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VX-581

Phase 1

Cystic Fibrosis | Small molecule | Respiratory |Vertex Pharmaceuticals Incorporated|Trials Updated: Sep 21, 2026

VX-581 development status

Highest phase Phase 1
Registered trials 2 across 1 sponsor since Dec 2025

VX-581 target and mechanism

Molecular targetCFTR
Target classProtein
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials2
Total Enrollment152

FDA Designations

No designations recorded

VX-581 clinical trials

VX-581 · 2 trials · 1 indication

Phase 1 2
NCT07813039A Phase 1 Relative Bioavailability Study of a VX-581 Tablet FormulationCystic Fibrosis
NOT YET_RECRUITING16 Analytics
NCT07283770Dose Escalation Study Evaluating the Safety and Pharmacokinetics of VX-581 in Healthy ParticipantsCystic Fibrosis
RECRUITING136 Analytics
PHASE1NOT YET_RECRUITING
A Phase 1 Relative Bioavailability Study of a VX-581 Tablet Formulation
Cystic FibrosisUnlock trial analytics
PHASE1RECRUITING
Dose Escalation Study Evaluating the Safety and Pharmacokinetics of VX-581 in Healthy Participants
Cystic FibrosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Maximum Observed Plasma Concentration (Cmax) of VX-581
Period 1 and Period 2: From Day 1 up to Day 21
Area Under the Concentration Versus Time Curve (AUC) of VX-581
Period 1 and Period 2: From Day 1 up to Day 21
Part A: Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
From Day -1 up to Day 8
Part B: Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
From Day -1 up to Day 17
Part C: Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
From Day -1 up to Day 17

Secondary Endpoints

Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
From Signing of Informed Consent Form (ICF) up to Safety Follow Up (Up to Day 21)
Part A: Maximum Observed Plasma Concentration (Cmax) of VX-581
On Day 1
Part A: Area Under the Concentration Versus Time Curve From the Time of Dosing Up to 24 Hours (AUC0-24h) Post-Dose of VX-581
On Day 1
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Sequence 1EXPERIMENTALParticipants will be randomized to receive VX-581 suspension in dosing period 1 followed by VX-581 tablet in dosing period 2. A washout period of 10 days will be maintained between the 2 dosing periods.
Sequence 2EXPERIMENTALParticipants will be randomized to receive VX-581 tablet in dosing period 1 followed by VX-581 suspension in dosing period 2. A washout period of 10 days will be maintained between the 2 dosing periods.
Part A: Single Ascending DoseEXPERIMENTALParticipants will be randomized to receive a single dose of VX-581.
Placebo: Part APLACEBO_COMPARATORParticipants will be randomized to receive a single dose of placebo matched to VX-581.
Part B: Multiple Ascending DoseEXPERIMENTALParticipants will be randomized to receive multiple doses of VX-581.
Placebo: Part BPLACEBO_COMPARATORParticipants will be randomized to receive multiple doses of placebo matched to VX-581.
Part C: VX-581 with TEZ/D-IVA or D-IVAEXPERIMENTALParticipants will be randomized to receive multiple doses VX-581 in combination with TEZ/D-IVA or D-IVA.
Placebo: Part CPLACEBO_COMPARATORParticipants will be randomized to receive placebo matched to VX-581 in combination with TEZ/D-IVA or D-IVA.

Interventions

NameTypeDescription
VX-581DRUGTablet and Suspension for Oral Administration.
PlaceboDRUGSuspension for Oral Administration.
D-IVADRUGTablet for Oral Administration.
TEZDRUGTablet for Oral Administration.
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Eligibility Criteria

Age Range18 Years to 55 Years
SexMALE
Healthy VolunteersYes

Key Inclusion Criteria: * Body mass index (BMI) of 18.0 to 32.0 kilogram per meter square (kg/m\^2), inclusive * Total body weight of greater than (\>) 50 kg * Nonsmoker or ex-smoker for at least 3 months before screening with current nonsmoking status confirmed by urine or blood cotinine at screen...

Countries:United States
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Competitive Landscape -Cystic Fibrosis 20 trials

Recent Changes (Last 90 Days)

LOWSep 21, 2026NCT07283770lastUpdatePostDate: changed
LOWSep 21, 2026NCT07283770lastUpdatePostDate: changed
LOWSep 10, 2026NCT07813039NEW_TRIAL: changed
LOWSep 10, 2026NCT07813039NEW_TRIAL: changed

Frequently asked questions about VX-581

What is VX-581?

VX-581 is an investigational small molecule developed by Vertex Pharmaceuticals for cystic fibrosis, a respiratory disease. It is in Phase 1 clinical development and has not been approved. Vertex is evaluating it in early-stage trials, including a relative bioavailability study and a dose escalation study in healthy participants.

What is VX-581 used for in cystic fibrosis?

VX-581 is being developed as a treatment for cystic fibrosis, a genetic respiratory disease. It is an investigational therapy and has not been approved for any indication. Clinical testing so far has enrolled healthy adult volunteers rather than patients with cystic fibrosis.

What does VX-581 target?

VX-581 targets CFTR, the cystic fibrosis transmembrane conductance regulator protein. CFTR is the protein whose dysfunction causes cystic fibrosis. VX-581 is a small molecule designed to act on this target, and Vertex is studying it in Phase 1 trials.

Who is developing VX-581?

VX-581 is being developed by Vertex Pharmaceuticals Incorporated, which trades on Nasdaq under the ticker VRTX. Vertex is the sponsor of the Phase 1 clinical program evaluating the drug in cystic fibrosis.

What phase is VX-581 in?

VX-581 is in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA. Vertex Pharmaceuticals is running early-stage studies focused on safety, tolerability, and pharmacokinetics.

What clinical trials is VX-581 in?

VX-581 is being studied in two Phase 1 trials. NCT07283770 is a recruiting dose escalation study evaluating safety and pharmacokinetics in healthy participants, with 136 planned enrollees. NCT07813039 is a relative bioavailability study of a VX-581 tablet formulation, not yet recruiting, with 16 planned male participants.