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

NCT ID: NCT04218084

Last Updated: 2025-06-13

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

236 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-11

Study Completion Date

2024-11-06

Brief Summary

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This study is a Phase 3, randomized, double-blind, placebo-controlled study of voxelotor in pediatric participants, aged ≥ 2 to \< 15 years old, with Sickle Cell Disease. The primary objective is to evaluate the effect of voxelotor on the TCD (Transcranial Doppler Ultrasound) measurements in SCD participants in this age range.

Detailed Description

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This study is a Phase 3, randomized, double-blind, placebo-controlled study of voxelotor in pediatric participants, aged ≥ 2 to \< 15 years old, with Sickle Cell Disease. The study will be conducted at approximately 50 international clinical sites, and will enroll approximately 224 participants. Participants will be randomized in a 1:1 ratio to receive voxelotor or placebo. All participants younger than 12 years of age and randomized to voxelotor will receive a dose based on their body weight, to provide exposure corresponding to the adult dose of 1500 mg/day.

Conditions

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Sickle Cell Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
Double-Blind, Placebo-Controlled

Study Groups

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Voxelotor

Voxelotor 1500mg or equivalent daily as a tablet, dispersible tablet, or as powder for oral suspension.

Group Type EXPERIMENTAL

Voxelotor

Intervention Type DRUG

Participants are randomized 1:1 to receive voxelotor or placebo.

Placebo

Matching placebo.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matching placebo.

Interventions

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Voxelotor

Participants are randomized 1:1 to receive voxelotor or placebo.

Intervention Type DRUG

Placebo

Matching placebo.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male or female participants with Sickle Cell Anemia (SCA) HbSS, HbSβ0 thalassemia genotype
2. TCD time averaged maximum of the mean velocity (TAMMV) arterial cerebral blood flow ≥ 170 to \< 200cm/sec during the Screening Period
3. Hb ≥ 5.5 and ≤ 10.5 g/dL during screening
4. For participants taking HU, the dose of HU (mg/kg) must be stable for at least 90 days prior to signing the informed consent form (ICF) and/or assent form, and with no anticipated need for dose adjustments (other than weight based) or for initiation of HU for non-chronic use during the study, in the opinion of the Investigator
5. Written informed parental/guardian consent and participant assent (where applicable) has been obtained per IRB/EC policy and requirements, consistent with ICH guidelines.

Exclusion Criteria

1. Body weight \< 10kg at the screening visit
2. Hospitalization for VOC or acute chest syndrome (ACS) within the 14 days prior to execution of informed consent/assent
3. More than 10 VOCs within the past 12 months that required hospitalization, emergency room, or clinic visit
4. Stroke resulting in focal neurological deficit; previous silent infarcts are permitted.
5. Known history or findings suggestive of significant cerebral vasculopathy
6. History of seizure disorder
7. Has been treated with erythropoietin or other hematopoietic growth factors within 28 days of signing informed consent/assent or if, in the opinion of the Investigator, there is an anticipated need for such agents during the study
8. RBC transfusion therapy (also termed chronic, prophylactic, or preventative transfusion) or has received an RBC transfusion or exchange transfusion for any reason within 90 days of signing the informed consent/assent
Minimum Eligible Age

2 Years

Maximum Eligible Age

14 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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Children's National Medical Center

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

Site Status

University of Miami

Miami, Florida, United States

Site Status

Children's Healthcare of Atlanta: Hughes Spalding

Atlanta, Georgia, United States

Site Status

Boston Children's Hospital

Boston, Massachusetts, United States

Site Status

University of Mississippi Medical Center

Jackson, Mississippi, United States

Site Status

The Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Texas Children's Hospital- Wallace Tower

Houston, Texas, United States

Site Status

Alexandria Clinical Research Center, Faculty of Medicine, Alexandria University

Alexandria, , Egypt

Site Status

Zagazig University Hospital

Alexandria, , Egypt

Site Status

Abu El Rich Hospital, Cairo University Hospital

Cairo, , Egypt

Site Status

Ain Shams University Hospital-Clinical Research Center (MASRI)

Cairo, , Egypt

Site Status

Department of Child Health, University of Ghana Medical School, College of Health Sciences

Accra, , Ghana

Site Status

Komfo Anokye Teaching Hospital

Kumasi, , Ghana

Site Status

Azienda Ospedaliera Universitaria (AOU) Meyer

Florence, , Italy

Site Status

Azienda Ospedaliera Universitaria (A.O.U.) "Luigi Vanvitelli"

Napoli, , Italy

Site Status

Azienda Ospedaliera Universita (AOU) Padova

Padua, , Italy

Site Status

Kemri/Crdr,Siaya,Kemri Clinical Research Annex

Kisumu, Siaya County, Kenya

Site Status

KEMRI CRDR Clinical Research Annex

Nairobi, , Kenya

Site Status

Strathmore University Medical Centre

Nairobi, , Kenya

Site Status

Gertrude's Children Hospital

Nairobi, , Kenya

Site Status

University of Nigeria Teaching Hospital

Enugu, , Nigeria

Site Status

College of Medicine, University of Ibadan

Ibadan, , Nigeria

Site Status

Barau Dikko Teaching/ Kaduna State University

Kaduna, , Nigeria

Site Status

Aminu Kano Teaching Hospital

Kano, , Nigeria

Site Status

Lagos University Teaching Hospital

Lagos, , Nigeria

Site Status

Sultan Qaboos University Hospital

Muscat, , Oman

Site Status

King Abdullah International Medical Research Center (KAIMR) Ministry of National Guard - Health

Riyadh, , Saudi Arabia

Site Status

Barts Health NHS Trust

London, , United Kingdom

Site Status

Countries

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United States Egypt Ghana Italy Kenya Nigeria Oman Saudi Arabia United Kingdom

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=GBT440-032

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

Other Identifiers

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2017-000903-26

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

C5341021

Identifier Type: OTHER

Identifier Source: secondary_id

GBT440-032

Identifier Type: -

Identifier Source: org_study_id

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