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Voxelotor CYP and Transporter Cocktail Interaction Study

Primary Purpose

Sickle Cell Disease

Status
Active
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Voxelotor
Bupropion
Repaglinide
Flurbiprofen
Omeprazole
Midazolam
Metformin
Furosemide
Rosuvastatin
Sponsored by
Pfizer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Sickle Cell Disease focused on measuring Drug drug interaction

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: 1. Males or females ≥ 18 and ≤ 55 years of age inclusive, at the time of signing the informed consent. 2. No clinically significant findings as assessed by review of medical and surgical history, vital signs assessments, 12-lead electrocardiograms (ECG), physical examination, and clinical laboratory evaluations conducted at screening and day of admission. A single repeat measurement/test may be performed to confirm eligibility based upon initial vital signs, ECG, or clinical laboratory tests abnormalities. 3. Body mass Index (BMI) ≥ 18.0 and ≤ 30.0 kg/m2, and body weight ≥ 50 kg at screening and Period 1 Day -1. BMI = weight (kg)/(height [m])2 4. Females of childbearing potential must agree to use a highly effective method of contraception or practice abstinence from 2 weeks prior to study start through 30 days after the last dose of study drug. A highly effective method of contraception is defined as one that results in a low documented failure rate when used consistently and correctly such as: condom plus use of an intrauterine device; intrauterine system or hormonal method of contraception (oral, injected, implanted, or transdermal) for their female partner; or sexual abstinence. Males must be surgically sterilized, or agree to practice true abstinence, or use acceptable contraception if sexually active with a female partner of childbearing potential, throughout the study, and for at least 30 days after the last dose of study drug. 5. Males must agree not to donate sperm during the study and for 30 days following last dose of study drug. Exclusion Criteria: Positive pregnancy test or is lactating. History or presence of clinically significant allergic diseases (except for untreated, asymptomatic, seasonal allergies) at time of screening in the opinion of the Investigator. History or presence of conditions which, in the opinion of the Investigator, are known to interfere with the absorption, distribution, metabolism, or excretion of drugs, such as previous surgery on the gastrointestinal tract (including removal of parts of the stomach, bowel, liver, or pancreas). Participants who have a history of cholecystectomy and appendectomy are eligible for enrollment. Any signs and/or symptoms of acute illness at screening or Day -1. Abnormal ECG in any of the single ECGs collected at screening or Day -1, including QTcF > 430 msec for males and > 450 msec for females, or any cardiac rhythm other than sinus rhythm that is interpreted by the Investigator to be clinically significant. A single repeat measurement may be performed to re-evaluate ECG abnormalities (ie, to confirm that a participant is eligible). All the single ECGs must be not clinically significant to qualify for enrollment into the study. Resting bradycardia (HR < 45 bpm) or resting tachycardia (HR > 100 bpm) at screening or Day -1. A single repeat measurement may be performed to re-evaluate vital signs abnormalities(ie, to confirm that a participant is ineligible). Each of the readings must be not clinically significant to qualify for enrollment into the study. Hypertension, defined as resting (supine) systolic blood pressure (BP) > 140 mmHg or resting diastolic BP > 90 mmHg at screening or Day -1. A single repeat measurement may be performed to re-evaluate vital signs abnormalities (ie, to confirm that a participant is eligible). Each of the readings must be not clinically significant to qualify for enrollment into the study. Use of prescription medications (with the exception of contraception), any over the counter drugs including herbal preparations including St. John's wort or dietary supplements, or any drugs that induce or inhibit study drug specific CYP450(s) within 14 days or 5 half-lives, whichever is longer, prior to Day -1, or requires continuing use during study participation. Prior exposure to voxelotor/Oxbryta® within the past month. Clinically significant anemia, or has donated blood or blood components exceeding 400 mL within 90 days prior to screening. Positive screen for human immunodeficiency virus 1 (HIV-1) and HIV -2 antibodies, hepatitis A virus antibody, hepatitis B surface antigen, or hepatitis C virus antibody. History or presence of contraindication to the use of midazolam including but not limited to hypersensitivity to benzodiazepines or formulation ingredients, acute narrow-angle glaucoma, myasthenia gravis, severe respiratory insufficiency, or sleep apnea syndrome. Poor CYP2C9 or CYP2C19 metabolizer (determined at screening or available historical data). Participant has an allergy or sensitivity to voxelotor, bupropion, repaglinide, flurbiprofen, omeprazole, or midazolam. Part B only History of statin-induced myopathy or serious hypersensitivity reaction to other 3-hydroxy-3-methylglutaryl coenzyme A, reductase inhibitors (statins). Heterozygous or homozygous variant allele carriers of SLCO1B1 (c.521T>C, rs4149056), encoding the hepatic uptake transporter OATP1B1, resulting in decreased transport activity. Participant has an allergy or sensitivity to voxelotor, metformin, furosemide, or rosuvastatin.

Sites / Locations

  • ICON Early Phase Services, LLC

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Part A

Part B

Arm Description

To evaluate the effect of multiple doses of voxelotor on the plasma pharmacokinetics (PK) of a single dose of bupropion, repaglinide, flurbiprofen, omeprazole, and midazolam

To evaluate the effect of multiple doses of voxelotor on the plasma PK of a single dose of metformin, furosemide, and rosuvastatin

Outcomes

Primary Outcome Measures

Part A- Maximum observed plasma concentration (Cmax) for bupropion
Part A- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for bupropion
Part A- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for bupropion
Part A- Maximum observed plasma concentration (Cmax) for repaglinide
Part A- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for repaglinide
Part A- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for repaglinide
Part A- Maximum observed plasma concentration (Cmax) for flurbiprofen
Part A- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for flurbiprofen
Part A- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for flurbiprofen
Part A- Maximum observed plasma concentration (Cmax) for omeprazole
Part A- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for omeprazole
Part A- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for omeprazole
Part A- Maximum observed plasma concentration (Cmax) for midazolam
Part A- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for midazolam
Part A- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for midazolam
Part B- Maximum observed plasma concentration (Cmax) for metformin
Part B- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for metformin
Part B- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for metformin
Part B- Maximum observed plasma concentration (Cmax) for furosemide
Part B- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for furosemide
Part B- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for furosemide
Part B- Maximum observed plasma concentration (Cmax) for rosuvastatin
Part B- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for rosuvastatin
Part B- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for rosuvastatin

Secondary Outcome Measures

Part A- Maximum observed plasma concentration (Cmax) for 6-hydroxybupropion
Part A- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for 6-hydroxybupropion
Part A- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for 6-hydroxybupropion
Part A- Maximum observed plasma concentration (Cmax) for 5-hydroxyomeprazole
Part A- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for 5-hydroxyomeprazole
Part A- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for 5-hydroxyomeprazole
Part A- Maximum observed plasma concentration (Cmax) for 1-hydroxymidazolam
Part A- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for 1-hydroxymidazolam
Part A- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for 1-hydroxymidazolam
Part A- The time that Cmax is observed (tmax) for bupropion in plasma
Part A- The time that Cmax is observed (tmax) for 6-hydroxybupropion in plasma
Part A- The time that Cmax is observed (tmax) for repaglinide in plasma
Part A- The time that Cmax is observed (tmax) for flurbiprofen in plasma
Part A- The time that Cmax is observed (tmax) for omeprazole in plasma
Part A- The time that Cmax is observed (tmax) for 5-hydroxyomeprazole in plasma
Part A- The time that Cmax is observed (tmax) for midazolam in plasma
Part A- The time that Cmax is observed (tmax) for 1-hydroxymidazolam in plasma
Part A- terminal elimination half-life (t½) for bupropion in plasma
Part A- terminal elimination half-life (t½) for 6-hydroxybupropion in plasma
Part A- terminal elimination half-life (t½) for repaglinide in plasma
Part A- terminal elimination half-life (t½) for flurbiprofen in plasma
Part A- terminal elimination half-life (t½) for omeprazole in plasma
Part A- terminal elimination half-life (t½) for 5-hydroxyomeprazole in plasma
Part A- terminal elimination half-life (t½) for midazolam in plasma
Part A- terminal elimination half-life (t½) for 1-hydroxymidazolamin plasma
Part A- Ratio of metabolite to parent AUCt corrected for molecular weight (AUCt M/P) for bupropion
Part A- Ratio of metabolite to parent AUCt corrected for molecular weight (AUCt M/P) for omeprazole
Part A- Ratio of metabolite to parent AUCt corrected for molecular weight (AUCt M/P) for midazolam
Part B- The time that Cmax is observed (tmax) for metformin in plasma
Part B- The time that Cmax is observed (tmax) for furosemide in plasma
Part B- The time that Cmax is observed (tmax) for rosuvastatin in plasma
Part B- terminal elimination half-life (t½) for metformin in plasma
Part B- terminal elimination half-life (t½) for furosemide in plasma
Part B- terminal elimination half-life (t½) for rosuvastatin in plasma
Part A- Incidence of Treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs)
Part B- Incidence of Treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs)
Part A- Incidence of clinically significant changes in clinical laboratory tests, physical examination findings, and vital signs
Part B- Incidence of clinically significant changes in clinical laboratory tests, physical examination findings, and vital signs

Full Information

First Posted
May 17, 2023
Last Updated
September 11, 2023
Sponsor
Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT05981365
Brief Title
Voxelotor CYP and Transporter Cocktail Interaction Study
Official Title
A Phase 1, Open-Label, Two-Part, Fixed-Sequence, Drug-Drug Interaction Study to Evaluate the Effect of Voxelotor on the Pharmacokinetics of Selected CYP and Transporter Probe Substrates in Healthy Participants
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
April 17, 2023 (Actual)
Primary Completion Date
September 28, 2023 (Anticipated)
Study Completion Date
September 28, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pfizer

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
This research study is examining multiple doses of voxelotor (a study drug intended for treatment of sickle cell disease) and how it interacts with additional substrates (substrates are drugs or other substances that are metabolized by cytochrome enzymes. The substrates used in this study are FDA approved medications). The study will help to determine the safety and tolerability of the study drugs taken together, as well as the pharmacokinetics (PK) on how your body processes and responds to the combination of the study drug and substrates. Although these drugs are FDA approved, their use in this study is experimental.
Detailed Description
This is an open-label, fixed-sequence, 2-period evaluation study. This means the study doctor and participants in the study will know what study drugs they are taking. There will be approximately 46 healthy male and female participants between the ages of 18 - 55. There will be two parts of the study: parts A and B. Part A will consist of 26 healthy male and female participants (at least 20% African American). For Part A, participant involvement is expected to last approximately 81 days, including a 33-day screening period and a 48-day on study period (consisting of 2 study treatment periods, a washout period lasting 7 to 14 days, and the Follow-up visit). Part B will consist of 20 healthy male and female participants (at least 20% African American). For Part B, participant involvement is expected to last approximately 68 days, including a 33-day screening period and a 35-day on study period (consisting of 2 study treatment periods, a washout period lasting 7 to 14 days, and the Follow-up visit). You will only be allowed to be in one part of the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sickle Cell Disease
Keywords
Drug drug interaction

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
18 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part A
Arm Type
Experimental
Arm Description
To evaluate the effect of multiple doses of voxelotor on the plasma pharmacokinetics (PK) of a single dose of bupropion, repaglinide, flurbiprofen, omeprazole, and midazolam
Arm Title
Part B
Arm Type
Experimental
Arm Description
To evaluate the effect of multiple doses of voxelotor on the plasma PK of a single dose of metformin, furosemide, and rosuvastatin
Intervention Type
Drug
Intervention Name(s)
Voxelotor
Other Intervention Name(s)
Oxbryta
Intervention Description
Drug drug interaction
Intervention Type
Drug
Intervention Name(s)
Bupropion
Other Intervention Name(s)
Wellbutrin
Intervention Description
Drug drug interaction
Intervention Type
Drug
Intervention Name(s)
Repaglinide
Other Intervention Name(s)
Prandin
Intervention Description
Drug drug interaction
Intervention Type
Drug
Intervention Name(s)
Flurbiprofen
Other Intervention Name(s)
Ansaid
Intervention Description
Drug drug interaction
Intervention Type
Drug
Intervention Name(s)
Omeprazole
Other Intervention Name(s)
Prilosec
Intervention Description
Drug drug interaction
Intervention Type
Drug
Intervention Name(s)
Midazolam
Other Intervention Name(s)
Dormicum
Intervention Description
Drug drug interaction
Intervention Type
Drug
Intervention Name(s)
Metformin
Other Intervention Name(s)
Glucophage
Intervention Description
Drug drug interaction
Intervention Type
Drug
Intervention Name(s)
Furosemide
Other Intervention Name(s)
Lasix
Intervention Description
Drug drug interaction
Intervention Type
Drug
Intervention Name(s)
Rosuvastatin
Other Intervention Name(s)
Crestor
Intervention Description
Drug drug interaction
Primary Outcome Measure Information:
Title
Part A- Maximum observed plasma concentration (Cmax) for bupropion
Time Frame
Up to 81 Days
Title
Part A- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for bupropion
Time Frame
Up to 81 Days
Title
Part A- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for bupropion
Time Frame
Up to 81 Days
Title
Part A- Maximum observed plasma concentration (Cmax) for repaglinide
Time Frame
Up to 81 Days
Title
Part A- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for repaglinide
Time Frame
Up to 81 Days
Title
Part A- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for repaglinide
Time Frame
Up to 81 Days
Title
Part A- Maximum observed plasma concentration (Cmax) for flurbiprofen
Time Frame
Up to 81 Days
Title
Part A- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for flurbiprofen
Time Frame
Up to 81 Days
Title
Part A- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for flurbiprofen
Time Frame
Up to 81 Days
Title
Part A- Maximum observed plasma concentration (Cmax) for omeprazole
Time Frame
Up to 81 Days
Title
Part A- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for omeprazole
Time Frame
Up to 81 Days
Title
Part A- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for omeprazole
Time Frame
Up to 81 Days
Title
Part A- Maximum observed plasma concentration (Cmax) for midazolam
Time Frame
Up to 81 Days
Title
Part A- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for midazolam
Time Frame
Up to 81 Days
Title
Part A- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for midazolam
Time Frame
Up to 81 Days
Title
Part B- Maximum observed plasma concentration (Cmax) for metformin
Time Frame
Up to 68 Days
Title
Part B- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for metformin
Time Frame
Up to 68 Days
Title
Part B- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for metformin
Time Frame
Up to 68 Days
Title
Part B- Maximum observed plasma concentration (Cmax) for furosemide
Time Frame
Up to 68 Days
Title
Part B- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for furosemide
Time Frame
Up to 68 Days
Title
Part B- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for furosemide
Time Frame
Up to 68 Days
Title
Part B- Maximum observed plasma concentration (Cmax) for rosuvastatin
Time Frame
Up to 68 Days
Title
Part B- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for rosuvastatin
Time Frame
Up to 68 Days
Title
Part B- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for rosuvastatin
Time Frame
Up to 68 Days
Secondary Outcome Measure Information:
Title
Part A- Maximum observed plasma concentration (Cmax) for 6-hydroxybupropion
Time Frame
Up to 81 Days
Title
Part A- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for 6-hydroxybupropion
Time Frame
Up to 81 Days
Title
Part A- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for 6-hydroxybupropion
Time Frame
Up to 81 Days
Title
Part A- Maximum observed plasma concentration (Cmax) for 5-hydroxyomeprazole
Time Frame
Up to 81 Days
Title
Part A- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for 5-hydroxyomeprazole
Time Frame
Up to 81 Days
Title
Part A- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for 5-hydroxyomeprazole
Time Frame
Up to 81 Days
Title
Part A- Maximum observed plasma concentration (Cmax) for 1-hydroxymidazolam
Time Frame
Up to 81 Days
Title
Part A- area under the plasma concentration-time curve (AUC) from time 0 to the time of the last quantifiable concentration (AUCt) for 1-hydroxymidazolam
Time Frame
Up to 81 Days
Title
Part A- area under the plasma concentration-time curve (AUC) from time 0 extrapolated to infinity (AUCinf) for 1-hydroxymidazolam
Time Frame
Up to 81 Days
Title
Part A- The time that Cmax is observed (tmax) for bupropion in plasma
Time Frame
Up to 81 Days
Title
Part A- The time that Cmax is observed (tmax) for 6-hydroxybupropion in plasma
Time Frame
Up to 81 Days
Title
Part A- The time that Cmax is observed (tmax) for repaglinide in plasma
Time Frame
Up to 81 Days
Title
Part A- The time that Cmax is observed (tmax) for flurbiprofen in plasma
Time Frame
Up to 81 Days
Title
Part A- The time that Cmax is observed (tmax) for omeprazole in plasma
Time Frame
Up to 81 Days
Title
Part A- The time that Cmax is observed (tmax) for 5-hydroxyomeprazole in plasma
Time Frame
Up to 81 Days
Title
Part A- The time that Cmax is observed (tmax) for midazolam in plasma
Time Frame
Up to 81 Days
Title
Part A- The time that Cmax is observed (tmax) for 1-hydroxymidazolam in plasma
Time Frame
Up to 81 Days
Title
Part A- terminal elimination half-life (t½) for bupropion in plasma
Time Frame
Up to 81 Days
Title
Part A- terminal elimination half-life (t½) for 6-hydroxybupropion in plasma
Time Frame
Up to 81 Days
Title
Part A- terminal elimination half-life (t½) for repaglinide in plasma
Time Frame
Up to 81 Days
Title
Part A- terminal elimination half-life (t½) for flurbiprofen in plasma
Time Frame
Up to 81 Days
Title
Part A- terminal elimination half-life (t½) for omeprazole in plasma
Time Frame
Up to 81 Days
Title
Part A- terminal elimination half-life (t½) for 5-hydroxyomeprazole in plasma
Time Frame
Up to 81 Days
Title
Part A- terminal elimination half-life (t½) for midazolam in plasma
Time Frame
Up to 81 Days
Title
Part A- terminal elimination half-life (t½) for 1-hydroxymidazolamin plasma
Time Frame
Up to 81 Days
Title
Part A- Ratio of metabolite to parent AUCt corrected for molecular weight (AUCt M/P) for bupropion
Time Frame
Up to 81 Days
Title
Part A- Ratio of metabolite to parent AUCt corrected for molecular weight (AUCt M/P) for omeprazole
Time Frame
Up to 81 Days
Title
Part A- Ratio of metabolite to parent AUCt corrected for molecular weight (AUCt M/P) for midazolam
Time Frame
Up to 81 Days
Title
Part B- The time that Cmax is observed (tmax) for metformin in plasma
Time Frame
Up to 68 Days
Title
Part B- The time that Cmax is observed (tmax) for furosemide in plasma
Time Frame
Up to 68 Days
Title
Part B- The time that Cmax is observed (tmax) for rosuvastatin in plasma
Time Frame
Up to 68 Days
Title
Part B- terminal elimination half-life (t½) for metformin in plasma
Time Frame
Up to 68 Days
Title
Part B- terminal elimination half-life (t½) for furosemide in plasma
Time Frame
Up to 68 Days
Title
Part B- terminal elimination half-life (t½) for rosuvastatin in plasma
Time Frame
Up to 68 Days
Title
Part A- Incidence of Treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs)
Time Frame
Up to 81 Days
Title
Part B- Incidence of Treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs)
Time Frame
Up to 68 Days
Title
Part A- Incidence of clinically significant changes in clinical laboratory tests, physical examination findings, and vital signs
Time Frame
Up to 81 Days
Title
Part B- Incidence of clinically significant changes in clinical laboratory tests, physical examination findings, and vital signs
Time Frame
Up to 68 Days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: 1. Males or females ≥ 18 and ≤ 55 years of age inclusive, at the time of signing the informed consent. 2. No clinically significant findings as assessed by review of medical and surgical history, vital signs assessments, 12-lead electrocardiograms (ECG), physical examination, and clinical laboratory evaluations conducted at screening and day of admission. A single repeat measurement/test may be performed to confirm eligibility based upon initial vital signs, ECG, or clinical laboratory tests abnormalities. 3. Body mass Index (BMI) ≥ 18.0 and ≤ 30.0 kg/m2, and body weight ≥ 50 kg at screening and Period 1 Day -1. BMI = weight (kg)/(height [m])2 4. Females of childbearing potential must agree to use a highly effective method of contraception or practice abstinence from 2 weeks prior to study start through 30 days after the last dose of study drug. A highly effective method of contraception is defined as one that results in a low documented failure rate when used consistently and correctly such as: condom plus use of an intrauterine device; intrauterine system or hormonal method of contraception (oral, injected, implanted, or transdermal) for their female partner; or sexual abstinence. Males must be surgically sterilized, or agree to practice true abstinence, or use acceptable contraception if sexually active with a female partner of childbearing potential, throughout the study, and for at least 30 days after the last dose of study drug. 5. Males must agree not to donate sperm during the study and for 30 days following last dose of study drug. Exclusion Criteria: Positive pregnancy test or is lactating. History or presence of clinically significant allergic diseases (except for untreated, asymptomatic, seasonal allergies) at time of screening in the opinion of the Investigator. History or presence of conditions which, in the opinion of the Investigator, are known to interfere with the absorption, distribution, metabolism, or excretion of drugs, such as previous surgery on the gastrointestinal tract (including removal of parts of the stomach, bowel, liver, or pancreas). Participants who have a history of cholecystectomy and appendectomy are eligible for enrollment. Any signs and/or symptoms of acute illness at screening or Day -1. Abnormal ECG in any of the single ECGs collected at screening or Day -1, including QTcF > 430 msec for males and > 450 msec for females, or any cardiac rhythm other than sinus rhythm that is interpreted by the Investigator to be clinically significant. A single repeat measurement may be performed to re-evaluate ECG abnormalities (ie, to confirm that a participant is eligible). All the single ECGs must be not clinically significant to qualify for enrollment into the study. Resting bradycardia (HR < 45 bpm) or resting tachycardia (HR > 100 bpm) at screening or Day -1. A single repeat measurement may be performed to re-evaluate vital signs abnormalities(ie, to confirm that a participant is ineligible). Each of the readings must be not clinically significant to qualify for enrollment into the study. Hypertension, defined as resting (supine) systolic blood pressure (BP) > 140 mmHg or resting diastolic BP > 90 mmHg at screening or Day -1. A single repeat measurement may be performed to re-evaluate vital signs abnormalities (ie, to confirm that a participant is eligible). Each of the readings must be not clinically significant to qualify for enrollment into the study. Use of prescription medications (with the exception of contraception), any over the counter drugs including herbal preparations including St. John's wort or dietary supplements, or any drugs that induce or inhibit study drug specific CYP450(s) within 14 days or 5 half-lives, whichever is longer, prior to Day -1, or requires continuing use during study participation. Prior exposure to voxelotor/Oxbryta® within the past month. Clinically significant anemia, or has donated blood or blood components exceeding 400 mL within 90 days prior to screening. Positive screen for human immunodeficiency virus 1 (HIV-1) and HIV -2 antibodies, hepatitis A virus antibody, hepatitis B surface antigen, or hepatitis C virus antibody. History or presence of contraindication to the use of midazolam including but not limited to hypersensitivity to benzodiazepines or formulation ingredients, acute narrow-angle glaucoma, myasthenia gravis, severe respiratory insufficiency, or sleep apnea syndrome. Poor CYP2C9 or CYP2C19 metabolizer (determined at screening or available historical data). Participant has an allergy or sensitivity to voxelotor, bupropion, repaglinide, flurbiprofen, omeprazole, or midazolam. Part B only History of statin-induced myopathy or serious hypersensitivity reaction to other 3-hydroxy-3-methylglutaryl coenzyme A, reductase inhibitors (statins). Heterozygous or homozygous variant allele carriers of SLCO1B1 (c.521T>C, rs4149056), encoding the hepatic uptake transporter OATP1B1, resulting in decreased transport activity. Participant has an allergy or sensitivity to voxelotor, metformin, furosemide, or rosuvastatin.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pfizer CT.gov Call Center
Organizational Affiliation
Pfizer
Official's Role
Study Director
Facility Information:
Facility Name
ICON Early Phase Services, LLC
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78209
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
Links:
URL
https://pmiform.com/clinical-trial-info-request?StudyID=GBT440-0122
Description
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Voxelotor CYP and Transporter Cocktail Interaction Study

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