Recent Updates
Recently added Catalysts

VX-661

Phase 3

Cystic Fibrosis | Small molecule | Respiratory |Vertex Pharmaceuticals Incorporated|Last Updated: Sep 24, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment1,160
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02516410A Study to Evaluate the Efficacy and Safety of VX-661 in Combination With Ivacaftor in Subjects Aged 12 Years and Older With Cystic Fibrosis, Heterozygous for the F508del-CFTR MutationPHASE3 COMPLETED 168Aug 1, 2015Jun 7, 2016Jun 12, 201841 United States, Australia +5
NCT02392234A Phase 3 Study to Evaluate the Efficacy and Safety of Ivacaftor and VX-661 in Combination With Ivacaftor in Subjects Aged 12 Years and Older With Cystic Fibrosis, Heterozygous for the F508del-cystic Fibrosis Transmembrane Conductance Regulator (CFTR) MutationPHASE3 COMPLETED 248Mar 1, 2015Feb 1, 2017Jun 12, 201893 United States, Australia +9
NCT02347657A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of VX-661 in Combination With IvacaftorPHASE3 COMPLETED 510Jan 1, 2015Jan 20, 2017Jun 12, 201874 United States, Canada +10
NCT02070744Study to Evaluate Safety and Efficacy of VX-661 in Combination With Ivacaftor in Subjects With Cystic Fibrosis, Homozygous for the F508del-CFTR Mutation With an Open-Label ExpansionPHASE2 COMPLETED 40Mar 1, 2014May 27, 2016Sep 24, 202523 United States
NCT01531673Study of VX-661 Alone and in Combination With Ivacaftor in Subjects Homozygous or Heterozygous to the F508del-Cystic Fibrosis Transmembrane Conductance Regulator(CFTR) MutationPHASE2 COMPLETED 194Feb 1, 2012Mar 1, 2014Apr 13, 201836 United States, Canada +2
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Absolute Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) Through Week 12
Baseline, Through Week 12

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.

Absolute Change From Study Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Average of Week 4 and Week 8
Baseline, Week 4 and Week 8 of each treatment period

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

Absolute Change From Baseline (Day 1) in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) Through Week 24
Day 1, Through Week 24

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

PC Phase: Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Baseline (PC Phase) up to 112 days

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 considered treatment-emergent. Baseline was defined as Day 1 of PC Phase.

OLE Phase: Number of Participants With Treatment-Emergent AEs and SAEs
Baseline (OLE Phase) up to 364 days

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 considered treatment-emergent. Baseline was defined as Day 1 of the OLE Phase.

Safety as Determined by Adverse Events (AEs)
Start of study drug through the Follow-up Visit (Up to Day 56)

An AE is defined as 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. Serious Adverse Event (SAE) is any AE that results in any of the following: death; life-threatening condition; inpatient hospitalization or prolongation of hospitalization; persistent or significant disability or incapacity; congenital anomaly or birth defect; or other important medical event. Treatment-emergent adverse events are defined as adverse events that were reported or worsened on or after start of study drug through the Follow-up Visit (28 days after last dose of study drug) or premature discontinuation.

Change in Sweat Chloride From Baseline Through Study Day 28 for Group 1-5b
Baseline through Day 28

Sweat samples were collected using an approved collection device. Baseline was defined as the most recent non-missing measurement collected before initial administration of study drug.

Change in Sweat Chloride From Baseline Through Study Day 28 for Group 6
Baseline through Day 28

Sweat samples were collected using an approved collection device. Baseline was defined as the most recent non-missing measurement collected before initial administration of study drug. As per planned analysis, participants who received placebo in Group 4 and 6 were combined and compared with Group 6.

Change in Sweat Chloride From Baseline Through Study Day 28 for Group 7
Baseline through Day 28

Sweat samples were collected using an approved collection device. Baseline was defined as the most recent non-missing measurement collected before initial administration of study drug.

Secondary Endpoints
Absolute Change From Baseline in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score Through Week 12
Baseline, Through Week 12
Number of Pulmonary Exacerbation Events
Baseline through Week 12
Number of Pulmonary Exacerbation Events Per Year
Baseline through Week 12
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
VX-661/IVAEXPERIMENTALVX-661 100 milligram (mg) plus IVA 150 mg fixed dose combination (FDC) tablet administered orally in the morning and IVA 150 mg film-coated tablet administered orally in the evening up to Week 12.
PlaceboPLACEBO_COMPARATORPlacebo matched to VX-661 plus IVA FDC tablet administered orally in the morning and placebo matched to IVA film-coated tablet administered orally in the evening up to Week 12.
VX-661/Ivacaftor combinationEXPERIMENTAL -
Ivacaftor monotherapyEXPERIMENTAL -
PC Phase: VX-661 50 mg q12h + IVA 150 mg q12hEXPERIMENTALParticipants received VX-661 50 milligram (mg) tablet plus Ivacaftor (IVA) 150 mg tablet every 12 hours (q12h) for 12 weeks.
PC Phase: VX 661 placebo q12h + IVA placebo q12hPLACEBO_COMPARATORParticipants received placebo matched to VX-661 tablet plus placebo matched to IVA tablet q12h for 12 weeks.
PC Phase: VX-661 100 mg qd + IVA 150 mg q12hEXPERIMENTALParticipants received two VX-661 50 mg tablets once daily (qd) plus IVA 150 mg tablet q12h for 12 weeks.
PC Phase: VX -661 placebo qd + IVA placebo q12hPLACEBO_COMPARATORParticipants received two placebo matched to VX-661 tablets qd plus placebo matched to IVA tablet q12h for 12 weeks.
OLE Phase: VX-661 100 mg qd + IVA 150 mg q12hEXPERIMENTALParticipants who completed 12 week PC phase underwent a washout period of at least 4 weeks before entering the OLE phase and received two VX-661 50 mg tablets qd plus IVA 150 mg tablet q12h for 48 weeks in OLE phase.
Group 1-6d Combined: PlaceboPLACEBO_COMPARATORAll participants in group 1, 2a, 2b, 3a, 3b, 4, 5a, 5b, 6a and 6d who received placebo matched to VX-661 tablet and/or placebo matched to ivacaftor tablet for up to 28 days.
Group 1: VX-661 10 mg qdEXPERIMENTALAll participants in group 1 who received VX-661 10 milligram (mg) tablet orally once daily (qd) for up to 28 days.
Group 2a: VX-661 30 mg qdEXPERIMENTALAll participants in group 2a who received VX-661 30 mg tablet orally qd and placebo matched to Ivacaftor tablet every 12 hours (q12h) for up to 28 days.
Group 2b: VX-661 10 mg qd/Ivacaftor 150 mg q12hEXPERIMENTALAll participants in group 2b who received VX-661 10 mg tablet qd and Ivacaftor 150 mg tablet q12h orally for up to 28 days.
Group 3a: VX-661 100 mg qdEXPERIMENTALAll participants in group 3a who received VX-661 100 mg tablet orally qd and placebo matched to Ivacaftor tablet q12h for up to 28 days.
Group 3b: VX-661 30 mg qd/Ivacaftor 150 mg q12hEXPERIMENTALAll participants in group 3b who received VX-661 30 mg tablet qd and Ivacaftor 150 mg tablet q12h orally for up to 28 days.
Group 4: VX-661 100 mg qd/Ivacaftor 150 mg q12hEXPERIMENTALAll participants in group 4 who received VX-661 100 mg tablet qd and Ivacaftor 150 mg tablet q12h orally for up to 28 days.
Group 5a: VX-661 150 mg qdEXPERIMENTALAll participants in group 5a who received VX-661 150 mg tablet orally qd for up to 28 days.
Group 5b: VX-661 150 mg qd/Ivacaftor 150 mg q12hEXPERIMENTALAll participants in group 5b who received VX-661 150 mg tablet qd and Ivacaftor 150 mg tablet q12h orally for up to 28 days.
Group 6a: VX-661 100 mg qd/Ivacaftor 50 mg q12hEXPERIMENTALAll participants in group 6a who received VX-661 100 mg tablet qd and Ivacaftor 50 mg tablet q12h orally for up to 28 days.
Group 6d: VX-661 50 mg q12h/Ivacaftor 150 mg q12hEXPERIMENTALAll participants in group 6d who received VX-661 50 mg tablet and Ivacaftor 150 mg tablet q12h orally for up to 28 days.
Group 7: PlaceboPLACEBO_COMPARATORAll participants in group 7 who received placebo matched to VX-661 tablet orally qd in combination with physician-prescribed Kalydeco (Ivacaftor) for up to 28 days.
Group 7: VX-661 100 mg qdEXPERIMENTALAll participants in group 7 who received VX-661 100 mg tablet orally qd in combination with physician-prescribed Kalydeco (Ivacaftor) for up to 28 days.
Interventions
NameTypeDescription
VX-661 plus ivacaftor combinationDRUG -
IvacaftorDRUG -
Placebo (matched to VX-661 plus ivacaftor combination)DRUG -
Placebo (matched to ivacaftor)DRUG -
VX-661/IvacaftorDRUGFixed dose combination tablet, oral use
Placebo matched to VX-661/ ivacaftorDRUGFixed dose combination tablet, oral use
Placebo matched to IvacaftorDRUGTablet, oral use
VX-661 Plus Ivacaftor Combination PlaceboDRUGFDC tablet, oral use
Ivacaftor placeboDRUGTablet, oral use
VX-661DRUGTablet, oral use
Placebo matched to VX-661DRUGTablet, oral use
Unlock Study Design Details
Eligibility Criteria
Age Range12 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites41

Inclusion Criteria: * Confirmed diagnosis of CF defined as a sweat chloride value greater than or equal to (\>=)60 millimole per liter (mmol/L) by quantitative pilocarpine iontophoresis. * Heterozygous for the F508del-CFTR mutation and with a second CFTR mutation that is not likely to respond to VX...

Countries:United StatesAustraliaAustriaCanadaFranceIsraelSpainBelgiumGermanyItalyNetherlandsSwitzerlandUnited KingdomDenmarkIrelandSweden
Unlock Eligibility Criteria