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VX-445/TEZ/IVA

Phase 3

Cystic Fibrosis | Small molecule | Respiratory |Vertex Pharmaceuticals Incorporated|Last Updated: May 19, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment518
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03525548A Study of VX-445 Combination Therapy in CF Subjects Homozygous for F508del (F/F)PHASE3 COMPLETED 113Aug 3, 2018Dec 28, 2018Jan 27, 202044 United States, Belgium +2
NCT03525444A Phase 3 Study of VX-445 Combination Therapy in Subjects With Cystic Fibrosis Heterozygous for the F508del Mutation and a Minimal Function Mutation (F/MF)PHASE3 COMPLETED 405Jun 15, 2018Apr 24, 2019May 19, 2020115 United States, Australia +11
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Study Endpoints
Primary Endpoints
Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
From Baseline at Week 4

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

Secondary Endpoints
Absolute Change in Sweat Chloride (SwCl)
From Baseline at Week 4
Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score
From Baseline at Week 4
Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent 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 or to the completion of study participation date, whichever occurs first (up to Week 8)
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
TEZ/IVAACTIVE_COMPARATORFollowing a run-in period of 4 weeks with Tezacaftor (TEZ)/Ivacaftor (IVA), participants received TEZ 100 milligram (mg)/IVA 150 mg as fixed-dose combination (FDC) tablet in the morning and IVA 150 mg as mono tablet in the evening for 4 weeks in the triple combination (TC) treatment period.
VX-445/TEZ/IVA TCEXPERIMENTALFollowing a run-in period of 4 weeks with TEZ/IVA, participants received VX-445 200 mg/TEZ 100 mg/IVA 150 mg as FDC tablets in the morning and IVA 150 mg as mono tablet in the evening for 4 weeks in the TC treatment period.
PlaceboPLACEBO_COMPARATORParticipants who received placebo matched to VX-445/TEZ/IVA for 24 weeks in the TC treatment period.
Interventions
NameTypeDescription
VX-445/TEZ/IVADRUGParticipants received VX-445/TEZ/IVA orally once daily in the morning.
TEZ/IVADRUGParticipants received TEZ/IVA orally once daily in the morning.
IVADRUGParticipants received IVA orally once daily in the evening.
PlaceboDRUGParticipants received placebo matched to VX-445/TEZ/IVA orally once daily in the morning.
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Eligibility Criteria
Age Range12 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites44

Key Inclusion Criteria: * Homozygous for the F508del mutation (F/F) * Forced expiratory volume in 1 second (FEV1) value ≥40% and ≤90% of predicted mean for age, sex, and height Key Exclusion Criteria: * Clinically significant cirrhosis with or without portal hypertension * Lung infection with org...

Countries:United StatesBelgiumNetherlandsUnited KingdomAustraliaAustriaCanadaCzechiaFranceGermanyGreeceItalySweden
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