A LOW-INTERVENTIONAL LONGITUDINAL STUDY OF AN ELECTRONIC SICKLE CELL DISEASE PATIENT REPORTED OUTCOMES IN ADULT PARTICIPANTS AGED ≥18 YEARS OF AGE ON AND OFF HYDROXYUREA
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Pfizer
- 入组人数
- 98
- 试验地点
- 8
- 主要终点
- Average SCD ePRO daily worst tiredness score during VOC days
研究概览
简要总结
The purpose of this clinical trial is to evaluate the performance of the sickle cell disease (SCD) electronic diary in people with SCD who are on treatment that will change SCD and those not on such a treatment.
SCD is a type of condition when there are fewer red blood cells to carry oxygen around the body.
This disease can be passed on from parent to child and may cause pain, infections and damage to organs.
This study is seeking participants who:
- are confirmed with SCD
- are on a stable regimen of disease changing treatment or have not received any disease changing treatment before the start of the study and do not plan any changes in their treatment during the 6-month study observation period For 6 months, participants will be asked to complete a daily electronic diary to report on their experience in the past 24 hours with sickle cell pain crisis (if they got any treatment and what medications they took), worst pain, worst tiredness, and their ability to perform usual physical activities. We will compare the experiences of people who are taking SCD-modifying therapy to those that are not taking a SCD-modifying therapy.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •(All Groups):
- •- Confirmed diagnosis of stable SCD (HbS/S or HbS/beta-zero-thalassemia).
- •Additional Inclusion Criteria (No Disease Modifying Treatment Control Group):
- •Have experienced ≥1 episode(s) of medical utilization (MU) VOC within 12 months prior to Screening.
- •Data available for number of MU VOC(s) during the 12-month interval prior to Screening and a value for %fetal hemoglobin (HbF) collected subsequent to 1 year of age in the absence of recent transfusion.
- •Additional Inclusion Criteria (SCD Disease Modifying Treatment Group):
- •Have experienced ≥1 episode(s) of MU VOC within 12 months prior to initiation of HU and/or crizanlizumab (whichever was initiated earlier).
- •Must be on a stable dose of their SCD treatment regimen ≥8 weeks prior to Day 1 with the intent of remaining on the same dose throughout the study, unless adjustments are medically necessary due to bone marrow suppression, in accordance with published guidelines and/or product specific guidance (eg, package label). Accepted SCD disease modifying treatment regimens include:
- •HU alone and/or in combination with crizanlizumab, L-glutamine and/or voxelotor; or
- •Crizanlizumab alone and/or in combination with HU, L-glutamine and/or voxelotor.
- •Data available for number of MU VOC(s) during the 12-month interval prior to initiation of any SCD disease modifying treatment, as described above, and a value for %HbF collected subsequent to 1 year of age, prior to initiation of any HU treatment, and in the absence of recent transfusion.
排除标准
- •(All Groups):
- •Evidence or history of ongoing (condition or sequelae) clinically significant hematological (non-SCD), renal, endocrine, pulmonary, gastrointestinal, cardiovascular (including overt stroke but excluding silent cerebral infarct), hepatic (excluding cholelithiasis), psychiatric or neurological disease as assessed from medical records.
- •Marked ongoing bone marrow suppression as evidenced by any of the following as per medical record: severe anemia, absolute neutrophil count (ANC) <1000 mm3 white blood cell (WBC), thrombocytopenia (platelet count <100,000 mm3) within ≤8 weeks prior to Day 1 enrollment.
- •History of hematopoietic stem cell transplant or treatment with gene therapy as assessed from medical records.
- •History of simple transfusion within ≤4 weeks prior to Day 1 enrollment as assessed from medical records or participant self-report.
- •History of chronic transfusion/exchange transfusion within ≤12 weeks prior to Day 1 enrollment as assessed from medical records or participant self-report and/or plan to initiate such treatment during the 6-month observation period.
- •Additional Exclusion Criteria (No Disease Modifying Treatment Control Group):
- •Participant received HU and/or crizanlizumab at any time within ≤18 months of Day 1 enrollment and treatment(s) was discontinued due to lack of efficacy (no reduction in the frequency of VOCs, documented or perceived) and/or plan to initiate said treatment(s) during the 6-month observation period.
- •Participant received voxelotor or L-glutamine within ≤4 weeks of Day 1 enrollment and/or plan to initiate said treatment(s) during the 6-month observation period.
结局指标
主要结局
Average SCD ePRO daily worst tiredness score during VOC days
时间窗: Day 1 to 180
Responsiveness of electronic patient reported outcomes between participants treated with SCD disease modifying treatment or no disease modifying treatment.
Average SCD ePRO daily worst tiredness score during non-VOC days
时间窗: Day 1 to 180
Responsiveness of electronic patient reported outcomes between participants treated with SCD disease modifying treatment or no disease modifying treatment.
Physician-reported Medical Utilization vaso-occlusive crisis (VOC) rate
时间窗: Day 1 to 180
Confirmation that the population is suitable for assessing responsiveness of electronic patient reported outcomes based upon a lower frequency rate of Physician reported Medical Utilization VOCs in the SCD disease modifying treatment group.
VOC Day rate
时间窗: Day 1 to 180
Responsiveness of electronic patient reported outcomes between participants treated with SCD disease modifying treatment or no disease modifying treatment.
Patient-reported VOC Event rate
时间窗: Day 1 to 180
Responsiveness of electronic patient reported outcomes between participants treated with SCD disease modifying treatment or no disease modifying treatment.
Average SCD ePRO daily worst pain score during VOC days
时间窗: Day 1 to 180
Responsiveness of electronic patient reported outcomes between participants treated with SCD disease modifying treatment or no disease modifying treatment.
Average SCD ePRO daily worst pain score during non-VOC days
时间窗: Day 1 to 180
Responsiveness of electronic patient reported outcomes between participants treated with SCD disease modifying treatment or no disease modifying treatment.
Average SCD ePRO daily rating for ability to perform usual physical activity during a non-VOC day
时间窗: Day 1 to 180
Responsiveness of electronic patient reported outcomes between participants treated with SCD disease modifying treatment or no disease modifying treatment.
Average SCD ePRO daily rating for ability to perform usual physical activity during a VOC day
时间窗: Day 1 to 180
Responsiveness of electronic patient reported outcomes between participants treated with SCD disease modifying treatment or no disease modifying treatment.
次要结局
- Quantitative relationship between VOC Day rate and Physician-reported Medical Utilization VOC(Day 1 to 180)
- Quantitative relationship between VOC Day rate and Physician-reported Medical Utilization VOC rate across treatment groups(Day 1 to 180)
- Quantitative relationship between Patient-reported VOC Event rate and Physician-reported Medical Utilization VOC rate across treatment groups(Day 1 to 180)
- Quantitative relationship between Patient-reported VOC Event rate and Physician-reported Medical Utilization VOC rate(Day 1 to 180)
