A study to investigate the effectiveness and safety of a new Vertex once daily triple therapy in people with CF (VX20-121-103)

Details

CTAP badge
Therapeutic approach
Restore CFTR Function
Trial status
Closed with results Participating Centres
Trials Tracker ID
TT007271
Last updated
21/10/2021

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 with CF who have two copies of F508del, one copy of F508del and a Gating (F/G) or Residual Function (F/RF) Mutation, or have at least 1 other Triple Combination Responsive CFTR Mutation and no F508del Mutation

Study details

This study aims to look at the safety and effectiveness of 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 which makes it potentially more stable in the body. This 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, with certain mutations of the CF gene (see details within the Top Inclusion Criteria list). 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 14 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. Some assessments will be conducted over the telephone. For Week 12, a home health visit is also an option.


Study results

This study, also known as SKYLINE 103, assessed the safety and effectiveness of a new triple combination therapy: vanzacaftor/tezacaftor/deuticaftor (VX121/TEZ/D-IVA or ‘vanza triple’).

573 people with CF ages 12 and older with at least one CFTR gene variant (including F508del) that is responsive to triple combination CFTR modulator treatments like Kaftrio took part. All participants began with 4 weeks on Kaftrio (also known as TRIKAFTA). Participants were then randomly assigned to one of two groups. One group received with the new vanza triple, and the other group (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 at week 24 of treatment. Compared to Kaftrio, the vanza triple treatment showed more improvement in sweat chloride levels at week 24 with a higher number of people with 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 as compared 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
30
CF sponsor
Vertex
CF sponsor type
Commercial

Who can take part?

Age range
12 years and older
Including people

Either homozygous for F508del, heterozygous for F508del and a gating (F/G) or Residual Function (F/RF) mutation, or have at least 1 other triple combination modulator-responsive CFTR mutation and no F508del mutation

FEV1 between 40% and 90% for participants currently receiving Kaftrio®

FEV1 between 40% and 80% for participants not currently receiving Kaftrio®

Excluding people

History of solid organ or hematological transplantation

Hepatic cirrhosis with portal hypertension, moderate or severe hepatic impairment

Lung infection with organisms associated with a more rapid decline in pulmonary status

Pregnant or breast-feeding females

CF centres running this trial

Closed

Glasgow - Queen Elizabeth University Hospital

CTAP centre
NHS Trust
NHS Greater Glasgow & Clyde
Address
1345 Govan Road
G51 4TF
Trial Coordinators
Annie Husband
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
Professor Alex Horsley