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Ivacaftor

Phase 3FDA approved

Cystic Fibrosis | Small molecule | Respiratory |Vertex Pharmaceuticals Incorporated|Trials Updated: Dec 12, 2024

Ivacaftor development status

FDA approval on record Jan 31, 2012
Approval holderVertex Pharms
ApplicationNDA203188
Highest phase Phase 3
Registered trials 48 across 6 sponsors since May 2009

Label indication KALYDECO is indicated for the treatment of cystic fibrosis (CF) in patients aged 1 month and older who have at least one mutation in the CFTR gene that is responsive to ivacaftor potentiation based on clinical and/or in vitro assay data [see Clinical Pharmacology (12.1) and Clinical Studies (14) ] . FDA label

Ivacaftor target and mechanism

Molecular targetCFTR
Target classPositive Modulator
ModalitySmall molecule

Also known as IVA, VX-770, Kalydeco

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials24
Total Enrollment1,544

FDA Designations

No designations recorded

Ivacaftor clinical trials

Ivacaftor · 24 trials · 4 indications

Phase 3 13Phase 2 5Phase 1 6
NCT02934698An Efficacy and Safety Study of Ivacaftor in Patients With Cystic Fibrosis and Two Splicing MutationsCystic Fibrosis
COMPLETED2 Analytics
NCT03277196A Study to Evaluate the Safety of Long-term Ivacaftor Treatment in Participants With Cystic Fibrosis Who Are Less Than 24 Months of Age at Treatment Initiation and Have an Approved Ivacaftor-Responsive MutationCystic Fibrosis
COMPLETED86 Analytics
NCT03068312A Study to Evaluate Efficacy of Ivacaftor in Subjects With Cystic Fibrosis Who Have a 3849 + 10KB C→T or D1152H CFTR MutationCystic Fibrosis
COMPLETED38 Analytics
NCT02725567A Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics of Ivacaftor in Subjects With Cystic Fibrosis Who Are Less Than 24 Months of Age and Have an Ivacaftor-Responsive CFTR MutationCystic Fibrosis
COMPLETED57 Analytics
NCT02412111A Phase 3 Study of Tezacaftor (VX-661) in Combination With Ivacaftor (VX-770) in Subjects Aged 12 Years and Older With Cystic Fibrosis (CF), Who Have One F508del-CFTR Mutation and a Second Mutation That Has Been Demonstrated to be Clinically Responsive to IvacaftorCystic Fibrosis
COMPLETED156 Analytics
NCT01946412Roll-Over Study of Ivacaftor in Cystic Fibrosis Pediatric Subjects With a CF Transmembrane Conductance Regulator Gene (CFTR) Gating MutationCystic Fibrosis
COMPLETED33 Analytics
NCT01707290Rollover Study of Ivacaftor in Subjects With Cystic Fibrosis and a Non G551D CFTR MutationCystic Fibrosis
COMPLETED125 Analytics
NCT01705145Study of Ivacaftor in Cystic Fibrosis Subjects 2 Through 5 Years of Age With a CFTR Gating MutationCystic Fibrosis
COMPLETED35 Analytics
NCT01614470Study of Ivacaftor in Subjects With Cystic Fibrosis (CF) Who Have a Non-G551D CF Transmembrane Conductance Regulator (CFTR) Gating MutationCystic Fibrosis
COMPLETED39 Analytics
NCT01614457Study of Ivacaftor in Subjects With Cystic Fibrosis (CF) Who Have the R117H-CF Transmembrane Conductance Regulator (CFTR) Mutation (KONDUCT)Cystic Fibrosis
COMPLETED70 Analytics
PHASE3COMPLETED
An Efficacy and Safety Study of Ivacaftor in Patients With Cystic Fibrosis and Two Splicing Mutations
Cystic FibrosisUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate the Safety of Long-term Ivacaftor Treatment in Participants With Cystic Fibrosis Who Are Less Than 24 Months of Age at Treatment Initiation and Have an Approved Ivacaftor-Responsive Mutation
Cystic FibrosisUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate Efficacy of Ivacaftor in Subjects With Cystic Fibrosis Who Have a 3849 + 10KB C→T or D1152H CFTR Mutation
Cystic FibrosisUnlock trial analytics
PHASE3COMPLETED
A Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics of Ivacaftor in Subjects With Cystic Fibrosis Who Are Less Than 24 Months of Age and Have an Ivacaftor-Responsive CFTR Mutation
Cystic FibrosisUnlock trial analytics
PHASE3COMPLETED
A Phase 3 Study of Tezacaftor (VX-661) in Combination With Ivacaftor (VX-770) in Subjects Aged 12 Years and Older With Cystic Fibrosis (CF), Who Have One F508del-CFTR Mutation and a Second Mutation That Has Been Demonstrated to be Clinically Responsive to Ivacaftor
Cystic FibrosisUnlock trial analytics
PHASE3COMPLETED
Roll-Over Study of Ivacaftor in Cystic Fibrosis Pediatric Subjects With a CF Transmembrane Conductance Regulator Gene (CFTR) Gating Mutation
Cystic FibrosisUnlock trial analytics
PHASE3COMPLETED
Rollover Study of Ivacaftor in Subjects With Cystic Fibrosis and a Non G551D CFTR Mutation
Cystic FibrosisUnlock trial analytics
PHASE3COMPLETED
Study of Ivacaftor in Cystic Fibrosis Subjects 2 Through 5 Years of Age With a CFTR Gating Mutation
Cystic FibrosisUnlock trial analytics
PHASE3COMPLETED
Study of Ivacaftor in Subjects With Cystic Fibrosis (CF) Who Have a Non-G551D CF Transmembrane Conductance Regulator (CFTR) Gating Mutation
Cystic FibrosisUnlock trial analytics
PHASE3COMPLETED
Study of Ivacaftor in Subjects With Cystic Fibrosis (CF) Who Have the R117H-CF Transmembrane Conductance Regulator (CFTR) Mutation (KONDUCT)
Cystic FibrosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Forced Expiratory Volume
24 weeks

Absolute change in percent predicted in 1 second FEV1 from baseline through week 24

Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious TEAEs
Day 1 up to Week 120
Change in Lung Clearance Index 2.5 (LCI2.5)
From baseline through 8 weeks

LCI2.5 represents the number of lung turnovers required to reduce the end tidal inert gas concentration to 1/40th of its starting value.

Part A: Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious (TEAEs)
Day 1 through Day 70
Part A: Observed Plasma Concentration of IVA and Their Metabolites (M1-IVA and M6-IVA)
Pre-dose, 2-4 hours, 6-8 hours, 24-60 hours post-dose
Part B +A/B: Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious (TEAEs)
Day 1 through Week 38
Part A/B: Observed Plasma Concentration of IVA and Their Metabolites (M1-IVA and M6-IVA)
Day 4 (pre-dose, 2-4 hours, 6-8 hours post-dose); Day 15 (pre-dose); Week 4 (pre-dose); Week 8 (pre-dose, 2-4 hours, 6-8 hours post-dose); Week 12 (pre-dose); Week 18 (pre-dose) and Week 24 (pre-dose)
Absolute Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) Through Week 8
Baseline, Through Week 8

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

Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Day 1 up to Week 97 (for participants who completed study drug dosing); Day 1 up to 24 weeks after the last dose (up to Week 108, for participants who prematurely discontinued study drug dosing)

AE: any untoward medical occurrence in a participant during the study; the event does not necessarily have a causal relationship with the treatment. This includes any newly occurring event or previous condition that has increased in severity or frequency after the informed consent form is signed. AE includes serious as well as Non-serious AEs. SAE (subset of AE): medical event or condition, which falls into any of the following categories, regardless of its relationship to the study drug: death, life threatening adverse experience, Inpatient hospitalization/prolongation of hospitalization, persistent/significant disability or incapacity, congenital anomaly/birth defect, important medical event. AEs with start date or increased severity on or after the first dose of study drug through the end of study participation was considered treatment-emergent.

Number of Participants With Treatment Emergent Adverse Events (TEAEs) or Serious Adverse Events (SAEs) in Ivacaftor Arm
Day 1 up to Week 108 (Study 112)

AE: any untoward medical occurrence in a participants during the study; the event does not necessarily have a causal relationship with the treatment. This includes any newly occurring event or previous condition that has increased in severity or frequency after informed consent form is signed. AE includes serious as well as non-serious AEs. SAE (subset of AE): medical event or condition, which falls into any of the following categories, regardless of its relationship to the study drug: death, life threatening adverse experience, In-patient hospitalization/prolongation of hospitalization, persistent/significant disability or incapacity, congenital anomaly/birth defect, important medical event. TEAEs were defined as adverse events with start date or increased severity on and after the first dose of study drug through Week 108.

Part A: Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) and Related AEs
Part A: Up to 93 Days

AE: any adverse change from participant's baseline (pre-treatment) condition, including any adverse experience, abnormal recording/clinical laboratory assessment which occurs during course of study, whether it is considered related to study drug or not. SAE: medical event or condition, which falls into any of following categories, regardless of its relationship to the study drug: death, life threatening adverse experience, in-patient hospitalization/prolonged hospitalization, persistent/significant disability/incapacity, congenital anomaly/birth defect, important medical event. Related AEs includes all AEs for which the causality was either related to study drug or possibly related to study drug. Data was reported as per the dose received and for overall participants.

Part B: Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) and Related AEs
Part B: Up to 28 Weeks

AE: any adverse change from participant's baseline (pre-treatment) condition, including any adverse experience, abnormal recording/clinical laboratory assessment which occurs during course of study, whether it is considered related to study drug or not. AE includes both serious and non-serious AE. SAE: medical event or condition, which falls into any of following categories, regardless of its relationship to the study drug: death, life threatening adverse experience, in-patient hospitalization/prolonged hospitalization, persistent/significant disability/incapacity, congenital anomaly/birth defect, important medical event. Related AEs includes all AEs for which the causality was either related to study drug or possibly related to study drug. Data was reported as per the dose received.

Part A: Plasma Concentration of Ivacaftor and Its Metabolites
Part A: up to 24 hours post-dose on Day 4

Plasma concentration was reported for ivacaftor and its metabolites (hydroxymethyl ivacaftor \[M1\] and ivacaftor carboxylate \[M6\]) up to 24 hours post-dose on Day 4 (Hour 0 \[pre-dose\] on Day 1 and Day 4; 2, 3, 6, 24 hours post-dose on Day 4). Data was planned to be reported for overall participants in the period.

Part 1: Absolute Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) Through Week 8
Part 1: Baseline (pre-dose Day 1), Week 8

FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. Hankinson and Wang standards were used to calculate percent predicted FEV1 (for age, gender, and height). The Hankinson standard was used for male subjects 18 years and older and female subjects 16 years and older. The Wang standard was used for male subjects aged 6 to 17 years and for female subjects aged 6 to 15 years. Baseline was defined as the most recent non-missing measurement collected before initial administration of study drug during study Part 1.

Part 2: Absolute Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) Through 24 Weeks of Treatment (Week 36 Visit)
Baseline (pre-dose Week 12), Week 36

FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. Hankinson and Wang standards were used to calculate percent predicted FEV1 (for age, gender, and height). The Hankinson standard was used for male subjects 18 years and older and female subjects 16 years and older. The Wang standard was used for male subjects aged 6 to 17 years and for female subjects aged 6 to 15 years. Absolute change in percent predicted FEV1 over 24 weeks of ivacaftor treatment (from Week 12 \[Part 1: Treatment Period 2\] through Week 36 \[Part 2\]) was reported for subjects who received ivacaftor in Part 1: Treatment Period 2, as per planned analysis. Baseline was defined as the most recent non-missing measurement collected before initial administration of study drug during Part 1: Treatment Period 2.

Absolute Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) Through Week 24
Baseline, Week 24

FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. Hankinson and Wang standards were used to calculate percent predicted FEV1 (for age, gender, and height). The Hankinson standard was used for male subjects 18 years and older and female subjects 16 years and older. The Wang standard was used for male subjects aged 6 to 17 years and for female subjects aged 6 to 15 years.

Number of Participants With Non-Serious Adverse Events (AEs) and Serious Adverse Events (SAEs)
Study 105: Day 1 up to Week 168

Adverse Event: any untoward medical occurrence in a participant during the study, including any unfavorable and unintended sign, symptom, or disease whether or not it was considered to be study drug related. This included any newly occurring event or previous condition that increased in severity or frequency after obtaining informed consent and assent (where applicable). SAE: medical event or condition, which resulted in any of following, regardless of its relationship to the study drug: death, life threatening adverse experience, in-patient hospitalization/prolonged hospitalization, persistent/significant disability/incapacity, congenital anomaly/birth defect, important medical event. Non-Serious AEs included all AEs except SAEs.

Absolute Mean Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) Through Week 24
baseline through 24 weeks

Spirometry (as measured by FEV1) is a standardized assessment to evaluate lung function that is the most widely used endpoint in cystic fibrosis studies.

Safety of Ivacaftor - Number of Participants With Adverse Events
From Screening to Day 98

Safety of ivacaftor will be determined by number of participants with adverse events (including serious adverse events).

Safety of Ivacaftor - Number of Participants With Abnormal Serum Chemistry
From Screening to Day 98

Number of participants with abnormal serum chemistry values compared to screening values will also be used to determine safety of ivacaftor.

Safety of Ivacaftor - Number of Participants With Abnormal Hematology
From Screening to Day 98

Safety of ivacaftor will also be determined by number of participants with abnormal changes in their screening hematology values.

Safety of Ivacaftor - Number of Participants With Abnormal ECG (Prolonged QT Intervals)
From Screening to Day 98

Number of participants with abnormal changes in their screening ECGs is another factor that will be used to evaluate the safety of ivacaftor.

Cycle 1 and Cycle 2: Absolute Change From Cycle Baseline In Percent Predicted Forced Expiratory Volume In 1 Second (FEV1) After 2 Weeks of Treatment
Cycle 1 baseline, Cycle 1 Day 15 (for Cycle 1 reporting arms); Cycle 2 baseline, Cycle 2 Day 15 (for Cycle 2 reporting arms)

FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. Hankinson and Wang standards were used to calculate percent predicted FEV1 (for age, gender, and height). The Hankinson standard was used for male participants 18 years and older and female participants 16 years and older. The Wang standard was used for male participants aged 12 to 17 years and for female participants aged 12 to 15 years. Data was to be reported for each cycle (Cycle 1 and Cycle 2) and as per drug treatment, for overall participants and as per genotype (residual function mutation and mRNA splice site mutation).

Absolute Change From Baseline in Lung Clearance Index (LCI)
Baseline through Day 29

Lung clearance index (LCI) is a measure of ventilation inhomogeneity that is derived from a multiple-breath washout test. The LCI was calculated as the number of lung volume turnovers (cumulative expired volume divided by the functional residual capacity \[FRC\]) required to reduce end-tidal SF6 concentration to 1/40th of the starting value.

Part A: Change From Baseline in Total Ventilation Defect Defined by Hyperpolarized Helium 3 Magnetic Resonance Imaging (3He-MRI) at Day 43
Part A: Baseline (pre-dose Day 15), Day 43

Subjects inhaled hyperpolarized helium-3 (3He) gas mixed with nitrogen to make a total volume of approximately one-third forced vital capacity (FVC) to a maximum of 1 liter and hold their breath for 20 seconds or less. Rapid magnetic resonance imaging (MRI) was performed during inhalation/exhalation and/or breath-hold. Areas of decreased ventilation were observed as ventilation defects that are visualized as decreased (and/or absent) 3He intensity in 3He-MRI. The total ventilation defect was defined as the ratio of total ventilation defect volume (L) to total lung volume (L), expressed as a percentage. Baseline was defined as the most recent non-missing measurement collected before initial administration of study drug in VX-770 treatment phase (Day 15 to 42).

Part B: Change From Baseline in Total Ventilation Defect Defined by Hyperpolarized Helium 3 Magnetic Resonance Imaging (3He-MRI) at Week 48
Part B: Baseline (Day -1), Week 48

Subjects were asked to inhale hyperpolarized 3 He gas mixed with nitrogen to make a total volume of approximately one-third forced vital capacity (FVC) to a maximum of 1 liter and hold their breath for 20 seconds or less. Rapid MRI was performed during inhalation/exhalation and/or breath-hold. Areas of decreased ventilation were observed as ventilation defects that are visualized as decreased (and/or absent) 3He intensity in 3He MRI. The total ventilation defect was defined as the ratio of total ventilation defect volume (L) to total lung volume (L), expressed as a percentage. Baseline was defined as the most recent non-missing measurement collected before initial administration of study drug in Part B (48 weeks).

Number of Subjects With Adverse Events (Combined Part 1 and Part 2)
Baseline to Follow-up

Adverse event data were collected up to the follow-up visit (5 to 9 days after last dose of study drug). Serious adverse events that were ongoing at the follow-up visit were followed until the event resolved, returned to baseline, or was determined to be a stable or chronic condition.

Number of Adverse Events (Combined Part 1 and Part 2)
Baseline to Follow-up

Adverse event data were collected up to the follow-up visit (5 to 9 days after last dose of study drug). Serious adverse events that were ongoing at the follow-up visit were followed until the event resolved, returned to baseline, or was determined to be a stable or chronic condition.

Parts A, B and C: Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
From first dose of study drug in treatment period up to safety follow-up (up to 28 days)
Parts D, E and F: Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
From first dose of study drug in TC treatment period up to 28 days after last dose of study drug (up to 5 weeks)
Part D: Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
From Baseline through Day 29

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

Part E: Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
From Baseline through Day 29

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

Part F: Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
From Baseline through Day 29

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

PK parameters of ivacaftor and metabolites following concomitant dosing with ciprofloxacin relative to ivacaftor administered alone
Day 7, Day 14

PK Parameters - maximum observed plasma concentrations (Cmax) and area under the concentration versus time curve (AUC),

PK parameters of VX-661 and metabolites when dosed in combination with ivacaftor and concomitant ciprofloxacin relative to VX-661 administered in combination with ivacaftor
Day 10, Day 20

PK parameters - maximum observed plasma concentrations (Cmax) and area under the concentration versus time curve (AUC),

VX-770 pharmacokinetic parameters
4 or 10 Days
VX-770 and Desipramine pharmacokinetic parameters
3 weeks
Midazolam, Rosiglitazone and VX 770 pharmacokinetic (PK) parameter
11 days
Fluconazole and VX 770 PK parameters
10 days
VX 770 pharmacokinetic (PK) parameters
17 days

Secondary Endpoints

Sputum Results
24 weeks
Sweat Chloride
24 Weeks
Absolute Change in Sweat Chloride
From Baseline at Week 96
Unlock Study Endpoints

Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
IvacaftorEXPERIMENTALThere is only one arm to this study. The two sisters with Cystic Fibrosis will both receive Ivacaftor for 6 months for their treatment.
Ivacaftor ArmEXPERIMENTALParticipants less than (\<) 24 months of age and weighing 5 to less than (\<) 7 kilogram (kg) received 25 mg IVA every 12 hours (q12h), 7 to \<14 kg received 50 mg IVA q12h, and those weighing 14 to \<25 kg received 75 mg IVA q12h. Participants more than or equal (\>=) 24 months of age and weighing \<14 kg received 50 mg IVA q12h, and those weighing more than or equal to (\>=)14 kg received 75 mg IVA q12h in the treatment period for up to 96 weeks. Doses were determined based on safety and pharmacokinetic (PK) data from parent study, age and weight.
Observational ArmNO_INTERVENTION -
Sequence 1: First Ivacaftor (IVA) Then PlaceboEXPERIMENTALParticipants received IVA 150 milligram (mg) every 12 hours (q12h) for 8 weeks in treatment period 1 followed by placebo matched to IVA for 8 weeks in treatment period 2. A washout period of 8 weeks was maintained between the 2 treatment periods.
Sequence 2: First Placebo Then IVAEXPERIMENTALParticipants received placebo matched to IVA for 8 weeks in treatment period 1 followed by IVA 150 mg q12h for 8 weeks in treatment period 2. A washout period of 8 weeks was maintained between the 2 treatment periods.
Part A: 3 to <24 monthsEXPERIMENTALParticipants weighing 5 to less than (\<) 7 kilogram (kg) received 25 milligram (mg) IVA, 7 to \<14 kg received 50 mg IVA, and those weighing 14 to \<25 kg received 75 mg IVA administered every 12 hours (q12h) on Days 1 through 3 and 1 morning dose on Day 4.
Part B + A/B:1 to < 24 monthsEXPERIMENTALParticipants 4 to \<6 months of age and weighing greater than or equal to (≥) 5 kg received 25 mg IVA q12h. At 6 months of age and older, participants weighing 5 to \<7 kg received 25 mg IVA, 7 to \<14 kg received 50 mg IVA, and those weighing 14 to \<25 kg received 75 mg IVA q12h for 24 weeks on Part B. For Part A/B, participants 1 to \<4 months weighing 3 kg to \<5 kg received an initial low dose of 5.7 mg q12h IVA and those weighing ≥5 kg received 11.4 mg q12h IVA for the first 15 days of IVA treatment. Doses were maintained or adjusted upward at Day 15 and based on weight and/or age once they reached 4 months of age.
Ivacaftor (Run-in Period)EXPERIMENTALIvacaftor 150 milligram (mg) tablet orally every 12 hours for 4 weeks.
VX-661 + Ivacaftor (Active comparator period)EXPERIMENTALVX-661 100 mg and ivacaftor 150 mg fixed-dose combination tablet orally once daily in the morning and ivacaftor 150 mg tablet orally once daily in the evening for 8 weeks.
Ivacaftor monotherapy (Active comparator period)ACTIVE_COMPARATORIvacaftor 150 mg tablet orally every 12 hours as monotherapy for 8 weeks.
ObservationalNO_INTERVENTIONParticipants who received Ivacaftor 150 mg tablet and/or Placebo matched to Ivacaftor tablet, orally, q12h in the previous Study 110 (NCT01614457) or Study 111 (NCT01614470), were observed (did not receive study drug) in this Study 112 (NCT01707290) for up to 2 years.
Part 1: Ivacaftor First, Then PlaceboEXPERIMENTALIvacaftor 150 milligram (mg) tablet orally twice daily for 8 weeks in treatment period 1 followed by placebo matched to ivacaftor tablet orally twice daily for 8 weeks in treatment period 2. Washout out period of 4 to 8 weeks was maintained between each treatment period.
Part 1: Placebo First, Then IvacaftorEXPERIMENTALPlacebo matched to ivacaftor tablet orally twice daily for 8 weeks in treatment period 1 followed by ivacaftor 150 mg tablet orally twice daily for 8 weeks in treatment period 2. Washout out period of 4 to 8 weeks was maintained between each treatment period.
Part 2: IvacaftorEXPERIMENTALIvacaftor 150 mg tablet orally twice daily for 16 weeks.
PlaceboPLACEBO_COMPARATORPlacebo matched to Ivacaftor tablet orally twice daily for 24 weeks.
VX-770EXPERIMENTALVX-770 (ivacaftor) 150 milligram (mg) tablet orally twice daily (q12h).
150 mg Ivacaftor q12hEXPERIMENTALSubjects who received 150 mg of ivacaftor q12h for up to 48 weeks.
Ivacaftor, Placebo, Ivacaftor, Placebo (IPIP)EXPERIMENTALDuring the Crossover Period, study drug was administered in 2-week alternating cycles with a minimum of 4-week washout period between Cycle 1 \[(Period 1 - Day 1 to 14) (Period 2 - Day 15 to 29)\] and Cycle 2 \[(Period 1 - Day 1 to 14) (Period 2 - Day 15 to 29)\] and between Cycle 2 and the Open-label Period (Day 1 to 57). During the Open-label Period, all participants received ivacaftor.
Ivacaftor, Placebo, Placebo, Ivacaftor (IPPI)EXPERIMENTALDuring the Crossover Period, study drug was administered in 2-week alternating cycles with a minimum of 4-week washout period between Cycle 1 \[(Period 1 - Day 1 to 14) (Period 2 - Day 15 to 29)\] and Cycle 2 \[(Period 1 - Day 1 to 14) (Period 2 - Day 15 to 29)\] and between Cycle 2 and the Open-label Period (Day 1 to 57). During the Open-label Period, all participants received ivacaftor.
Placebo, Ivacaftor, Ivacaftor, Placebo (PIIP)EXPERIMENTALDuring the Crossover Period, study drug was administered in 2-week alternating cycles with a minimum of 4-week washout period between Cycle 1 \[(Period 1 - Day 1 to 14) (Period 2 - Day 15 to 29)\] and Cycle 2 \[(Period 1 - Day 1 to 14) (Period 2 - Day 15 to 29)\] and between Cycle 2 and the Open-label Period (Day 1 to 57). During the Open-label Period, all participants received ivacaftor.
Placebo, Ivacaftor, Placebo, Ivacaftor (PIPI)EXPERIMENTALDuring the Crossover Period, study drug was administered in 2-week alternating cycles with a minimum of 4-week washout period between Cycle 1 \[(Period 1 - Day 1 to 14) (Period 2 - Day 15 to 29)\] and Cycle 2 \[(Period 1 - Day 1 to 14) (Period 2 - Day 15 to 29)\] and between Cycle 2 and the Open-label Period (Day 1 to 57). During the Open-label Period, all participants received ivacaftor.
Treatment Sequence 1EXPERIMENTALIvacaftor administered in Treatment Period 1 and placebo administered in Treatment Period 2.
Treatment Sequence 2EXPERIMENTALPlacebo administered in Treatment Period 1 and ivacaftor administered in Treatment Sequence 2.
Ivacaftor Group AEXPERIMENTALSubjects in Part 1 who first received 25 mg or 75 mg of ivacaftor every 12 hours (q12h) for 14 days, then crossed over to receive the alternate dose for another 14 days.
Ivacaftor Group BEXPERIMENTALSubjects in Part 1 who first received 75 mg or 150 mg of ivacaftor q12h for 14 days then crossed over to receive the alternate dose for another 14 days.
Ivacaftor Group CEXPERIMENTALSubjects in Part 2 who received 150 mg or 250 mg of ivacaftor q12h for 28 days.
Part A: Pooled Placebo (Except Cohort A7)PLACEBO_COMPARATORParticipants without CF who received single dose of placebo matched to VX-445 in Cohort A1 to A5.
Part A: VX-445 (Except Cohort A7)EXPERIMENTALParticipants without CF who received single ascending dose of VX-445 tablet starting from 20 milligrams (mg) to 360 mg in Cohort A1 to A5.
Part A: VX-445 (Cohort A7)EXPERIMENTALParticipants without CF who received single dose of VX-445 100 mg tablet on Day 1 in fasted state and on Day 7 in fed state, followed by VX-445 20 mg intravenous (IV) injection on Day 13 in fed state in Cohort A7.
Part B: Pooled Placebo (Cohort B1 to B4)PLACEBO_COMPARATORParticipants without CF who received multiple doses of placebo matched to VX-445 once daily (qd) for 10 days in Cohort B1 to B4.
Part B: VX-445 (Cohort B1 to B4)EXPERIMENTALParticipants without CF who received VX-445 tablet qd for 10 days in Cohort B1 (60 mg), B2 (120 mg), B3 (240 mg) and B4 (340 mg).
Part C: Pooled Placebo (Cohort C1 to C3)PLACEBO_COMPARATORParticipants without CF who received placebo matched to VX-445/TEZ/IVA triple combination (TC) qd in the morning and placebo matched to IVA in the evening for 14 days.
Part C: VX-445/TEZ/IVA TC (Cohort C1 to C3)EXPERIMENTALParticipants without CF who received VX-445 200 mg qd/TEZ 100 mg qd/IVA 150 mg q12h in Cohort C1; VX-445 280 mg qd/TEZ 100 mg qd/IVA 150 mg q12h in Cohort C2 and VX-445 100 mg qd/TEZ 100 mg qd/IVA 150 mg q12h in Cohort C3 for 14 days.
Part D: PlaceboPLACEBO_COMPARATORParticipants with CF, F/MF genotype who received placebo matched to VX-445/TEZ/IVA TC qd in the morning and placebo matched to IVA qd in the evening for 4 weeks in the TC treatment period.
Part D: VX-445/TEZ/IVA TC - Low DoseEXPERIMENTALParticipants with CF, F/MF genotype who received VX-445 50 mg qd/TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks in the TC treatment period.
Part D: VX-445/TEZ/IVA TC - Medium DoseEXPERIMENTALParticipants with CF, F/MF genotype who received VX-445 100 mg qd/TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks in the TC treatment period.
Part D: VX-445/TEZ/IVA TC - High DoseEXPERIMENTALParticipants with CF, F/MF genotype who received VX-445 200 mg qd/TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks in the TC treatment period.
Part E: TEZ/IVAACTIVE_COMPARATORFollowing run-in period of 4 weeks with TEZ/IVA, participants with CF, F/F genotype who received TEZ 100 mg qd/IVA 150 mg q12h and placebo matched to VX-445 for 4 weeks in the TC treatment period.
Part E: VX-445/TEZ/IVA TCEXPERIMENTALFollowing run-in period of 4 weeks with TEZ/IVA, participants with CF, F/F genotype who received VX-445 200 mg qd/TEZ 100 mg qd /IVA 150 mg q12h for 4 weeks in the TC treatment period.
Part F: PlaceboPLACEBO_COMPARATORParticipants with CF, F/MF genotype who received placebo matched to VX-445/TEZ/VX-561 for 4 weeks in the TC treatment period.
Part F: VX-445/TEZ/VX-561 TCEXPERIMENTALParticipants with CF, F/MF genotype who received VX-445 200 mg qd/TEZ 100 mg qd/VX-561 150 mg qd for 4 weeks in the TC treatment period.
Cohort 1ACTIVE_COMPARATORparticipants in Cohort 1 will be administered ivacaftor alone followed by ivacaftor with concomitant ciprofloxacin.
Cohort 2EXPERIMENTALParticipants in Cohort 2 will be administered VX-661 in combination with ivacaftor followed by VX-661 in combination with ivacaftor and concomitant ciprofloxacin
Group AEXPERIMENTALapproximately 12 male and female subjects with moderate hepatic impairment
Group BEXPERIMENTALapproximately 12 healthy male and female subjects
desipramineEXPERIMENTAL -
MidazolamEXPERIMENTAL -
RosiglitazoneEXPERIMENTAL -
FluconazoleEXPERIMENTAL -
RifampinEXPERIMENTAL -

Interventions

NameTypeDescription
IvacaftorDRUGSubjects will be treated with ivacaftor for 6 months and followed for 7 months and will undergo assessments along the way to measure sweat chloride and sputum amounts.
IVADRUGGranules for oral administration.
PlaceboDRUGPlacebo matched to IVA tablet.
Tezacaftor/IvacaftorDRUG -
Ivacaftor 150 MGDRUGIvacaftor is a CFTR potentiator
Placebo-matched-to-ivacaftor tabletDRUGOrally every 12 hours up to 4 weeks.
VX-770DRUGTablet.
Ivacaftor 25 mg/75 mgDRUG25 mg or 75 mg q12h for a total of 28 days (Part 1)
Ivacaftor 75 mg/150 mgDRUG75 mg or 150 mg q12h for a total of 28 days (Part 1)
Ivacaftor 150 mg or 250 mgDRUG150 mg or 250 mg of ivacaftor q12h for 28 days (Part 2)
TEZ/IVADRUGTEZ/IVA fixed-dose combination for oral administration.
VX-445DRUGVX-445 tablet for oral administration.
Matched PlaceboDRUGMatched placebo.
TEZDRUGTablet for oral administration.
VX-561DRUGTablet for oral administration.
VX-661DRUG -
ciprofloxacinDRUG -
RifampinDRUGIn Period 2, subjects will receive a daily oral dose of rifampin 600 mg on Days 1 through 10
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Eligibility Criteria

Age Range18 Years to N/A
SexFEMALE
Healthy VolunteersNo

Inclusion Criteria: * Subjects are \>18 years of age and able to provide informed consent. * Subjects reside in the US and are willing to be treated with ivacaftor. * Subjects have the splicing mutation of interest. * Subjects are willing and able to perform requirements of the study. Exclusion Cr...

Countries:United StatesAustraliaCanadaGermanyIrelandUnited KingdomIsraelAustriaBelgiumFranceItalyCzechiaNetherlandsSlovakia
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Competitive Landscape -Cystic Fibrosis 20 trials

Frequently asked questions about Ivacaftor

What is ivacaftor used for?

Ivacaftor is a small molecule studied for cystic fibrosis and chronic obstructive pulmonary disease, including chronic bronchitis. In cystic fibrosis it has been evaluated in patients with specific CFTR mutations, such as the 3849 + 10KB C to T or D1152H mutations, and in children under 24 months of age with an approved ivacaftor-responsive mutation.

What does ivacaftor target?

Ivacaftor targets CFTR, the cystic fibrosis transmembrane conductance regulator, and is classified as a positive modulator. By acting on this protein, the drug is designed to modulate CFTR function in patients whose cystic fibrosis is driven by particular CFTR mutations. Its clinical program also includes a Phase 2 study in chronic obstructive pulmonary disease with chronic bronchitis.

Who makes ivacaftor?

Ivacaftor is developed by Vertex Pharmaceuticals Incorporated, which trades under the ticker VRTX. Vertex is the sponsor behind the clinical trial program for the drug across cystic fibrosis and chronic obstructive pulmonary disease.

What phase is ivacaftor in?

Ivacaftor is an investigational drug that has been studied across Phase 1, Phase 2, and Phase 3 clinical trials. Its recorded development stage is Phase 2, and the program includes 18 trials in total, of which 17 are completed and none are currently active.

What clinical trials is ivacaftor in?

Ivacaftor trials include NCT03277196, a completed Phase 3 study of long-term treatment in cystic fibrosis patients under 24 months of age with an approved ivacaftor-responsive mutation, and NCT03085485, a completed Phase 2 study in chronic obstructive pulmonary disease and chronic bronchitis. Other completed studies include NCT03068312 in cystic fibrosis and NCT03227471.

Is ivacaftor the same as IVA?

Yes, IVA is a common abbreviation for ivacaftor. The drug is also referred to by dose-based names including ivacaftor 25 mg/75 mg and ivacaftor 150 mg. These names all refer to the same CFTR positive modulator developed by Vertex Pharmaceuticals.