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VX-770

Phase 2

Cystic Fibrosis | Small molecule | Respiratory |Vertex Pharmaceuticals Incorporated|Last Updated: Jul 31, 2014

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
CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment61
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01161537Study of the Effect of VX-770 on Hyperpolarized Helium-3 Magnetic Resonance Imaging in Subjects With Cystic Fibrosis and the G551D MutationPHASE2 COMPLETED 13Oct 1, 2010Feb 1, 2013Jul 31, 20141 United States
NCT01060566Study of VX-770 on Midazolam and Rosiglitazone and the Effect of Fluconazole on VX-770PHASE1 COMPLETED 24Feb 1, 2010Apr 1, 2010Apr 16, 20101 United States
NCT01018368Study of VX-770 and Rifampin in Healthy Male SubjectsPHASE1 COMPLETED 24Nov 1, 2009Mar 1, 2010May 10, 20101 United States
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Study Endpoints
Primary Endpoints
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).

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
Part A: Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs) and Related AEs
Part A: Day 1 up to Day 57
Part A: Change From Baseline in Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) at Day 43
Part A: Baseline (pre-dose Day 15), Day 43
Part A: Absolute Change From Baseline in Sweat Chloride at Day 43
Part A: Baseline (pre-dose Day 15), Day 43
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingSINGLE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
VX-770EXPERIMENTALPart A: Subjects received placebo tablets matched to VX-770 150 milligram (mg) orally twice daily from Day 1 to 14 (Placebo run-in period), followed by VX-770 150 mg tablets orally twice daily from Day 15 to 42 (VX-770 treatment period), and then placebo tablets matched to VX-770 150 mg orally twice daily from Day 43 to 57 (Placebo washout period) during Part A of the study. Part B: Subjects received VX-770 150 mg tablets orally twice daily for 48 weeks during Part B of the study. Part B included subjects from Part A and newly enrolled subjects.
MidazolamEXPERIMENTAL -
RosiglitazoneEXPERIMENTAL -
FluconazoleEXPERIMENTAL -
RifampinEXPERIMENTAL -
Interventions
NameTypeDescription
VX-770DRUGTablet.
PlaceboDRUGTablet.
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 Range12 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Male or female with Cystic Fibrosis * Must have the G551D-CFTR mutation on at least 1 allele * FEV1 ≥40% of predicted normal for age, gender, and height at Screening * 12 years of age or older * Must be able to swallow tablets Exclusion Criteria: * History of solid organ or ...

Countries:United States
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