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| NCT04066751 | WITHDRAWN | Chronic Obstructive Pulmonary Disease |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)
Mechanism and Biochemical Profile
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>).