royal Brompton Hospital (London)

CTAP centre
NHS Trust
Guy's and St Thomas' NHS Foundation Trust
Address
Royal Brompton Hospital
Sydney Street
SW3 6NP
Local site investigator
Jane Davies
Trial Coordinators
Sophie Pinnell
Closed

Southampton General Hospital

CTAP centre
NHS Trust
University Hospital Southampton NHS Foundation Trust
Address
Tremona Road
SO16 6YD
Local site investigator
Julian Legg
Trial Coordinators
Matthew Harvey