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A Study Evaluating the Safety of VX-152 Combination Therapy in Adults With Cystic Fibrosis

A Phase 2, Randomized, Double Blind, Controlled Study to Evaluate the Safety of VX-152 Combination Therapy in Adults With Cystic Fibrosis

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02951195
Enrollment
80
Registered
2016-11-01
Start date
2016-11-30
Completion date
2018-01-31
Last updated
2021-01-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cystic Fibrosis

Brief summary

This is a Phase 2, randomized, double blind, placebo and active-controlled, parallel group, multicenter study designed to evaluate the safety and tolerability of VX-152 in Triple Combination (TC) with tezacaftor (TEZ; VX-661) and ivacaftor (IVA; VX-770) in subjects with cystic fibrosis (CF) who are heterozygous for the F508del mutation and a minimal function (MF) CFTR mutation not likely to respond to TEZ and/or IVA therapy (F508del/MF), or who are homozygous for the F508del mutation of the CF transmembrane conductance regulator (CFTR) gene (F508del/F508del).

Interventions

Fixed-dose combination tablet for oral administration.

DRUGIVA

Tablet for oral administration.

DRUGPlacebo

Placebo matched to VX-152.

DRUGVX-152

Tablet for oral administration.

Sponsors

Vertex Pharmaceuticals Incorporated
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Willing and able to comply with scheduled visits, treatment pan, study restrictions, laboratory tests, contraceptive guidelines, and other study procedures. * Body weight ≥35 kg. * Sweat chloride value ≥ 60 mmol/L from test results obtained during screening. * Subjects must have an eligible CFTR genotype: * Cohorts 1A, 1B, 1C: Heterozygous for F508del and a minimal function mutation known or predicted not to respond to TEZ and/or IVA. * Cohorts 2A, 2B: Homozygous for F508del. * Subjects must have an FEV1 ≥40% and ≤90% of predicted normal for age, sex, and height at the Screening Visit. * Stable CF disease as judged by the investigator. * Willing to remain on a stable CF medication regimen through the planned end of treatment or if applicable the Safety Follow-up Visit.

Exclusion criteria

* History of any comorbidity that in the opinion of the investigator might confound the results of the study or pose an additional risk in administering study drug to the subject. * History of cirrhosis with portal hypertension. * Risk factors for Torsade de Pointes. * History of hemolysis. * Glucose-6-phosphate dehydrogenase (G6PD) deficiency assessed at Screening. * Clinically significant abnormal laboratory values at screening. * An acute upper or lower respiratory infection, pulmonary exacerbation, or changes in therapy for pulmonary disease within 28 days before the first dose of study drug. * Lung infection with organisms associated with a more rapid decline in pulmonary status. * An acute illness not related to CF within 14 days before the first dose of study drug. * A standard digital ECG demonstrating QTc \>450 msec at screening. * History of solid organ or hematological transplantation. * History or evidence of cataract or lens opacity determined to be clinically significant by the ophthalmologist or optometrist, based on the ophthalmologic examination during the Screening Period. * History of alcohol or drug abuse in the past year, including but not limited to, cannabis, cocaine, and opiates, as deemed by the investigator. * Ongoing or prior participation in an investigational drug study with certain exceptions. * Use of commercially available CFTR modulator within 14 days before screening (applies only to Cohorts 1A, 1B, and 1C). * Pregnant or nursing females: Females of childbearing potential must have a negative pregnancy test at screening and Day 1.

Design outcomes

Primary

MeasureTime frameDescription
Safety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Day 1 Through Safety Follow-up Visit (Up to Day 43 for Part 1 and Day 71 for Part 2)
Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Day 15 for Part 1 and Part 2 Cohort 2AFrom Baseline at Day 15FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
Absolute Change in ppFEV1 Through Day 29 for Part 2 Cohort 2BFrom Baseline Through Day 29FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.

Secondary

MeasureTime frameDescription
Relative Change in ppFEV1 Through Day 29 for Part 2 Cohort 2BFrom Baseline Through Day 29FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Day 15 for Part 1 and Part 2 Cohort 2AFrom Baseline at Day 15The CFQ-R is a validated participant-reported outcome measuring health-related quality of life for participants with cystic fibrosis. Respiratory domain assessed respiratory symptoms, score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life.
Absolute Change in Sweat Chloride Concentrations at Day 15 for Part 1 and Part 2 Cohort 2AFrom Baseline at Day 15Sweat samples were collected using an approved collection device.
Pre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVAPre-dose at Day 8, Day 15 and Day 29
Absolute Change From Baseline in CFQ-R Respiratory Domain Score at Day 29 for Part 2 Cohort 2BFrom Baseline at Day 29The CFQ-R is a validated participant-reported outcome measuring health-related quality of life for participants with cystic fibrosis. Respiratory domain assessed respiratory symptoms, score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life.
Absolute Change in Sweat Chloride Concentrations Through Day 29 for Part 2 Cohort 2BFrom Baseline Through Day 29Sweat samples were collected using an approved collection device.
Relative Change in ppFEV1 at Day 15 for Part 1 and Part 2 Cohort 2AFrom Baseline at Day 15FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.

Countries

United States

Participant flow

Pre-assignment details

A total of 80 participants were enrolled in the study (34 participants in Part 1 and 46 participants in Part 2). Out of 46 participants enrolled in Part 2, 4 participants discontinued during the run-in period and were not randomized in the treatment period. Therefore, results are presented for 76 participants in this study.

Participants by arm

ArmCount
Part 1: Placebo
Participants received placebo matched to VX-152/TEZ/IVA TC for 2 weeks.
8
Part 1 Cohort 1A: TC
Participants received VX-152 100 mg q12h/TEZ 100 mg qd/IVA 150 mg q12h TC for 2 weeks.
6
Part 1 Cohort 1B: TC
Participants received VX-152 200 mg q12h/TEZ 100 mg qd/IVA 150 mg q12h TC for 2 weeks.
10
Part 1 Cohort 1C: TC
Participants received VX-152 300 mg q12h/TEZ 100 mg qd/IVA 150 mg q12h TC for 2 weeks.
10
Part 2 Cohort 2A: TEZ/IVA
Following run-in period on TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks, participants received placebo matched to VX-152 and TEZ 100 mg qd/IVA 150 mg q12h for 2 weeks in treatment period and TEZ 100 mg qd/IVA 150 mg q12h for 2 weeks in washout period.
4
Part 2 Cohort 2A: TC
Following run-in period on TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks, participants received VX-152 200 mg q12h/TEZ 100 mg qd/IVA 150 mg q12h TC for 2 weeks in treatment period and TEZ 100 mg qd/IVA 150 mg q12h for 2 weeks in washout period.
10
Part 2 Cohort 2B: TEZ/IVA
Following run-in period on TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks, participants received placebo matched to VX-152 and TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks in treatment period and TEZ 100 mg qd/IVA 150 mg q12h for 2 weeks in washout period.
7
Part 2 Cohort 2B: TC
Following run-in period on TEZ 100 mg qd/IVA 150 mg q12h for 4 weeks, participants received VX-152 300 mg q12h/TEZ 100 mg qd/IVA 150 mg q12h TC for 4 weeks in treatment period and TEZ 100 mg qd/IVA 150 mg q12h for 2 weeks in washout period.
21
Total76

Baseline characteristics

CharacteristicPart 1: PlaceboPart 1 Cohort 1A: TCPart 1 Cohort 1B: TCPart 1 Cohort 1C: TCPart 2 Cohort 2A: TEZ/IVAPart 2 Cohort 2A: TCPart 2 Cohort 2B: TEZ/IVAPart 2 Cohort 2B: TCTotal
Age, Customized
>=18 and <65 years
8 Participants6 Participants10 Participants10 Participants4 Participants10 Participants7 Participants21 Participants76 Participants
Age, Customized
<18 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Customized
>=65 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants3 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants6 Participants10 Participants9 Participants4 Participants10 Participants7 Participants21 Participants73 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
<40 percent
1 Participants0 Participants2 Participants1 Participants0 Participants0 Participants0 Participants0 Participants4 Participants
Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
≥40 to <70 percent
5 Participants6 Participants7 Participants4 Participants3 Participants10 Participants5 Participants18 Participants58 Participants
Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
≥70 to ≤90 percent
2 Participants0 Participants1 Participants5 Participants1 Participants0 Participants2 Participants3 Participants14 Participants
Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
>90 percent
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants1 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants2 Participants
Race (NIH/OMB)
White
7 Participants5 Participants10 Participants10 Participants4 Participants10 Participants7 Participants21 Participants74 Participants
Sex: Female, Male
Female
4 Participants2 Participants4 Participants3 Participants2 Participants6 Participants4 Participants14 Participants39 Participants
Sex: Female, Male
Male
4 Participants4 Participants6 Participants7 Participants2 Participants4 Participants3 Participants7 Participants37 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
deaths
Total, all-cause mortality
0 / 80 / 60 / 100 / 100 / 40 / 100 / 70 / 21
other
Total, other adverse events
8 / 83 / 67 / 109 / 103 / 46 / 105 / 718 / 21
serious
Total, serious adverse events
2 / 80 / 60 / 101 / 100 / 40 / 100 / 70 / 21

Outcome results

Primary

Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Day 15 for Part 1 and Part 2 Cohort 2A

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

Time frame: From Baseline at Day 15

Population: Full Analysis Set (FAS) included all randomized participants with the intended cystic fibrosis transmembrane conductance regulator protein (CFTR) allele mutation who received at least 1 dose of study drug in the treatment period. As pre-specified in analysis plan, only Part 1 and Part 2 Cohort 2A arms were assessed for this outcome measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Part 1: PlaceboAbsolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Day 15 for Part 1 and Part 2 Cohort 2A-0.8 percentage points
Part 1 Cohort 1A: TCAbsolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Day 15 for Part 1 and Part 2 Cohort 2A5.7 percentage points
Part 1 Cohort 1B: TCAbsolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Day 15 for Part 1 and Part 2 Cohort 2A9.7 percentage points
Part 1 Cohort 1C: TCAbsolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Day 15 for Part 1 and Part 2 Cohort 2A8.0 percentage points
Part 2 Cohort 2A: TEZ/IVAAbsolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Day 15 for Part 1 and Part 2 Cohort 2A-1.0 percentage points
Part 2 Cohort 2A: TCAbsolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) at Day 15 for Part 1 and Part 2 Cohort 2A7.3 percentage points
p-value: 0.020795% CI: [0.3, 12.6]Mixed-effects Model for Repeated Measure
p-value: 0.000295% CI: [5, 15.9]Mixed-effects Model for Repeated Measure
p-value: 0.001995% CI: [3, 14.5]Mixed-effects Model for Repeated Measure
p-value: 0.05495% CI: [-2.1, 18.7]Mixed-effects Model for Repeated Measure
Primary

Absolute Change in ppFEV1 Through Day 29 for Part 2 Cohort 2B

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

Time frame: From Baseline Through Day 29

Population: FAS. As pre-specified in analysis plan, only Part 2 Cohort 2B arms were assessed for this outcome measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Part 1: PlaceboAbsolute Change in ppFEV1 Through Day 29 for Part 2 Cohort 2B-2.2 percentage points
Part 1 Cohort 1A: TCAbsolute Change in ppFEV1 Through Day 29 for Part 2 Cohort 2B6.5 percentage points
p-value: 0.000795% CI: [3.7, 13.8]Mixed-effects Model for Repeated Measure
Primary

Safety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

Time frame: Day 1 Through Safety Follow-up Visit (Up to Day 43 for Part 1 and Day 71 for Part 2)

Population: Safety Set included all participants who received at least 1 dose of study drug in the treatment period.

ArmMeasureGroupValue (NUMBER)
Part 1: PlaceboSafety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Participants with TEAEs8 participants
Part 1: PlaceboSafety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Participants with SAEs2 participants
Part 1 Cohort 1A: TCSafety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Participants with TEAEs3 participants
Part 1 Cohort 1A: TCSafety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Participants with SAEs0 participants
Part 1 Cohort 1B: TCSafety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Participants with TEAEs7 participants
Part 1 Cohort 1B: TCSafety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Participants with SAEs0 participants
Part 1 Cohort 1C: TCSafety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Participants with TEAEs10 participants
Part 1 Cohort 1C: TCSafety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Participants with SAEs1 participants
Part 2 Cohort 2A: TEZ/IVASafety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Participants with TEAEs3 participants
Part 2 Cohort 2A: TEZ/IVASafety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Participants with SAEs0 participants
Part 2 Cohort 2A: TCSafety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Participants with TEAEs6 participants
Part 2 Cohort 2A: TCSafety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Participants with SAEs0 participants
Part 2 Cohort 2B: TEZ/IVASafety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Participants with SAEs0 participants
Part 2 Cohort 2B: TEZ/IVASafety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Participants with TEAEs5 participants
Part 2 Cohort 2B: TCSafety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Participants with TEAEs19 participants
Part 2 Cohort 2B: TCSafety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)Participants with SAEs0 participants
Secondary

Absolute Change From Baseline in CFQ-R Respiratory Domain Score at Day 29 for Part 2 Cohort 2B

The CFQ-R is a validated participant-reported outcome measuring health-related quality of life for participants with cystic fibrosis. Respiratory domain assessed respiratory symptoms, score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life.

Time frame: From Baseline at Day 29

Population: FAS. As pre-specified in analysis plan, only Part 2 Cohort 2B arms were assessed for this outcome measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Part 1: PlaceboAbsolute Change From Baseline in CFQ-R Respiratory Domain Score at Day 29 for Part 2 Cohort 2B4.8 units on a scale
Part 1 Cohort 1A: TCAbsolute Change From Baseline in CFQ-R Respiratory Domain Score at Day 29 for Part 2 Cohort 2B16.1 units on a scale
p-value: 0.013895% CI: [1.3, 21.2]Mixed-effects Model for Repeated Measure
Secondary

Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Day 15 for Part 1 and Part 2 Cohort 2A

The CFQ-R is a validated participant-reported outcome measuring health-related quality of life for participants with cystic fibrosis. Respiratory domain assessed respiratory symptoms, score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life.

Time frame: From Baseline at Day 15

Population: FAS. As pre-specified in analysis plan, only Part 1 and Part 2 Cohort 2A arms were assessed for this outcome measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Part 1: PlaceboAbsolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Day 15 for Part 1 and Part 2 Cohort 2A-7.6 units on a scale
Part 1 Cohort 1A: TCAbsolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Day 15 for Part 1 and Part 2 Cohort 2A6.6 units on a scale
Part 1 Cohort 1B: TCAbsolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Day 15 for Part 1 and Part 2 Cohort 2A21.8 units on a scale
Part 1 Cohort 1C: TCAbsolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Day 15 for Part 1 and Part 2 Cohort 2A18.6 units on a scale
Part 2 Cohort 2A: TEZ/IVAAbsolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Day 15 for Part 1 and Part 2 Cohort 2A5.8 units on a scale
Part 2 Cohort 2A: TCAbsolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score at Day 15 for Part 1 and Part 2 Cohort 2A10.6 units on a scale
p-value: 0.047695% CI: [-2.6, 30.9]ANCOVA
p-value: 0.000195% CI: [14.8, 44]ANCOVA
p-value: 0.000695% CI: [11.3, 41.1]ANCOVA
p-value: 0.271495% CI: [-11.6, 21.2]Mixed-effects Model for Repeated Measure
Secondary

Absolute Change in Sweat Chloride Concentrations at Day 15 for Part 1 and Part 2 Cohort 2A

Sweat samples were collected using an approved collection device.

Time frame: From Baseline at Day 15

Population: FAS. As pre-specified in analysis plan, only Part 1 and Part 2 Cohort 2A arms were assessed for this outcome measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Part 1: PlaceboAbsolute Change in Sweat Chloride Concentrations at Day 15 for Part 1 and Part 2 Cohort 2A-0.1 millimole per liter (mmol/L)
Part 1 Cohort 1A: TCAbsolute Change in Sweat Chloride Concentrations at Day 15 for Part 1 and Part 2 Cohort 2A-19.5 millimole per liter (mmol/L)
Part 1 Cohort 1B: TCAbsolute Change in Sweat Chloride Concentrations at Day 15 for Part 1 and Part 2 Cohort 2A-13.6 millimole per liter (mmol/L)
Part 1 Cohort 1C: TCAbsolute Change in Sweat Chloride Concentrations at Day 15 for Part 1 and Part 2 Cohort 2A-27.5 millimole per liter (mmol/L)
Part 2 Cohort 2A: TEZ/IVAAbsolute Change in Sweat Chloride Concentrations at Day 15 for Part 1 and Part 2 Cohort 2A3.5 millimole per liter (mmol/L)
Part 2 Cohort 2A: TCAbsolute Change in Sweat Chloride Concentrations at Day 15 for Part 1 and Part 2 Cohort 2A-21.3 millimole per liter (mmol/L)
p-value: 0.001895% CI: [-32.2, -6.8]Mixed-effects Model for Repeated Measure
p-value: 0.010695% CI: [-25, -2.1]Mixed-effects Model for Repeated Measure
p-value: <0.000195% CI: [-38.6, -16.3]Mixed-effects Model for Repeated Measure
p-value: 0.001795% CI: [-40, -9.7]Mixed-effects Model for Repeated Measure
Secondary

Absolute Change in Sweat Chloride Concentrations Through Day 29 for Part 2 Cohort 2B

Sweat samples were collected using an approved collection device.

Time frame: From Baseline Through Day 29

Population: FAS. As pre-specified in analysis plan, only Part 2 Cohort 2B arms were assessed for this outcome measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Part 1: PlaceboAbsolute Change in Sweat Chloride Concentrations Through Day 29 for Part 2 Cohort 2B1.6 mmol/L
Part 1 Cohort 1A: TCAbsolute Change in Sweat Chloride Concentrations Through Day 29 for Part 2 Cohort 2B-22.3 mmol/L
p-value: <0.000195% CI: [-33.7, -14.1]Mixed-effects Model for Repeated Measure
Secondary

Pre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVA

Time frame: Pre-dose at Day 8, Day 15 and Day 29

Population: Pharmacokinetic Set (PK) included all participants who received at least 1 dose of study drug in treatment period. Here Number Analyzed signifies those participants who were evaluable at specified time points. Day 29 assessments were planned for Part 2: Cohort 2B groups only. VX-152 Ctrough category was not applicable to Part 2: TEZ/IVA groups.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1: PlaceboPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: TEZ2450 nanogram per milliliter (ng/mL)Standard Deviation 2000
Part 1: PlaceboPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: M1-TEZ4520 nanogram per milliliter (ng/mL)Standard Deviation 1090
Part 1: PlaceboPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: M1-IVA1230 nanogram per milliliter (ng/mL)Standard Deviation 326
Part 1: PlaceboPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: IVA779 nanogram per milliliter (ng/mL)Standard Deviation 442
Part 1: PlaceboPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: M1-IVA1590 nanogram per milliliter (ng/mL)Standard Deviation 1050
Part 1: PlaceboPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: VX-152173 nanogram per milliliter (ng/mL)Standard Deviation 72.1
Part 1: PlaceboPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: IVA841 nanogram per milliliter (ng/mL)Standard Deviation 588
Part 1: PlaceboPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: TEZ2610 nanogram per milliliter (ng/mL)Standard Deviation 1400
Part 1: PlaceboPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: M1-TEZ4680 nanogram per milliliter (ng/mL)Standard Deviation 1020
Part 1: PlaceboPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: VX-152167 nanogram per milliliter (ng/mL)Standard Deviation 65.4
Part 1 Cohort 1A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: M1-TEZ2890 nanogram per milliliter (ng/mL)Standard Deviation 898
Part 1 Cohort 1A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: VX-152278 nanogram per milliliter (ng/mL)Standard Deviation 212
Part 1 Cohort 1A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: M1-TEZ3060 nanogram per milliliter (ng/mL)Standard Deviation 1480
Part 1 Cohort 1A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: M1-IVA1200 nanogram per milliliter (ng/mL)Standard Deviation 848
Part 1 Cohort 1A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: VX-152240 nanogram per milliliter (ng/mL)Standard Deviation 370
Part 1 Cohort 1A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: TEZ1220 nanogram per milliliter (ng/mL)Standard Deviation 545
Part 1 Cohort 1A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: IVA522 nanogram per milliliter (ng/mL)Standard Deviation 401
Part 1 Cohort 1A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: TEZ1500 nanogram per milliliter (ng/mL)Standard Deviation 1140
Part 1 Cohort 1A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: IVA535 nanogram per milliliter (ng/mL)Standard Deviation 310
Part 1 Cohort 1A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: M1-IVA1040 nanogram per milliliter (ng/mL)Standard Deviation 947
Part 1 Cohort 1B: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: M1-IVA1330 nanogram per milliliter (ng/mL)Standard Deviation 747
Part 1 Cohort 1B: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: IVA467 nanogram per milliliter (ng/mL)Standard Deviation 236
Part 1 Cohort 1B: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: VX-152804 nanogram per milliliter (ng/mL)Standard Deviation 812
Part 1 Cohort 1B: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: M1-IVA1140 nanogram per milliliter (ng/mL)Standard Deviation 550
Part 1 Cohort 1B: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: TEZ1680 nanogram per milliliter (ng/mL)Standard Deviation 996
Part 1 Cohort 1B: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: TEZ1180 nanogram per milliliter (ng/mL)Standard Deviation 495
Part 1 Cohort 1B: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: VX-152538 nanogram per milliliter (ng/mL)Standard Deviation 576
Part 1 Cohort 1B: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: M1-TEZ3490 nanogram per milliliter (ng/mL)Standard Deviation 1640
Part 1 Cohort 1B: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: M1-TEZ3310 nanogram per milliliter (ng/mL)Standard Deviation 1220
Part 1 Cohort 1B: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: IVA545 nanogram per milliliter (ng/mL)Standard Deviation 234
Part 1 Cohort 1C: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: IVA441 nanogram per milliliter (ng/mL)Standard Deviation 300
Part 1 Cohort 1C: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: M1-TEZ3760 nanogram per milliliter (ng/mL)Standard Deviation 1100
Part 1 Cohort 1C: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: M1-IVA1660 nanogram per milliliter (ng/mL)Standard Deviation 1200
Part 1 Cohort 1C: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: TEZ1900 nanogram per milliliter (ng/mL)Standard Deviation 1730
Part 1 Cohort 1C: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: IVA702 nanogram per milliliter (ng/mL)Standard Deviation 425
Part 1 Cohort 1C: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: M1-TEZ3430 nanogram per milliliter (ng/mL)Standard Deviation 824
Part 1 Cohort 1C: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: M1-IVA1030 nanogram per milliliter (ng/mL)Standard Deviation 762
Part 1 Cohort 1C: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: TEZ1120 nanogram per milliliter (ng/mL)Standard Deviation 135
Part 2 Cohort 2A: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: M1-IVA1470 nanogram per milliliter (ng/mL)Standard Deviation 671
Part 2 Cohort 2A: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: M1-TEZ4270 nanogram per milliliter (ng/mL)Standard Deviation 1280
Part 2 Cohort 2A: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: M1-IVA1510 nanogram per milliliter (ng/mL)Standard Deviation 891
Part 2 Cohort 2A: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: IVA610 nanogram per milliliter (ng/mL)Standard Deviation 262
Part 2 Cohort 2A: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: M1-TEZ4900 nanogram per milliliter (ng/mL)Standard Deviation 1050
Part 2 Cohort 2A: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: VX-152355 nanogram per milliliter (ng/mL)Standard Deviation 287
Part 2 Cohort 2A: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: TEZ1620 nanogram per milliliter (ng/mL)Standard Deviation 1030
Part 2 Cohort 2A: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: TEZ1830 nanogram per milliliter (ng/mL)Standard Deviation 693
Part 2 Cohort 2A: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: VX-152554 nanogram per milliliter (ng/mL)Standard Deviation 429
Part 2 Cohort 2A: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: IVA645 nanogram per milliliter (ng/mL)Standard Deviation 373
Part 2 Cohort 2A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 29: M1-IVA1890 nanogram per milliliter (ng/mL)Standard Deviation 659
Part 2 Cohort 2A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: TEZ2010 nanogram per milliliter (ng/mL)Standard Deviation 669
Part 2 Cohort 2A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: TEZ1970 nanogram per milliliter (ng/mL)Standard Deviation 1040
Part 2 Cohort 2A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 29: TEZ2470 nanogram per milliliter (ng/mL)Standard Deviation 1060
Part 2 Cohort 2A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: M1-TEZ4980 nanogram per milliliter (ng/mL)Standard Deviation 1450
Part 2 Cohort 2A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: M1-TEZ4420 nanogram per milliliter (ng/mL)Standard Deviation 1810
Part 2 Cohort 2A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 29: M1-TEZ4280 nanogram per milliliter (ng/mL)Standard Deviation 1650
Part 2 Cohort 2A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: IVA953 nanogram per milliliter (ng/mL)Standard Deviation 360
Part 2 Cohort 2A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: IVA863 nanogram per milliliter (ng/mL)Standard Deviation 488
Part 2 Cohort 2A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 29: IVA1010 nanogram per milliliter (ng/mL)Standard Deviation 446
Part 2 Cohort 2A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: M1-IVA1810 nanogram per milliliter (ng/mL)Standard Deviation 665
Part 2 Cohort 2A: TCPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: M1-IVA1620 nanogram per milliliter (ng/mL)Standard Deviation 760
Part 2 Cohort 2B: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: IVA434 nanogram per milliliter (ng/mL)Standard Deviation 251
Part 2 Cohort 2B: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 29: M1-TEZ3680 nanogram per milliliter (ng/mL)Standard Deviation 742
Part 2 Cohort 2B: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: M1-TEZ3650 nanogram per milliliter (ng/mL)Standard Deviation 1320
Part 2 Cohort 2B: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: M1-TEZ4150 nanogram per milliliter (ng/mL)Standard Deviation 1280
Part 2 Cohort 2B: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 29: TEZ1190 nanogram per milliliter (ng/mL)Standard Deviation 422
Part 2 Cohort 2B: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: M1-IVA1100 nanogram per milliliter (ng/mL)Standard Deviation 598
Part 2 Cohort 2B: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: M1-IVA1170 nanogram per milliliter (ng/mL)Standard Deviation 551
Part 2 Cohort 2B: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: TEZ1050 nanogram per milliliter (ng/mL)Standard Deviation 543
Part 2 Cohort 2B: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: TEZ1460 nanogram per milliliter (ng/mL)Standard Deviation 1470
Part 2 Cohort 2B: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 29: VX-152698 nanogram per milliliter (ng/mL)Standard Deviation 1040
Part 2 Cohort 2B: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: VX-152560 nanogram per milliliter (ng/mL)Standard Deviation 657
Part 2 Cohort 2B: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 8: VX-152463 nanogram per milliliter (ng/mL)Standard Deviation 730
Part 2 Cohort 2B: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 15: IVA389 nanogram per milliliter (ng/mL)Standard Deviation 222
Part 2 Cohort 2B: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 29: M1-IVA1240 nanogram per milliliter (ng/mL)Standard Deviation 705
Part 2 Cohort 2B: TEZ/IVAPre-dose Plasma Concentration (Ctrough) of VX-152, TEZ, M1-TEZ, IVA, and M1-IVADay 29: IVA468 nanogram per milliliter (ng/mL)Standard Deviation 279
Secondary

Relative Change in ppFEV1 at Day 15 for Part 1 and Part 2 Cohort 2A

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

Time frame: From Baseline at Day 15

Population: FAS. As pre-specified in analysis plan, only Part 1 and Part 2 Cohort 2A arms were assessed for this outcome measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Part 1: PlaceboRelative Change in ppFEV1 at Day 15 for Part 1 and Part 2 Cohort 2A-2.3 percent change
Part 1 Cohort 1A: TCRelative Change in ppFEV1 at Day 15 for Part 1 and Part 2 Cohort 2A10.3 percent change
Part 1 Cohort 1B: TCRelative Change in ppFEV1 at Day 15 for Part 1 and Part 2 Cohort 2A19.0 percent change
Part 1 Cohort 1C: TCRelative Change in ppFEV1 at Day 15 for Part 1 and Part 2 Cohort 2A14.8 percent change
Part 2 Cohort 2A: TEZ/IVARelative Change in ppFEV1 at Day 15 for Part 1 and Part 2 Cohort 2A-1.4 percent change
Part 2 Cohort 2A: TCRelative Change in ppFEV1 at Day 15 for Part 1 and Part 2 Cohort 2A13.2 percent change
p-value: 0.016695% CI: [1.1, 24]Mixed-effects Model for Repeated Measure
p-value: <0.000195% CI: [11.2, 31.4]Mixed-effects Model for Repeated Measure
p-value: 0.001395% CI: [6.3, 27.8]Mixed-effects Model for Repeated Measure
p-value: 0.056395% CI: [-3.8, 32.9]Mixed-effects Model for Repeated Measure
Secondary

Relative Change in ppFEV1 Through Day 29 for Part 2 Cohort 2B

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

Time frame: From Baseline Through Day 29

Population: FAS. As pre-specified in analysis plan, only Part 2 Cohort 2B arms were assessed for this outcome measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)
Part 1: PlaceboRelative Change in ppFEV1 Through Day 29 for Part 2 Cohort 2B-2.0 percent change
Part 1 Cohort 1A: TCRelative Change in ppFEV1 Through Day 29 for Part 2 Cohort 2B11.5 percent change
p-value: 0.001295% CI: [5.3, 21.9]Mixed-effects Model for Repeated Measure

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026