A Study of Etavopivat in Adults and Adolescents With Sickle Cell Disease (HIBISCUS)
Sickle Cell Disease
About this trial
This is an interventional treatment trial for Sickle Cell Disease focused on measuring Sickle Cell Disease, Sickle Cell, Anemia, Sickle Cell Anemia, Hemolytic, Hemoglobin, Vaso-occlusive Crisis, Sickle Cell Crisis, Congenital Anemia, Hemolytic Anemia, Hematologic Disease, Hemoglobinopathies, Genetic Disease, Inborn Disease, Sickle Cell Trait, Pyruvate Kinase
Eligibility Criteria
Key Inclusion Criteria:
- Provision of consent
- Patient has a confirmed diagnosis of sickle cell disease
- At least 2 episodes of vaso-occlusive crises in the past 12 months
- Hemoglobin ≥ 5.5 and ≤ 10.5 g/dL (≥ 55 and ≤ 105 g/L) during screening
- Patients taking hydroxyurea, must demonstrate a stable dose for at least 90 days prior to start of study treatment
- Patients on crizanlizumab or L-glutamine treatment at the time of consent must be on a stable dose for ≥ 12 months and must be ≥ 80% compliant with the planned regimen at the time of consent and meet the VOC eligibility criteria
- Female patients of childbearing potential must use highly effective methods of contraception, male patients are willing to use barrier methods of contraception
Key Exclusion Criteria:
- More than 10 vaso-occlusive crises within the past 12 months
- Female who is breastfeeding or pregnant
Hepatic dysfunction characterized by:
- Alanine aminotransferase (ALT) > 4.0 × upper limit of normal (ULN)
- Direct bilirubin > 3.0 × ULN
- Known HIV positivity
- Active hepatitis B or hepatitis C infection
- Severe renal dysfunction or on chronic dialysis
History of unstable or deteriorating cardiac or pulmonary disease within 6 months prior to consent including but not limited to the following:
- Unstable angina pectoris or myocardial infarction or elective coronary intervention
- Congestive heart failure requiring hospitalization
- Uncontrolled clinically significant arrhythmias
- Symptomatic pulmonary hypertension
- History of overt clinical stroke within previous 2 years or any history of an intracranial hemorrhage
- History of deep venous thrombosis requiring systemic anti-coagulation therapy for ≥ 6 weeks, occurring within 6 months prior to Day 1 of study treatment.
Prior/Concomitant Therapy
- Patients receiving regularly scheduled blood (RBC) transfusion therapy (also termed chronic, prophylactic, or preventive transfusion)
- Receiving or use of concomitant medications that are strong inducers of CYP3A4/5 within 2 weeks of starting study treatment or anticipated need for such agents during the study
- Use of voxelotor within 28 days prior to starting study treatment or anticipated need for this agent during the study
- Use of an experimental selectin antagonist (eg, monoclonal antibody or small molecule) within 28 days of starting study treatment or anticipated need for such agents during the study
- Use of erythropoietin or other hematopoietic growth factor treatment within 28 days of starting study treatment or anticipated need for such agents during the study
- Receipt of prior cellular-based therapy (eg, hematopoietic cell transplant, gene modification therapy)
Sites / Locations
- University of Alabama at Birmingham (UAB)Recruiting
- Phoenix Children's HospitalRecruiting
- Woodland International Research GroupRecruiting
- University of California, IrvineRecruiting
- Collaborative Neuroscience Research, LLC.
- Pacific Research Partners, LLC
- UCSF Benioff Children's Hospital OaklandRecruiting
- UC Davis Medical Center - UC Davis Comprehensive Cancer Center - Hemotology/Oncology ClinicRecruiting
- University of Connecticut (UCONN) HealthRecruiting
- Yale UniversityRecruiting
- Children's National Health CenterRecruiting
- Howard University
- Cornerstone Research Institute
- Office of Gershwin T. Blyden, MDRecruiting
- University of Miami - Miller School of MedicineRecruiting
- Advanced Pharma CR LLC.Recruiting
- Arnold Palmer Hospital for Children - Haley Center for Children's Cancer and Blood DisordersRecruiting
- Emory University School of MedicineRecruiting
- Sonar Clinical Research
- Children's Healthcare of Atlanta - Pediatric Research CenterRecruiting
- Augusta University Center for Blood Disorders.Recruiting
- iResearch Atlanta, LLCRecruiting
- University of Illinois at Chicago Sickle Cell CenterRecruiting
- Children's Hospital New OrleansRecruiting
- University of Maryland School of MedicineRecruiting
- Boston Medical CenterRecruiting
- Barbara Ann Karmanos Cancer InstituteRecruiting
- Washington University School of Medicine Barnes - Jewish HospitalRecruiting
- University of Nebraska Medical CenterRecruiting
- Jacobi Medical CenterRecruiting
- Children's Hospital at MontefioreRecruiting
- Kings County HospitalRecruiting
- Queens Hospital CenterRecruiting
- Long Island Jewish Medical CenterRecruiting
- Columbia University Medical CenterRecruiting
- UNC School of MedicineRecruiting
- Levine Cancer InstituteRecruiting
- Duke University - Sickle Cell CenterRecruiting
- East Carolina University (ECU) PhysiciansRecruiting
- Wake Forest Baptist Medical CenterRecruiting
- University of Cincinnati Cancer CenterRecruiting
- Cincinnati Childrens Hospital Medical CenterRecruiting
- Neuro-Behavioral Clinical ResearchRecruiting
- Lynn Institute of Tulsa
- Thomas Jefferson University HospitalRecruiting
- Medical University of South Carolina (MUSC)Recruiting
- Prisma HealthRecruiting
- St. Jude Children's Research Hospital (SJCRH)Recruiting
- Methodist University HospitalRecruiting
- Baylor College of Medicine
- The University of Texas Health Science Center at HoustonRecruiting
- Mary Bridge Children's Health CenterRecruiting
- Blood Center of Wisconsin (BCW)Recruiting
- Universite de Montreal - Centre Hospitalier Universitaire (CHU) Sainte-JustineRecruiting
- The Hospital for Sick ChildrenRecruiting
- Providence HematologyRecruiting
- CHU Montpellier, Hôpital Saint-EloiRecruiting
- Hôpital Henri MondorRecruiting
- Hôpital Edouard HERRIOTRecruiting
- Hôpital Emile MullerRecruiting
- CHU Paris - Hôpital Robert DebréRecruiting
- Universitätsklinikum FreiburgRecruiting
- University Hospital of HeidelbergRecruiting
- General University Hospital of PatrasRecruiting
- Hippocratio General HospitalRecruiting
- General University Hospital of LarissaRecruiting
- General Hospital of Thessaloniki "Hippokration"Recruiting
- Azienda Ospedaliero Universitaria Policlinico "G. Rodolico - San Marco"Recruiting
- Azienda Ospedaliera Universitaria San Luigi GonzagaRecruiting
- Azienda Ospedale Università PadovaRecruiting
- Fondazione IRCCS Policlinico San MatteoRecruiting
- American University of Beirut Medical CenterRecruiting
- Nini HospitalRecruiting
- Sultan Qaboos University HospitalRecruiting
- Sultan Qaboos University HospitalRecruiting
- Hospital De CrucesRecruiting
- Hospital Universitari Vall d'Hebron de BarcelonaRecruiting
- Hospital Clínico San CarlosRecruiting
- Universidad Autonoma de Madrid (UAM) - Hospital Universitario La PazRecruiting
- Hospital Universitario Virgen del RocioRecruiting
- Leicester Royal Infirmary
- Guy's and St Thomas' NHS Foundation TrustRecruiting
- King's College HospitalRecruiting
- Hammersmith Hospital - Imperial College Healthcare NHS TrustRecruiting
- Imperial College Healthcare NHS Trust - St Mary's HospitalRecruiting
- Oxford University Hospitals NHS Trust - Churchill Hospital - Cancer and Haematology CentreRecruiting
- The Royal Hallamshire Hospital, Sheffield Teaching Hospital NHS Foundation TrustRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
Double blind etavopivat Low Dose
Double blind etavopivat High Dose
Double blind placebo
Open label etavopivat
Double blind etavopivat Low Dose
Double blind etavopivat High Dose
Double blind placebo
Open label etavopivat