A SAD/MAD to Assess the Safety, PK/PD of FT-4202 in Healthy Volunteers and Sickle Cell Disease Patients

NCT ID: NCT03815695

Last Updated: 2024-04-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

130 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-11

Study Completion Date

2021-12-17

Brief Summary

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FT-4202 is an oral small-molecule agonist of pyruvate kinase red blood cell isozyme (PKR) being developed for the treatment of hemolytic anemias. This initial study will characterize the safety, tolerability and the pharmacokinetics/pharmacodynamics (PK/PD) of a single ascending dose and multiple ascending doses of FT-4202 in the context of Phase 1 studies in healthy volunteers and sickle cell disease patients. The effects of food on the absorption of FT-4202 will also be evaluated in healthy volunteers.

Detailed Description

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This is a first-in-human (FIH), Phase 1 study of FT-4202 that will characterize the safety, PK and PD of FT-4202 after a single dose and after repeated dosing first in healthy adult volunteers and then in adolescents or adults with sickle cell disease (SCD). Initially, a dose range of FT-4202 in single ascending dose (SAD) escalation cohorts will be explored in healthy subjects. Enrollment of healthy subjects into 2-week multiple ascending dose (MAD) escalation cohorts will be initiated once the safety and PK from at least two SAD cohorts is available to inform the doses for the 2-week MAD portion of the study. The MAD cohorts will then run in parallel to the single dose cohorts. A single dose cohort of healthy subjects is planned to understand food effects (FE) on the PK of FT-4202. After the SAD and FE studies in healthy subjects are completed, the safety, PK, and PD of a single dose of FT-4202 that was found to be safe in healthy subjects will then be evaluated in SCD subjects. Multiple dose studies in SCD subjects will then be initiated upon completion of MAD studies in healthy volunteers.

Conditions

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Healthy Volunteers Sickle Cell Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Single ascending dose escalation and multiple ascending dose escalation study followed by an evaluation of food effects on absorption
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
randomized double blind

Study Groups

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Single ascending dose cohorts in healthy subjects

Healthy volunteer subject cohorts randomized 6:2 receiving a single dose of FT-4202 or placebo. The first cohort will receive 200 mg of FT-4202 or placebo. Dose escalation will occur if FT-4202 or placebo is tolerated. The maximum dose of FT-4202 or placebo will be 1500 mg.

Group Type EXPERIMENTAL

FT-4202/Placebo

Intervention Type DRUG

Participants will receive FT-4202/placebo and monitored for side effects while undergoing pharmacokinetics and pharmacodynamic studies

Multiple ascending dose cohorts in healthy subjects

Healthy volunteer subject cohorts randomized 9:3 to receive FT-4202 or placebo for 14 days continuous dosing. The first cohort will receive 100 mg of FT-4202 or placebo daily X 14 days. The maximum dose of FT-4202/placebo will be 600 mg FT-4202/placebo daily for 14 days.

Group Type EXPERIMENTAL

FT-4202/Placebo

Intervention Type DRUG

Participants will receive FT-4202/placebo and monitored for side effects while undergoing pharmacokinetics and pharmacodynamic studies

Food Effect Cohort in healthy subjects

Health Volunteer subject cohort of 10 subjects who will receive a single dose of FT-4202 with food and without food. Dose will be administered per the protocol defined dose.

Group Type EXPERIMENTAL

FT-4202/Placebo

Intervention Type DRUG

Participants will receive FT-4202/placebo and monitored for side effects while undergoing pharmacokinetics and pharmacodynamic studies

Single ascending dose cohorts in SCD subjects

Sickle cell disease subject cohort randomized 6:2 receiving a single dose of FT-4202 or placebo. The dose of FT-4202/placebo administered will be a dose that was found to be safe in healthy subjects.

Group Type EXPERIMENTAL

FT-4202/Placebo

Intervention Type DRUG

Participants will receive FT-4202/placebo and monitored for side effects while undergoing pharmacokinetics and pharmacodynamic studies

Multiple ascending dose cohorts in SCD subjects

Sickle cell disease subject cohorts randomized 9:3 to receive FT-4202 or placebo for 14 days continuous dosing. The dose of FT-4202/placebo administered will be a dose less than the maximum tolerable dose evaluated in MAD healthy volunteers.

Group Type EXPERIMENTAL

FT-4202/Placebo

Intervention Type DRUG

Participants will receive FT-4202/placebo and monitored for side effects while undergoing pharmacokinetics and pharmacodynamic studies

12-week dosing cohort in SCD subjects

Sickle cell disease subjects cohort to receive up to 84 consecutive daily doses of open-label FT-4202. The dose of FT-4202 administered will not exceed the highest dose evaluated in the MAD SCD subject cohorts

Group Type EXPERIMENTAL

FT-4202/Placebo

Intervention Type DRUG

Participants will receive FT-4202/placebo and monitored for side effects while undergoing pharmacokinetics and pharmacodynamic studies

Interventions

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FT-4202/Placebo

Participants will receive FT-4202/placebo and monitored for side effects while undergoing pharmacokinetics and pharmacodynamic studies

Intervention Type DRUG

Other Intervention Names

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Etavopivat

Eligibility Criteria

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Inclusion Criteria

* Must be between 12 and 65 years of age
* Previously diagnosed sickle cell disease (hemoglobin electrophoresis or genotype)
* Must have a minimum body weight of 40 kg (88 lbs) at the Screening Visit
* Must have the ability to understand and sign written informed consent (and assent where applicable), which must be obtained prior to any study-related procedures being completed
* All male and female patients of child bearing potential must agree to use medically accepted contraceptive regimen during study participation and for 90 days after last study drug administration
* Must be willing to abide by all study requirements and restrictions


* Subjects must be between 18 and 60 years of age
* Subjects must have the ability to understand and sign written informed consent, which must be obtained prior to any study-related procedures being completed
* Subjects must be in general good health, based upon the results of medical history, a physical examination, vital signs, laboratory profile, and a 12-lead ECG
* All males and females of child bearing potential must agree to use medically accepted contraceptive regimen during study participation and up to 90 days after
* Subjects must be willing to abide by all study requirements and restrictions

Exclusion Criteria

* Had more than 6 episodes of vaso-occlusive crisis (VOC) within the past 12 months that required a hospital, emergency room, or clinic visit
* Had a least one episode of acute chest syndrome in the last 6 months
* Received any of the following approved therapies for use in SCD:

* Hydroxurea (HU): excluded if started HU \< 90 days prior to Day 1 of study treatment
* Adakveo®: excluded if received an infusion within 14 days prior to Day 1 of study treatment
* Oxbryta®: excluded if received a dose within 7 days prior to start of Day 1 of study treatment
* Received a red blood cell transfusion within 30 days of starting the study drug
* Hemoglobin \< 7.0 g/dL or \> 10.5 g/dL
* Unable to take and absorb oral medications


* Evidence of clinically significant medical condition or other condition that might significantly interfere with the absorption, distribution, metabolism, or excretion of study drug, or place the subject at an unacceptable risk as a participant in this study
* History of clinically significant cardiac diseases including condition disturbances
* Abnormal hematologic, renal and liver function studies
* History of drug or alcohol abuse
Minimum Eligible Age

12 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Medpace, Inc.

INDUSTRY

Sponsor Role collaborator

Forma Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Cameron Trenor, MD

Role: STUDY_DIRECTOR

Forma Therapeutics, Inc.

Locations

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Woodland International Research Group (SCD subjects only)

Little Rock, Arkansas, United States

Site Status

Collaborative Neuroscience Research, LLC (SCD subjects only)

Long Beach, California, United States

Site Status

Pacific Research Partners (SCD subjects only)

Oakland, California, United States

Site Status

UCSF Benioff Children's Hospital Oakland (SCD subjects only)

Oakland, California, United States

Site Status

Advanced Pharma CR, LLC (SCD subjects only)

Miami, Florida, United States

Site Status

Children's Healthcare of Atlanta (SCD subjects only)

Atlanta, Georgia, United States

Site Status

Augusta University Medical Center (SCD subjects only)

Augusta, Georgia, United States

Site Status

University of Illinois at Chicago (SCD subjects only)

Chicago, Illinois, United States

Site Status

University of Maryland, Greenebaum Comprehensive Cancer Center (SCD subjects only)

Baltimore, Maryland, United States

Site Status

Columbia University Medical Center (SCD subjects only)

New York, New York, United States

Site Status

Levine Cancer Institute (SCD subjects only)

Charlotte, North Carolina, United States

Site Status

Duke University Medical Center (SCD subjects only)

Durham, North Carolina, United States

Site Status

University of Cincinnati Medical Center (SCD subjects only)

Cincinnati, Ohio, United States

Site Status

Medpace Clinical Pharmacology Unit (Healthy Volunteers only)

Cincinnati, Ohio, United States

Site Status

Cincinnati Children's Hospital Medical Center (SCD subjects only)

Cincinnati, Ohio, United States

Site Status

Lynn Institute of Tulsa (SCD subjects only)

Tulsa, Oklahoma, United States

Site Status

St. Jude Children's Research Hospital (SCD subjects only)

Memphis, Tennessee, United States

Site Status

The University of Texas Health Science Center at Houston (SCD subjects only)

Houston, Texas, United States

Site Status

Countries

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United States

References

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Saraf SL, Hagar R, Idowu M, Osunkwo I, Cruz K, Kuypers FA, Brown RC, Geib J, Ribadeneira M, Schroeder P, Wu E, Forsyth S, Kelly PF, Kalfa TA, Telen MJ. Multicenter, phase 1 study of etavopivat (FT-4202) treatment for up to 12 weeks in patients with sickle cell disease. Blood Adv. 2024 Aug 27;8(16):4459-4475. doi: 10.1182/bloodadvances.2023012467.

Reference Type DERIVED
PMID: 38640200 (View on PubMed)

Forsyth S, Schroeder P, Geib J, Vrishabhendra L, Konstantinidis DG, LaSalvia K, Ribadeneira MD, Wu E, Kelly P, Kalfa TA. Safety, Pharmacokinetics, and Pharmacodynamics of Etavopivat (FT-4202), an Allosteric Activator of Pyruvate Kinase-R, in Healthy Adults: A Randomized, Placebo-Controlled, Double-Blind, First-in-Human Phase 1 Trial. Clin Pharmacol Drug Dev. 2022 May;11(5):654-665. doi: 10.1002/cpdd.1058. Epub 2022 Jan 12.

Reference Type DERIVED
PMID: 35019238 (View on PubMed)

Other Identifiers

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4202-HVS-101

Identifier Type: -

Identifier Source: org_study_id

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