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Inaxaplin

Phase 2

Proteinuric Kidney Disease | Small molecule | Nephrology |Vertex Pharmaceuticals Incorporated|Trials Updated: Oct 15, 2026

Inaxaplin development status

Highest phase Phase 2
Registered trials 4 across 1 sponsor since Apr 2020

Inaxaplin target and mechanism

ModalitySmall molecule

Also known as IXP, VX-147

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials4
Total Enrollment601

FDA Designations

No designations recorded

Inaxaplin clinical trials

Inaxaplin · 4 trials · 3 indications

Phase 2 3Phase 1 1
NCT06794996Inaxaplin in Participants With Proteinuric APOL1 Mediated Kidney Disease With or Without ComorbiditiesProteinuric Kidney Disease
COMPLETED42 Analytics
NCT05312879Phase 2/3 Adaptive Study of VX-147 in Adult and Pediatric Participants With APOL1-Mediated Proteinuric Kidney DiseaseProteinuric Kidney Disease
ACTIVE NOT_RECRUITING522 Analytics
NCT04340362Phase 2a Study of VX-147 in Adults With APOL1-mediated Focal Segmental GlomerulosclerosisGlomerulosclerosis, Focal Segmental
COMPLETED16 Analytics
PHASE2COMPLETED
Inaxaplin in Participants With Proteinuric APOL1 Mediated Kidney Disease With or Without Comorbidities
Proteinuric Kidney DiseaseUnlock trial analytics
PHASE2ACTIVE NOT_RECRUITING
Phase 2/3 Adaptive Study of VX-147 in Adult and Pediatric Participants With APOL1-Mediated Proteinuric Kidney Disease
Proteinuric Kidney DiseaseUnlock trial analytics
PHASE2COMPLETED
Phase 2a Study of VX-147 in Adults With APOL1-mediated Focal Segmental Glomerulosclerosis
Glomerulosclerosis, Focal SegmentalUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent Change in Urine Albumin-Creatinine Ratio (UACR)
Baseline and At Week 13
Part A: Percent Change From Baseline in Urine Protein to Creatinine Ratio (UPCR) at Week 48 (Assessed at the Week 48 Interim Analysis)
From Baseline to Week 48
Part A: Estimated Glomerular Filtration Rate (eGFR) Slope Assessed at Interim Analysis
From Baseline Through >= Week 48
Part A: eGFR Slope Assessed at Final Analysis
From Baseline Through Study Completion (At least 2 years of eGFR data assessed at the final analysis)
Part B: Safety and Tolerability as Assessed by Number of Participants With Adverse events (AEs) and Serious Adverse Events (SAEs)
Day 1 Through Study Completion (Approximately 4 Years After the Last Participant Enrolls)
Percent Change From Baseline in UPCR
From Baseline up to Week 13
Maximum Observed Plasma Concentration (Cmax) of VX-147 Test Compared to VX-147 Reference
From Day 1 up to Day 16
Area Under the Concentration Versus Time Curve From the Time of Dosing Extrapolated to Infinity (AUC0-inf) of VX-147 Test Compared to VX-147 Reference
From Day 1 up to Day 16
Cmax of VX-147 Test Compared Under Fed Versus Fasted State
From Day 1 up to Day 16
AUC(0-inf) of VX-147 Test Compared Under Fed Versus Fasted State
From Day 1 up to Day 16

Secondary Endpoints

Safety and Tolerability as Assessed by Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
From Baseline Up To Week 17
Part A: Safety and Tolerability as Assessed by Number of Participants With Adverse events (AEs) and Serious Adverse Events (SAEs)
Day 1 Through Study Completion (Approximately 2 Years After the Last Participant Enrolls)
Part A: Maximum Plasma Concentration (Cmax) of VX-147
Day 1 and Week 40
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
IXP (Inaxaplin)EXPERIMENTALParticipants with proteinuric APOL1-mediated kidney disease (AMKD) with or without the comorbidity of Type 2 diabetes mellitus (T2DM) will receive a single dose of IXP once daily, for 13 weeks.
Part A (Phase 2/3): VX-147EXPERIMENTALParticipants will be randomized to receive different doses of VX-147. Participants will receive the selected dose of VX-147 for atleast 96 weeks.
Part A (Phase 2/3): PlaceboPLACEBO_COMPARATORParticipants will receive placebo matched to VX-147.
Part B (Phase 3): VX-147EXPERIMENTALParticipants who complete Part A will receive VX-147 for an additional 96 weeks.
VX-147EXPERIMENTALAll participants received VX-147 at a dosage of 15 mg once daily (qd) for 2 weeks and VX-147 at a dosage of 45 mg qd for 11 weeks. Part A was enrolled in 2 cohorts: Cohort 1 and Cohort 2. Cohort 1 included participants with urine protein to creatinine ratio (UPCR) approximately greater than or equal to (≥) 3 g/g (± 10%) and less than (\<) 10 g/g and estimated glomerular filtration rate (eGFR) approximately ≥30 mL/min/1.73 m2 (± 10%). Cohort 2 included participants with UPCR approximately ≥0.8 g/g (± 10%) and \<2.7 g/g and eGFR approximately ≥30 mL/min/1.73 m2.
Sequence A: VX-147EXPERIMENTALParticipants will receive VX-147 reference tablet under fasted condition in Treatment Period 1, then VX-147 test tablet under fed condition in Treatment Period 2, and VX-147 test tablet under fasted condition in Treatment Period 3. A washout period of 5 days will be maintained between 3 treatment periods.
Sequence B: VX-147EXPERIMENTALParticipants will receive VX-147 test tablet under fed condition in Treatment Period 1, then VX-147 test tablet under fasted condition in Treatment Period 2, and VX-147 reference tablet under fasted condition in Treatment Period 3. A washout period of 5 days will be maintained between 3 treatment periods.
Sequence C: VX-147EXPERIMENTALParticipants will receive VX-147 test tablet under fasted condition in Treatment Period 1, then VX-147 reference tablet under fasted condition in Treatment Period 2, and VX-147 test tablet under fed condition in Treatment Period 3. A washout period of 5 days will be maintained between 3 treatment periods.

Interventions

NameTypeDescription
InaxaplinDRUGTablets for Oral Administration.
VX-147DRUGTablets for oral administration.
PlaceboDRUGTablets for oral administration.
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Eligibility Criteria

Age Range18 Years to 67 Years
SexALL
Healthy VolunteersNo
Study Sites35

Key Inclusion Criteria: * Participant has an APOL1 genotype of G1/G1, G2/G2, or G1/G2 obtained with a Vertex designated investigational clinical study assay * Estimated Glomerular Filtration Rate (eGFR) of greater than or equal to (≥) 25 milliliter per minute (mL/min)/1.73m\^2 at screening Key Exc...

Countries:United StatesBelgiumBrazilCanadaColombiaFranceGhanaNetherlandsNigeriaPortugalPuerto RicoSpainUnited Kingdom
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Recent Changes (Last 90 Days)

MEDIUMOct 15, 2026NCT05312879Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMOct 15, 2026NCT05312879Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWSep 21, 2026NCT05312879lastUpdatePostDate: changed
LOWSep 21, 2026NCT05312879lastUpdatePostDate: changed
MEDIUMSep 20, 2026NCT06794996TRIAL_REMOVED: changed
MEDIUMSep 20, 2026NCT06794996TRIAL_REMOVED: changed
MEDIUMSep 20, 2026NCT06794996TRIAL_REMOVED: changed
LOWSep 9, 2026NCT05312879lastUpdatePostDate: changed
LOWSep 9, 2026NCT05312879lastUpdatePostDate: changed
LOWAug 26, 2026NCT05312879lastUpdatePostDate: changed
LOWAug 26, 2026NCT05312879lastUpdatePostDate: changed
HIGHAug 20, 2026NCT06794996Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHAug 20, 2026NCT06794996Status: ACTIVE_NOT_RECRUITING → COMPLETED
LOWAug 4, 2026NCT05312879lastUpdatePostDate: changed
LOWAug 4, 2026NCT05312879lastUpdatePostDate: changed

Frequently asked questions about Inaxaplin

What is Inaxaplin used for?

Inaxaplin is an investigational small molecule being developed for the treatment of proteinuric kidney disease, a condition characterized by excess protein in the urine. It is being studied in patients with proteinuric APOL1 mediated kidney disease, with or without comorbidities. The drug is currently in Phase 2 clinical development.

Who makes Inaxaplin?

Inaxaplin is being developed by Vertex Pharmaceuticals Incorporated, a biopharmaceutical company traded on the NASDAQ under the ticker symbol VRTX. Vertex is conducting clinical research to evaluate the safety and efficacy of Inaxaplin in patients with proteinuric kidney disease.

What phase is Inaxaplin in?

Inaxaplin is in Phase 2 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities and is still being studied in clinical trials. The drug is being evaluated for the treatment of proteinuric kidney disease, specifically in patients with APOL1 mediated kidney disease.

What clinical trials is Inaxaplin in?

Inaxaplin has been studied in one clinical trial with the identifier NCT06794996. This Phase 2 trial, titled 'Inaxaplin in Participants With Proteinuric APOL1 Mediated Kidney Disease With or Without Comorbidities,' was completed in the United States. The trial enrolled 42 adult participants of all sexes and was uncontrolled, meaning there was no comparator group.

Is Inaxaplin the same as any other drug?

Inaxaplin is the sole name provided for this investigational drug. There are no alternative names listed for Inaxaplin in the available information. It is a small molecule being developed by Vertex Pharmaceuticals for the treatment of proteinuric kidney disease.