Expanded Access Protocol for Adults and Pediatric Patients With Sickle Cell Disease Who Have No Alternative Treatment Options

NCT ID: NCT04724421

Last Updated: 2024-11-20

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

NO_LONGER_AVAILABLE

Study Classification

EXPANDED_ACCESS

Brief Summary

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The objective of this Expanded Access Protocol (EAP) is to provide voxelotor for the treatment of sickle cell disease (SCD): The study GBT440-041 is the EAP for pediatric patients aged 6 months to 11 years who have no alternative treatment options and are ineligible to participate in a clinical trial of voxelotor and the study C5341057 is the EAP for adults/adolescents 12 years of age and older for patients who cannot satisfactorily be treated with an authorized medicinal product

Detailed Description

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This EAP may continue until such time that voxelotor is commercially available or the Sponsor discontinues the voxelotor EAP.

Please note that for US sites, enrollment is open only for 6months to \< 4 years of age.

Conditions

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Sickle Cell Disease

Interventions

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Voxelotor

tablet or powder for oral suspension

Intervention Type DRUG

Other Intervention Names

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GBT440

Eligibility Criteria

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Inclusion Criteria

1. Documented diagnosis of sickle cell disease of any genotype
2. Ineligible or unable to participate in actively recruiting clinical studies of voxelotor
3. Baseline hemoglobin (Hb) ≤10.5 g/dL
4. No alternative treatment options in the judgement of the treating Investigator
5. Participants who, if female of childbearing potential (post-menarche), and are sexually active, agree to use highly effective methods of contraception from study start to 30 days after the last dose of voxelotor
6. Written informed parental/guardian consent and participant assent (if applicable) has been obtained per Institutional Review Board (IRB) policy and requirements, consistent with International Council for Harmonisation (ICH) guidelines


1. Documented diagnosis of SCD of any genotype confirmed by laboratory genetic testing
2. Aged 12 years and older
3. Haemoglobin ≥5.5 and ≤ 10.5 g/dL, based on a test performed according to local standard of care
4. Patient cannot be treated satisfactorily with any authorised medicinal product
5. Patient or their legal representative has provided written informed consent to participate in the voxelotor EAP for the treatment of SCD
6. Patient or their legal representative has provided written informed consent on data processing and protection

Exclusion Criteria

1. Receiving chronic red blood cell (RBC) transfusion therapy for primary or secondary stroke prevention
2. Hepatic dysfunction characterized by alanine aminotransferase (ALT) \>4 × the upper limit of normal (ULN) for age
3. Severe renal dysfunction (estimated glomerular filtration rate \[eGFR\] \<30 mL/min/1.73 m2 by Schwartz formula)
4. Clinically significant bacterial, fungal, parasitic, or viral infection that requires therapy:

1. Patients with acute bacterial infection requiring antibiotic use should delay screening/enrollment until the course of antibiotic therapy has been completed.
2. Patients with known active hepatitis A, B, or C or who are known to be Human Immunodeficiency Virus (HIV) positive
5. Any condition affecting drug absorption, such as major surgery involving the stomach or small intestine (prior cholecystectomy is acceptable)
6. Female who is pregnant or breastfeeding
7. Participated in another clinical trial of an investigational drug or medical device, within 30 days or 5 half-lives of the investigational drug (whichever is longer) prior to informed consent for the EAP, or is currently participating in another trial of an investigational drug or medical device
8. Medical, psychological, or behavioral conditions, that, in the opinion of the Investigator, may preclude informed consent, safe participation, or compliance with the protocol procedures
9. Use of herbal medications (eg, St. John's wort), sensitive cytochrome P450 (CYP) 3A4 substrates with a narrow therapeutic index, or strong CYP3A4 inducers
10. Active symptomatic COVID-19 infection


1. Patients with clinically significant bacterial, fungal, parasitic or viral infection which requires therapy.
2. History of serious drug hypersensitivity reaction to voxelotor or excipients
3. Participated in another clinical trial of an investigational agent (or medical device) within 30 days of participation in EAP.
4. Medical, psychological, or behavioral condition that, in the opinion of the study doctor, would confound or interfere with evaluation of safety and/or effectiveness of the study drug, prevent compliance with the study protocol; preclude informed consent; or render the participant unable/unlikely to comply with the study procedures
Minimum Eligible Age

6 Months

Maximum Eligible Age

11 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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Phoenix Children's Hospital

Phoenix, Arizona, United States

Site Status

Rady Children's Hospital San Diego

San Diego, California, United States

Site Status

Nemours/Alfred I. duPont Hospital for Children

Wilmington, Delaware, United States

Site Status

Children's National Hospital / Children's National Health System

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

Site Status

Children's National Medical Center

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

Site Status

Baptist Medical Center/Wolfson Children's Hospital

Jacksonville, Florida, United States

Site Status

Nemours Children's Health, Jacksonville

Jacksonville, Florida, United States

Site Status

Nemours Children's Hospital

Orlando, Florida, United States

Site Status

Children's Healthcare of Atlanta Scottish Rite

Atlanta, Georgia, United States

Site Status

AU Medical Center Clinical Research Pharmacy

Augusta, Georgia, United States

Site Status

Augusta University

Augusta, Georgia, United States

Site Status

Children's Hospital of Georgia

Augusta, Georgia, United States

Site Status

Memorial Health University Medical Center

Savannah, Georgia, United States

Site Status

Tulane Lakeside

Metairie, Louisiana, United States

Site Status

Tulane University Hospitals and Clinics

New Orleans, Louisiana, United States

Site Status

Children's Hospital

New Orleans, Louisiana, United States

Site Status

Childrens Hospital of NOLA

New Orleans, Louisiana, United States

Site Status

University Of Michigan Hospitals

Ann Arbor, Michigan, United States

Site Status

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey, United States

Site Status

Newark Beth Israel Medical Center & Children's Hospital of New Jersey

Newark, New Jersey, United States

Site Status

BronxCare Health System

The Bronx, New York, United States

Site Status

Jacobi Medical Center

The Bronx, New York, United States

Site Status

East Carolina University Brody School of Medicine(ECU)

Greenville, North Carolina, United States

Site Status

ECU Physicians, Brody Outpatient Clinic

Greenville, North Carolina, United States

Site Status

University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States

Site Status

Medical University of South Carolina: Investigational Drug Services Pharmacy

Charleston, South Carolina, United States

Site Status

Medical University of South Carolina: Shawn Jenkins Women's and Children's Hospital

Charleston, South Carolina, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Prisma Health - Upstate

Greenville, South Carolina, United States

Site Status

St. Jude Children's Research Hospital

Memphis, Tennessee, United States

Site Status

Cook Children's Health Care System

Fort Worth, Texas, United States

Site Status

Pediatric Specialists of Virginia (Inova Ashburn HealthPlex)

Ashburn, Virginia, United States

Site Status

Pediatric Specialists of Virginia (Schar Cancer Institute)

Fairfax, Virginia, United States

Site Status

Multihemo Serviços Médicos S/A

Recife, Pernambuco, Brazil

Site Status

Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto - USP

Ribeirão Preto, São Paulo, Brazil

Site Status

HEMORIO - Hematologia Laboratorial

Rio de Janeiro, , Brazil

Site Status

ESHO Empresa de Serviços Hospitalares S.A/ Hospital Samaritano de Higienópolis

São Paulo, , Brazil

Site Status

Countries

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United States Brazil

Related Links

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https://pmiform.com/clinical-trial-info-request?StudyID=GBT440-041

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

Other Identifiers

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C5341025

Identifier Type: OTHER

Identifier Source: secondary_id

GBT440-041

Identifier Type: OTHER

Identifier Source: secondary_id

C5341057

Identifier Type: OTHER

Identifier Source: secondary_id

C534 Expanded Access

Identifier Type: -

Identifier Source: org_study_id

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