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A Phase 1, First-in-human Study of VX-433

A Phase 1, First-in-human Study Evaluating the Safety, Tolerability, and Pharmacokinetics of VX-433 and Its Effects on the Pharmacokinetics of Midazolam and Bupropion

Status
Recruiting
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07584434
Enrollment
118
Registered
2026-05-13
Start date
2026-05-21
Completion date
2027-03-05
Last updated
2026-06-08

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

Conditions

Narcolepsy Type 1 (NT1)

Brief summary

The purpose of this study is to evaluate the safety, tolerability, and pharmacokinetics (PK) of VX-433 following single and multiple ascending doses, as well as to assess the effect of VX-433 on the PK of midazolam, bupropion, and hydroxybupropion.

Detailed description

The study is being conducted in healthy participants to evaluate the safety, tolerability, and PK of VX-433 (Parts A and B), as well as potential drug-drug interaction (DDI) between VX-433 and midazolam or bupropion (Part C). Note: This clinical trial information was submitted voluntarily under the applicable law and, therefore, certain submission deadlines may not apply. (That is, clinical trial information for this applicable clinical trial was submitted under section 402(j)(4)(A) of the Public Health Service Act and 42 CFR 11.60 and is not subject to the deadlines established by sections 402(j)(2) and (3) of the Public Health Service Act or 42 CFR 11.24 and 11.44.).

Interventions

DRUGVX-433

Suspension for Oral Administration

DRUGPlacebo

Suspension for Oral Administration

DRUGMidazolam

Syrup for Oral Administration

DRUGBupropion

Capsule for Oral Administration

Sponsors

Vertex Pharmaceuticals Incorporated
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

Key Inclusion Criteria: * Body mass index (BMI) of 18.0 to 30.0 kilogram per meter square (kg/m2), inclusive * A total body weight of more 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 screening Key

Exclusion criteria

* History of febrile illness or other acute illness that has not fully resolved within 14 days before the first dose of study drug * Any condition possibly affecting drug absorption * For female participants: of childbearing potential, pregnant, breastfeeding, or planning to become pregnant or donate ova during the study or within 90 days after last dose of study drug Other protocol defined Inclusion/

Design outcomes

Primary

MeasureTime frame
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 6
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 18
Part C: Maximum Observed Plasma Concentration (Cmax) of Midazolam in the Absence and Presence of VX-433From Day 1 up to Day 22
Part C: Maximum Observed Plasma Concentration (Cmax) of Bupropion and Hydroxybupropion in the Absence and Presence of VX-433From Day 1 up to Day 22
Part C: Area Under the Concentration Versus Time Curve (AUC) of Midazolam in the Absence and Presence of VX-433From Day 1 up to Day 22
Part C: Area Under the Concentration Versus Time Curve (AUC) of Bupropion and Hydroxybupropion in the Absence and Presence of VX-433From Day 1 up to Day 22

Secondary

MeasureTime frame
Part A: Maximum Observed Plasma Concentration (Cmax) of VX-433From Day 1 up to Day 6
Part B: Maximum Observed Plasma Concentration (Cmax) of VX-433From Day 1 up to Day 18
Part A: Area Under the Concentration Versus Time Curve (AUC) of VX-433From Day 1 up to Day 6
Part B: Area Under the Concentration Versus Time Curve (AUC) of VX-433From Day 1 up to Day 18
Part A: Time Required for Plasma Concentration of VX-433 to Reduce to Half (t1/2)From Day 1 up to Day 6
Part B: Time Required for Plasma Concentration of VX-433 to Reduce to Half (t1/2)From Day 1 up to Day 18
Part A: Renal Clearance (CLr) of VX-433From Day 1 up to Day 2
Part B: Renal Clearance (CLr) of VX-433From Day 1 up to Day 11
Part A: Amount of VX-433 excreted in UrineFrom Day 1 up to Day 2
Part B: Amount of VX-433 excreted in UrineFrom Day 1 up to Day 11
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 29

Countries

United States

Contacts

CONTACTMedical Information
medicalinfo@vrtx.com617-341-6777

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 9, 2026