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Study to Assess the Effect of Long-term Treatment With Voxelotor in Participants Who Have Completed Treatment in Study GBT440-031

Phase 3
Terminated
Conditions
Sickle Cell Disease
Interventions
Registration Number
NCT03573882
Lead Sponsor
Pfizer
Brief Summary

Open Label Extension Study of Voxelotor Clinical Trial Participants with Sickle Cell Disease Who Participated in Voxelotor Clinical Trials

Detailed Description

This open label extension (OLE), multi-center study will be conducted at approximately 100 clinical sites globally and will be available to eligible participants from study GBT440-031.

The study will enroll participants from GBT440-031 (approximately 435) under any of the following conditions:

* Participant has completed 72 weeks of treatment regardless of dose selection for GBT440-031

* Dose selection has occurred for GBT440-031 and participant is on non-selected dose on GBT440-031

* GBT440-031 study interim data analysis and/or study modifications have occurred

* GBT440-031 study has completed

The objective of this open-label extension (OLE) study is to assess the long-term safety and treatment effect of voxelotor in participants who have completed treatment in study GBT440-031, using the following parameters:

1. Safety based upon AEs, clinical laboratory tests, physical examinations (PE) and other clinical measures.

2. Frequency of sickle cell disease (SCD)-related complications.

3. Hemolytic anemia as measured by hematological laboratory parameters (e.g. hemoglobin, reticulocytes and unconjugated bilirubin).

All participants will receive daily voxelotor treatment.

Participants may receive study drug as long they continue to receive clinical benefit which outweighs risk as determined by the Investigator and/or until the participant has access to voxelotor from an alternative source (i.e., commercialization or through a managed access program).

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
179
Inclusion Criteria
  • Male or female study participants with SCD who participated and received study treatment in Study GBT440-031.

Note: Participants in GBT440-031 who discontinued study drug due to an AE, but who remained on study may be eligible for treatment in this study provided the AE does not pose a risk for treatment with voxelotor.

  • Females of child-bearing potential are required to have a negative urine pregnancy test prior to dosing on Day 1.
  • Female participants of child-bearing potential must use highly effective methods of contraception to 30 days after the last dose of study drug. Male participants must use barrier methods of contraception to 30 days after the last dose of study drug.
  • Participant has provided written informed consent or assent (the ICF must be reviewed and signed by each participant; in the case of pediatric participants, both the consent of the participant's legal representative or legal guardian, and the participant's assent must be obtained).
Exclusion Criteria
  • Female who is breast-feeding or pregnant.
  • Participant withdrew consent from Study GBT440-031.
  • Participant was lost to follow-up from Study GBT440-031.
  • Participant requiring chronic dialysis.
  • Any medical, psychological, safety, or behavioral conditions, which, in the opinion of the Investigator, may confound safety interpretation, interfere with compliance, or preclude informed consent.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
VoxelotorVoxelotorParticipants will receive voxelotor (GBT440) at the highest dose (either 900 mg or 1500 mg) deemed safe by the Data Safety Monitoring Board (DSMB).
Primary Outcome Measures
NameTimeMethod
Number of participants with treatment-related adverse events as assessed by CTCAE v4.03Five Years

Safety based on Adverse Events

Frequency of sickle cell-related complicationsFive Years

Frequency of SCD-related complications with long-term dosing with voxelotor.

Secondary Outcome Measures
NameTimeMethod
Response in Hemolytic AnemiaFive Years

Measured by Hemoglobin, Bilirubin, and Reticulocyte counts

Trial Locations

Locations (65)

Children's Healthcare of Atlanta at Hughes Spalding

🇺🇸

Atlanta, Georgia, United States

University of Illinois Hospital and Health Science System

🇺🇸

Chicago, Illinois, United States

Dana Farber Cancer Institute

🇺🇸

Boston, Massachusetts, United States

University of Illinois at Chicago Clinical Research Center

🇺🇸

Chicago, Illinois, United States

Brigham and Women's Hospital

🇺🇸

Boston, Massachusetts, United States

Brigham and Women's Hospital Research Pharmacy

🇺🇸

Boston, Massachusetts, United States

University of Pittsburgh Medical Center (UPMC)

🇺🇸

Pittsburgh, Pennsylvania, United States

Jackson Memorial Hospital (Investigational Drug Services)

🇺🇸

Miami, Florida, United States

Jackson Memorial Hospital

🇺🇸

Miami, Florida, United States

University of Miami Hospital & Clinics/SCCC, Research Pharmacy (Investigational Drug Services)

🇺🇸

Miami, Florida, United States

University of Miami

🇺🇸

Miami, Florida, United States

Duke University Medical Center

🇺🇸

Durham, North Carolina, United States

Investigational Drug Service, Duke University Hospital

🇺🇸

Durham, North Carolina, United States

Barts Health NHS Trust

🇬🇧

London, Greater London, United Kingdom

Imperial College Healthcare NHS Trust, Hammersmith Hospital

🇬🇧

London, United Kingdom

McMillan Cancer Centre

🇬🇧

London, United Kingdom

Azienda Ospedaliera di Padova

🇮🇹

Padova, Padova Veneto, Italy

Toronto General Hospital-University Health Network

🇨🇦

Toronto, Ontario, Canada

Hôpital Européen Georges Pompidou

🇫🇷

Paris, ÃŽle-de-france, France

Adana Acibadem Hospital

🇹🇷

Adana, Turkey

KEMRI/CRDR - Kenya Medical Research Insititute - Center for respiratory Disease Research

🇰🇪

Nairobi, Kenya

Texas Children's Hospital - Investigational Pharmacy

🇺🇸

Houston, Texas, United States

Erciyes Universitesi Tip Fakultesi Hastanesi

🇹🇷

Istanbul, İ̇stanbul, Turkey

Homerton University Hospital NHS Foundation Trust

🇬🇧

London, Greater London, United Kingdom

Hôpital Européen Georges Pompidou - Medecine Interne

🇫🇷

Paris, France

Texas Children's Hospital

🇺🇸

Houston, Texas, United States

Erciyes Universitesi Tip Fakultesi

🇹🇷

Kayseri, Turkey

Mersin Universitesi Tip Fakultesi Saglik Arastirma ve Uygulama Hastanesi

🇹🇷

Mersin, Turkey

Guys and St. Thomas Hospital NHS Foundation Trust

🇬🇧

Great Maze Pond, London, United Kingdom

King's College Hospital

🇬🇧

London, United Kingdom

Nini Hospital

🇱🇧

Tripoli, Lebanon

Arkansas Primary Care Clinic, PA

🇺🇸

Little Rock, Arkansas, United States

UCSF Benioff Children's Hospital Oakland

🇺🇸

Oakland, California, United States

Children's Healthcare of Atlanta - Scottish Rite

🇺🇸

Atlanta, Georgia, United States

Indiana Hemophilia and Thrombosis Center

🇺🇸

Indianapolis, Indiana, United States

The Johns Hopkins Hospital

🇺🇸

Baltimore, Maryland, United States

Johns Hopkins University/Sickle Cell Infusion Center

🇺🇸

Baltimore, Maryland, United States

Montefiore - Einstein Center for Cancer Care

🇺🇸

Bronx, New York, United States

Columbia University Medical Center - Herbert Irving Pavilion

🇺🇸

New York, New York, United States

Guys and STt Thomas NHS Foundation Trust

🇬🇧

Great Maze Pond, London, United Kingdom

Newark Beth Israel Medical Center

🇺🇸

Newark, New Jersey, United States

ErasmusMC

🇳🇱

Rotterdam, Netherlands

Sultan Qaboos University Hospital

🇴🇲

Muscat, Oman

The Egyptian Thalassemia Association ( E.T.A)

🇪🇬

Cairo, Egypt

Methodist Comprehensive Sickle Cell Clinic

🇺🇸

Memphis, Tennessee, United States

Alexandria Clinical Research Center, Faculty of Medicine, Alexandria University

🇪🇬

Alexandria, Egypt

St. Jude Affiliate Clinic Baton Rouge

🇺🇸

Baton Rouge, Louisiana, United States

American University of Beirut

🇱🇧

Beirut, Lebanon

Abu El Rich Hospital,Cairo University Hospital

🇪🇬

Cairo, Egypt

Ain Shams University Hospital

🇪🇬

Cairo, Egypt

Our Lady of the Lake Physician Group-Medical Oncology

🇺🇸

Baton Rouge, Louisiana, United States

Alexandria Clinical Research Center, Faculty of Medicine

🇪🇬

Alexandria, Egypt

Zagazig University Hospital

🇪🇬

Alsharkia, Egypt

Centres for Disease Control and Prevention

🇰🇪

Siaya, Kisumu, Kenya

Gertrude's Children's Hospital

🇰🇪

Nairobi, Kenya

Academic Medical Center(AMC)

🇳🇱

Amsterdam, Netherlands

University Medical Center New Orleans

🇺🇸

New Orleans, Louisiana, United States

Children's Hospital of Michigan

🇺🇸

Detroit, Michigan, United States

UNC Hospitals

🇺🇸

Chapel Hill, North Carolina, United States

Clinical and Translational Research Center (CTRC)

🇺🇸

Chapel Hill, North Carolina, United States

Lynn Health Science Institute

🇺🇸

Oklahoma City, Oklahoma, United States

Medical University of South Carolina - Comprehensive Sickle Cell Clinic

🇺🇸

Charleston, South Carolina, United States

Medical University of South Carolina: Investigational Drug Services Pharmacy

🇺🇸

Charleston, South Carolina, United States

Clinical Research Services Unit- Virginia Commonwealth University

🇺🇸

Richmond, Virginia, United States

Thomas Jefferson University

🇺🇸

Philadelphia, Pennsylvania, United States

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