Clinical Trials

Several clinical trials evaluate vanzacaftor (VX-121) exclusively for the management of cystic fibrosis, encompassing Phase 1 pharmacokinetic and safety studies, Phase 3 evaluations, and observational research. Industry sponsor Vertex Pharmaceuticals Incorporated leads interventional trials assessing vanzacaftor monotherapy and combination regimens, while academic sponsors like Charite University, Berlin, Germany contribute biomarker studies. Recruitment statuses across this portfolio include completed studies, actively recruiting protocols, and trials enrolling by invitation.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT05844449 ENROLLING_BY_INVITATION
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2023-08-11 PHASE3
NCT07349394 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2026-01-12 PHASE1
NCT06299709 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2024-03-13 PHASE1
NCT06299696 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2024-03-26 PHASE1
NCT05867147 COMPLETED
Cystic Fibrosis
Vertex Pharmaceuticals Incorporated
2023-04-26 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-04-29)

Check the Vanzacaftor (VX-121) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Vanzacaftor (VX-121) functions as an orally active cystic fibrosis transmembrane conductance regulator (CFTR) corrector that binds the CFTR protein to facilitate its cellular processing and trafficking to the plasma membrane. By promoting proper protein folding and surface localization, vanzacaftor elevates epithelial chloride ion transport, thereby mitigating mucosal hyperviscosity and restoration of airway clearance in cystic fibrosis.

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.