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)
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>).
- Tezacaftor (VX-661) Solubility in DMSO
- Tezacaftor (VX-661) Stock Solution
- Tezacaftor (VX-661) Storage
- Tezacaftor (VX-661) Stability
- Tezacaftor (VX-661) Molecular Weight
- Tezacaftor (VX-661) SMILES
- Tezacaftor (VX-661) CAS Number
- Tezacaftor (VX-661) Chemical Structure (2D and 3D)
- Tezacaftor (VX-661) SDS|MSDS