A Study to Evaluate Safety, Efficacy, and Tolerability of TEZ/IVA in Orkambi® (Lumacaftor/Ivacaftor) -Experienced Subjects With Cystic Fibrosis (CF)
Condition: Cystic Fibrosis
MeSH terms: Cystic Fibrosis; Fibrosis
Intervention: Tezacaftor/Ivacaftor; Ivacaftor; Placebo; Placebo
Intervention description: TEZ 100 mg/IVA 150 mg fixed-dose combination tablet.; IVA 150 mg tablet.; Placebo matched to TEZ/IVA fixed-dose combination tablet.; Placebo matched to IVA tablet.
Intervention MeSH terms: Ivacaftor
Phase: Phase 3
Study type: Interventional
Primary purpose: Treatment
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Enrollment: 98.0
Sex: All
Minimum age: 12 Years
Healthy volunteers: No

Summary:

      Study VX16-661-114 (Study 114) is a Phase 3b, randomized, double-blind, placebo-controlled,
      parallel-group, multicenter study in subjects aged 12 years and older with CF who are
      homozygous for the F508del mutation on the cystic fibrosis transmembrane conductance
      regulator gene (CFTR) gene and who discontinued treatment with Orkambi due to respiratory
      symptoms considered related to treatment. This study is designed to evaluate the safety and
      efficacy of Tezacaftor/Ivacaftor (TEZ/IVA).
    

Eligibility criteria:

        Inclusion Criteria:

          -  Willing and able to comply with scheduled visits, treatment plan, study restrictions,
             laboratory tests, contraceptive guidelines, and other study procedures.

          -  Prior discontinuation of Orkambi, with at least 1 respiratory sign or symptom
             considered related to therapy.

          -  Resolution or stabilization of qualifying event(s) >28 days prior to Screening.

          -  Discontinuation of Orkambi therapy must have occurred within approximately 12 weeks
             from the first dose of Orkambi.

          -  Homozygous for F508del mutation in the CFTR gene as documented in the subject's
             medical record. If genotype documentation is not available in the medical record,
             genotyping will be performed during screening.

          -  FEV1 ≥25% and ≤90% of predicted normal for age, sex, and height.

          -  Stable CF disease as judged by the investigator.

          -  Other protocol defined inclusion criteria could apply.

        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.

          -  Recent rapid or progressive deterioration in respiratory status.

          -  Receiving continuous oxygen at >2L/min or on face-mask ventilation.

          -  Any protocol-defined exclusionary laboratory values at Screening.

          -  Child-Pugh Class B or C hepatic impairment.

          -  An acute upper or lower respiratory infection, pulmonary exacerbation, or change in
             therapy for pulmonary disease within 28 days before Day 1.

          -  Documentation of colonization with organisms associated with a more rapid decline in
             pulmonary status.

          -  History of lung transplantation since most recent initiation of Orkambi.

          -  History of alcohol or drug abuse in the past year as deemed by the investigator.

          -  Participation in an investigational drug study or use of a CFTR modulator within 28
             days or 5 terminal half-lives of the investigational drug or modulator (whichever is
             longer).

          -  Use of restricted medications or foods within the specified window before the first
             dose of study drug, or an anticipated need or use of restricted medication or foods
             after the first dose of study drug.

          -  Pregnant or nursing females: Females of child-bearing potential must have a negative
             pregnancy test at Screening and Day 1.

          -  Other protocol defined exclusion criteria could apply.