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Voxelotor Sickle Cell Exercise Study

Primary Purpose

Sickle Cell Anemia

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Voxelotor
Sponsored by
Elizabeth Yang, MD, PhD
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Sickle Cell Anemia

Eligibility Criteria

12 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Provision of signed and dated informed consent form
  2. Stated willingness to comply with all study procedures and availability for the duration of the study
  3. Male or female, age > 12 years
  4. In good general health as evidenced by medical history and diagnosed with a genetically severe form of sickle cell anemia (Hgb SS, Hgb S beta 0 thalassemia, Hgb SCHarlem, and others)
  5. Patients who are on Hydroxyurea need to be on a stable dose for at least 3 months without anticipated change in dosing until the study is completed.
  6. Ability to take oral medication and willingness to adhere to daily voxelotor and 2 CPETs at scheduled intervals.
  7. For females of reproductive potential who are sexually active: use of highly effective contraception for at least 1 month prior to screening and agreement to use such a method during study participation and for an additional 30 days after the end of study.
  8. For males of reproductive potential: use of condoms or other methods to ensure effective contraception with partner

Exclusion Criteria:

  1. Patients on chronic transfusions or who received a transfusion within last 8 weeks
  2. Patients who had hospitalization for vaso-occlusive crisis or acute chest syndrome within 30 days prior to informed consent/assent.
  3. Patients who have screening alanine aminotransferase (ALT) > 4X upper limit of normal
  4. Patients who suffer from physical inactivity attributable to clinically significant musculoskeletal, cardiovascular, or respiratory comorbidities
  5. Patients already taking commercially available voxelotor
  6. Prior hypersensitivity to voxelotor or excipients.
  7. Pregnant patients

Sites / Locations

  • Pediatric Specialist of Virginia

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

voxelotor

Arm Description

Voxelotor 1500mg daily orally

Outcomes

Primary Outcome Measures

Peak oxygen consumption (VO2)
Change in peak oxygen consumption (VO2) measured in CPET after voxelotor treatment

Secondary Outcome Measures

Change in Biochemical markers of red cell sickling: Hemoglobin
Measured before and after treatment with voxelotor.
Change in Biochemical markers of red cell sickling: Reticulocyte Count
Measured before and after treatment with voxelotor.
Change in Biochemical markers of red cell sickling: Bilirubin
Measured before and after treatment with voxelotor.
Change in Biochemical markers of red cell sickling: Lactate Dehydrogenase (LDH)
Measured before and after treatment with voxelotor.
Change in Biochemical markers of red cell sickling: Haptoglobin
Measured before and after treatment with voxelotor.
Change in Biochemical markers of red cell sickling: % Fetal Hemoglobin expressing cells
Measured before and after treatment with voxelotor.
Change in Biochemical markers of red cell sickling: P50 oxygen dissociation
Measured before and after treatment with voxelotor.
Change in Biochemical markers of red cell sickling: Point of Sickling (POS)
Measured before and after treatment with voxelotor.
Change in Biochemical markers of red cell sickling: Dense Cells
Measured before and after treatment with voxelotor.

Full Information

First Posted
September 11, 2020
Last Updated
June 14, 2022
Sponsor
Elizabeth Yang, MD, PhD
Collaborators
Pediatrix, University of California, San Francisco, Global Blood Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT04581356
Brief Title
Voxelotor Sickle Cell Exercise Study
Official Title
The Effect of Voxelotor on Exercise Capacity of Youths With Sickle Cell Anemia
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Completed
Study Start Date
September 21, 2020 (Actual)
Primary Completion Date
October 25, 2021 (Actual)
Study Completion Date
December 29, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Elizabeth Yang, MD, PhD
Collaborators
Pediatrix, University of California, San Francisco, Global Blood Therapeutics

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is a pilot, open-label, single-arm study to evaluate the effect of the sickle cell medication voxelotor on exercise capacity, as measured by cardiopulmonary exercise testing (CPET) in patients 12 years of age and older with sickle cell anemia (SCA).
Detailed Description
This study will assess exercise capacity by cardiopulmonary exercise testing (CPET) before and after 8 weeks of voxelotor therapy. Patients with genetically severe forms of sickle cell disease, including Hgb SS, Hgb S beta 0 thalassemia, Hgb SC Harlem, etc., age 12 or older, with stable Hgb and Hgb F will be recruited. Enrolled subjects will have study labs drawn, undergo baseline CPET in the exercise lab, then take voxelotor 1500mg daily for 2 months, followed by repeat study labs and a second CPET. Each subject's CPET results before and after voxelotor will be compared, and the study labs before and after voxelotor will be compared. Each subject will be compared to him/herself.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sickle Cell Anemia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Model Description
single-arm, open-label, pilot study in which each subject compared to him/herself
Masking
None (Open Label)
Allocation
N/A
Enrollment
14 (Actual)

8. Arms, Groups, and Interventions

Arm Title
voxelotor
Arm Type
Experimental
Arm Description
Voxelotor 1500mg daily orally
Intervention Type
Drug
Intervention Name(s)
Voxelotor
Other Intervention Name(s)
GBT440, Oxbryta
Intervention Description
daily voxelotor 1500mg oral medication
Primary Outcome Measure Information:
Title
Peak oxygen consumption (VO2)
Description
Change in peak oxygen consumption (VO2) measured in CPET after voxelotor treatment
Time Frame
8 weeks
Secondary Outcome Measure Information:
Title
Change in Biochemical markers of red cell sickling: Hemoglobin
Description
Measured before and after treatment with voxelotor.
Time Frame
8 weeks
Title
Change in Biochemical markers of red cell sickling: Reticulocyte Count
Description
Measured before and after treatment with voxelotor.
Time Frame
8 weeks
Title
Change in Biochemical markers of red cell sickling: Bilirubin
Description
Measured before and after treatment with voxelotor.
Time Frame
8 weeks
Title
Change in Biochemical markers of red cell sickling: Lactate Dehydrogenase (LDH)
Description
Measured before and after treatment with voxelotor.
Time Frame
8 weeks
Title
Change in Biochemical markers of red cell sickling: Haptoglobin
Description
Measured before and after treatment with voxelotor.
Time Frame
8 weeks
Title
Change in Biochemical markers of red cell sickling: % Fetal Hemoglobin expressing cells
Description
Measured before and after treatment with voxelotor.
Time Frame
8 weeks
Title
Change in Biochemical markers of red cell sickling: P50 oxygen dissociation
Description
Measured before and after treatment with voxelotor.
Time Frame
8 weeks
Title
Change in Biochemical markers of red cell sickling: Point of Sickling (POS)
Description
Measured before and after treatment with voxelotor.
Time Frame
8 weeks
Title
Change in Biochemical markers of red cell sickling: Dense Cells
Description
Measured before and after treatment with voxelotor.
Time Frame
8 weeks
Other Pre-specified Outcome Measures:
Title
HRQOL: Patient's Global Impression of Change (PGIC)
Description
Health-related quality of life (HRQoL) as assessed by patient reported outcome via Patient's Global Impression of Change (PGIC) at end of treatment study visit. The PGIC asks patients to rate their overall improvement relative to their baseline state at the beginning of the study on a 7-point scale. No change (or condition has got worse) Almost the same, hardly any change at all A little better, but not noticeable change at all Somewhat better, but the change has not made any real difference Moderately better, and a slight but noticeable change Better, and a definite improvement that has made a real and worthwhile difference A great deal better, and a considerable improvement that has made all the difference
Time Frame
8 weeks
Title
HRQOL: Clinical Global Impression of Change (CGIC)
Description
Health-related quality of life (HRQoL) as assessed by clinician-reported outcome via Clinical Global Impression of Change-Improvement (CGIC-I) scale at end of treatment study visit. The CGIC-I is a one-item questionnaire that requires the clinician to assess how much the patient's illness has improved or worsened relative to their baseline state at the beginning of the intervention on a 7-point scale: = Very much improved = Much improved = Minimally improved = No change = Minimally worse = Much worse = Very much worse
Time Frame
8 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Provision of signed and dated informed consent form Stated willingness to comply with all study procedures and availability for the duration of the study Male or female, age > 12 years In good general health as evidenced by medical history and diagnosed with a genetically severe form of sickle cell anemia (Hgb SS, Hgb S beta 0 thalassemia, Hgb SCHarlem, and others) Patients who are on Hydroxyurea need to be on a stable dose for at least 3 months without anticipated change in dosing until the study is completed. Ability to take oral medication and willingness to adhere to daily voxelotor and 2 CPETs at scheduled intervals. For females of reproductive potential who are sexually active: use of highly effective contraception for at least 1 month prior to screening and agreement to use such a method during study participation and for an additional 30 days after the end of study. For males of reproductive potential: use of condoms or other methods to ensure effective contraception with partner Exclusion Criteria: Patients on chronic transfusions or who received a transfusion within last 8 weeks Patients who had hospitalization for vaso-occlusive crisis or acute chest syndrome within 30 days prior to informed consent/assent. Patients who have screening alanine aminotransferase (ALT) > 4X upper limit of normal Patients who suffer from physical inactivity attributable to clinically significant musculoskeletal, cardiovascular, or respiratory comorbidities Patients already taking commercially available voxelotor Prior hypersensitivity to voxelotor or excipients. Pregnant patients
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Elizabeth Yang, MD, PhD.
Organizational Affiliation
Pediatric Specialists of Virginia
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Vivian Phan, MS
Organizational Affiliation
Pediatric Specialists of Virginia
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Kari Wheeler, BSN, RN
Organizational Affiliation
Pediatric Specialists of Virginia
Official's Role
Study Director
Facility Information:
Facility Name
Pediatric Specialist of Virginia
City
Fairfax
State/Province
Virginia
ZIP/Postal Code
22031
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Voxelotor Sickle Cell Exercise Study

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