Study to Assess Efficacy and Safety of VIT-2763 (Vamifeport) in Subjects With Sickle Cell Disease (ViSionSerenity)
Primary Purpose
Sickle Cell Disease
Status
Recruiting
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
VIT-2763 120 mg
VIT-2763 360 mg
VIT-2763 240 mg
Placebo BID
Placebo TID
Sponsored by
About this trial
This is an interventional treatment trial for Sickle Cell Disease focused on measuring anemia, sickle cell disease, vamifeport
Eligibility Criteria
Inclusion Criteria:
- Male or female subjects with confirmed diagnosis of SCD, including HbS/S or HbS/βT0 genotype.
- Subjects who had at least 1 and no more than 10 vaso-occlusive crises (VOC) episodes reported within 12 months prior to screening.
- Body weight ≥40 kg and ≤120 kg at screening and baseline.
- Subjects on concomitant hydroxyurea must be on a stable dose (mg/kg) for ≥3 months prior to screening Visit V1
- Female subjects of childbearing potential, must have negative pregnancy, must have stopped breastfeeding as of first dose, and must either commit to true abstinence from heterosexual contact or must be willing to use adequate contraceptive precautions.
- Male subjects must practice true abstinence or agree to use a condom during sexual contact with a pregnant female or a female of childbearing potential
Exclusion Criteria:
- Hb level <6.0 g/dl or >10.4 g/dl for female participants and >11.0 g/dl for male participants, at screening Visit V1
- Having received red blood cell (RBC) transfusion therapy within 4 weeks prior to screening, or ongoing or planned RBC transfusion therapy during the course of the study
- Low levels of Ferritin or transferrin saturation or total iron-binding capacity at screening
- Subjects being hospitalized for SCD-related events within 14 days before the screening visit
- Chronic liver disease or history of liver cirrhosis, and/or high levels of alanine aminotransferase or aspartate aminotransferase at baseline
- Low estimated glomerular filtration rate, and/or significant high urinary albumin/creatinine ratio at screening or on chronic dialysis.
- Newly diagnosed folate deficiency anemia, which is considered clinically relevant by the Investigator at screening
- Any history or clinically important finding of cardiac or pulmonary disorders
- Family history of long-QT syndrome or sudden death without a preceding diagnosis of a condition that could be causative of sudden death
- Clinically significant bacterial, fungal, parasitic, or viral infection which requires therapy. Note: A subject meeting this criterion should delay screening and/or enrolment for a minimum of 2 weeks, or if excluded can be re-screened at a later time point.
- Concomitant use of certain hormonal contraceptives as defined in the study protocol, are not allowed within 4 weeks prior to screening and until 1 moth after the end of the study and the use of progesterone-only hormonal contraception as the sole measure to prevent pregnancy.
- Pregnant or females currently breastfeeding.
- History or known concomitant solid tumours and/or haematological malignancies unless resolved in the ≥2 past years, except for basal or squamous cell carcinoma of the skin, carcinoma in situ of the cervix or breast, incidental histologic finding of prostate cancer
- Unable to take and absorb oral medications
- Acute peptic stomach or duodenal ulcer in the previous 6 months before screening and/or healed after 3 months of treatment.
- Uncontrolled hemorrhages
Sites / Locations
- Investigator Site 709Recruiting
- Investigator Site 708Recruiting
- Investigator Site 713Recruiting
- Investigator Site 706Recruiting
- Investigator Site 703Recruiting
- Investigator Site 701Recruiting
- Investigator Site 711Recruiting
- Investigator Site 702Recruiting
- Investigator Site 801Recruiting
- Investigator Site 802Recruiting
- Investigator Site 305Recruiting
- Investigator site 301Recruiting
- Investigator Site 302Recruiting
- Investigator Site 101Recruiting
- Investigator Site 102Recruiting
- Investigator Site 103Recruiting
- Investigator Site 606Recruiting
- Investigator Site 603Recruiting
- Investigator Site 608Recruiting
- Investigator Site 601Recruiting
- Investigator Site 605Recruiting
- Investigator Site 607Recruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm Type
Experimental
Experimental
Experimental
Placebo Comparator
Placebo Comparator
Arm Label
Cohort 1
Cohort 2
Cohort 3
Cohort 4a
Cohort 4b
Arm Description
Participants receive VIT-2763 60 mg, twice a day during 8 weeks.
Participants receive VIT-2763 120 mg, twice a day during 8 weeks.
Participants receive VIT-2763 120 mg, three times a day during 8 weeks.
Participants receive a placebo, twice a day during 8 weeks.
Participants receive a placebo, three times a day during 8 weeks.
Outcomes
Primary Outcome Measures
Mean change from baseline in haemolysis markers
Measured by reduction of indirect bilirubin (umol/L)(calculated)
Secondary Outcome Measures
Mean change from baseline in haemolysis markers
Measured by direct and total bilirubin (umol/L)
Mean change from baseline in haemolysis markers
Measured by lactate dehydrogenase (LDH) (IU/L)
Mean change from baseline in haemolysis markers
Measured by potassium (mmol/L)
Mean change from baseline in haemolysis markers
Measured by Hemoglobin (Hb) level (g/L)
Mean change from baseline in haemolysis markers
Measured by free haptoglobin (umol/L)
Frequency and severity of reported or observed adverse events (AEs)
By system organ class (SOC) and preferred terms (PTs) using Medical Dictionary for Regulatory Activities (MedDRA) coded terms, indicating seriousness criteria and relatedness
Full Information
NCT ID
NCT04817670
First Posted
March 23, 2021
Last Updated
September 21, 2023
Sponsor
Vifor (International) Inc.
Collaborators
Fortrea, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT04817670
Brief Title
Study to Assess Efficacy and Safety of VIT-2763 (Vamifeport) in Subjects With Sickle Cell Disease
Acronym
ViSionSerenity
Official Title
A Phase 2a, Double-blind, Randomised, Placebo-controlled, Efficacy, and Safety Study of Multiple Doses of VIT-2763 in Subjects With Sickle Cell Disease
Study Type
Interventional
2. Study Status
Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 9, 2021 (Actual)
Primary Completion Date
November 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Vifor (International) Inc.
Collaborators
Fortrea, Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study is to investigate the effect of VIT-2763 on markers of hemolysis (breakdown in red blood cells) in sickle cell disease (SCD). The safety, tolerability and clinical beneficial effects of VIT-2763 for the treatment of SCD are also explored.
Detailed Description
At randomization/baseline, participants are randomized into 3 VIT-2763 dose groups to receive either 60 mg twice daily (BID) (Cohort 1), or 120 mg BID (Cohort 2), or 120 mg 3 times daily (TID) (Cohort 3) and 2 placebo groups (BID, Cohort 4a or TID, Cohort 4b).
The expected duration of patient participation is a maximum of 16 weeks, including a non-treatment screening period of up to 4 weeks, and 8-week treatment period, and a 4-week safety follow-up period.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sickle Cell Disease
Keywords
anemia, sickle cell disease, vamifeport
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
24 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
Participants receive VIT-2763 60 mg, twice a day during 8 weeks.
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
Participants receive VIT-2763 120 mg, twice a day during 8 weeks.
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
Participants receive VIT-2763 120 mg, three times a day during 8 weeks.
Arm Title
Cohort 4a
Arm Type
Placebo Comparator
Arm Description
Participants receive a placebo, twice a day during 8 weeks.
Arm Title
Cohort 4b
Arm Type
Placebo Comparator
Arm Description
Participants receive a placebo, three times a day during 8 weeks.
Intervention Type
Drug
Intervention Name(s)
VIT-2763 120 mg
Other Intervention Name(s)
Vamifeport
Intervention Description
Participants receive 2 capsules of VIT-2763 30 mg in the morning and in the evening, for 8 weeks.
Capsules are to be taken orally.
Intervention Type
Drug
Intervention Name(s)
VIT-2763 360 mg
Other Intervention Name(s)
Vamifeport
Intervention Description
Participants receive 2 capsules of VIT-2763 60 mg in the morning, in the afternoon and in the evening for 8 weeks.
Capsules are to be taken orally.
Intervention Type
Drug
Intervention Name(s)
VIT-2763 240 mg
Other Intervention Name(s)
Vamifeport
Intervention Description
Participants receive 2 capsules of VIT-2763 60 mg in the morning and in the evening, for 8 weeks.
Capsules are to be taken orally.
Intervention Type
Drug
Intervention Name(s)
Placebo BID
Intervention Description
Participants receive 2 capsules of placebo in the morning and in the evening, for 8 weeks.
Capsules are to be taken orally.
Intervention Type
Drug
Intervention Name(s)
Placebo TID
Intervention Description
Participants receive 2 capsules of Placebo in the morning, in the afternoon and in the evening, for 8 weeks.
Capsules are to be taken orally.
Primary Outcome Measure Information:
Title
Mean change from baseline in haemolysis markers
Description
Measured by reduction of indirect bilirubin (umol/L)(calculated)
Time Frame
8 weeks of treatment
Secondary Outcome Measure Information:
Title
Mean change from baseline in haemolysis markers
Description
Measured by direct and total bilirubin (umol/L)
Time Frame
8 weeks of treatment
Title
Mean change from baseline in haemolysis markers
Description
Measured by lactate dehydrogenase (LDH) (IU/L)
Time Frame
8 weeks of treatment
Title
Mean change from baseline in haemolysis markers
Description
Measured by potassium (mmol/L)
Time Frame
8 weeks of treatment
Title
Mean change from baseline in haemolysis markers
Description
Measured by Hemoglobin (Hb) level (g/L)
Time Frame
8 weeks of treatment
Title
Mean change from baseline in haemolysis markers
Description
Measured by free haptoglobin (umol/L)
Time Frame
8 weeks of treatment
Title
Frequency and severity of reported or observed adverse events (AEs)
Description
By system organ class (SOC) and preferred terms (PTs) using Medical Dictionary for Regulatory Activities (MedDRA) coded terms, indicating seriousness criteria and relatedness
Time Frame
8 weeks of treatment
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male or female subjects with confirmed diagnosis of SCD, including only HbS/S or HbS/βT0 genotype.
Subjects who had at least 1 and no more than 10 vaso-occlusive crises (VOC) episodes reported within 12 months prior to screening.
Body weight ≥40 kg and ≤120 kg at screening and baseline.
Subjects on concomitant hydroxyurea must be on a stable dose (mg/kg) for ≥3 months prior to screening Visit V1
Female subjects of childbearing potential, must have negative pregnancy, must have stopped breastfeeding as of first dose, and must either commit to true abstinence from heterosexual contact or must be willing to use adequate contraceptive precautions.
Male subjects must practice true abstinence or agree to use a condom during sexual contact with a pregnant female or a female of childbearing potential
Exclusion Criteria:
Hb level <6.0 g/dl or >10.4 g/dl for female participants and >11.0 g/dl for male participants, at screening Visit V1
Having received red blood cell (RBC) transfusion therapy within 4 weeks prior to screening, or ongoing or planned RBC transfusion therapy during the course of the study
Low levels of Ferritin or transferrin saturation or total iron-binding capacity at screening
Subjects being hospitalized for SCD-related events within 14 days before the screening visit
Chronic liver disease or history of liver cirrhosis, and/or high levels of alanine aminotransferase or aspartate aminotransferase at baseline
Low estimated glomerular filtration rate, and/or significant high urinary albumin/creatinine ratio at screening or on chronic dialysis.
Newly diagnosed folate deficiency anemia, which is considered clinically relevant by the Investigator at screening
Any history or clinically important finding of cardiac or pulmonary disorders
Family history of long-QT syndrome or sudden death without a preceding diagnosis of a condition that could be causative of sudden death
Clinically significant bacterial, fungal, parasitic, or viral infection which requires therapy. Note: A subject meeting this criterion should delay screening and/or enrolment for a minimum of 2 weeks, or if excluded can be re-screened at a later time point.
Concomitant use of certain hormonal contraceptives as defined in the study protocol, are not allowed within 4 weeks prior to screening and until 1 week after the last administration of the study drug and the use of progesterone-only hormonal contraception as the sole measure to prevent pregnancy.
Pregnant or females currently breastfeeding.
History or known concomitant solid tumours and/or haematological malignancies unless resolved in the ≥2 past years, except for basal or squamous cell carcinoma of the skin, carcinoma in situ of the cervix or breast, incidental histologic finding of prostate cancer
Unable to take and absorb oral medications
Acute peptic stomach or duodenal ulcer in the previous 6 months before screening and/or healed after 3 months of treatment.
Uncontrolled hemorrhages
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
VIT-2763-SCD-202 Clinical Study Team
Phone
+41 588 518 00
Email
VIT2763-SCD202.study@viforpharma.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ricardo Hermosilla, PhD
Organizational Affiliation
Vifor (International) Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Investigator Site 709
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35233-2110
Country
United States
Individual Site Status
Recruiting
Facility Name
Investigator Site 708
City
Los Angeles
State/Province
California
ZIP/Postal Code
90027
Country
United States
Individual Site Status
Recruiting
Facility Name
Investigator Site 713
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Individual Site Status
Recruiting
Facility Name
Investigator Site 706
City
Hollywood
State/Province
Florida
ZIP/Postal Code
33023
Country
United States
Individual Site Status
Recruiting
Facility Name
Investigator Site 703
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Individual Site Status
Recruiting
Facility Name
Investigator Site 701
City
Greenville
State/Province
North Carolina
ZIP/Postal Code
27834
Country
United States
Individual Site Status
Recruiting
Facility Name
Investigator Site 711
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29425
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Shayla Bergmann, MD
Facility Name
Investigator Site 702
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226
Country
United States
Individual Site Status
Recruiting
Facility Name
Investigator Site 801
City
Colombes
ZIP/Postal Code
92700
Country
France
Individual Site Status
Recruiting
Facility Name
Investigator Site 802
City
Lyon
ZIP/Postal Code
690003
Country
France
Individual Site Status
Recruiting
Facility Name
Investigator Site 305
City
Athens
ZIP/Postal Code
11527
Country
Greece
Individual Site Status
Recruiting
Facility Name
Investigator site 301
City
Athens
ZIP/Postal Code
GR-11527
Country
Greece
Individual Site Status
Recruiting
Facility Name
Investigator Site 302
City
Patra
Country
Greece
Individual Site Status
Recruiting
Facility Name
Investigator Site 101
City
Baabda
Country
Lebanon
Individual Site Status
Recruiting
Facility Name
Investigator Site 102
City
Beirut
Country
Lebanon
Individual Site Status
Recruiting
Facility Name
Investigator Site 103
City
Tripoli
Country
Lebanon
Individual Site Status
Recruiting
Facility Name
Investigator Site 606
City
Liverpool
ZIP/Postal Code
L9 7AL
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
Investigator Site 603
City
London
ZIP/Postal Code
SE59RS
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
Investigator Site 608
City
London
ZIP/Postal Code
W12 0HS
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
Investigator Site 601
City
London
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
Investigator Site 605
City
London
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
Investigator Site 607
City
Manchester
ZIP/Postal Code
M13 9WL
Country
United Kingdom
Individual Site Status
Recruiting
12. IPD Sharing Statement
Plan to Share IPD
No
Citations:
PubMed Identifier
35714304
Citation
Nyffenegger N, Zennadi R, Kalleda N, Flace A, Ingoglia G, Buzzi RM, Doucerain C, Buehler PW, Schaer DJ, Durrenberger F, Manolova V. The oral ferroportin inhibitor vamifeport improves hemodynamics in a mouse model of sickle cell disease. Blood. 2022 Aug 18;140(7):769-781. doi: 10.1182/blood.2021014716.
Results Reference
background
Links:
URL
https://pubmed.ncbi.nlm.nih.gov/35714304/
Description
Related Info
Learn more about this trial
Study to Assess Efficacy and Safety of VIT-2763 (Vamifeport) in Subjects With Sickle Cell Disease
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