A study to investigate the effectiveness and safety of a new Vertex once daily triple therapy in people with CF (VX20-121-102)

Details

CTAP badge
Therapeutic approach
Restore CFTR Function
Trial status
Closed with results Participating Centres
Trials Tracker ID
TT006916
Last updated
21/03/2022

Full title

A Phase 3 study evaluating the efficacy and safety of a new once daily triple therapy (VX-121/TEZ/D-IVA) in people aged 12 years and older with cystic fibrosis who are heterozygous for F508del and a minimal function mutation (F/MF)

Study details

This study aims to look at the safety and effectiveness of taking a new triple combination CFTR modulator treatment, which is made up of the 3 medications VX-121, tezacaftor (TEZ) and deutivacaftor (D-IVA). Deutivacaftor is a slightly modified version of ivacaftor to make it potentially more stable in the body, which means deutivacaftor can be taken once per day instead of twice daily. The safety and effectiveness of this new triple combination treatment will be compared against Kaftrio® (which consists of the 3 CFTR modulators elexacaftor, tezacaftor and ivacaftor).



CFTR modulators help the faulty CFTR protein to function properly.



To take part in this study you must be aged 12 years or older, and have one F508del CFTR mutation plus a minimal function mutation. Study participants will be randomly allocated into one of two groups which will determine whether they take the new treatment (VX-121/TEX/D-IVA) or Kaftrio®. Throughout the study, participants will not know which treatment group they are in.



Study participants will be asked to visit the CF clinic around 12 times over a period of 1 year and 2 months, with an additional follow-up visit approximately 4 weeks after finishing the study medications. During these visits, the research team will look at how the study medications are affecting overall health and lung function. Bloods and other samples (urine, sputum) will be collected at some of the visits.


Study results

This study, also known as SKYLINE 102, assessed the safety and effectiveness of a new triple combination therapy: vanzacaftor/tezacaftor/deuticaftor (VX121/TEZ/D-IVA or ‘vanza triple’).

398 people with cystic fibrosis ages 12 and older with one F508del CFTR gene variant and one minimal function CFTR gene variant took part. All participants in this study began with 4 weeks on Kaftrio (also known as TRIKAFTA). Participants were then randomly assigned to one of two groups. One group received the new vanza triple treatment and the other (the control group) continued on Kaftrio for 52 weeks.

The vanza triple treatment was shown to be at least as effective as Kaftrio in improving  lung function by week 24 of treatment. Compared to Kaftrio, the vanza triple treatment also showed more improvement in sweat chloride levels at week 24. A higher number of people taking the vanza triple treatment had sweat chloride levels that were below the level to be diagnosed as having CF or being a carrier. 

These results were consistent after 52 weeks and the safety was similar to Kaftrio. 

The results of this study shows that the new vanza triple therapy is at least as good as Kaftrio in improving lung function in people with CF and has better results in reducing sweat chloride levels. Vertex announced in a press release (linked below) that they will be looking to submit an application to regulatory authorities to bring this potential medicine to patients as quickly as possible.


Phase
Phase 3
Length of participation
64 weeks
Recruitment target
45
CF sponsor
Vertex
CF sponsor type
Commercial

Who can take part?

Age range
12 years and older
Including people

Heterozygous for F508del and a minimal function mutation (F/MF genotype)

FEV1 greater than 40% and less than 90% of predicted mean for age, sex and height for participants currently receiving Kaftrio®

FEV1 greater than 40% and less than 80% for participants not currently receiving Kaftrio®

Excluding people

History of solid organ or haematological transplantation

Pregnant or breast-feeding females

CF centres running this trial

Closed

Birmingham Heartlands Hospital (Adults)

CTAP centre
NHS Trust
University Hospitals Birmingham NHS Foundation Trust
Address
Bordesley Green
B9 5SS
Local site investigator
Joanna Whitehouse
Trial Coordinators
Gurcharan (Robbie) Singh
Closed

Bristol

CTAP centre
NHS Trust
University Hospitals Bristol NHS Foundation Trust
Local site investigator
Tom Hilliard
Trial Coordinators
Sally Coplowe
Kate Alderton
Closed

Cambridge Royal Papworth Hospital (Adults)

CTAP centre
NHS Trust
Royal Papworth Hospital NHS Foundation Trust
Address
Papworth Road
CB2 0AY
Local site investigator
Charles Haworth
Trial Coordinators
Victoria Christenssen
Closed

Cardiff - University Hospital Llandough (Adults)

CTAP centre
NHS Trust
Cardiff and Vale University Health Board
Address
Penland Road
Llandough
CF64 2XX
Local site investigator
Jamie Duckers
Closed

Edinburgh - Royal Hospital for Children and Young People

CTAP centre
NHS Trust
NHS Lothian
Address
50 Little France Crescent
EH16 4TJ
Local site investigator
Don Urquhart
Closed

Edinburgh - Western General Hospital (Adults)

CTAP centre
NHS Trust
NHS Lothian
Address
Crewe Road South
EH4 2XU
Local site investigator
Robert Gray
Closed

Glasgow - Queen Elizabeth University Hospital

CTAP centre
NHS Trust
NHS Greater Glasgow & Clyde
Address
1345 Govan Road
G51 4TF
Local site investigator
Gordon MacGregor
Trial Coordinators
Annie Husband
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
Michael Waller
Trial Coordinators
Mélanie Le Sayec
Closed

Manchester (Adults) - Wythenshawe Hospital

CTAP centre
NHS Trust
Manchester University NHS Foundation Trust
Address
Wythenshawe Hospital
South Moor Road
M23 9LT
Local site investigator
Peter Barry
Closed

Newcastle - Royal Victoria Infirmary (Adults)

CTAP affiliate centre
NHS Trust
The Newcastle-upon-Tyne Hospitals NHS Foundation Trust
Address
Queen Victoria Road
NE1 4LP
Local site investigator
Simon Doe
Closed

Royal Devon & Exeter Hospital

CTAP centre
NHS Trust
The Royal Devon & Exeter NHS Foundation Trust
Address
Barrack Road
EX2 5DW
Local site investigator
Nick Withers
Trial Coordinators
Sophie Whiteley
Closed

Southampton General Hospital

CTAP centre
NHS Trust
University Hospital Southampton NHS Foundation Trust
Address
Tremona Road
SO16 6YD
Local site investigator
Mary Carroll
Trial Coordinators
Zoe Swash
Closed

St Bartholomew's Hospital (London) - Adults

CTAP centre
NHS Trust
Barts Health NHS Trust
Address
West Smithfield
EC1A 7BE
Local site investigator
Danie Watson
Closed

St James's University Hospital - Leeds (Adults)

CTAP centre
NHS Trust
The Leeds Teaching Hospitals NHS Trust
Address
St James's University Hospital
Beckett Street
LS9 7TF
Local site investigator
Daniel Peckham
Trial Coordinators
Helen Chadwick