Clinical Trials

Numerous clinical trials evaluate VX-445 (elexacaftor), primarily focusing on cystic fibrosis and related manifestations such as CFTR gene mutations, chronic rhinosinusitis, olfactory disorders, and bacterial respiratory infections. Spanning Phase 1 through Phase 4 as well as post-marketing evaluations, these protocols display varied recruitment statuses, ranging from active and completed trials to those not yet recruiting. The broader research landscape reflects diverse sponsorship across industrial entities like Vertex Pharmaceuticals and academic medical centers such as University Hospital Strasbourg and Sheffield Teaching Hospitals.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07148739 RECRUITING
Cystic Fibrosis (CF)
Arkansas Children's Hospital Research Institute
2025-06-10 PHASE4
NCT06457451 RECRUITING
Cystic Fibrosis
University Hospital, Tours
2024-11-25
NCT06460506 ACTIVE_NOT_RECRUITING
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2024-11-21 PHASE3
NCT05331183 ACTIVE_NOT_RECRUITING
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2022-11-23 PHASE3
NCT07314229 RECRUITING
Cystic Fibrosis (CF); Mucoviscidosis
University Hospital, Lille
2025-12-17
NCT05937815 RECRUITING
Cystic Fibrosis
University Hospital, Bordeaux
2021-09-13
NCT05153317 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2022-01-17 PHASE3
NCT05818319 RECRUITING
Cystic Fibrosis (CF); CFTR Gene Mutation
University of Aarhus
2023-06-01
NCT05882357 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2023-06-27 PHASE3
NCT04840862 COMPLETED
Drug Drug Interaction
University of Southern California
2022-05-09 PHASE4
NCT06331000 Not yet recruiting
Cystic Fibrosis
University Hospital Strasbourg France
2024-03 --
NCT04545515 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2021-01-11 PHASE3
NCT03525574 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2018-10-09 PHASE3
NCT04362761 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2020-05-04 PHASE3
NCT05111145 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2022-01-14 PHASE3
NCT04058366 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2019-12-05 PHASE3
NCT04043806 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2019-08-09 PHASE3
NCT04969224 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2021-10-12 PHASE3
NCT04599465 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2021-01-15 PHASE3
NCT05519020 Recruiting
Cystic Fibrosis
Sheffield Teaching Hospitals NHS Foundation Trust
2022-07-27 --
NCT04537793 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2020-11-19 PHASE3
NCT04684823 COMPLETED
Cystic Fibrosis; Adherence, Medication
The University of Texas Health Science Center at San Antonio
2021-01-15
NCT04353817 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2020-06-19 PHASE3
NCT03691779 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2018-10-02 PHASE3
NCT04105972 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2019-10-03 PHASE3
NCT04058353 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2019-08-28 PHASE3
NCT03525444 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2018-06-15 PHASE3
NCT03525548 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2018-08-03 PHASE3
NCT03525548 Completed
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2018-08-03 Phase 3
NCT03525444 Completed
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2018-06-15 Phase 3
NCT03227471 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2017-01-23 PHASE1; PHASE2

(data from https://clinicaltrials.gov, updated on 2026-06-02)

Check the VX-445 (Elexacaftor) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Elexacaftor (VX-445) functions as a next-generation cystic fibrosis transmembrane conductance regulator (CFTR) corrector that binds to mutant CFTR proteins, facilitating their proper folding, cellular trafficking, and insertion into the plasma membrane to restore chloride ion transport. By increasing functional CFTR expression at the cell surface, this compound mitigates epithelial fluid imbalances, directly addressing the underlying pathophysiological defects in patients evaluated across clinical trials for cystic fibrosis and associated pulmonary complications.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.