Cystic FibrosisPhase 3NCT05844449
Evaluation of Long-Term Safety and Efficacy of Vanzacaftor/Tezacaftor/Deutivacaftor in Cystic Fibrosis Participants 1 Year of Age and Older
A Phase 3 study testing VNZ/TEZ/D-IVA in people with Cystic Fibrosis, run by Vertex Pharmaceuticals Incorporated at 37 sites in 10 countries.
Trial summary
The purpose of this study is to evaluate the long-term safety, tolerability, and efficacy of vanzacaftor/tezacaftor/deutivacaftor (VNZ/TEZ/D-IVA) in participants with cystic fibrosis (CF). Read more about this study
- Who is it for?
- Ages 1 year and older
- Conditions the study is for
- Cystic Fibrosis
- What is being tested?
- VNZ/TEZ/D-IVA
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 174 participants
- Where
- 37 sitesin 10 countries
- Study dates
- 11 Aug 2023to 30 Jul 2029
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 1 year and older
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Parts A and B:
- Participants who have completed study drug treatment in the parent study (VX21-121-105; NCT Number: NCT05422222)
- Part B:
- -Meets at least 1 of the following criteria:
- Completed study drug treatment in Part A
- Had study drug interruption(s) in Part A, but did not permanently discontinue study drug and completed study visits up to the last scheduled visit of the treatment period of Part A
Who cannot join
- Hepatic cirrhosis with portal hypertension, moderate hepatic impairment, or severe hepatic impairment that might pose an additional risk in administering study drug
- History of solid organ, hematological transplantation, or cancer
- History of drug intolerance in the parent study
- Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
37 sites in 10 countries. Contact the study team or a site near you to ask about taking part.
37 sites in 10 countries
United States18 sites
The Emory Clinic - Clifton Road - Pulmonology
Atlanta, Georgia, 30322
Children's Hospital of Colorado - Pulmonology
Aurora, Colorado, 80045
Boston Children's Hospital
Boston, Massachusetts, 02115
Ann & Robert H. Lurie Children's Hospital of Chicago - Hematology
Chicago, Illinois, 60611
Cincinnati Children's Hospital Medical Center - Pulmonology
Cincinnati, Ohio, 45229
UH Cleveland Medical Center - Pulmonology
Cleveland, Ohio, 44106
Vermont Lung Center
Colchester, Vermont, 05446
Nationwide Children's Hospital
Columbus, Ohio, 43205
Texas Children's Hospital - Wallace Tower - Pulmonology
Houston, Texas, 77030
JW Riley Hospital for Children - Pulmonology
Indianapolis, Indiana, 46202
The Children's Mercy Hospital
Kansas City, Missouri, 64108
Cohen Children's Medical Center - Lakeville Road
Lake Success, New York, 11042
American Family Childrens Hospital
Madison, Wisconsin, 53792
Children's Health Care d/b/a Children's Hospitals and Clinics of Minnesota
Minneapolis, Minnesota, 55404
Children's Hospital of Orange County
Orange, California, 92868
Stanford University - Palo Alto - Pulmonology
Palo Alto, California, 94304
Children's Hospital of Pittsburgh - Pulmonology
Pittsburgh, Pennsylvania, 15224
St. Louis Children's Hospital - Pulmonology
St Louis, Missouri, 63110
Australia4 sites
The Kids Research Institute Australia
Nedlands
Women's & Children's Hospital
North Adelaide
The Royal Children's Hospital Melbourne
Parkville
Children's Health Queensland Hospital and Health Service
South Brisbane
Germany3 sites
Charite Paediatric Pulmonology Department
Berlin
Universitatsklinikum Essen
Essen
Medizinische Hochschule Hannover - Clinic for Pediatric Pneumology, Allergology and Neonatology, CF-Centre
Hanover
Canada2 sites
Hospital for Sick Children - Pulmonology
Toronto
British Columbia Children's Hospital
Vancouver
France2 sites
Hopital Femme Mere-Enfant
Bron
Hopital Necker Enfants Malades - Pulmonology
Paris
Sweden2 sites
Sahlgrenska Universitetssjukhuset - Göteborg CF-center
Gothenburg
Karolinska University Hospital - Pulmonology
Stockholm
Switzerland2 sites
Inselspital Bern
Bern
Kinderspital Zurich - Abteilung Pneumologie
Zurich
United Kingdom2 sites
Noah's Ark Children's Hospital for Wales
Cardiff
Great Ormond Street Hospital for Children
London
About this study
Official title: A Phase 3, Open-label Study Evaluating the Long-term Safety and Efficacy of Vanzacaftor/Tezacaftor/Deutivacaftor Triple Combination Therapy in Cystic Fibrosis Subjects 1 Year of Age and Older
The purpose of this study is to evaluate the long-term safety, tolerability, and efficacy of vanzacaftor/tezacaftor/deutivacaftor (VNZ/TEZ/D-IVA) in participants with cystic fibrosis (CF).
- Conditions
- Cystic Fibrosis
- Being tested
- VNZ/TEZ/D-IVA
- Medical subject headings
- Cystic Fibrosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
VNZ/TEZ/D-IVADrug
Also called VX-121/VX-661/VX-561, VX-121/VX-661/CTP-656, vanzacaftor/tezacaftor/deutivacaftor
Fixed-dose combination tablets or granules for oral administration.
| Study group | Role | What they receive |
|---|---|---|
| VNZ/TEZ/D-IVA | Experimental | Part A: Participants (Cohort 1: 6 through 11 years of age (inclusive); Cohort 2: 2 through 5 years of age (inclusive) and Cohort 3: 1 to less than (<) 2 years of age) will receive VNZ/TEZ/D-IVA once daily at doses determined based on their age and weight. The age range is based on date of informed consent in parent study.
Part B: Participants in Cohort 1 who meet the eligibility criteria will receive VNZ/TEZ/D-IVA for an additional 96 weeks. Receives: Drug: VNZ/TEZ/D-IVA |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part A: Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs)
Measured: From Baseline up to Week 100
Part B: Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs)
Measured: From Baseline up to Week 196
Secondary outcomes (30)
Part A (All Cohorts): Absolute Change in Sweat Chloride (SwCl)
Measured: From Baseline Through Week 96
Part B: Absolute Change in Sweat Chloride (SwCl)
Measured: From Baseline Through Week 192
Part A (Cohort 1): Absolute Change in Percent Predicted Forced Expiratory Volume (ppFEV1)
Measured: From Baseline Through Week 100
Part B: Absolute Change in Percent Predicted Forced Expiratory Volume (ppFEV1)
Measured: From Baseline Through Week 196
Part A (All Cohorts): Number of Pulmonary Exacerbation (PEx)
Measured: From Baseline Through Week 100
Part B: Number of Pulmonary Exacerbation (PEx)
Measured: From Baseline Through Week 196
Part A (All Cohorts): Number of CF- Related Hospitalizations
Measured: From Baseline Through Week 100
Part B: Number of CF- Related Hospitalizations
Measured: From Baseline Through Week 196
Part A (Cohort 1): Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain (RD) Score
Measured: From Baseline Through Week 100
Part B: Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain (RD) Score
Measured: From Baseline Through Week 196
Part A (Cohorts 1 and 2): Absolute Change in Body Mass Index (BMI)
Measured: From Baseline Through Week 100
Part B: Absolute Change in Body Mass Index (BMI)
Measured: From Baseline Through Week 196
Part A (Cohorts 1 and 2): Absolute Change in BMI-for-age Z-score
Measured: From Baseline Through Week 100
Part B: Absolute Change in BMI-for-age Z-score
Measured: From Baseline Through Week 196
Part A (Cohort 3): Absolute Change in Weight-for-length
Measured: From Baseline Through Week 100
Part B: Absolute Change in Weight-for-length
Measured: From Baseline Through Week 196
Part A (Cohort 3): Absolute Change in Weight-for-length Z-score
Measured: From Baseline Through Week 100
Part B: Absolute Change in Weight-for-length Z-score
Measured: From Baseline Through Week 196
Part A (All Cohorts): Absolute Change in Weight
Measured: From Baseline Through Week 100
Part B: Absolute Change in Weight
Measured: From Baseline Through Week 196
Part A (All Cohorts): Change in Weight-for-age Z-score
Measured: From Baseline Through Week 100
Part B: Change in Weight-for-age Z-score
Measured: From Baseline Through Week 196
Part A (Cohorts 1 and 2): Absolute Change in Height
Measured: From Baseline Through Week 100
Part B: Absolute Change in Height
Measured: From Baseline Through Week 196
Part A (Cohorts 1 and 2): Absolute Change in Height-for-age Z-score
Measured: From Baseline Through Week 100
Part B: Absolute Change in Height-for-age Z-score
Measured: From Baseline Through Week 196
Part A (Cohort 3): Absolute Change in Length
Measured: From Baseline Through Week 100
Part B: Absolute Change in Length
Measured: From Baseline Through Week 196
Part A (Cohort 3): Absolute Change in Length-for-age Z-score
Measured: From Baseline Through Week 100
Part B: Absolute Change in Length-for-age Z-score
Measured: From Baseline Through Week 196
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 May 2023
- Study start11 Aug 2023
- Primary completion30 Jul 2029 (estimated)
- Study completion30 Jul 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Cystic FibrosisStudies of the same condition, open and under way.
- More trials run by Vertex Pharmaceuticals IncorporatedThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 174 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Vertex Pharmaceuticals Incorporated
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05844449
- Sponsor's protocol ID
- VX22-121-106
- Other IDs
- 2022-503081-74-00
- Status last verified
- Apr 2026
- First submitted
- 24 Apr 2023
- Last updated
- 29 Apr 2026
- Results posted
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No: Details on Vertex data sharing criteria and process for requesting access can be found at: https://www.vrtx.com/our-science/clinical-trials-data-sharing/
Study at a glance
From the registry record, last updated by the sponsor on 29 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Open-label Study Evaluating the Long-term Safety and Efficacy of Vanzacaftor/Tezacaftor/Deutivacaftor Triple Combination Therapy in Cystic Fibrosis Subjects 1 Year of Age and Older
- ClinicalTrials.gov ID
- NCT05844449
- Acronym / sponsor ID
- VX22-121-106
- Conditions
- Cystic Fibrosis
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Enrolling by invitation
- Enrolment
- 174 participants (estimated)
- Lead sponsor
- Vertex Pharmaceuticals IncorporatedIndustry (pharma, biotech, devices)
- Study start
- 11 Aug 2023 (actual)
- Primary completion
- 30 Jul 2029 (estimated)
- Study completion
- 30 Jul 2029 (estimated)
- First posted
- 6 May 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the long-term safety, tolerability, and efficacy of vanzacaftor/tezacaftor/deutivacaftor (VNZ/TEZ/D-IVA) in participants with cystic fibrosis (CF).
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| VNZ/TEZ/D-IVA | Experimental | Drug: VNZ/TEZ/D-IVAPart A: Participants (Cohort 1: 6 through 11 years of age (inclusive); Cohort 2: 2 through 5 years of age (inclusive) and Cohort 3: 1 to less than (<) 2 years of age) will receive VNZ/TEZ/D-IVA once daily at doses determined based on their age and weight. The age range is based on date of informed consent in parent study. Part B: Participants in Cohort 1 who meet the eligibility criteria will receive VNZ/TEZ/D-IVA for an additional 96 weeks. |
Who may qualify
- Ages
- 1 year and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (6 listed)
- Participants who have completed study drug treatment in the parent study (VX21-121-105; NCT Number: NCT05422222)
- Completed study drug treatment in Part A
- Had study drug interruption(s) in Part A, but did not permanently discontinue study drug and completed study visits up to the last scheduled visit of the treatment period of Part A
Key exclusion criteria (4 listed)
- Hepatic cirrhosis with portal hypertension, moderate hepatic impairment, or severe hepatic impairment that might pose an additional risk in administering study drug
- History of solid organ, hematological transplantation, or cancer
- History of drug intolerance in the parent study
- Other protocol defined Inclusion/Exclusion criteria may apply.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| VNZ/TEZ/D-IVAAlso: VX-121/VX-661/VX-561, VX-121/VX-661/CTP-656, vanzacaftor/tezacaftor/deutivacaftorFixed-dose combination tablets or granules for oral administration. | Drug | VNZ/TEZ/D-IVA |
Primary outcome
Part A: Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs)
Time frame: From Baseline up to Week 100
Part B: Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs)
Time frame: From Baseline up to Week 196
30 secondary outcomes
Part A (All Cohorts): Absolute Change in Sweat Chloride (SwCl)
Time frame: From Baseline Through Week 96
Part B: Absolute Change in Sweat Chloride (SwCl)
Time frame: From Baseline Through Week 192
Part A (Cohort 1): Absolute Change in Percent Predicted Forced Expiratory Volume (ppFEV1)
Time frame: From Baseline Through Week 100
Part B: Absolute Change in Percent Predicted Forced Expiratory Volume (ppFEV1)
Time frame: From Baseline Through Week 196
Part A (All Cohorts): Number of Pulmonary Exacerbation (PEx)
Time frame: From Baseline Through Week 100
Part B: Number of Pulmonary Exacerbation (PEx)
Time frame: From Baseline Through Week 196
Part A (All Cohorts): Number of CF- Related Hospitalizations
Time frame: From Baseline Through Week 100
Part B: Number of CF- Related Hospitalizations
Time frame: From Baseline Through Week 196
Part A (Cohort 1): Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain (RD) Score
Time frame: From Baseline Through Week 100
Part B: Absolute Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R) Respiratory Domain (RD) Score
Time frame: From Baseline Through Week 196
Part A (Cohorts 1 and 2): Absolute Change in Body Mass Index (BMI)
Time frame: From Baseline Through Week 100
Part B: Absolute Change in Body Mass Index (BMI)
Time frame: From Baseline Through Week 196
Part A (Cohorts 1 and 2): Absolute Change in BMI-for-age Z-score
Time frame: From Baseline Through Week 100
Part B: Absolute Change in BMI-for-age Z-score
Time frame: From Baseline Through Week 196
Part A (Cohort 3): Absolute Change in Weight-for-length
Time frame: From Baseline Through Week 100
Part B: Absolute Change in Weight-for-length
Time frame: From Baseline Through Week 196
Part A (Cohort 3): Absolute Change in Weight-for-length Z-score
Time frame: From Baseline Through Week 100
Part B: Absolute Change in Weight-for-length Z-score
Time frame: From Baseline Through Week 196
Part A (All Cohorts): Absolute Change in Weight
Time frame: From Baseline Through Week 100
Part B: Absolute Change in Weight
Time frame: From Baseline Through Week 196
Part A (All Cohorts): Change in Weight-for-age Z-score
Time frame: From Baseline Through Week 100
Part B: Change in Weight-for-age Z-score
Time frame: From Baseline Through Week 196
Part A (Cohorts 1 and 2): Absolute Change in Height
Time frame: From Baseline Through Week 100
Part B: Absolute Change in Height
Time frame: From Baseline Through Week 196
Part A (Cohorts 1 and 2): Absolute Change in Height-for-age Z-score
Time frame: From Baseline Through Week 100
Part B: Absolute Change in Height-for-age Z-score
Time frame: From Baseline Through Week 196
Part A (Cohort 3): Absolute Change in Length
Time frame: From Baseline Through Week 100
Part B: Absolute Change in Length
Time frame: From Baseline Through Week 196
Part A (Cohort 3): Absolute Change in Length-for-age Z-score
Time frame: From Baseline Through Week 100
Part B: Absolute Change in Length-for-age Z-score
Time frame: From Baseline Through Week 196
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Apr 2026.
- Individual participant dataSharing planned: No. Details on Vertex data sharing criteria and process for requesting access can be found at: https://www.vrtx.com/our-science/clinical-trials-data-sharing/
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
The record lists no contact. Use the official record to reach the sponsor.
37 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing VNZ/TEZ/D-IVA in people with Cystic Fibrosis, run by Vertex Pharmaceuticals Incorporated at 37 sites in 10 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: enrolling by invitation, as of the sponsor's last update on 29 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 37 sites in United States, Australia, Germany, Canada, France and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Part A: Safety and Tolerability as Assessed by Number of Participants With Adverse Events (AEs) (time frame: From Baseline up to Week 100). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Apr 2026.