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ELX/TEZ/IVA

Phase 3

Cystic Fibrosis | Small molecule | Respiratory |Vertex Pharmaceuticals Incorporated|Last Updated: Aug 11, 2026

Success Probability

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials19
Total Enrollment3,326

FDA Designations

No designations recorded

Clinical trial landscape

ELX/TEZ/IVA · 19 trials · 1 indication

Phase 3 19
NCT06460506Evaluation of Long-term Safety and Efficacy of ELX/TEZ/IVA in Cystic Fibrosis Participants 12 Months of Age and OlderCystic Fibrosis
ACTIVE NOT_RECRUITING50 Analytics
NCT05882357Evaluation of Elexacaftor/Tezacaftor/Ivacaftor (ELX/TEZ/IVA) in Cystic Fibrosis (CF) Participants 12 to Less Than 24 Months of AgeCystic Fibrosis
COMPLETED70 Analytics
NCT05331183Study to Evaluate Elexacaftor/Tezacaftor/Ivacaftor (ELX/TEZ/IVA) Long-term Safety and Efficacy in Subjects Without F508delCystic Fibrosis
ACTIVE NOT_RECRUITING297 Analytics
NCT05274269Evaluation of Efficacy and Safety of Elexacaftor/Tezacaftor/Ivacaftor (ELX/TEZ/IVA) in Cystic Fibrosis Subjects Without an F508del MutationCystic Fibrosis
COMPLETED307 Analytics
NCT05153317Evaluation of Long-term Safety and Efficacy of ELX/TEZ/IVA in Cystic Fibrosis (CF) Participants 2 Years and OlderCystic Fibrosis
COMPLETED71 Analytics
NCT05111145A Study Evaluating the Safety of Elexacaftor/Tezacaftor/Ivacaftor in Participants With Cystic Fibrosis (CF)Cystic Fibrosis
COMPLETED86 Analytics
NCT04969224A Study to Evaluate ELX/TEZ/IVA on Cough and Physical Activity in Participants With Cystic Fibrosis (CF)Cystic Fibrosis
COMPLETED82 Analytics
NCT04599465A Study to Assess the Effect of ELX/TEZ/IVA on Glucose Tolerance in Participants With Cystic Fibrosis (CF)Cystic Fibrosis
COMPLETED69 Analytics
NCT04545515A Study Evaluating the Long-term Safety and Efficacy of Elexacaftor/Tezacaftor/Ivacaftor in Cystic Fibrosis (CF) Particpants 6 Years and Older and F/MF GenotypesCystic Fibrosis
COMPLETED120 Analytics
NCT04537793Evaluation of ELX/TEZ/IVA in Cystic Fibrosis (CF) Subjects 2 Through 5 YearsCystic Fibrosis
COMPLETED83 Analytics
PHASE3ACTIVE NOT_RECRUITING
Evaluation of Long-term Safety and Efficacy of ELX/TEZ/IVA in Cystic Fibrosis Participants 12 Months of Age and Older
Cystic FibrosisUnlock trial analytics
PHASE3COMPLETED
Evaluation of Elexacaftor/Tezacaftor/Ivacaftor (ELX/TEZ/IVA) in Cystic Fibrosis (CF) Participants 12 to Less Than 24 Months of Age
Cystic FibrosisUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
Study to Evaluate Elexacaftor/Tezacaftor/Ivacaftor (ELX/TEZ/IVA) Long-term Safety and Efficacy in Subjects Without F508del
Cystic FibrosisUnlock trial analytics
PHASE3COMPLETED
Evaluation of Efficacy and Safety of Elexacaftor/Tezacaftor/Ivacaftor (ELX/TEZ/IVA) in Cystic Fibrosis Subjects Without an F508del Mutation
Cystic FibrosisUnlock trial analytics
PHASE3COMPLETED
Evaluation of Long-term Safety and Efficacy of ELX/TEZ/IVA in Cystic Fibrosis (CF) Participants 2 Years and Older
Cystic FibrosisUnlock trial analytics
PHASE3COMPLETED
A Study Evaluating the Safety of Elexacaftor/Tezacaftor/Ivacaftor in Participants With Cystic Fibrosis (CF)
Cystic FibrosisUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate ELX/TEZ/IVA on Cough and Physical Activity in Participants With Cystic Fibrosis (CF)
Cystic FibrosisUnlock trial analytics
PHASE3COMPLETED
A Study to Assess the Effect of ELX/TEZ/IVA on Glucose Tolerance in Participants With Cystic Fibrosis (CF)
Cystic FibrosisUnlock trial analytics
PHASE3COMPLETED
A Study Evaluating the Long-term Safety and Efficacy of Elexacaftor/Tezacaftor/Ivacaftor in Cystic Fibrosis (CF) Particpants 6 Years and Older and F/MF Genotypes
Cystic FibrosisUnlock trial analytics
PHASE3COMPLETED
Evaluation of ELX/TEZ/IVA in Cystic Fibrosis (CF) Subjects 2 Through 5 Years
Cystic FibrosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Safety and Tolerability as Assessed by Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Day 1 up to Week 100
Part A: Observed Pre-dose Concentration (Ctrough) of ELX, TEZ, IVA, and their Relevant Metabolites
Day 1 up to Day 15
Part A: Safety and Tolerability as Assessed by Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Day 1 up to Day 43
Part B: Safety and Tolerability as Assessed by Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Day 1 up to Week 28
Parts A and B: Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Day 1 up to Week 196
Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
From Baseline Through Week 24

FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.

Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Day 1 up to Week 36
Percent Reduction From Baseline in Cough Frequency (Cough Events Per Day) to the Average of Week 8 Through Week 12
Baseline, Week 8 through Week 12

Percent reduction in cough frequency was analyzed with a mixed effects model for repeated measures (MMRM), with change from baseline at each post-baseline visit on the natural log scale as the dependent variable. The percent reduction was estimated as 100% × (1-exponential form of LS mean change estimate from the MMRM).

Change From Baseline in 2-hour Blood Glucose Levels Following an OGTT to the Average of Week 36 and Week 48
Baseline, Week 36 and 48

Baseline 2-hour post-OGTT blood glucose level was defined as the average of valid pre-dose measurements at screening and Day 1. OGTT results were considered valid only when the participant was fasting for at least 8 hours.

Part A: Observed Pre-dose Concentration (Ctrough) of ELX,TEZ,IVA, and Relevant Metabolites
From Day 1 through Day 15
Part A: Safety and Tolerability as Assessed by Number of Participants With Treatment- Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
From Day 1 up to Day 43
Part B: Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
From Day 1 up to Week 28
Absolute Change in Lung Clearance Index 2.5 (LCI2.5)
From Baseline Through Week 24

The LCI2.5 index is the number of lung turnovers required to reduce the end tidal inert gas concentration to 1/40th of its starting values and is calculated by dividing the sum of exhaled tidal breaths (cumulative exhaled volume (CEV)) by simultaneously measured functional residual capacity (FRC). An LCI of 7.5 and below is normal; values greater than 7.5 are abnormal. LCI is able to detect abnormalities in lung function earlier than more traditional modalities such as spirometry.

Part B: Safety and Tolerability as Assessed by Number of Participants With Treatment- Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
From Day 1 up to Week 86
Safety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
From Baseline up to Week 196
Part A: Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
From Baseline up to Week 100
Absolute Change in CF Questionnaire-Revised (CFQ-R) Respiratory Domain Score
From Baseline Through Week 24

The CFQ-R is a validated participant-reported outcome measuring health-related quality of life for participants with cystic fibrosis. Respiratory domain assessed respiratory symptoms, score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life.

Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for ELX/TEZ/IVA Group
From Baseline Through Week 8

FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.

Treatment Period: Safety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
From Day 1 up to Week 196
Part A: Maximum Observed Plasma Concentration (Cmax) of ELX, TEZ, and IVA
Part A: Day 15
Part A: Observed Pre-dose Plasma Concentration (Ctrough) of ELX, TEZ, and IVA
Part A: Day 15
Part A: Area Under the Concentration Versus Time Curve From 0 to 24 Hours (AUC0-24h) of ELX, TEZ, and IVA
Part A: Day 15
Part B: Safety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Part B: Day 1 Through Safety Follow-up Visit (up to Week 28)

Secondary Endpoints

Absolute Change in Sweat Chloride (SwCl)
From Baseline through Week 96
Part B: Observed Pre-dose Concentration (Ctrough) of ELX, TEZ, IVA, and their Relevant Metabolites
Day 15 up to Week 16
Part B: Absolute Change in Sweat Chloride (SwCl)
From Baseline Through Week 24
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ELX/TEZ/IVAEXPERIMENTALParticipants will receive ELX/TEZ/IVA in the morning and IVA in the evening.
Part AEXPERIMENTALParticipants will receive ELX/TEZ/IVA in the morning and IVA in the evening.
Part BEXPERIMENTALParticipants will receive ELX/TEZ/IVA in the morning and IVA in the evening with the dose(s) to be based on the outcome of Part A.
PlaceboPLACEBO_COMPARATORParticipants received placebo matched to ELX/TEZ/IVA FDC in the morning and placebo matched to IVA in the evening for 24 weeks.
Part A: ELX/TEZ/IVAEXPERIMENTALParticipants weighing greater than or equal to (\>=)14 kilograms (kg) at screening received elexacaftor (ELX) 100 milligrams (mg) once daily (qd)/tezacaftor (TEZ) 50 mg qd/ivacaftor (IVA) 75 mg every 12 hours (q12h) in the treatment period for 15 days.
Part B: ELX/TEZ/IVAEXPERIMENTALParticipants weighing (\>=)14 kg at screening received ELX 100 mg qd/TEZ 50 mg qd/IVA 75 mg q12h. Participants weighing (\>=)10 kg to less than (\<)14 kg received ELX 80 mg qd/TEZ 40 mg qd/IVA 60 mg once every morning (qAM) and 59.5 mg once every evening (qPM) in the treatment period for 24 weeks.
TEZ/IVAACTIVE_COMPARATORFollowing TEZ/IVA run-in period of 4 weeks, participants received TEZ 100 milligrams (mg) once daily (qd)/IVA 150 mg every 12 hours (q12h) in the treatment period for 24 weeks.
Control: IVA or TEZ/IVAACTIVE_COMPARATORFollowing an IVA or TEZ/IVA run-in period of 4 weeks, participants either received IVA 150 milligrams (mg) every 12 hours (q12h) or TEZ 100 mg once daily (qd)/IVA 150 mg q12h in the treatment period for 8 weeks.
TC: ELX/TEZ/IVAEXPERIMENTALFollowing an IVA or TEZ/IVA run-in period of 4 weeks, participants received ELX 200 mg qd/TEZ 100 mg qd/IVA 150 mg q12h in the treatment period for 8 weeks.

Interventions

NameTypeDescription
ELX/TEZ/IVADRUGFixed-dose combination granules for oral administration.
IVADRUGGranules for oral administration
Placebo (matched to ELX/TEZ/IVA)OTHERPlacebo matched to ELX/TEZ/IVA for oral administration.
Placebo (matched to IVA)OTHERPlacebo matched to IVA for oral administration.
TEZ/IVADRUGFixed-dose combination (FDC) tablet for oral administration.
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Eligibility Criteria

Age Range12 Months to N/A
SexALL
Healthy VolunteersNo
Study Sites18

Key Inclusion Criteria: * Completed study drug treatment in the parent study VX22-445-122 Part B (NCT05882357) OR had study drug interruption(s) in the parent study but did not permanently discontinue study drug and completed study visits up to the last scheduled visit of the Treatment Period of th...

Countries:AustraliaCanadaDenmarkGermanyNetherlandsSwitzerlandUnited KingdomAustriaBelgiumCzechiaFranceHungaryItalyNorwayPolandPortugalSpainSwedenUnited StatesIsraelIrelandGreece
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Recent Changes (Last 90 Days)

LOWAug 11, 2026NCT05331183lastUpdatePostDate: changed
LOWAug 11, 2026NCT05331183lastUpdatePostDate: changed
LOWJul 21, 2026NCT05331183lastUpdatePostDate: changed
LOWJun 30, 2026NCT05331183lastUpdatePostDate: changed
LOWJun 30, 2026NCT05331183lastUpdatePostDate: changed
LOWJun 30, 2026NCT05331183lastUpdatePostDate: changed

Frequently asked questions about ELX/TEZ/IVA

What is ELX/TEZ/IVA used for?

ELX/TEZ/IVA is a small molecule combination therapy used for the treatment of cystic fibrosis. It is being developed by Vertex Pharmaceuticals and is currently in Phase 3 clinical trials. The drug is being studied in patients as young as 12 months old, as well as in adults and children with various CF genotypes.

What does ELX/TEZ/IVA target?

ELX/TEZ/IVA is a combination of three drugs: elexacaftor, tezacaftor, and ivacaftor. These drugs target the cystic fibrosis transmembrane conductance regulator (CFTR) protein, which is defective in people with cystic fibrosis. The combination works to improve CFTR function and reduce the symptoms of the disease.

Who makes ELX/TEZ/IVA?

ELX/TEZ/IVA is developed by Vertex Pharmaceuticals Incorporated, which is publicly traded under the ticker symbol VRTX. The company is conducting Phase 3 clinical trials to evaluate the safety and efficacy of this combination therapy in patients with cystic fibrosis.

What phase is ELX/TEZ/IVA in?

ELX/TEZ/IVA is currently in Phase 3 clinical development. It is an investigational drug and has not yet been approved by regulatory authorities. Vertex Pharmaceuticals is conducting multiple Phase 3 trials to evaluate its safety and efficacy in patients with cystic fibrosis.

What clinical trials is ELX/TEZ/IVA in?

ELX/TEZ/IVA is being studied in several Phase 3 clinical trials, including NCT04058353, NCT05153317, NCT05331183, and NCT06460506. These trials evaluate the drug's safety and efficacy in cystic fibrosis patients of various ages and genotypes, with some trials completed and others still active.

Is ELX/TEZ/IVA the same as elexacaftor/tezacaftor/ivacaftor?

Yes, ELX/TEZ/IVA is the abbreviation for the combination of elexacaftor, tezacaftor, and ivacaftor. This triple combination therapy is being developed by Vertex Pharmaceuticals for the treatment of cystic fibrosis and is currently in Phase 3 clinical trials.