Study to Evaluate the Effect of GBT440 in Pediatrics With Sickle Cell Disease

NCT ID: NCT02850406

Last Updated: 2025-08-15

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

147 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-07-05

Study Completion Date

2023-10-02

Brief Summary

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This study consists of four parts, Parts A, B, C, and D.

* Part A is a single dose pharmacokinetic (PK) study in pediatric participants with Sickle Cell Disease ages 6 to 17 years.
* Part B is a multiple dose, safety, exploratory, efficacy, and PK study in adolescent participants with Sickle Cell Disease ages 12 to 17 years.
* Part C is a multiple dose, safety, tolerability, and PK study, which includes the assessment of hematological effects and the effect on TCD flow velocity of voxelotor in pediatric participants with Sickle Cell Disease ages 4 to 17 years.
* Part D is a multiple dose, safety, tolerability, and PK study, which examines the hematological effects of voxelotor in pediatric participants with Sickle Cell Disease ages 6 months to \< 4 years.

Detailed Description

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Conditions

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Sickle Cell Disease

Study Design

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Allocation Method

NA

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Voxelotor

Subjects to receive daily oral dosing of voxelotor according to which Part (A, B, C, or D), the subject is participating in:

* Part A: Subjects to receive daily oral dosing of voxelotor for 1 day (single dose)
* Part B: Subjects to receive daily oral dosing of voxelotor for up to 24 weeks (multiple dose)
* Part C: Subjects to receive daily oral dosing of voxelotor for up to 48 weeks (1500mg or 1500mg equivalent dose)
* Part D: Subjects to receive daily oral dosing of voxelotor for up to 48 weeks (1500mg equivalent dose)

Group Type EXPERIMENTAL

Voxelotor

Intervention Type DRUG

* Part A: Voxelotor will be administered as oral capsules or tablets
* Part B: Voxelotor will be administered as oral capsules or tablets
* Part C: Voxelotor will be administered as oral dispersible tablets or powder for oral suspension
* Part D: Voxelotor will be administered as oral dispersible tablets or powder for oral suspension

Interventions

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Voxelotor

* Part A: Voxelotor will be administered as oral capsules or tablets
* Part B: Voxelotor will be administered as oral capsules or tablets
* Part C: Voxelotor will be administered as oral dispersible tablets or powder for oral suspension
* Part D: Voxelotor will be administered as oral dispersible tablets or powder for oral suspension

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female participants with homozygous hemoglobin SS (HbSS) or hemoglobin S beta0 thalassemia (HbS β0thal)
* Age:

* Part A - 6 to 17 years of age
* Part B - 12 to 17 years of age
* Part C - 4 to 17 years of age
* Part D - 6 months to \<4 years of age
* Hydroxyurea (HU) therapy:

* Parts A, B, and C: A participant taking hydroxyurea (HU) may be enrolled if the dose has been stable for at least 3 months with no anticipated need for dose adjustment during the study and no sign of hematological toxicity.
* Part D: A participant taking HU may be enrolled if the dose has been stable for at least 1 month. Titration to the maximum tolerated dose (MTD) is allowed during the study.
* Hemoglobin (HB):

* Part A - No restriction
* Parts B, C, \& D - Hb ≤ 10.5 g/dL
* For Part C only: Participants 12 to 17 years of age must have a TCD velocity of ≥ 140 cm/sec measured anytime during screening.

Exclusion Criteria

* Any one of the following requiring medical attention within 14 days of signing the Informed Consent Form (ICF):

* Vaso-occlusive crisis (VOC)
* Acute chest syndrome (ACS)
* Splenic sequestration crisis
* Dactylitis
* Requires chronic transfusion therapy
* History of stroke or meeting criteria for primary stroke prophylaxis (history of two TCD measurements ≥ 200 cm/sec by non-imaging TCD or ≥185 cm/sec by TCDi).
* Transfusion within 30 days prior to signing the ICF


* Body weight \<5 kg for 1 month prior to the screening visit and at the screening visit.
Minimum Eligible Age

6 Months

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Brentwood Clinic UCSF Benioff Children's Hospital Oakland

Brentwood, California, United States

Site Status

Children's National Medical Center

Washington D.C., District of Columbia, United States

Site Status

Children's Healthcare of Atlanta Scottish Rite

Atlanta, Georgia, United States

Site Status

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, United States

Site Status

University of Illinois at Chicago Clinical Research Center

Chicago, Illinois, United States

Site Status

Our Lady of the Lake Children's Hospital (IP Address)

Baton Rouge, Louisiana, United States

Site Status

Children's Mercy Hospital

Kansas City, Missouri, United States

Site Status

Rutgers-Robert Wood Johnson Medical School

New Brunswick, New Jersey, United States

Site Status

Brody School of Medicine at East Carolina University

Greenville, North Carolina, United States

Site Status

University Hospitals Cleveland Medical Center, Rainbow Babies & Children's Hospital

Cleveland, Ohio, United States

Site Status

The Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

Children's Hospital of Pittsburgh of UPMC

Pittsburgh, Pennsylvania, United States

Site Status

St. Jude Children's Research Hospital

Memphis, Tennessee, United States

Site Status

American University of Beirut - Medical Center

Beirut, , Lebanon

Site Status

Rafik Hariri University Hospital

Beirut, , Lebanon

Site Status

Nini Hospital

Tripoli, , Lebanon

Site Status

University College London Hospital, NHS Foundation Trust

London, Greater London, United Kingdom

Site Status

Barts Health NHS Trust, The Royal London Hospital

London, , United Kingdom

Site Status

Guy's and St Thoma's NHS Foundation Trust, Evelina London Children's Hospital

London, , United Kingdom

Site Status

Manchester University NHS Foundation Trust, Royal Manchester Children's Hospital

Manchester, , United Kingdom

Site Status

Countries

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United States Lebanon United Kingdom

References

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Estepp JH, Kalpatthi R, Woods G, Trompeter S, Liem RI, Sims K, Inati A, Inusa BPD, Campbell A, Piccone C, Abboud MR, Smith-Whitley K, Dixon S, Tonda M, Washington C, Griffin NM, Brown C. Safety and efficacy of voxelotor in pediatric patients with sickle cell disease aged 4 to 11 years. Pediatr Blood Cancer. 2022 Aug;69(8):e29716. doi: 10.1002/pbc.29716. Epub 2022 Apr 21.

Reference Type DERIVED
PMID: 35451176 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://pmiform.com/clinical-trial-info-request?StudyID=GBT440-007

To obtain contact information for a study center near you, click here.

Other Identifiers

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C5341020

Identifier Type: OTHER

Identifier Source: secondary_id

GBT440-007

Identifier Type: -

Identifier Source: org_study_id

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