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    Clinical Trial Results:
    A Phase 3b Open-label Extension Study Evaluating the Safety of Elexacaftor/Tezacaftor/Ivacaftor Combination Therapy in Cystic Fibrosis Subjects

    Summary
    EudraCT number
    2019-003455-11
    Trial protocol
    GB   DE   BE  
    Global end of trial date
    21 Dec 2022

    Results information
    Results version number
    v1(current)
    This version publication date
    06 Jul 2023
    First version publication date
    06 Jul 2023
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    VX19-445-115
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT04362761
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Vertex Pharmaceuticals Incorporated
    Sponsor organisation address
    50 Northern Avenue , Boston, Massachusetts, United States,
    Public contact
    Medical Information, Vertex Pharmaceuticals Incorporated, +1 617-341-6777, medicalinfo@vrtx.com
    Scientific contact
    Medical Information, Vertex Pharmaceuticals Incorporated, +1 617-341-6777, medicalinfo@vrtx.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    18 Jan 2023
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    21 Dec 2022
    Global end of trial reached?
    Yes
    Global end of trial date
    21 Dec 2022
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To evaluate the safety and tolerability of elexacaftor (VX-445; ELX)/tezacaftor (TEZ)/ivacaftor (IVA)
    Protection of trial subjects
    The study was conducted in accordance with the ethical principles stated in the Declaration of Helsinki and the International Conference on Harmonization (ICH) Guideline for Good Clinical Practice (GCP).
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    04 May 2020
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    United Kingdom: 86
    Country: Number of subjects enrolled
    Belgium: 20
    Country: Number of subjects enrolled
    Germany: 36
    Country: Number of subjects enrolled
    Australia: 30
    Worldwide total number of subjects
    172
    EEA total number of subjects
    56
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    51
    Adults (18-64 years)
    121
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    A total 172 subjects were enrolled from the parent study VX18-445-109 (NCT04105972). The study was conducted in 2 parts, Part A and Part B.

    Period 1
    Period 1 title
    Part A
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Part A: ELX/TEZ/IVA
    Arm description
    Subjects received ELX (elexacaftor) 200 milligram (mg) once daily (qd)/TEZ 100 mg qd/IVA 150 mg every 12 hours (q12h) in the treatment period for 48 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    Elexacaftor/Tezacaftor/Ivacaftor
    Investigational medicinal product code
    VX-445/VX-661/VX-770
    Other name
    ELX/TEZ/IVA
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received ELX/TEZ/IVA fixed dose combination once daily in the morning.

    Investigational medicinal product name
    Ivacaftor
    Investigational medicinal product code
    VX-770
    Other name
    IVA
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received IVA once daily in the evening.

    Number of subjects in period 1
    Part A: ELX/TEZ/IVA
    Started
    172
    Completed
    159
    Not completed
    13
         Adverse Event
    2
         Other
    5
         Withdrawal of consent (not due to AE)
    4
         Commercial drug is available for subject
    2
    Period 2
    Period 2 title
    Part B
    Is this the baseline period?
    No
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Part B: ELX/TEZ/IVA
    Arm description
    Subjects received ELX 200 mg qd/TEZ 100 mg qd/IVA 150 mg q12h in the treatment period up to 86 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    Elexacaftor/Tezacaftor/Ivacaftor
    Investigational medicinal product code
    VX-445/VX-661/VX-770
    Other name
    ELX/TEZ/IVA
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received ELX/TEZ/IVA fixed dose combination once daily in the morning.

    Investigational medicinal product name
    Ivacaftor
    Investigational medicinal product code
    VX-770
    Other name
    IVA
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received IVA once daily in the evening.

    Number of subjects in period 2 [1]
    Part B: ELX/TEZ/IVA
    Started
    50
    Completed
    0
    Not completed
    50
         Other
    4
         Commercial drug is available for subject
    46
    Notes
    [1] - The number of subjects starting the period is not consistent with the number completing the preceding period. It is expected the number of subjects starting the subsequent period will be the same as the number completing the preceding period.
    Justification: A total of 172 subjects were enrolled in the parent study on Part A. However, only 50 subjects rolled over to Part B from Part A of the study.

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Part A
    Reporting group description
    Subjects received ELX 200 mg qd/TEZ 100 mg qd/IVA 150 mg q12h in the treatment period for 48 weeks.

    Reporting group values
    Part A Total
    Number of subjects
    172 172
    Age categorical
    Units: Subjects
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    27.9 ( 11.4 ) -
    Gender categorical
    Units: Subjects
        Female
    87 87
        Male
    85 85
    Ethnicity
    Units: Subjects
        Hispanic or Latino
    3 3
        Not Hispanic or Latino
    167 167
        Not collected per local regulations
    2 2
    Race
    Units: Subjects
        White
    169 169
        Black or African American
    0 0
        Asian
    2 2
        American Indian or Alaska Native
    0 0
        Native Hawaiian or Other Pacific Islander
    0 0
        Not collected per local regulations
    0 0
        White, Asian
    1 1

    End points

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    End points reporting groups
    Reporting group title
    Part A: ELX/TEZ/IVA
    Reporting group description
    Subjects received ELX (elexacaftor) 200 milligram (mg) once daily (qd)/TEZ 100 mg qd/IVA 150 mg every 12 hours (q12h) in the treatment period for 48 weeks.
    Reporting group title
    Part B: ELX/TEZ/IVA
    Reporting group description
    Subjects received ELX 200 mg qd/TEZ 100 mg qd/IVA 150 mg q12h in the treatment period up to 86 weeks.

    Primary: Part A: Safety and Tolerability as Assessed by Number of Subjects With Treatment- Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

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    End point title
    Part A: Safety and Tolerability as Assessed by Number of Subjects With Treatment- Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) [1]
    End point description
    Safety set included all subjects who received at least 1 dose of study drug.
    End point type
    Primary
    End point timeframe
    From Day 1 up to Week 52
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive statistics were planned. No statistical comparisons were planned for this endpoint.
    End point values
    Part A: ELX/TEZ/IVA
    Number of subjects analysed
    172
    Units: Subjects
        Subjects with TEAEs
    160
        Subjects with SAEs
    26
    No statistical analyses for this end point

    Primary: Part B: Safety and Tolerability as Assessed by Number of Subjects With Treatment- Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

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    End point title
    Part B: Safety and Tolerability as Assessed by Number of Subjects With Treatment- Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) [2]
    End point description
    Safety set included all subjects who received at least 1 dose of study drug.
    End point type
    Primary
    End point timeframe
    From Day 1 up to Week 86
    Notes
    [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive statistics were planned. No statistical comparisons were planned for this endpoint.
    End point values
    Part B: ELX/TEZ/IVA
    Number of subjects analysed
    50
    Units: Subjects
        Subjects with TEAEs
    50
        Subjects with SAEs
    8
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Day 1 up to Week 52 for Part A, Day 1 up to Week 86 for Part B
    Adverse event reporting additional description
    MedDRA 24.0 applied for Part A and MedDRA 25.1 applied for Part B.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    24.0,25.1
    Reporting groups
    Reporting group title
    Part A: ELX/TEZ/IVA
    Reporting group description
    Subjects received ELX 200 mg qd/TEZ 100 mg qd/IVA 150 mg qd in the treatment period for 48 weeks.

    Reporting group title
    Part B: ELX/TEZ/IVA
    Reporting group description
    Subjects received ELX 200 mg qd/TEZ 100 mg qd/IVA 150 mg qd in the treatment period up to 86 weeks.

    Serious adverse events
    Part A: ELX/TEZ/IVA Part B: ELX/TEZ/IVA
    Total subjects affected by serious adverse events
         subjects affected / exposed
    26 / 172 (15.12%)
    8 / 50 (16.00%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    General disorders and administration site conditions
    Vascular device occlusion
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    Heavy menstrual bleeding
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Uterine polyp
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Haemoptysis
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nasal polyps
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Productive cough
         subjects affected / exposed
    0 / 172 (0.00%)
    1 / 50 (2.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Psychiatric disorders
    Aggression
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Dissociative disorder
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Investigations
    Blood bilirubin increased
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Aspartate aminotransferase increased
         subjects affected / exposed
    2 / 172 (1.16%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    2 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Alanine aminotransferase increased
         subjects affected / exposed
    2 / 172 (1.16%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    2 / 3
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Forced expiratory volume decreased
         subjects affected / exposed
    0 / 172 (0.00%)
    1 / 50 (2.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gamma-glutamyltransferase increased
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    2 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Rib fracture
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Limb traumatic amputation
         subjects affected / exposed
    0 / 172 (0.00%)
    1 / 50 (2.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    Atrial fibrillation
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Sinus arrest
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Myocardial infarction
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nervous system disorders
    Headache
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Loss of consciousness
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Seizure
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 2
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Ileus
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Constipation
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Cholecystitis
         subjects affected / exposed
    0 / 172 (0.00%)
    1 / 50 (2.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Erythema nodosum
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal and urinary disorders
    Nephrolithiasis
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Dupuytren's contracture
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Myalgia
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Chronic sinusitis
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infective pulmonary exacerbation of cystic fibrosis
         subjects affected / exposed
    8 / 172 (4.65%)
    5 / 50 (10.00%)
         occurrences causally related to treatment / all
    1 / 9
    0 / 5
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Lower respiratory tract infection
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonia
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonia pseudomonal
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Hyperglycaemia
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Electrolyte imbalance
         subjects affected / exposed
    1 / 172 (0.58%)
    0 / 50 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Part A: ELX/TEZ/IVA Part B: ELX/TEZ/IVA
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    127 / 172 (73.84%)
    47 / 50 (94.00%)
    Investigations
    Blood bilirubin increased
         subjects affected / exposed
    11 / 172 (6.40%)
    1 / 50 (2.00%)
         occurrences all number
    12
    1
    Aspartate aminotransferase increased
         subjects affected / exposed
    11 / 172 (6.40%)
    0 / 50 (0.00%)
         occurrences all number
    13
    0
    Alanine aminotransferase increased
         subjects affected / exposed
    9 / 172 (5.23%)
    1 / 50 (2.00%)
         occurrences all number
    18
    1
    Injury, poisoning and procedural complications
    Vaccination complication
         subjects affected / exposed
    24 / 172 (13.95%)
    0 / 50 (0.00%)
         occurrences all number
    36
    0
    Procedural pain
         subjects affected / exposed
    2 / 172 (1.16%)
    3 / 50 (6.00%)
         occurrences all number
    2
    3
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    11 / 172 (6.40%)
    0 / 50 (0.00%)
         occurrences all number
    17
    0
    Headache
         subjects affected / exposed
    42 / 172 (24.42%)
    10 / 50 (20.00%)
         occurrences all number
    73
    18
    General disorders and administration site conditions
    Pyrexia
         subjects affected / exposed
    7 / 172 (4.07%)
    8 / 50 (16.00%)
         occurrences all number
    9
    8
    Fatigue
         subjects affected / exposed
    13 / 172 (7.56%)
    1 / 50 (2.00%)
         occurrences all number
    14
    1
    Malaise
         subjects affected / exposed
    3 / 172 (1.74%)
    3 / 50 (6.00%)
         occurrences all number
    4
    3
    Immune system disorders
    Immunisation reaction
         subjects affected / exposed
    0 / 172 (0.00%)
    7 / 50 (14.00%)
         occurrences all number
    0
    10
    Gastrointestinal disorders
    Abdominal pain upper
         subjects affected / exposed
    12 / 172 (6.98%)
    2 / 50 (4.00%)
         occurrences all number
    15
    3
    Constipation
         subjects affected / exposed
    10 / 172 (5.81%)
    4 / 50 (8.00%)
         occurrences all number
    11
    5
    Diarrhoea
         subjects affected / exposed
    13 / 172 (7.56%)
    2 / 50 (4.00%)
         occurrences all number
    27
    2
    Gastrooesophageal reflux disease
         subjects affected / exposed
    8 / 172 (4.65%)
    3 / 50 (6.00%)
         occurrences all number
    20
    3
    Abdominal pain
         subjects affected / exposed
    16 / 172 (9.30%)
    3 / 50 (6.00%)
         occurrences all number
    32
    4
    Nausea
         subjects affected / exposed
    9 / 172 (5.23%)
    1 / 50 (2.00%)
         occurrences all number
    13
    1
    Vomiting
         subjects affected / exposed
    8 / 172 (4.65%)
    3 / 50 (6.00%)
         occurrences all number
    8
    3
    Respiratory, thoracic and mediastinal disorders
    Sputum increased
         subjects affected / exposed
    19 / 172 (11.05%)
    5 / 50 (10.00%)
         occurrences all number
    20
    6
    Productive cough
         subjects affected / exposed
    4 / 172 (2.33%)
    6 / 50 (12.00%)
         occurrences all number
    7
    10
    Oropharyngeal pain
         subjects affected / exposed
    16 / 172 (9.30%)
    5 / 50 (10.00%)
         occurrences all number
    19
    7
    Cough
         subjects affected / exposed
    23 / 172 (13.37%)
    5 / 50 (10.00%)
         occurrences all number
    29
    7
    Skin and subcutaneous tissue disorders
    Rash
         subjects affected / exposed
    12 / 172 (6.98%)
    2 / 50 (4.00%)
         occurrences all number
    17
    2
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    12 / 172 (6.98%)
    4 / 50 (8.00%)
         occurrences all number
    15
    4
    Infections and infestations
    Infective pulmonary exacerbation of cystic fibrosis
         subjects affected / exposed
    17 / 172 (9.88%)
    21 / 50 (42.00%)
         occurrences all number
    22
    29
    COVID-19
         subjects affected / exposed
    2 / 172 (1.16%)
    17 / 50 (34.00%)
         occurrences all number
    2
    17
    Influenza
         subjects affected / exposed
    2 / 172 (1.16%)
    3 / 50 (6.00%)
         occurrences all number
    2
    3
    Nasopharyngitis
         subjects affected / exposed
    28 / 172 (16.28%)
    16 / 50 (32.00%)
         occurrences all number
    39
    23
    Upper respiratory tract infection
         subjects affected / exposed
    10 / 172 (5.81%)
    11 / 50 (22.00%)
         occurrences all number
    13
    15

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    04 Jan 2021
    Amended to extend treatment period.
    19 Mar 2021
    Amended to allow subjects who depart this study to enroll in another qualified Vertex study to return to this study if they did not receive study drug in the Treatment Period of the other qualified Vertex study.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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