A Study of Varespladib Infusion in Subjects With Sickle Cell Disease.
Phase 2
Terminated
- Conditions
- Sickle Cell DiseaseVaso-occlusive Crisis
- Interventions
- Other: Placebo (Normal Saline)
- Registration Number
- NCT01522196
- Lead Sponsor
- Anthera Pharmaceuticals
- Brief Summary
The purpose of this study is to determine the effectiveness of A 001 infusion in preventing acute chest syndrome in sickle cell disease (SCD) subjects with vaso-occlusive crisis, fever, and elevated serum C-reactive protein (CRP).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 2
Inclusion Criteria
- Genotypes Hb SS, Hb SC, sickle β°-thalassemia, sickle β+ -thalassemia
- Pain consistent with vaso-occlusive crisis (clinical judgment) and not attributable to other causes
- Serum CRP ≥5.0 mg/L at time of screening
- Fever defined as oral temperature ≥38.0°C at time of screening
- Age ≥5 years
Exclusion Criteria
- New or suspected new pulmonary infiltrate diagnosed by chest radiography
- Females who are nursing, pregnant or intend to become pregnant
- Renal dysfunction defined as a creatinine level >1.2 mg/dL for subjects aged 18 or less or a creatinine level >1.5 mg/dL for subjects over the age of 18
- Hepatic dysfunction (alanine aminotransferase [ALT] or aspartate aminotransferase [AST] >3 × upper limit of normal)
- Acute neurologic dysfunction
- Any medical condition for which transfusion may be needed imminently, and/or hemoglobin <5 g/dL
- Red blood cell transfusion within 30 days prior to screening
- Parenteral or oral corticosteroid therapy (inhaled steroids acceptable) within 7 days prior to screening
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Placebo Placebo (Normal Saline) 48 hour continuous infusion delivered intravenously (IV) Varespladib Varespladib 48 hour continuous infusion delivered intravenously (IV)
- Primary Outcome Measures
Name Time Method Efficacy of A 001 infusion in preventing acute chest syndrome in sickle cell disease (SCD) subjects with the combination of vaso-occlusive crisis, fever, and elevated serum C-reactive protein (CRP). Various time points up to Day 30
- Secondary Outcome Measures
Name Time Method Safety and tolerability of A 001 therapy when administered as a 48-hour continuous infusion to SCD subjects at-risk for acute chest syndrome. Various time points up to Day 30 Impact of A-001 treatment on sPLA2 levels and CRP. Various time points up to Day 30 Impact of A-001 treatment on the signs and symptoms of vaso-occlusive crisis. Various time points up to Day 30 Impact of A-001 treatment on opioid use for pain in the treatment of vaso-occlusive crisis. Various time points up to Day 30
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms does varespladib target to prevent acute chest syndrome in sickle cell disease?
How does varespladib infusion compare to standard-of-care in preventing acute chest syndrome in SCD patients with vaso-occlusive crisis?
Which biomarkers are associated with response to varespladib in SCD patients with elevated CRP and fever during vaso-occlusive crisis?
What are the known or potential adverse events associated with varespladib infusion in sickle cell disease patients?
Are there related compounds or combination therapies being explored for acute chest syndrome prevention in sickle cell disease besides varespladib?
Trial Locations
- Locations (1)
Investigator Site 101
🇺🇸Atlanta, Georgia, United States
Investigator Site 101🇺🇸Atlanta, Georgia, United States