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
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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COMPLETED
PHASE1
130 participants
INTERVENTIONAL
2018-12-11
2021-12-17
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
SEQUENTIAL
TREATMENT
QUADRUPLE
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.
FT-4202/Placebo
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.
FT-4202/Placebo
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.
FT-4202/Placebo
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.
FT-4202/Placebo
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.
FT-4202/Placebo
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
FT-4202/Placebo
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
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* 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 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
12 Years
65 Years
ALL
Yes
Sponsors
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Medpace, Inc.
INDUSTRY
Forma Therapeutics, Inc.
INDUSTRY
Responsible Party
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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
Collaborative Neuroscience Research, LLC (SCD subjects only)
Long Beach, California, United States
Pacific Research Partners (SCD subjects only)
Oakland, California, United States
UCSF Benioff Children's Hospital Oakland (SCD subjects only)
Oakland, California, United States
Advanced Pharma CR, LLC (SCD subjects only)
Miami, Florida, United States
Children's Healthcare of Atlanta (SCD subjects only)
Atlanta, Georgia, United States
Augusta University Medical Center (SCD subjects only)
Augusta, Georgia, United States
University of Illinois at Chicago (SCD subjects only)
Chicago, Illinois, United States
University of Maryland, Greenebaum Comprehensive Cancer Center (SCD subjects only)
Baltimore, Maryland, United States
Columbia University Medical Center (SCD subjects only)
New York, New York, United States
Levine Cancer Institute (SCD subjects only)
Charlotte, North Carolina, United States
Duke University Medical Center (SCD subjects only)
Durham, North Carolina, United States
University of Cincinnati Medical Center (SCD subjects only)
Cincinnati, Ohio, United States
Medpace Clinical Pharmacology Unit (Healthy Volunteers only)
Cincinnati, Ohio, United States
Cincinnati Children's Hospital Medical Center (SCD subjects only)
Cincinnati, Ohio, United States
Lynn Institute of Tulsa (SCD subjects only)
Tulsa, Oklahoma, United States
St. Jude Children's Research Hospital (SCD subjects only)
Memphis, Tennessee, United States
The University of Texas Health Science Center at Houston (SCD subjects only)
Houston, Texas, United States
Countries
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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.
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.
Other Identifiers
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4202-HVS-101
Identifier Type: -
Identifier Source: org_study_id
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