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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

๐Ÿ‡บ๐Ÿ‡ธ

Atlanta, Georgia, United States

University of Illinois Hospital and Health Science System

๐Ÿ‡บ๐Ÿ‡ธ

Chicago, Illinois, United States

Dana Farber Cancer Institute

๐Ÿ‡บ๐Ÿ‡ธ

Boston, Massachusetts, United States

University of Illinois at Chicago Clinical Research Center

๐Ÿ‡บ๐Ÿ‡ธ

Chicago, Illinois, United States

Brigham and Women's Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Boston, Massachusetts, United States

Brigham and Women's Hospital Research Pharmacy

๐Ÿ‡บ๐Ÿ‡ธ

Boston, Massachusetts, United States

University of Pittsburgh Medical Center (UPMC)

๐Ÿ‡บ๐Ÿ‡ธ

Pittsburgh, Pennsylvania, United States

Jackson Memorial Hospital (Investigational Drug Services)

๐Ÿ‡บ๐Ÿ‡ธ

Miami, Florida, United States

Jackson Memorial Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Miami, Florida, United States

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

๐Ÿ‡บ๐Ÿ‡ธ

Miami, Florida, United States

University of Miami

๐Ÿ‡บ๐Ÿ‡ธ

Miami, Florida, United States

Duke University Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Durham, North Carolina, United States

Investigational Drug Service, Duke University Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Durham, North Carolina, United States

Barts Health NHS Trust

๐Ÿ‡ฌ๐Ÿ‡ง

London, Greater London, United Kingdom

Imperial College Healthcare NHS Trust, Hammersmith Hospital

๐Ÿ‡ฌ๐Ÿ‡ง

London, United Kingdom

McMillan Cancer Centre

๐Ÿ‡ฌ๐Ÿ‡ง

London, United Kingdom

Azienda Ospedaliera di Padova

๐Ÿ‡ฎ๐Ÿ‡น

Padova, Padova Veneto, Italy

Toronto General Hospital-University Health Network

๐Ÿ‡จ๐Ÿ‡ฆ

Toronto, Ontario, Canada

Hรดpital Europรฉen Georges Pompidou

๐Ÿ‡ซ๐Ÿ‡ท

Paris, รŽle-de-france, France

Adana Acibadem Hospital

๐Ÿ‡น๐Ÿ‡ท

Adana, Turkey

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

๐Ÿ‡ฐ๐Ÿ‡ช

Nairobi, Kenya

Texas Children's Hospital - Investigational Pharmacy

๐Ÿ‡บ๐Ÿ‡ธ

Houston, Texas, United States

Erciyes Universitesi Tip Fakultesi Hastanesi

๐Ÿ‡น๐Ÿ‡ท

Istanbul, ฤฐฬ‡stanbul, Turkey

Homerton University Hospital NHS Foundation Trust

๐Ÿ‡ฌ๐Ÿ‡ง

London, Greater London, United Kingdom

Hรดpital Europรฉen Georges Pompidou - Medecine Interne

๐Ÿ‡ซ๐Ÿ‡ท

Paris, France

Texas Children's Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Houston, Texas, United States

Erciyes Universitesi Tip Fakultesi

๐Ÿ‡น๐Ÿ‡ท

Kayseri, Turkey

Mersin Universitesi Tip Fakultesi Saglik Arastirma ve Uygulama Hastanesi

๐Ÿ‡น๐Ÿ‡ท

Mersin, Turkey

Guys and St. Thomas Hospital NHS Foundation Trust

๐Ÿ‡ฌ๐Ÿ‡ง

Great Maze Pond, London, United Kingdom

King's College Hospital

๐Ÿ‡ฌ๐Ÿ‡ง

London, United Kingdom

Nini Hospital

๐Ÿ‡ฑ๐Ÿ‡ง

Tripoli, Lebanon

Arkansas Primary Care Clinic, PA

๐Ÿ‡บ๐Ÿ‡ธ

Little Rock, Arkansas, United States

UCSF Benioff Children's Hospital Oakland

๐Ÿ‡บ๐Ÿ‡ธ

Oakland, California, United States

Children's Healthcare of Atlanta - Scottish Rite

๐Ÿ‡บ๐Ÿ‡ธ

Atlanta, Georgia, United States

Indiana Hemophilia and Thrombosis Center

๐Ÿ‡บ๐Ÿ‡ธ

Indianapolis, Indiana, United States

The Johns Hopkins Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Baltimore, Maryland, United States

Johns Hopkins University/Sickle Cell Infusion Center

๐Ÿ‡บ๐Ÿ‡ธ

Baltimore, Maryland, United States

Montefiore - Einstein Center for Cancer Care

๐Ÿ‡บ๐Ÿ‡ธ

Bronx, New York, United States

Columbia University Medical Center - Herbert Irving Pavilion

๐Ÿ‡บ๐Ÿ‡ธ

New York, New York, United States

Guys and STt Thomas NHS Foundation Trust

๐Ÿ‡ฌ๐Ÿ‡ง

Great Maze Pond, London, United Kingdom

Newark Beth Israel Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Newark, New Jersey, United States

ErasmusMC

๐Ÿ‡ณ๐Ÿ‡ฑ

Rotterdam, Netherlands

Sultan Qaboos University Hospital

๐Ÿ‡ด๐Ÿ‡ฒ

Muscat, Oman

The Egyptian Thalassemia Association ( E.T.A)

๐Ÿ‡ช๐Ÿ‡ฌ

Cairo, Egypt

Methodist Comprehensive Sickle Cell Clinic

๐Ÿ‡บ๐Ÿ‡ธ

Memphis, Tennessee, United States

Alexandria Clinical Research Center, Faculty of Medicine, Alexandria University

๐Ÿ‡ช๐Ÿ‡ฌ

Alexandria, Egypt

St. Jude Affiliate Clinic Baton Rouge

๐Ÿ‡บ๐Ÿ‡ธ

Baton Rouge, Louisiana, United States

American University of Beirut

๐Ÿ‡ฑ๐Ÿ‡ง

Beirut, Lebanon

Abu El Rich Hospital,Cairo University Hospital

๐Ÿ‡ช๐Ÿ‡ฌ

Cairo, Egypt

Ain Shams University Hospital

๐Ÿ‡ช๐Ÿ‡ฌ

Cairo, Egypt

Our Lady of the Lake Physician Group-Medical Oncology

๐Ÿ‡บ๐Ÿ‡ธ

Baton Rouge, Louisiana, United States

Alexandria Clinical Research Center, Faculty of Medicine

๐Ÿ‡ช๐Ÿ‡ฌ

Alexandria, Egypt

Zagazig University Hospital

๐Ÿ‡ช๐Ÿ‡ฌ

Alsharkia, Egypt

Centres for Disease Control and Prevention

๐Ÿ‡ฐ๐Ÿ‡ช

Siaya, Kisumu, Kenya

Gertrude's Children's Hospital

๐Ÿ‡ฐ๐Ÿ‡ช

Nairobi, Kenya

Academic Medical Center(AMC)

๐Ÿ‡ณ๐Ÿ‡ฑ

Amsterdam, Netherlands

University Medical Center New Orleans

๐Ÿ‡บ๐Ÿ‡ธ

New Orleans, Louisiana, United States

Children's Hospital of Michigan

๐Ÿ‡บ๐Ÿ‡ธ

Detroit, Michigan, United States

UNC Hospitals

๐Ÿ‡บ๐Ÿ‡ธ

Chapel Hill, North Carolina, United States

Clinical and Translational Research Center (CTRC)

๐Ÿ‡บ๐Ÿ‡ธ

Chapel Hill, North Carolina, United States

Lynn Health Science Institute

๐Ÿ‡บ๐Ÿ‡ธ

Oklahoma City, Oklahoma, United States

Medical University of South Carolina - Comprehensive Sickle Cell Clinic

๐Ÿ‡บ๐Ÿ‡ธ

Charleston, South Carolina, United States

Medical University of South Carolina: Investigational Drug Services Pharmacy

๐Ÿ‡บ๐Ÿ‡ธ

Charleston, South Carolina, United States

Clinical Research Services Unit- Virginia Commonwealth University

๐Ÿ‡บ๐Ÿ‡ธ

Richmond, Virginia, United States

Thomas Jefferson University

๐Ÿ‡บ๐Ÿ‡ธ

Philadelphia, Pennsylvania, United States

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