Clinical trial Recruiting at 1 site Phase 1 Interventional Ages 18 to 55

VX-433 first‑in‑human safety and PK study in healthy volunteers

Official title: A Phase 1, First-in-human Study Evaluating the Safety, Tolerability, and Pharmacokinetics of VX-433 and Its Effects on the Pharmacokinetics of Midazolam and Bupropion

Run by Vertex Pharmaceuticals Incorporated · NCT07584434 · Data updated 2026-11-12

This study tests the safety, how VX-433 behaves in the body, and possible drug interactions in healthy adults, to see if it’s suitable for people with narcolepsy type 1 in the future.

More Narcolepsy Type 1 (NT1) trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 55 Years
SexAll
Enrollment118 (estimated)
SponsorVertex Pharmaceuticals Incorporated
Industry-sponsored
Locations1 site (Salt Lake City, Utah)
StatusRecruiting
StartedMay 21, 2026
Main results expectedMarch 5, 2027
Study endsMarch 5, 2027
Registry record updatedJune 8, 2026
Trial IDNCT07584434 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Healthy adults who meet BMI, weight, smoking status, and general health criteria and who can comply with study procedures.

Probably not a fit

Participants who do not show favorable safety or pharmacokinetic results for VX-433 or who have conditions affecting drug absorption or overall health may not experience a benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a Phase 1, first‑in‑human trial evaluating VX-433 in healthy volunteers. It includes single and multiple ascending dose parts to assess safety, tolerability, and pharmacokinetics, plus a drug‑drug interaction sub‑study with midazolam and bupropion. Part A and B focus on VX-433 alone, while Part C examines how VX-433 may affect the PK of other medications. The study is sponsored by Vertex with ICON Utah as the site providing the research infrastructure.

Why it matters

Potential benefit: If successful, VX-433 could be a foundation for future therapies, potentially informing dosing and safety for patients with narcolepsy type 1 in later trials.

How similar studies have gone: First‑in‑human studies of similar CNS‑targeted agents have shown safety signals can guide later development, but this exact VX‑433 program is novel in this context.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion Criteria:

* Body mass index (BMI) of 18.0 to 30.0 kilogram per meter square (kg/m2), inclusive
* A total body weight of more than (\>) 50 kg
* Nonsmoker or ex-smoker for at least 3 months before screening with current nonsmoking status confirmed by urine or blood cotinine at screening

Key Exclusion Criteria:

* History of febrile illness or other acute illness that has not fully resolved within 14 days before the first dose of study drug
* Any condition possibly affecting drug absorption
* For female participants: of childbearing potential, pregnant, breastfeeding, or planning to become pregnant or donate ova during the study or within 90 days after last dose of study drug

Other protocol defined Inclusion/Exclusion criteria will apply.

Where it's running

  • ICON - Utah - Salt Lake City Office
    Salt Lake City, Utah, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Ofatumumab for drug-refractory Narcolepsy Type 1

    Aims to see if a single dose of ofatumumab helps people with Narcolepsy Type 1 who have not responded to previous treatments.

    Recruiting Phase 1/2 Xijing Hospital · Xi'an, Shaanxi · NCT07871006

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.