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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03447262
Registration number
NCT03447262
Ethics application status
Date submitted
21/02/2018
Date registered
27/02/2018
Date last updated
25/01/2022
Titles & IDs
Public title
A Study Evaluating the Long Term Safety and Efficacy of VX-659 Combination Therapy
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Scientific title
A Phase 3, Open-label Study Evaluating the Long Term Safety and Efficacy of VX-659 Combination Therapy in Subjects With Cystic Fibrosis Who Are Homozygous or Heterozygous for the F508del Mutation
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Secondary ID [1]
0
0
2017-004134-29
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Secondary ID [2]
0
0
VX17-659-105
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cystic Fibrosis
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0
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Condition category
Condition code
Human Genetics and Inherited Disorders
0
0
0
0
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Cystic fibrosis
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Respiratory
0
0
0
0
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Other respiratory disorders / diseases
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Oral and Gastrointestinal
0
0
0
0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Inflammatory and Immune System
0
0
0
0
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Connective tissue diseases
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Inflammatory and Immune System
0
0
0
0
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - VX-659/TEZ/IVA
Treatment: Drugs - IVA
Experimental: VX-659/TEZ/IVA TC - Participants from parent studies VX17-659-102 (NCT03447249) or VX17-659-103 (NCT03460990) were administered VX-659 240 milligrams (mg) once daily (qd)/TEZ 100 mg qd/IVA 150 mg every 12 hours (q12h) in the TC treatment period for up to 96 weeks in the current study VX17-659-105.
Treatment: Drugs: VX-659/TEZ/IVA
Fixed-dose combination tablets for oral administration qd in the morning.
Treatment: Drugs: IVA
IVA tablet qd in the evening.
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Intervention code [1]
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0
Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
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Assessment method [1]
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0
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Timepoint [1]
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From Day 1 up to 28 Days After Last Dose of Study Drug or to the Completion of Study Participation Date, Whichever Occurs First in the Current Study 659-105 (up to Week 100)
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Secondary outcome [1]
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0
Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for Participants From the Parent Study 659-102
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Assessment method [1]
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0
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. The analysis was planned to be reported separately for Placebo - VX-659/TEZ/IVA category (participants who received placebo in the parent study 659-102 and VX-659/TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-102 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
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Timepoint [1]
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From Baseline at Week 72 (Study 659-105)
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Secondary outcome [2]
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Absolute Change in ppFEV1 for Participants From the Parent Study 659-103
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Assessment method [2]
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FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. The analysis was planned to be reported separately for TEZ/IVA - VX-659/TEZ/IVA category (participants who received TEZ/IVA in the parent study 659-103 and VX-659-TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-103 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
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Timepoint [2]
0
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From Baseline at Week 72 (Study 659-105)
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Secondary outcome [3]
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Absolute Change in Sweat Chloride (SwCl) for Participants From the Parent Study 659-102
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Assessment method [3]
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Sweat samples were collected using an approved collection device. The analysis was planned to be reported separately for Placebo - VX-659/TEZ/IVA category (participants who received placebo in the parent study 659-102 and VX-659/TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-102 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
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Timepoint [3]
0
0
From Baseline at Week 24 (Study 659-105)
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Secondary outcome [4]
0
0
Absolute Change in SwCl for Participants From the Parent Study 659-103
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Assessment method [4]
0
0
Sweat samples were collected using an approved collection device. The analysis was planned to be reported separately for TEZ/IVA - VX-659/TEZ/IVA category (participants who received TEZ/IVA in the parent study 659-103 and VX-659-TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-103 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
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Timepoint [4]
0
0
From Baseline at Week 24 (Study 659-105)
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Secondary outcome [5]
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Number of Pulmonary Exacerbations (PEx) for Participants From the Parent Study 659-102
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Assessment method [5]
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PEx was defined as treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for at least 4 sinopulmonary signs/symptoms. The analysis was planned to be reported separately for Placebo - VX-659/TEZ/IVA category (participants who received placebo in the parent study 659-102 and VX-659/TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in the parent study 659-102 or/and VX-659/TEZ/IVA in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline except for Placebo - VX-659/TEZ/IVA category, for which the baseline was defined as study 659-105 baseline.
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Timepoint [5]
0
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From Baseline up to Week 96 (Study 659-105)
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Secondary outcome [6]
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Number of PEx for Participants From the Parent Study 659-103
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Assessment method [6]
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PEx was defined as treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for at least 4 sinopulmonary signs/symptoms. The analysis was planned to be reported for overall participants from the parent study 659-103, that is combined for TEZ/IVA - VX-659/TEZ/IVA category (participants who received TEZ/IVA in the parent study 659-103 and VX-659-TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in the parent study 659-103 or/and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline except for TEZ/IVA - VX-659/TEZ/IVA category, for which the baseline was defined as study 659-105 baseline.
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Timepoint [6]
0
0
From Baseline up to Week 96 (Study 659-105)
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Secondary outcome [7]
0
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Number of Participants With at Least One PEx for Participants From the Parent Study 659-102
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Assessment method [7]
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PEx was defined as treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for at least 4 sinopulmonary signs/symptoms. The time-to-first-PEx data were planned to be estimated using the Kaplan-Meier (KM) method. However, because way less than 50% of participants had events, median time-to-first event data were not estimable. Instead, the number of participants with at least one PEx event was assessed and reported separately for those in Placebo - VX-659/TEZ/IVA category (participants who received placebo in the parent study 659-102 and VX-659/TEZ/IVA in the current study 659-105) and the VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in the parent study 659-102 or/and VX-659/TEZ/IVA in the current study 659-105). Baseline was defined as the parent study baseline except for Placebo - VX-659/TEZ/IVA category, for which the baseline was defined as study 659-105 baseline.
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Timepoint [7]
0
0
From Baseline up to Week 96 (Study 659-105)
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Secondary outcome [8]
0
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Number of Participants With at Least One PEx for Participants From the Parent Study 659-103
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Assessment method [8]
0
0
PEx was defined as treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for at least 4 sinopulmonary signs/symptoms. The time-to-first-PEx data were planned to be estimated using the KM method. However, because way less than 50% of participants had events, median time-to-first-event data were not estimable. Instead, the number of participants with at least one PEx event was assessed and reported for all participants from the parent study 659-103, that is combined for those in the TEZ/IVA - VX-659/TEZ/IVA category (participants who received TEZ/IVA in the parent study 659-103 and VX-659-TEZ/IVA in the current study 659-105) and the VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in the parent study 659-103 or/and in the current study 659-105). Baseline was defined as the parent study baseline except for TEZ/IVA - VX-659/TEZ/IVA category, for which the baseline was defined as study 659-105 baseline.
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Timepoint [8]
0
0
From Baseline up to Week 96 (Study 659-105)
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Secondary outcome [9]
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0
Absolute Change in Body Mass Index (BMI) for Participants From the Parent Study 659-102
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Assessment method [9]
0
0
BMI was defined as weight in kilograms (kg) divided by squared height in meters (m\^2). The analysis was planned to be reported separately for Placebo - VX-659/TEZ/IVA category (participants who received placebo in the parent study 659-102 and VX-659/TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-102 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
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Timepoint [9]
0
0
From Baseline at Week 72 (Study 659-105)
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Secondary outcome [10]
0
0
Absolute Change in BMI for Participants From the Parent Study 659-103
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Assessment method [10]
0
0
BMI was defined as weight in kg divided by squared height in meters (m\^2). The analysis was planned to be reported separately for TEZ/IVA - VX-659/TEZ/IVA category (participants who received TEZ/IVA in the parent study 659-103 and VX-659-TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-103 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
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Timepoint [10]
0
0
From Baseline at Week 72 (Study 659-105)
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Secondary outcome [11]
0
0
Absolute Change in BMI Z-score for Participants From the Parent Study 659-102 (Participants <=20 Years Old at Parent Study Baseline)
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Assessment method [11]
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BMI was defined as weight in kg divided by squared height in meters (m\^2). The z-score is a statistical measure to describe whether a value was above or below the standard. A z-score of 0 is equal to the standard. Lower numbers indicate values lower than the standard and higher numbers indicate values higher than the standard. The analysis was planned to be reported separately for Placebo - VX-659/TEZ/IVA category (participants who received placebo in the parent study 659-102 and VX-659/TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-102 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
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Timepoint [11]
0
0
From Baseline at Week 60 (Study 659-105)
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Secondary outcome [12]
0
0
Absolute Change in BMI Z-score for Participants From The Parent Study 659-103 (Participants <=20 Years Old at Parent Study Baseline)
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Assessment method [12]
0
0
BMI was defined as weight in kg divided by squared height in meters (m\^2). The z-score is a statistical measure to describe whether a value was above or below the standard. A z-score of 0 is equal to the standard. Lower numbers indicate values lower than the standard and higher numbers indicate values higher than the standard. The analysis was planned to be reported separately for TEZ/IVA - VX-659/TEZ/IVA category (participants who received TEZ/IVA in the parent study 659-103 and VX-659-TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-103 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
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Timepoint [12]
0
0
From Baseline at Week 60 (Study 659-105)
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Secondary outcome [13]
0
0
Absolute Change in Body Weight for Participants From the Parent Study 659-102
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Assessment method [13]
0
0
The analysis was planned to be reported separately for Placebo - VX-659/TEZ/IVA category (participants who received placebo in the parent study 659-102 and VX-659/TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-102 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
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Timepoint [13]
0
0
From Baseline at Week 72 (Study 659-105)
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Secondary outcome [14]
0
0
Absolute Change in Body Weight for Participants From the Parent Study 659-103
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Assessment method [14]
0
0
The analysis was planned to be reported separately for TEZ/IVA - VX-659/TEZ/IVA category (participants who received TEZ/IVA in the parent study 659-103 and VX-659-TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-103 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
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Timepoint [14]
0
0
From Baseline at Week 72 (Study 659-105)
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Secondary outcome [15]
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0
Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain Score for Participants From the Parent Study 659-102
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Assessment method [15]
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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. The analysis was planned to be reported separately for Placebo - VX-659/TEZ/IVA category (participants who received placebo in the parent study 659-102 and VX-659/TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-102 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
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Timepoint [15]
0
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From Baseline at Week 72 (Study 659-105)
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Secondary outcome [16]
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0
Absolute Change in CFQ-R Respiratory Domain Score for Participants From the Parent Study 659-103
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Assessment method [16]
0
0
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. The analysis was planned to be reported separately for TEZ/IVA - VX-659/TEZ/IVA category (participants who received TEZ/IVA in the parent study 659-103 and VX-659-TEZ/IVA in the current study 659-105) and VX-659/TEZ/IVA - VX-659/TEZ/IVA category (participants who received VX-659/TEZ/IVA in both the parent study 659-103 and in the current study 659-105) as pre-specified in analysis plan. Baseline was defined as the parent study baseline.
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Timepoint [16]
0
0
From Baseline at Week 72 (Study 659-105)
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Eligibility
Key inclusion criteria
* Completed study drug treatment in a parent study; or had study drug interruption(s) in a parent study but completed study visits up to the last scheduled visit of the Treatment Period in the parent study.
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Minimum age
12
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* History of drug intolerance in a parent study that would pose an additional risk to the subject in the opinion of the investigator.
* Current participation in an investigational drug trial (other than a parent study)
Other protocol defined Inclusion/Exclusion criteria may apply.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
13/07/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
9/09/2020
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Sample size
Target
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Accrual to date
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Final
484
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
0
0
Royal Adelaide Hospital - Adelaide
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Recruitment hospital [2]
0
0
The Prince Charles Hospital - Chermside
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Recruitment hospital [3]
0
0
Alfred Hospital - Melbourne
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Recruitment hospital [4]
0
0
Institute for Respiratory Health, Sir Charles Gairdner Hospital - Nedlands
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Recruitment hospital [5]
0
0
John Hunter Hospital & Hunter Medical Research Institute and John Hunter Children's Hospital - New Lambton
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Recruitment hospital [6]
0
0
Telethon Kids Institute - Perth
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Recruitment hospital [7]
0
0
Sydney Children's Hospital - Randwick
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Recruitment hospital [8]
0
0
Lady Cilento Children's Hospital - South Brisbane
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Recruitment postcode(s) [1]
0
0
- Adelaide
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Recruitment postcode(s) [2]
0
0
- Chermside
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Recruitment postcode(s) [3]
0
0
- Melbourne
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Recruitment postcode(s) [4]
0
0
- Nedlands
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Recruitment postcode(s) [5]
0
0
- New Lambton
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Recruitment postcode(s) [6]
0
0
- Perth
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Recruitment postcode(s) [7]
0
0
- Randwick
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Recruitment postcode(s) [8]
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0
- South Brisbane
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Recruitment outside Australia
Country [1]
0
0
United States of America
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State/province [1]
0
0
Alabama
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Country [2]
0
0
United States of America
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State/province [2]
0
0
California
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Country [3]
0
0
United States of America
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State/province [3]
0
0
Colorado
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Country [4]
0
0
United States of America
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State/province [4]
0
0
Connecticut
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Country [5]
0
0
United States of America
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State/province [5]
0
0
Florida
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Country [6]
0
0
United States of America
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State/province [6]
0
0
Idaho
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Country [7]
0
0
United States of America
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State/province [7]
0
0
Illinois
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Country [8]
0
0
United States of America
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State/province [8]
0
0
Indiana
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Country [9]
0
0
United States of America
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State/province [9]
0
0
Iowa
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Country [10]
0
0
United States of America
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State/province [10]
0
0
Kentucky
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Country [11]
0
0
United States of America
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State/province [11]
0
0
Maryland
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Country [12]
0
0
United States of America
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State/province [12]
0
0
Massachusetts
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Country [13]
0
0
United States of America
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State/province [13]
0
0
Michigan
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Country [14]
0
0
United States of America
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State/province [14]
0
0
Minnesota
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Country [15]
0
0
United States of America
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State/province [15]
0
0
Mississippi
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Country [16]
0
0
United States of America
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State/province [16]
0
0
Missouri
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Country [17]
0
0
United States of America
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State/province [17]
0
0
New Hampshire
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Country [18]
0
0
United States of America
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State/province [18]
0
0
New Jersey
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Country [19]
0
0
United States of America
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State/province [19]
0
0
New York
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Country [20]
0
0
United States of America
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State/province [20]
0
0
North Carolina
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Country [21]
0
0
United States of America
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State/province [21]
0
0
Ohio
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Country [22]
0
0
United States of America
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State/province [22]
0
0
Oklahoma
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Country [23]
0
0
United States of America
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State/province [23]
0
0
Oregon
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Country [24]
0
0
United States of America
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State/province [24]
0
0
Pennsylvania
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Country [25]
0
0
United States of America
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State/province [25]
0
0
South Dakota
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Country [26]
0
0
United States of America
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State/province [26]
0
0
Tennessee
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Country [27]
0
0
United States of America
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State/province [27]
0
0
Texas
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Country [28]
0
0
United States of America
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State/province [28]
0
0
Utah
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Country [29]
0
0
United States of America
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State/province [29]
0
0
Washington
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Country [30]
0
0
Canada
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State/province [30]
0
0
Edmonton
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Country [31]
0
0
Canada
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State/province [31]
0
0
Halifax
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Country [32]
0
0
Canada
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State/province [32]
0
0
Toronto
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Country [33]
0
0
Denmark
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State/province [33]
0
0
Copenhagen
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Country [34]
0
0
Germany
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State/province [34]
0
0
Berlin
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Country [35]
0
0
Germany
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State/province [35]
0
0
Essen
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Country [36]
0
0
Germany
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State/province [36]
0
0
Frankfurt
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Country [37]
0
0
Germany
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State/province [37]
0
0
Hannover
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Country [38]
0
0
Germany
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State/province [38]
0
0
Jena
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Funding & Sponsors
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Commercial sector/industry
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Name
Vertex Pharmaceuticals Incorporated
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Summary
Brief summary
This study will evaluate the long-term safety and tolerability of VX-659 in triple combination (TC) with tezacaftor (TEZ) and ivacaftor (IVA) in subjects with cystic fibrosis (CF) who are homozygous or heterozygous for the F508del mutation.
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Trial website
https://clinicaltrials.gov/study/NCT03447262
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Trial related presentations / publications
Southern KW, Murphy J, Sinha IP, Nevitt SJ. Corrector therapies (with or without potentiators) for people with cystic fibrosis with class II CFTR gene variants (most commonly F508del). Cochrane Database Syst Rev. 2020 Dec 17;12(12):CD010966. doi: 10.1002/14651858.CD010966.pub3.
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No information has been provided regarding IPD availability
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Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/62/NCT03447262/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/62/NCT03447262/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT03447262
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