A Phase I Randomised, Placebo-controlled, Double-blind, Single and Multiple Ascending Dose Study of the Tolerability and Pharmacokinetics of GBT440 in Healthy Subjects and Patients With Sickle Cell Disease
Overview
- Phase
- Phase 1
- Intervention
- GBT440
- Conditions
- Healthy Subjects
- Sponsor
- Global Blood Therapeutics
- Enrollment
- 133
- Locations
- 1
- Primary Endpoint
- Safety, as assessed by frequency and severity of adverse events (AEs), and changes in vital signs, 12-lead electrocardiograms (ECGs), and laboratory assessments as compared to baseline
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
The purpose of this study is to assess the safety, tolerability, pharmacokinetic, and pharmacodynamic effects of GBT440 compared with placebo in healthy subjects and subjects with sickle cell disease (SCD).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Healthy male or female of non-child bearing potential; 18 to 55 years old; are non-smokers and have not used nicotine products within 3 months prior to screening.
- •Male or female, 18 to 60 years old, with sickle cell disease (hemoglobin SS, HbS/β0thalassemia, HbS/β+thalassemia, or HbSC) not requiring chronic blood transfusion therapy; without hospitalization in 30 days before screening or receiving blood transfusion within 30 days before screening; subjects are allowed concomitant use of hydroxyurea if the dose has been stable for the 3 months prior to screening.
Exclusion Criteria
- •Subjects who have a clinically relevant history or presence of respiratory, gastrointestinal, renal, hepatic, haematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, connective tissue diseases or disorders.
- •Subjects who consume more than 14 (female subjects) or 21 (male subjects) units of alcohol a week.
- •Subjects who have used any investigational product in any clinical trial within 30 days of screening
- •Subjects with sickle cell disease who smoke \>10 cigarettes per day; have hemoglobin level \<6 g/dL or \>10.4 g/dL (\> ULN (appropriately corrected for gender) for Cohort 15) at screening; have aspartate aminotransferase (AST) \>4x upper limit of normal or alanine aminotransferase (ALT), or alkaline phosphatase (ALK) \>3x upper limit of normal reference range (ULN) at screening; have moderate or severe renal dysfunction
Arms & Interventions
GBT440
Subjects randomized 6:2 to receive daily oral dosing of GBT440 or placebo for 1 day (single dose) and up to 118 days (multiple dose)
Intervention: GBT440
Placebo
Subjects randomized 6:2 to receive daily oral dosing of GBT440 or placebo for 1 day (single dose) and up to 118 days (multiple dose)
Intervention: Placebo
Outcomes
Primary Outcomes
Safety, as assessed by frequency and severity of adverse events (AEs), and changes in vital signs, 12-lead electrocardiograms (ECGs), and laboratory assessments as compared to baseline
Time Frame: 30 - 118 days
Secondary Outcomes
- Blood and plasma maximum concentration (Cmax) of GBT440(30 - 118 days)
- Percentage of hemoglobin occupied or modified by GBT440(30 days)
- Change from baseline in heart rate and pulse oximetry following exercise testing in healthy volunteers(30 days)
- Blood and plasma area under the concentration time curve (AUC) of GBT440(30 - 118 days)
- Blood and plasma time to maximum concentration (Tmax) of GBT440(30 - 118 days)