Clinical Trials

Numerous clinical trials spanning Phase 1 through Phase 4 evaluate tezacaftor (VX-661) as a monotherapy and in combination regimens, such as elexacaftor/tezacaftor/ivacaftor, primarily for cystic fibrosis, CFTR gene mutations, and related respiratory complications. These studies, which range in status from completed to active not recruiting and currently recruiting, assess safety and therapeutic efficacy across diverse patient cohorts. Major sponsors include Vertex Pharmaceuticals Incorporated alongside academic institutions such as Ospedale San Raffaele and Charité University.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07148739 RECRUITING
Cystic Fibrosis (CF)
Arkansas Children's Hospital Research Institute
2025-06-10 PHASE4
NCT05422222 ACTIVE_NOT_RECRUITING
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2022-06-21 PHASE3
NCT05844449 ENROLLING_BY_INVITATION
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2023-08-11 PHASE3
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
NCT06154447 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2023-12-12 PHASE1
NCT07349394 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2026-01-12 PHASE1
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
NCT06299709 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2024-03-13 PHASE1
NCT06299696 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2024-03-26 PHASE1
NCT04545515 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2021-01-11 PHASE3
NCT05437120 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2022-07-22 PHASE1
NCT04362761 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2020-05-04 PHASE3
NCT05111145 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2022-01-14 PHASE3
NCT05535959 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2022-09-15 PHASE1
NCT04969224 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2021-10-12 PHASE3
NCT04599465 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2021-01-15 PHASE3
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
NCT04006873 COMPLETED
Cystic Fibrosis
Nottingham University Hospitals NHS Trust
2019-09-03 PHASE2
NCT03537651 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2018-04-25 PHASE3
NCT04105972 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2019-10-03 PHASE3
NCT02565914 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2015-08 PHASE3
NCT03559062 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2018-05-17 PHASE3
NCT02953314 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2016-11 PHASE3
NCT03150719 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2017-05-24 PHASE3
NCT02730208 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2016-09 PHASE2
NCT02412111 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2015-06 PHASE3
NCT03029455 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2016-11 PHASE1
NCT02508207 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2016-02 PHASE2
NCT02392234 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2015-03 PHASE3
NCT02347657 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2015-01 PHASE3
NCT03486236 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2016-07-20 PHASE1
NCT02516410 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2015-08 PHASE3
NCT02070744 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2014-03 PHASE2
NCT02412111 Completed
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2015-06 Phase 3
NCT01531673 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2012-02 PHASE2
NCT02015507 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2014-01 PHASE1
NCT02015507 Completed
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2014-01 Phase 1

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

Check the Tezacaftor (VX-661) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Tezacaftor selectively binds to the misfolded F508del cystic fibrosis transmembrane conductance regulator (CFTR) protein, facilitating proper intracellular processing and trafficking of the channel to the cell surface. By increasing plasma membrane expression of functional CFTR proteins, it restores transepithelial chloride transport, thereby alleviating airway obstruction and pulmonary exacerbations in cystic fibrosis patients.

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.