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Safety of Rivipansel (GMI-1070) in the Treatment of One or More Vaso-Occlusive Crises in Hospitalized Subjects With Sickle Cell Disease

Phase 3
Terminated
Conditions
Sickle Cell Anemia
Sickle Cell Disease
Sickle Cell Disorders
Pain Crisis
Vaso-occlusive Crisis
Interventions
Registration Number
NCT02433158
Lead Sponsor
GlycoMimetics Incorporated
Brief Summary

This is an open label extension study in subjects with Sickle Cell Disease (SCD) who have completed the double blind Phase 3 study (B5201002).

Detailed Description

This is an open label extension study in subjects who are 6 years of age or older with Sickle Cell Disease (SCD) who have completed the double blind Phase 3 study (B5201002). This study is designed to evaluate the safety and describe the efficacy of rivipansel as treatment for one or more vaso-occlusive crisis (VOC) events in hospitalized subjects with SCD.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
154
Inclusion Criteria
  • Completion of Study B5201002.
  • Documented diagnosis of SCD.
  • At least 6 years of age.
  • Male and female subjects of childbearing potential and at risk for pregnancy must agree to use a highly effective method of contraception throughout the study.
  • Diagnosis of VOC necessitating IV opioids and admission to the hospital.
  • Able to receive the first dose of rivipansel within 24 hours from administration of the first dose of IV opioids for this hospitalization.
Exclusion Criteria
  • Non-compliance with study procedures in the double blind study (B5201002).
  • Occurrence of any severe and/or generalized cutaneous manifestation or any other adverse event during participation in Study B5201002 that was related to study drug and which would therefore make it inappropriate for the subject to receive rivipansel in the current study.
  • Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or study drug administration or may interfere with the interpretation of study results.
  • Clinically significant deterioration in renal function in Study B5201002.
  • Pregnant female subjects, breastfeeding female subjects and male and female subjects of childbearing potential who are unwilling or unable to use a highly effective method of contraception.
  • Active use of illicit drugs and/or alcohol dependence.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Cohort 1RivipanselIncludes one adult stratum (\>18 years old) and one pediatric stratum (12-17 years old). Subjects aged 12 and over who weigh \>40 kg, will receive a loading dose of 1680 mg followed by a maintenance dose of 840 mg.
Cohort 2RivipanselIncludes one pediatric stratum (6-11 years old). Subjects 6 to 11 years of age or subjects who weigh 40 kg, will receive a loading dose of 40 mg/kg (maximum of 1680 mg) followed by a maintenance dose of 20 mg/kg (maximum of 840 mg).
Primary Outcome Measures
NameTimeMethod
Number (%) of subjects with treatment emergent adverse events (TEAEs) over the study.18 months

Number (%) of subjects with treatment emergent adverse events (TEAEs) over the study, number of TEAEs over the study and rate of TEAEs per subject per Vaso-Occlusive Crisis (VOC) will be summarized overall, by system organ class and by preferred term.

Number (%) of subjects with adjudicated Acute Chest Syndrome (ACS) over the study.18 months

Number (%) of subjects with adjudicated Acute Chest Syndrome (ACS) over the study, number of events of adjudicated ACS and the rates of these events per subject per Vaso-Occlusive Crisis (VOC) will be summarized.

Number (%) of subjects with adjudicated severe and/or generalized cutaneous manifestations over the study18 months

Number (%) of subjects with adjudicated severe and/or generalized cutaneous manifestations over the study, number of events of adjudicated severe and/or generalized cutaneous manifestations and the rates of these events per subject per Vaso-Occlusive Crisis (VOC) will be summarized.

Number (%) of subjects with serious adverse events (SAEs) over the study.18 months

Number (%) of subjects with serious adverse events (SAEs) over the study, number of SAEs over the study and rate of SAEs per subject per VOC will be summarized overall, by system organ class and by preferred term.

Secondary Outcome Measures
NameTimeMethod
Subject re hospitalization18 months

Number (%) of subjects re hospitalized for VOC within 7, 14, and 30 days of most recent discharge will be provided overall. Number of re hospitalizations for VOC within 7, 14, and 30 days of most recent discharge and the rate of re hospitalization for VOC within 7, 14, and 30 days of most recent discharge per subject per VOC will be provided as well.

Trial Locations

Locations (96)

University of Maryland Medical System

🇺🇸

Baltimore, Maryland, United States

The Johns Hopkins University School of Medicine

🇺🇸

Baltimore, Maryland, United States

Johns Hopkins Medicine

🇺🇸

Baltimore, Maryland, United States

The Hospital for Sick Children

🇨🇦

Toronto, Ontario, Canada

University of South Alabama Women's and Children's Hospital

🇺🇸

Mobile, Alabama, United States

MedStar Health Research Institute

🇺🇸

Washington, District of Columbia, United States

Arkansas Children's Hospital Research Pharmacy

🇺🇸

Little Rock, Arkansas, United States

Howard University Center for Sickle Cell disease

🇺🇸

Washington, District of Columbia, United States

Arkansas Children's Hospital

🇺🇸

Little Rock, Arkansas, United States

University of Maryland Medical System Investigational Pharmacy

🇺🇸

Baltimore, Maryland, United States

Johns Hopkins Department of Medicine Clinical Trials Unit

🇺🇸

Baltimore, Maryland, United States

Columbia University Medical Center Research Pharmacy

🇺🇸

New York, New York, United States

Kings County Hospital Center

🇺🇸

Brooklyn, New York, United States

Rhode Island Hospital-Pharmacy Service

🇺🇸

Providence, Rhode Island, United States

The Miriam Hospital

🇺🇸

Providence, Rhode Island, United States

Emory Children's Center

🇺🇸

Atlanta, Georgia, United States

Children's Healthcare of Atlanta Aflac Cancer and Blood Disorders Center:

🇺🇸

Atlanta, Georgia, United States

The University of Chicago/Comer Children's Hospital

🇺🇸

Chicago, Illinois, United States

Grady Health System

🇺🇸

Atlanta, Georgia, United States

Children's Healthcare of Atlanta Aflac Cancer and Blood Disorders Center/

🇺🇸

Atlanta, Georgia, United States

The Ohio State University Wexner Medical Center

🇺🇸

Columbus, Ohio, United States

UPMC Presbyterian

🇺🇸

Pittsburgh, Pennsylvania, United States

The Ohio State University Investigational Drug Services

🇺🇸

Columbus, Ohio, United States

Boston Children's Hospital

🇺🇸

Boston, Massachusetts, United States

Brigham and Women's Hospital

🇺🇸

Boston, Massachusetts, United States

University of Texas Medical School

🇺🇸

Houston, Texas, United States

Jackson Memorial Hospital

🇺🇸

Miami, Florida, United States

University of Miami

🇺🇸

Miami, Florida, United States

Duke University Hospital, Investigational Drug Service

🇺🇸

Durham, North Carolina, United States

Children's Hospital of Michigan

🇺🇸

Detroit, Michigan, United States

Duke University Medical Center

🇺🇸

Durham, North Carolina, United States

University of Cincinnati - Hoxworth Building

🇺🇸

Cincinnati, Ohio, United States

University of Cincinnati Medical Center / Investigational Pharmacy

🇺🇸

Cincinnati, Ohio, United States

University of Cincinnati Medical Center / Research Office

🇺🇸

Cincinnati, Ohio, United States

Primary Children's Hospital Laboratory

🇺🇸

Salt Lake City, Utah, United States

University of Mississippi Medical Center

🇺🇸

Jackson, Mississippi, United States

Children's Hospital of Eastern Ontario

🇨🇦

Ottawa, Ontario, Canada

Golisano Childrens Hospital of Southwest Florida

🇺🇸

Fort Myers, Florida, United States

Howard University Hospital

🇺🇸

Washington, District of Columbia, United States

Memorial Family Medicine Center

🇺🇸

Savannah, Georgia, United States

Children's Healthcare of Atlanta: Scottish Rite Campus

🇺🇸

Atlanta, Georgia, United States

The Johns Hopkins Hospital Department of Pharmacy Services

🇺🇸

Baltimore, Maryland, United States

University of Chicago, Investigational Drug Service Pharmacy

🇺🇸

Chicago, Illinois, United States

Investigational Drug Services

🇺🇸

Boston, Massachusetts, United States

University of Mississippi Medical Center - Outpatient Clinical Research Unit

🇺🇸

Jackson, Mississippi, United States

Center for Outpatient Health

🇺🇸

Saint Louis, Missouri, United States

Center for Advanced Medicine

🇺🇸

Saint Louis, Missouri, United States

Barnes-Jewish Hospital Department of Pharmacy

🇺🇸

Saint Louis, Missouri, United States

Bristol Myers Squibb Children's Hospital at Robert Wood Johnson University Hospital

🇺🇸

New Brunswick, New Jersey, United States

Rutgers Cancer Institute of New Jersey

🇺🇸

New Brunswick, New Jersey, United States

State University of New York (SUNY) Downstate Medical Center

🇺🇸

Brooklyn, New York, United States

MS CHONY Pediatric Emergency Department

🇺🇸

New York, New York, United States

MS CHONY Pediatric Hematology/Oncology Unit

🇺🇸

New York, New York, United States

East Carolina University Brody School of Medicine

🇺🇸

Greenville, North Carolina, United States

East Carolina University, Brody School of Medicine

🇺🇸

Greenville, North Carolina, United States

Vidant Medical Center

🇺🇸

Greenville, North Carolina, United States

University of Cincinnati Physicians Company LLC

🇺🇸

Cincinnati, Ohio, United States

The Ohio State University James Comprehensive Cancer Hospital & Solove Research Institute

🇺🇸

Columbus, Ohio, United States

Cook Children's Hematology and Oncology Center

🇺🇸

Fort Worth, Texas, United States

Cook Children's Hematology and Oncology Center-Grapevine

🇺🇸

Grapevine, Texas, United States

The Montreal Children's Hospital / McGill University Health Centre

🇨🇦

Montreal, Quebec, Canada

Centre Hospitalier Universitaire Sainte-Justine

🇨🇦

Montreal, Quebec, Canada

Memorial Health University Medical Center

🇺🇸

Savannah, Georgia, United States

Rutgers-Robert Wood Johnson Medical School

🇺🇸

New Brunswick, New Jersey, United States

St. Mary's Medical Center

🇺🇸

West Palm Beach, Florida, United States

Center for Clinical Investigation, Brigham and Women's Hospital

🇺🇸

Boston, Massachusetts, United States

University of Cincinnati Medical Center

🇺🇸

Cincinnati, Ohio, United States

Barnes-Jewish Hospital

🇺🇸

Saint Louis, Missouri, United States

Primary Children's Hospital

🇺🇸

Salt Lake City, Utah, United States

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

Leo W. Jenkins Cancer Center

🇺🇸

Greenville, North Carolina, United States

The Ohio State University Wexner Center East

🇺🇸

Columbus, Ohio, United States

UPMC Hillman Cancer Center

🇺🇸

Pittsburgh, Pennsylvania, United States

UC Health Ridgeway Hospital

🇺🇸

Cincinnati, Ohio, United States

Cook Children's Medical Center

🇺🇸

Fort Worth, Texas, United States

SUNY Downstate Medical Center University Hospital of Brooklyn

🇺🇸

Brooklyn, New York, United States

University of California Davis Medical Center

🇺🇸

Sacramento, California, United States

UC Davis Medical Center Main Hospital

🇺🇸

Sacramento, California, United States

Medical University of South Carolina Lifespan Comprehensive Sickle Cell Center

🇺🇸

Charleston, South Carolina, United States

Medical University of South Carolina-Hospital

🇺🇸

Charleston, South Carolina, United States

Medical University of South Carolina

🇺🇸

Charleston, South Carolina, United States

MUSC Investigational Drug Services

🇺🇸

Charleston, South Carolina, United States

Main Hospital-VCU

🇺🇸

Richmond, Virginia, United States

Virginia Commonwealth University - Investigational Drug Services

🇺🇸

Richmond, Virginia, United States

Virginia Commonwealth University- Clinical Research Services Unit

🇺🇸

Richmond, Virginia, United States

Jacobi Medical Center

🇺🇸

Bronx, New York, United States

Royal Alexandra Hospital

🇨🇦

Edmonton, Alberta, Canada

Miseracordia Community Hospital

🇨🇦

Edmonton, Alberta, Canada

Kaye Edmonton Clinic 3C

🇨🇦

Edmonton, Alberta, Canada

University of Alberta Hospital, Pharmacy Services

🇨🇦

Edmonton, Alberta, Canada

Stollery Children's Hospital

🇨🇦

Edmonton, Alberta, Canada

University of Alberta Hospital

🇨🇦

Edmonton, Alberta, Canada

Research transition Facility

🇨🇦

Edmonton, Alberta, Canada

Grey Nuns Community Hospital

🇨🇦

Edmonton, Alberta, Canada

Rhode Island Hospital

🇺🇸

Providence, Rhode Island, United States

Hasbro Children's Hospital

🇺🇸

Providence, Rhode Island, United States

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