Clinical Trials

Ivacaftor has been evaluated across numerous clinical trials primarily investigating cystic fibrosis—including F508del-CFTR genetic subpopulations—as well as related conditions such as chronic obstructive pulmonary disease, chronic pancreatitis, and cystic fibrosis-related diabetes. Spanning Phase 1 through Phase 4 across active, recruiting, and completed statuses, research is sponsored by pharmaceutical developers like Vertex Pharmaceuticals alongside academic medical centers such as the University of Alabama at Birmingham and Sheffield Teaching Hospitals. These Phase 2 and Phase 3 protocols assess the efficacy, safety, and pharmacokinetics of ivacaftor as monotherapy and combination therapy in pediatric and adult populations.

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
NCT03439865 RECRUITING
Chronic Rhinosinusitis (Diagnosis)
University of Alabama at Birmingham
2019-05-02 EARLY_PHASE1
NCT07314229 RECRUITING
Cystic Fibrosis (CF); Mucoviscidosis
University Hospital, Lille
2025-12-17
NCT06237335 ACTIVE_NOT_RECRUITING
Cystic Fibrosis
ReCode Therapeutics
2024-02-01 PHASE2
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
NCT04581408 COMPLETED
Long QT Syndrome
Istituto Auxologico Italiano
2021-06-15 PHASE2
NCT04066751 WITHDRAWN
Chronic Obstructive Pulmonary Disease
University of Alabama at Birmingham
2021-12-01 PHASE2
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 --
NCT05968612 COMPLETED
Healthy Volunteer
Qanatpharma Canada LTD
2023-11-17 PHASE1
NCT03277196 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2017-08-16 PHASE3
NCT04235140 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2020-02-24 PHASE3
NCT04545515 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2021-01-11 PHASE3
NCT04362761 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2020-05-04 PHASE3
NCT05111145 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2022-01-14 PHASE3
NCT04135495 COMPLETED
Cystic Fibrosis
Eloxx Pharmaceuticals, Inc.
2019-11-25 PHASE2
NCT03085485 COMPLETED
Chronic Obstructive Pulmonary Disease; Chronic Bronchitis
University of Alabama at Birmingham
2017-03-16 PHASE2
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 --
NCT02725567 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2016-06-02 PHASE3
NCT04537793 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2020-11-19 PHASE3
NCT04126473 COMPLETED
Cystic Fibrosis
Eloxx Pharmaceuticals, Inc.
2019-11-05 PHASE2
NCT03251911 WITHDRAWN
Chronic Bronchitis
University of Alabama at Birmingham
2020-01-01 PHASE4
NCT04684823 COMPLETED
Cystic Fibrosis; Adherence, Medication
The University of Texas Health Science Center at San Antonio
2021-01-15
NCT03601637 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2018-09-07 PHASE3
NCT04353817 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2020-06-19 PHASE3
NCT04006873 COMPLETED
Cystic Fibrosis
Nottingham University Hospitals NHS Trust
2019-09-03 PHASE2
NCT03537651 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2018-04-25 PHASE3
NCT03625466 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2018-08-10 PHASE2
NCT04105972 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2019-10-03 PHASE3
NCT03956589 TERMINATED
Cystic Fibrosis
University Hospital, Antwerp
2018-10-01 PHASE4
NCT04254705 Withdrawn
Cystic Fibrosis
Universitaire Ziekenhuizen KU Leuven|Vertex Pharmaceuticals Incorporated|KU Leuven|University of Lisbon
2020-03-01 Not Applicable
NCT03624101 TERMINATED
Cystic Fibrosis
University of Alabama at Birmingham
2018-12-01 PHASE4
NCT03125395 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2017-05-12 PHASE3
NCT02565914 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2015-08 PHASE3
NCT03559062 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2018-05-17 PHASE3
NCT03068312 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2017-07-18 PHASE3
NCT03256968 COMPLETED
Cystic Fibrosis
University of Alabama at Birmingham
2017-01-27 PHASE4
NCT02871778 COMPLETED
Primary Ciliary Dyskinesia
Parion Sciences
2016-08 PHASE2
NCT02953314 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2016-11 PHASE3
NCT03150719 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2017-05-24 PHASE3
NCT02544451 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2015-08 PHASE3
NCT02730208 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2016-09 PHASE2
NCT02858843 TERMINATED
Cystic Fibrosis; Diabetes
Massachusetts General Hospital
2016-08-01
NCT02934698 COMPLETED
Cystic Fibrosis
Medical University of South Carolina
2016-11-01 PHASE3
NCT02653027 WITHDRAWN
Diabetes; Cystic Fibrosis
Massachusetts General Hospital
2018-01-01
NCT03061331 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2017-01-31 PHASE2
NCT02797132 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2016-05 PHASE3
NCT02875366 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2016-09 PHASE4
NCT02412111 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2015-06 PHASE3
NCT03045523 COMPLETED
Cystic Fibrosis
Lakefront Biotherapeutics NV
2017-01 PHASE2
NCT03029455 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2016-11 PHASE1
NCT02823470 TERMINATED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2016-06 PHASE4
NCT02742519 TERMINATED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2016-05 PHASE3
NCT03256799 COMPLETED
Cystic Fibrosis
University of Alabama at Birmingham
2017-03-17 PHASE4
NCT02508207 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2016-02 PHASE2
NCT02724527 UNKNOWN
Cystic Fibrosis
Nivalis Therapeutics, Inc.
2016-04 PHASE2
NCT03085485 Completed
Chronic Obstructive Pulmonary Disease|Chronic Bronchitis
University of Alabama at Birmingham|National Heart Lung and Blood Institute (NHLBI)|Vertex Pharmaceuticals Incorporated
2017-03-16 Phase 2
NCT02392234 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2015-03 PHASE3
NCT02347657 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2015-01 PHASE3
NCT02589236 COMPLETED
Cystic Fibrosis
Nivalis Therapeutics, Inc.
2015-11 PHASE2
NCT02390219 COMPLETED
Cystic Fibrosis; Advanced Lung Disease
Vertex Pharmaceuticals Incorporated
2015-03 PHASE3
NCT03486236 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2016-07-20 PHASE1
NCT02514473 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2015-07 PHASE3
NCT02310789 COMPLETED
Cystic Fibrosis
Richard Barry Moss
2015-07-31
NCT02516410 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2015-08 PHASE3
NCT02070744 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2014-03 PHASE2
NCT01707290 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2013-02 PHASE3
NCT01931839 COMPLETED
Cystic Fibrosis, Homozygous or Heterozygous for the F508del-CFTR Mutation
Vertex Pharmaceuticals Incorporated
2013-10 PHASE3
NCT01946412 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2013-12 PHASE3
NCT01784419 COMPLETED
Cystic Fibrosis
University of California, San Francisco
2013-10
NCT02135432 COMPLETED
Chronic Obstructive Pulmonary Disease
University of Alabama at Birmingham
2015-05 EARLY_PHASE1
NCT01897233 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2013-07 PHASE3
NCT01937325 UNKNOWN
Cystic Fibrosis
The Alfred
2014-02 PHASE4
NCT01117012 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2010-07 PHASE3
NCT01807949 COMPLETED
Cystic Fibrosis, Homozygous for the F508del CFTR Mutation
Vertex Pharmaceuticals Incorporated
2013-04 PHASE3
NCT01225211 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2010-10 PHASE2
NCT01685801 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2012-09 PHASE2
NCT01807923 COMPLETED
Cystic Fibrosis, Homozygous for the F508del CFTR Mutation
Vertex Pharmaceuticals Incorporated
2013-05 PHASE3
NCT01531673 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2012-02 PHASE2
NCT01910415 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2013-06 PHASE1
NCT01705145 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2013-01 PHASE3
NCT02015507 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2014-01 PHASE1
NCT01888393 COMPLETED
Hepatic Impairment; Healthy
Vertex Pharmaceuticals Incorporated
2013-06 PHASE1
NCT01614457 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2012-07 PHASE3
NCT01614470 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2012-07 PHASE3
NCT01768663 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2013-01 PHASE1
NCT01899105 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2013-07 PHASE1
NCT01161537 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2010-10 PHASE2
NCT01262352 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2011-01 PHASE2
NCT01216046 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2010-10 PHASE1
NCT01208285 COMPLETED
In Development for Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2010-09 PHASE1
NCT00909727 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2009-08 PHASE3
NCT01153542 COMPLETED
In Development for Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2010-06 PHASE1
NCT00953706 TERMINATED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2009-09 PHASE2
NCT00909532 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2009-06 PHASE3
NCT01060566 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2010-02 PHASE1
NCT01018368 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2009-11 PHASE1
NCT00966602 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2009-09 PHASE1
NCT00457821 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2007-05 PHASE2

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

Check the Ivacaftor (VX-770) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Ivacaftor selectively binds to and potentiates the cystic fibrosis transmembrane conductance regulator (CFTR) channel, increasing its open-state probability to enhance transmembrane chloride ion transport while reducing excessive sodium and fluid absorption to preserve apical surface hydration and improve ciliary beating. This restoration of epithelial fluid homeostasis directly addresses the underlying channelopathy, facilitating airway clearance and demonstrating clinical relevance in the treatment of cystic fibrosis and chronic obstructive pulmonary disease.

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.