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Trial ยท NCT03525574

A Study Evaluating the Long-term Safety and Efficacy of VX-445 Combination Therapy

NCT03525574, Phase 3, Completed, Vertex Pharmaceuticals Incorporated; results first posted 2024-05-08

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study Evaluating the Long-term Safety and Efficacy of VX-445 Combination Therapy. Trials, record NCT03525574. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03525574

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study Evaluating the Long-term Safety and Efficacy of VX-445 Combination Therapy
NCT number
NCT03525574
Status
Completed
Phases
Phase 3
Enrollment
507 participants, actual
Lead sponsor
Vertex Pharmaceuticals Incorporated
Conditions
Cystic Fibrosis
Interventions
ELX/TEZ/IVA, IVA
First posted
2018-05-15
Last updated
2025-09-24
Other registries' IDs
eudract:2018-000185-11
Results first posted
2024-05-08

Source ClinicalTrials.gov

Registered outcomes17

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryTreatment Period: Safety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)From Day 1 up to Week 196
SecondaryAbsolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 102/105 Efficacy SetFrom Baseline at Week 192
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. This analysis set included study 102 parent study participants who received Placebo-ELX/TEZ/IVA and ELX/TEZ/IVA-ELX/TEZ/IVA.
SecondaryAbsolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 103/105 Efficacy SetFrom Baseline at Week 192
FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. This analysis set included study 103 parent study participants who received TEZ/IVA-ELX/TEZ/IVA and ELX/TEZ/IVA-ELX/TEZ/IVA.
SecondaryAbsolute Change in Sweat Chloride (SwCl) for 102/105 Efficacy SetFrom Baseline at Week 192Sweat samples were collected using an approved collection device. This analysis set included study 102 parent study participants who received Placebo-ELX/TEZ/IVA and ELX/TEZ/IVA-ELX/TEZ/IVA.
SecondaryAbsolute Change in Sweat Chloride (SwCl) for 103/105 Efficacy SetFrom Baseline at Week 192Sweat samples were collected using an approved collection device. This analysis set included study 103 parent study participants who received TEZ/IVA-ELX/TEZ/IVA and ELX/TEZ/IVA-ELX/TEZ/IVA.
SecondaryNumber of Pulmonary Exacerbations (PEx) for 102/105 Efficacy SetFrom Baseline at Week 192Pulmonary exacerbation was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms.
SecondaryNumber of Pulmonary Exacerbations (PEx) for 103/105 Efficacy SetFrom Baseline at Week 192Pulmonary exacerbation was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms.
SecondaryTime to First PEx for 102/105 Efficacy SetFrom Baseline at Week 192
Time-to-first pulmonary exacerbation was analyzed using Kaplan-Meier estimates and expressed in terms of event-free probability. PEx was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms.
SecondaryTime to First PEx for 103/105 Efficacy SetFrom Baseline at Week 192
Time-to-first pulmonary exacerbation was analyzed using Kaplan-Meier estimates and expressed in terms of event-free probability. PEx was defined as the treatment with new or changed antibiotic therapy (intravenous, inhaled, or oral) for greater than or equal to 4 sinopulmonary signs/symptoms.
SecondaryAbsolute Change in Body Mass Index (BMI) for 102/105 Efficacy SetFrom Baseline at Week 192
BMI was defined as weight in kilogram (kg) divided by height in square meter (m\^2).This analysis set included study 102 parent study participants who received Placebo-ELX/TEZ/IVA and ELX/TEZ/IVA-ELX/TEZ/IVA.

Outcomes17

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTreatment Period: Safety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)From Day 1 up to Week 196The Open-Label Safety Set (OL-SS) included all participants who had received at least 1 dose of study drug in this open label study.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYAbsolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 102/105 Efficacy SetFrom Baseline at Week 192
OL-FAS is defined as all enrolled participants who received at least 1 dose of study drug in this open label study. Here Overall Number of Participants Analyzed signifies those participants who were evaluated for this outcome. Here Number Analyzed signifies participants who were evaluable for the specified category. Baseline was defined as the parent study baseline.
percentage pointsLEAST_SQUARES_MEAN
SECONDARYAbsolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 103/105 Efficacy SetFrom Baseline at Week 192
OL-FAS. Here Overall Number of Participants Analyzed signifies those participants who were evaluated for this outcome. Here Number Analyzed signifies participants who were evaluable for the specified category. Baseline was defined as the parent study baseline.
percentage pointsLEAST_SQUARES_MEAN
SECONDARYAbsolute Change in Sweat Chloride (SwCl) for 102/105 Efficacy SetFrom Baseline at Week 192
OL-FAS. Here Overall Number of Participants Analyzed signifies those participants who were evaluated for this outcome. Here Number Analyzed signifies participants who were evaluable for the specified category. Baseline was defined as the parent study baseline.
millimole per liter (mmol/L)LEAST_SQUARES_MEAN
SECONDARYAbsolute Change in Sweat Chloride (SwCl) for 103/105 Efficacy SetFrom Baseline at Week 192
OL-FAS. Here Overall Number of Participants Analyzed signifies those participants who were evaluated for this outcome. Here Number Analyzed signifies participants who were evaluable for the specified category. Baseline was defined as the parent study baseline.
mmol/LLEAST_SQUARES_MEAN
SECONDARYNumber of Pulmonary Exacerbations (PEx) for 102/105 Efficacy SetFrom Baseline at Week 192
Cumulative TC Efficacy Set 102/105 included all participants who were randomized to TC ELX/TEZ/IVA and received at least 1 dose of study drug during the parent study 102 and/or received at least 1 dose of study drug during this open label study. Baseline was defined as the parent study baseline.
PEx eventsNUMBER
SECONDARYNumber of Pulmonary Exacerbations (PEx) for 103/105 Efficacy SetFrom Baseline at Week 192
Cumulative TC Efficacy Set 103/105 included all participants who were randomized to TC ELX/TEZ/IVA and received at least 1 dose of study drug during the parent study 103 and/or received at least 1 dose of study drug during this open label study. Baseline was defined as the parent study baseline.
PEx eventsNUMBER
SECONDARYTime to First PEx for 102/105 Efficacy SetFrom Baseline at Week 192
Cumulative TC Efficacy Set 102/105 included all participants who were randomized to TC ELX/TEZ/IVA and received at least 1 dose of study drug during the parent study 102 and/or received at least 1 dose of study drug during this open label study. Baseline was defined as the parent study baseline.
daysMEDIAN
SECONDARYTime to First PEx for 103/105 Efficacy SetFrom Baseline at Week 192
Cumulative TC Efficacy Set 103/105 included all participants who were randomized to TC ELX/TEZ/IVA and received at least 1 dose of study drug during the parent study 103 and/or received at least 1 dose of study drug during this open label study. Baseline was defined as the parent study baseline.
daysMEDIAN
SECONDARYAbsolute Change in Body Mass Index (BMI) for 102/105 Efficacy SetFrom Baseline at Week 192
OL-FAS. Here Overall Number of Participants Analyzed signifies those participants who were evaluated for this outcome. Here Number Analyzed signifies participants who were evaluable for the specified category. Baseline was defined as the parent study baseline.
kilogram per meter square (kg/m^2)LEAST_SQUARES_MEAN

Results by group30

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Treatment Period: Safety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)ELX/TEZ/IVAParticipants With TEAEs504Participants
Treatment Period: Safety and Tolerability as Assessed by Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)ELX/TEZ/IVAParticipants With SAEs175Participants
Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 102/105 Efficacy SetELX/TEZ/IVAPlacebo-ELX/TEZ/IVA15.3Standard Error 0.8percentage points
Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 102/105 Efficacy SetELX/TEZ/IVAELX/TEZ/IVA-ELX/TEZ/IVA13.8Standard Error 0.8percentage points
Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 103/105 Efficacy SetELX/TEZ/IVATEZ/IVA-ELX/TEZ/IVA10.9Standard Error 1.3percentage points
Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1) for 103/105 Efficacy SetELX/TEZ/IVAELX/TEZ/IVA-ELX/TEZ/IVA10.7Standard Error 1.3percentage points
Absolute Change in Sweat Chloride (SwCl) for 102/105 Efficacy SetELX/TEZ/IVAPlacebo-ELX/TEZ/IVA-47.0Standard Error 1.6millimole per liter (mmol/L)
Absolute Change in Sweat Chloride (SwCl) for 102/105 Efficacy SetELX/TEZ/IVAELX/TEZ/IVA-ELX/TEZ/IVA-45.3Standard Error 1.6millimole per liter (mmol/L)
Absolute Change in Sweat Chloride (SwCl) for 103/105 Efficacy SetELX/TEZ/IVATEZ/IVA-ELX/TEZ/IVA-48.2Standard Error 3.8mmol/L
Absolute Change in Sweat Chloride (SwCl) for 103/105 Efficacy SetELX/TEZ/IVAELX/TEZ/IVA-ELX/TEZ/IVA-48.2Standard Error 3.5mmol/L

Participant flow16

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDELX/TEZ/IVA507
Overall StudySTARTEDAdditional Participants for Cumulative TC Efficacy Set3
Overall StudyOpen-Label Safety Set (OL-SS)ELX/TEZ/IVA506
Overall StudyOpen-Label Safety Set (OL-SS)Additional Participants for Cumulative TC Efficacy Set0
Overall StudyOL-FAS 102/105ELX/TEZ/IVA399
Overall StudyOL-FAS 102/105Additional Participants for Cumulative TC Efficacy Set0
Overall StudyOL-FAS 103/105ELX/TEZ/IVA107
Overall StudyOL-FAS 103/105Additional Participants for Cumulative TC Efficacy Set0
Overall StudyCumulative Triple Combination (TC) Efficacy Set 102/105ELX/TEZ/IVA400
Overall StudyCumulative Triple Combination (TC) Efficacy Set 102/105Additional Participants for Cumulative TC Efficacy Set3

Adverse events432

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherPalpitationsCardiac disordersTreatment Period: ELX/TEZ/IVA11506
otherPalpitationsCardiac disordersExtension Period: ELX/TEZ/IVA111
otherAbdominal distensionGastrointestinal disordersTreatment Period: ELX/TEZ/IVA31506
otherAbdominal distensionGastrointestinal disordersExtension Period: ELX/TEZ/IVA011
otherAbdominal painGastrointestinal disordersTreatment Period: ELX/TEZ/IVA76506
otherAbdominal painGastrointestinal disordersExtension Period: ELX/TEZ/IVA011
otherAbdominal pain upperGastrointestinal disordersTreatment Period: ELX/TEZ/IVA49506
otherAbdominal pain upperGastrointestinal disordersExtension Period: ELX/TEZ/IVA011
otherConstipationGastrointestinal disordersTreatment Period: ELX/TEZ/IVA72506
otherConstipationGastrointestinal disordersExtension Period: ELX/TEZ/IVA011

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTreatment Period: ELX/TEZ/IVA1506
Total, all-cause mortalityExtension Period: ELX/TEZ/IVA011
Total, other adverse eventsTreatment Period: ELX/TEZ/IVA501506
Total, other adverse eventsExtension Period: ELX/TEZ/IVA711
Total, serious adverse eventsTreatment Period: ELX/TEZ/IVA175506
Total, serious adverse eventsExtension Period: ELX/TEZ/IVA011

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
33331662DERIVEDPubMed
37983082DERIVEDPubMed
40209082DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Treatment Period: ELX/TEZ/IVA vs Extension Period: ELX/TEZ/IVA: deaths from any causeTrial comparisons
Treatment Period: ELX/TEZ/IVA vs Extension Period: ELX/TEZ/IVA: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03525574

GET https://conductscience.org/api/trials/v1/NCT03525574/results?page=2