Drugs / elexacaftor

Regulatory milestones approvals, filings & regulatory actions · 7 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed cystic fibrosis 5 milestones
Filed EU (EMA) TRIKAFTA/KAFTRIO cystic fibrosis 2021-06-09

“Vertex has submitted applications for use of TRIKAFTA/KAFTRIO in children ages 6 through 11 years to the European Medicines Agency (EMA)” vrtx.com ↗

Filed US (FDA) TRIKAFTA cystic fibrosis 2021-01-26

“FDA has accepted its supplemental New Drug Application (sNDA) to expand the use of TRIKAFTA®” vrtx.com ↗

Filed EU (EMA) KAFTRIO cystic fibrosis 2020-09-14

“EMA has validated a Type II Variation Marketing Authorization Application (MAA) for the expanded indication of KAFTRIO®*” vrtx.com ↗

Filed US (FDA) TRIKAFTA cystic fibrosis 2020-09-01

“FDA accepted three supplemental New Drug Applications (sNDAs) for TRIKAFTA® (elexacaftor/tezacaftor/ivacaftor and ivacaftor).” vrtx.com ↗

Filed EU (EMA) — cystic fibrosis 2019-10-31

“Vertex has submitted a Marketing Authorization Application (MAA) to the European Medicines Agency (EMA) for the elexacaftor/tezacaftor/ivacaftor combination regimen.” vrtx.com ↗

Approved Indication not stated 2 milestones
Approved EU (EMA) Kaftrio — 2020-08-21 europa.eu ↗
Approved US (FDA) TRIKAFTA (COPACKAGED) — 2019-10-21 fda.gov ↗

Trials 24

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 1/21 trial
Phase 1/2 NCT03227471 Jan 2017 → Mar 2018 cystic fibrosis Vertex Pharmaceuticals Incorporated Completed No outcome recorded
Phase 21 trial · 1 missed
Phase 2 NCT03506061 Sep 2019 → Feb 2024 cystic fibrosis Emory University Completed Missed primary
Phase 315 trials · 4 met primary
Phase 3 NCT06460506 Nov 2024 → Sep 2027 expected cystic fibrosis Vertex Pharmaceuticals Incorporated Active not recruiting No outcome recorded
Phase 3 NCT05331183 Nov 2022 → Apr 2027 expected cystic fibrosis Vertex Pharmaceuticals Incorporated Active not recruiting No outcome recorded
Phase 3 NCT05274269 May 2022 → Jul 2023 cystic fibrosis Vertex Pharmaceuticals Incorporated Completed Met primary
Phase 3 NCT05153317 Jan 2022 → Jan 2026 cystic fibrosis Vertex Pharmaceuticals Incorporated Completed No outcome recorded
Phase 3 NCT05111145 Jan → Dec 2022 cystic fibrosis Vertex Pharmaceuticals Incorporated Completed No outcome recorded
Phase 3 NCT04969224 Oct 2021 → Jul 2022 cystic fibrosis Vertex Pharmaceuticals Incorporated Completed No outcome recorded
Phase 3 NCT04362761 May 2020 → Dec 2022 cystic fibrosis Vertex Pharmaceuticals Incorporated Completed No outcome recorded
Phase 3 NCT04058366 Dec 2019 → Dec 2022 cystic fibrosis Vertex Pharmaceuticals Incorporated Completed No outcome recorded
Phase 3 NCT04105972 Oct 2019 → Jul 2020 cystic fibrosis Vertex Pharmaceuticals Incorporated Completed No outcome recorded
Phase 3 NCT04058353 Aug 2019 → Jun 2020 cystic fibrosis Vertex Pharmaceuticals Incorporated Completed Met primary
Phase 45 trials · 1 met primary
Phase 4 NCT07809867 Sep 2026 → Apr 2028 expected cystic fibrosis Gaslini Institute Not yet recruiting No outcome recorded
Phase 4 NCT07148739 Jun 2025 → Dec 2030 expected cystic fibrosis Arkansas Children's Hospital Research Institute Recruiting No outcome recorded
Phase 4 NCT05743946 Apr 2023 → Dec 2025 bronchiectasis Emory University Completed No outcome recorded
Phase 4 NCT04840862 May 2022 → May 2024 — University of Southern California Completed No outcome recorded
Phase 4 NCT04602468 Sep 2020 → Jul 2029 expected cystic fibrosis, cystic fibrosis-related liver disease Royal College of Surgeons, Ireland Active not recruiting Met primary
Phase not applicable1 trial
— NCT04580368 May 2021 → Dec 2028 expected cystic fibrosis Children's Hospital Medical Center, Cincinnati Recruiting No outcome recorded
Phase not stated1 trial
— NCT04058210 — cystic fibrosis Vertex Pharmaceuticals Incorporated Approved for marketing No outcome recorded
Comparator or background therapy1 trial
Phase 3 NCT05033080 Comparator Sep 2021 → May 2023 cystic fibrosis Vertex Pharmaceuticals Incorporated Completed Met primary

News releases announcing trial results or a regulatory action · 47

DateIssuerRelease
2026-04-01 Vertex Pharmaceuticals Incorporated Regulatory Vertex Announces US FDA Approval for Label Extensions of ALYFTREK® and TRIKAFTA®, Expanding Availability of These Medicines to ~95% of All People With CF in the United States vrtx.com ↗
Additionally, the U.S. FDA has also expanded the indication statement for TRIKAFTA® (elexacaftor/tezacaftor/ivacaftor and ivacaftor) in patients ages 2 and older.
2025-04-07 Vertex Pharmaceuticals Incorporated Regulatory European Commission Approves Expanded Label for KAFTRIO® in Combination With Ivacaftor for People With Cystic Fibrosis vrtx.com ↗
Vertex Pharmaceuticals (Nasdaq: VRTX) today announced that the European Commission has granted regulatory approval for a label expansion of KAFTRIO® (ivacaftor/tezacaftor/elexacaftor) in a combination regimen with ivacaftor for the treatment of people with cystic fibrosis (CF).
2025-02-28 Vertex Pharmaceuticals Incorporated Regulatory Vertex Receives CHMP Positive Opinion for Expanded Label for KAFTRIO® in Combination With Ivacaftor for People With Cystic Fibrosis to Include Rare Mutations vrtx.com ↗
2024-12-20 Vertex Pharmaceuticals Incorporated Regulatory Vertex Announces U.S. FDA Approval for TRIKAFTA (elexacaftor/tezacaftor/ivacaftor and ivacaftor) to Include Additional Non-F508del TRIKAFTA-Responsive Variants vrtx.com ↗
In addition, safety information on liver injury and liver failure has been updated from warnings and precautions to a boxed warning.
2023-11-24 Vertex Pharmaceuticals Incorporated Regulatory Vertex Announces European Medicines Agency Validation for Marketing Authorization Application Extension for KAFTRIO® in Combination With Ivacaftor to Include People With Cystic Fibrosis and Responsive Rare Mutations vrtx.com ↗
Vertex Pharmaceuticals (Nasdaq: VRTX) today announced that the European Medicines Agency (EMA) has validated a Type II variation application to the Marketing Authorization for KAFTRIO® (ivacaftor/tezacaftor/elexacaftor) in combination with ivacaftor.
2023-11-23 Vertex Pharmaceuticals Incorporated Regulatory European Commission Approves KAFTRIO® in Combination With Ivacaftor for the Treatment of Children With Cystic Fibrosis Ages 2 Through 5 vrtx.com ↗
2023-11-02 Vertex Pharmaceuticals Incorporated Results Vertex to Present Data Highlighting Long-Term Benefits of TRIKAFTA® at the North American Cystic Fibrosis Conference vrtx.com ↗
This interim analysis through Week 144 of a 192-week open-label extension study of TRIKAFTA® in children 6 years of age and older with CF and at least one F508del allele showed sustained improvements in CFTR function and respiratory symptoms following the pivotal study.
2023-09-15 Vertex Pharmaceuticals Incorporated Regulatory Vertex Receives CHMP Positive Opinion for KAFTRIO® (ivacaftor/tezacaftor/elexacaftor) in Combination With Ivacaftor for Children With Cystic Fibrosis Ages 2 Through 5 vrtx.com ↗
2023-04-26 Vertex Pharmaceuticals Incorporated Regulatory Vertex Announces U.S. FDA Approval for TRIKAFTA® (elexacaftor/tezacaftor/ivacaftor and ivacaftor) in Children With Cystic Fibrosis Ages 2 Through 5 With Certain Mutations vrtx.com ↗
“With this approval, we now have the ability to treat young children with TRIKAFTA and can proactively address the underlying cause of their disease.”
2022-11-03 Vertex Pharmaceuticals Incorporated Results Vertex to Present New Data on its Portfolio of Cystic Fibrosis Medicines at the 2022 North American Cystic Fibrosis Conference vrtx.com ↗
Based on an interim analysis through Week 144 of the 192-week study, people receiving TRIKAFTA showed maintained improvements in lung function, respiratory symptoms and cystic fibrosis transmembrane conductance regulator (CFTR) function.
2022-06-10 Vertex Pharmaceuticals Incorporated Results Vertex to Present Data Demonstrating Significant Benefits of Long-Term and Early Treatment With CFTR Modulators at the European Cystic Fibrosis Conference vrtx.com ↗
2022-04-20 Vertex Pharmaceuticals Incorporated Regulatory Health Canada Grants Marketing Authorization for TRIKAFTA® (elexacaftor/tezacaftor/ivacaftor and ivacaftor) in Children With Cystic Fibrosis Ages 6 Through 11 years With At Least One F508del Mutation vrtx.com ↗

All press releases naming this drug 53 releases

DateIssuerRelease

Evidence & citations 11 cited values

Every value below carries the sentence it was read from. 30 sources stand behind the page.

FieldValueCited text
Known as Elexacaftor “This study evaluated the long-term safety, efficacy, and pharmacodynamics of elexacaftor (ELX, VX-445) in triple combination (TC) with tezacaftor (TEZ) and ivacaftor (IVA) in...” NCT04058366 ↗
21

“This study will evaluate the efficacy, safety and pharmacodynamics of elexacaftor (ELX, VX-445) in triple combination (TC) with tezacaftor (TEZ) and ivacaftor (IVA) in subjects...” NCT04058353 ↗

“The purpose of this program is to provide elexacaftor(ELX, VX-445)/tezacaftor(TEZ)/ivacaftor(IVA) combination therapy to CF patients in critical need who are 12 years of age...” NCT04058210 ↗

“The CFTR modulating drugs that are currently FDA approved and will be tested in this study include ivacaftor and the combination drugs orkambi (ivacaftor/lumacaftor), symdeko...” NCT04580368 ↗

“This study will evaluate the efficacy, safety, and pharmacodynamics of elexacaftor (ELX, VX-445) in triple combination (TC) with tezacaftor (TEZ) and ivacaftor (IVA) in...” NCT04105972 ↗

“Participants will take Trikafta which is a combination tablet comprised of 100 milligrams (mg) of elexacaftor, 50 mg of tezacaftor and 75 mg of ivacaftor (2 tablets taken in...” NCT03506061 ↗

“Participants will be given elexacaftor 100 mg/tezacaftor 50 mg/ivacaftor 75 mg (two pills once daily in the morning) and ivacaftor 150 mg (once daily in the evening), as the...” NCT05743946 ↗

“The purpose of this study is to evaluate the long term safety, tolerability, efficacy and pharmacodynamics of elexacaftor (ELX)/tezacaftor (TEZ)/ivacaftor (IVA) in CF...” NCT05153317 ↗

“elexacaftor (200 mg once daily), tezacaftor (100 mg once daily), and ivacaftor (150 mg once every 12 h) as two fixed-dose combination tablets in the morning and one ivacaftor...” PMID 39756424 ↗ Jan 2025

“This study evaluated the long-term safety and tolerability of elexacaftor (ELX), tezacaftor (TEZ), and ivacaftor (IVA) triple combination (TC) treatment in participants with...” NCT04043806 ↗

“The purpose of the study is to evaluate the long-term safety, tolerability, efficacy, and pharmacodynamics (PD) of elexacaftor (ELX)/tezacaftor (TEZ)/ivacaftor (IVA).” NCT06460506 ↗

Show 11 more sources

Known as 3-PYRIDINECARBOXAMIDE, N-((1,3-DIMETHYL-1H-PYRAZOL-4-YL)SULFONYL)-6-(3-(3,3,3-TRIFLUORO-2,2-DIMETHYLPROPOXY)-1H-PYRAZOL-1-YL)-2-((4S)-2,2,4-TRIMETHYL-1-PYRROLIDINYL)- ChEMBL registry synonym — accepted as the source's own label CHEMBL4298128 ↗
Known as Elexacaftor component of trikafta ChEMBL registry synonym — accepted as the source's own label CHEMBL4298128 ↗
Known as elexacaftor-tezacaftor-ivacaftor “Patients were randomly assigned to receive elexacaftor-tezacaftor-ivacaftor or placebo for 24 weeks.” PMID 31697873 ↗ Oct 2019
Known as ELX “This study evaluated the long-term safety, efficacy, and pharmacodynamics of elexacaftor (ELX, VX-445) in triple combination (TC) with tezacaftor (TEZ) and ivacaftor (IVA) in...” NCT04058366 ↗
12

“This study will evaluate the efficacy, safety and pharmacodynamics of elexacaftor (ELX, VX-445) in triple combination (TC) with tezacaftor (TEZ) and ivacaftor (IVA) in subjects...” NCT04058353 ↗

“The purpose of this program is to provide elexacaftor(ELX, VX-445)/tezacaftor(TEZ)/ivacaftor(IVA) combination therapy to CF patients in critical need who are 12 years of age...” NCT04058210 ↗

“Rationale: Elexacaftor/Tezacaftor/Ivacaftor (ELX/TEZ/IVA) was shown to be efficacious and safe in patients ≥12 years of age with cystic fibrosis and at least one F508del-CFTR...” PMID 33734030 ↗ Jun 2021

“This study will evaluate the efficacy, safety, and pharmacodynamics of elexacaftor (ELX, VX-445) in triple combination (TC) with tezacaftor (TEZ) and ivacaftor (IVA) in...” NCT04105972 ↗

“The purpose of this study is to evaluate the long term safety, tolerability, efficacy and pharmacodynamics of elexacaftor (ELX)/tezacaftor (TEZ)/ivacaftor (IVA) in CF...” NCT05153317 ↗

“This study evaluated the long-term safety and tolerability of elexacaftor (ELX), tezacaftor (TEZ), and ivacaftor (IVA) triple combination (TC) treatment in participants with...” NCT04043806 ↗

“Participants received elexacaftor (ELX) 200 milligram (mg) once daily (qd)/tezacaftor (TEZ)100 mg qd/ivacaftor (IVA)150 mg every 12 hours (q12h) in the treatment period for 48 weeks.” NCT04362761 ↗

“The purpose of the study is to evaluate the long-term safety, tolerability, efficacy, and pharmacodynamics (PD) of elexacaftor (ELX)/tezacaftor (TEZ)/ivacaftor (IVA).” NCT06460506 ↗

“This study will evaluate the effects of elexacaftor/tezacaftor/ivacaftor (ELX/TEZ/IVA) on cough and physical activity using wearable technology in CF participants.” NCT04969224 ↗

“Trikafta (Elexacaftor \[ELX\], Tezacaftor \[TEZ\], Ivacaftor\[IVA\]) is contraindicated” NCT04840862 ↗

Show 2 more sources

Known as VX-445 “This study evaluated the long-term safety, efficacy, and pharmacodynamics of elexacaftor (ELX, VX-445) in triple combination (TC) with tezacaftor (TEZ) and ivacaftor (IVA) in...” NCT04058366 ↗
5

“This study will evaluate the efficacy, safety and pharmacodynamics of elexacaftor (ELX, VX-445) in triple combination (TC) with tezacaftor (TEZ) and ivacaftor (IVA) in subjects...” NCT04058353 ↗

“The purpose of this program is to provide elexacaftor(ELX, VX-445)/tezacaftor(TEZ)/ivacaftor(IVA) combination therapy to CF patients in critical need who are 12 years of age...” NCT04058210 ↗

“This study will evaluate the efficacy, safety, and pharmacodynamics of elexacaftor (ELX, VX-445) in triple combination (TC) with tezacaftor (TEZ) and ivacaftor (IVA) in...” NCT04105972 ↗

“The addition of elexacaftor (VX-445), a next-generation CFTR corrector, to tezacaftor plus ivacaftor further improved F508del-CFTR function and clinical outcomes” PMID 31679946 ↗ Oct 2019

NCT03227471 ↗

Known as VX-445/TEZ/IVA ClinicalTrials.gov intervention name — accepted as the source's own label NCT03525444 ↗
Action Restore “VX-445 is a next-generation cystic fibrosis transmembrane conductance regulator (CFTR) corrector designed to restore Phe508del CFTR protein function” PMID 30334692 ↗ Oct 2018
Modality Small molecule “Elexacaftor-tezacaftor-ivacaftor is a small-molecule cystic fibrosis transmembrane conductance regulator (CFTR) modulator regimen” PMID 34437784 ↗ Aug 2021
Route Oral “VX-445 tablet for oral administration.” NCT03227471 ↗
Target CFTR “VX-445 is a next-generation cystic fibrosis transmembrane conductance regulator (CFTR) corrector designed to restore Phe508del CFTR protein function” PMID 30334692 ↗ Oct 2018