Study of Methodologies to Measure Blood Flow and Oxygenation in Adults With Sickle Cell Disease

December 16, 2020 updated by: Bioverativ Therapeutics Inc.

A Study of Methodologies to Measure Blood Flow and Oxygenation as Potential Biomarkers in Adults With Sickle Cell Disease

The purpose of the study is to determine whether imaging techniques, such as magnetic resonance imaging (MRI), near infrared spectroscopy (NIRS), laser speckle contrast imaging (LSCI), and optical imaging (OI), can detect differences in blood flow and oxygen levels in different organ systems of participants with sickle cell disease (SCD). Differences in blood flow and oxygen levels detected by these techniques will be evaluated to determine their utility as biomarkers of clinical disease pathophysiology.

Study Overview

Status

Completed

Conditions

Study Type

Observational

Enrollment (Actual)

38

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Michigan
      • Detroit, Michigan, United States, 48201
        • Research Site

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 45 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Probability Sample

Study Population

Participants with mild to severe VOC

Description

Key Inclusion Criteria:

  1. Have a diagnosis of SCD confirmed by hemoglobin analysis.
  2. Be in stable clinical condition, as determined by the Investigator.

    Subjects enrolled in Part B must also meet the following eligibility criterion at Screening:

  3. Receiving scheduled standard of care RBC exchange transfusion therapy, with ≥3 transfusions already received.
  4. Be deemed healthy, as determined by the Investigator, based on the physical examination, medical history, vital signs, 12-lead electrocardiogram (ECG), and clinical laboratory measurements.

Key Exclusion Criteria:

  1. Inability to lie still for ≥5 minutes, claustrophobia sufficient to interfere with generating reliable MRI scans, body weight exceeding 320.0 lbs., or girth exceeding the magnet bore.
  2. Presence of a metal device affected by MRI (e.g., any type of electronic, mechanical or magnetic implant, cardiac pacemaker, aneurysm clips, implanted cardiac defibrillator) or potential ferromagnetic foreign body (metal slivers, metal shavings, other metal objects) which would be a contraindication for MRI.
  3. Acute pain crisis requiring hospitalization, with a discharge ≤4 weeks prior to the first imaging visit, or when determined by the Investigator to not be at steady state.
  4. Recent (≤3 months) treatment with hydroxyurea therapy.

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Cohort
  • Time Perspectives: Prospective

Cohorts and Interventions

Group / Cohort
Part A
Cohort 1- Participants with severe SCD (4-10 VOC/year) Cohort 2- Participants with milder SCD (<4-10 VOC/year) Cohort 3- Healthy volunteers Part A and B can occur in parallel
Part B
Adults with SCD receiving chronic red blood cell exchange transfusion Part A and B can occur in parallel

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Blood flow in the brain of adults with severe SCD (4-10 vaso-occlusive crises [VOC]/ year) compared to healthy adults without SCD as assessed by MRI-ASL (arterial spin labeling)
Time Frame: Up to day 18 post screening visit
Up to day 18 post screening visit

Secondary Outcome Measures

Outcome Measure
Time Frame
Kidney blood flow rates as assessed by MRI-SWI (susceptibility-weighted imaging)
Time Frame: Up to day 21 post screening visit
Up to day 21 post screening visit
Skeletal muscle blood flow rates as assessed by NIRS
Time Frame: Up to day 21 post screening visit
Up to day 21 post screening visit
Skin blood flow rates as assessed by LSCI
Time Frame: Up to day 21 post screening visit
Up to day 21 post screening visit
Retinal blood flow rates as assessed by OI
Time Frame: Up to day 21 post screening visit
Up to day 21 post screening visit
Total oxygen levels in the brain as assessed by MRI-ASL
Time Frame: Up to day 21 post screening visit
Up to day 21 post screening visit
Total oxygen levels in the kidney as assessed by MRI-SWI
Time Frame: Up to day 21 post screening visit
Up to day 21 post screening visit
Total oxygen levels in the muscle as assessed by NIRS
Time Frame: Up to day 21 post screening visit
Up to day 21 post screening visit
Total oxygen levels in the skin as assessed by LSCI
Time Frame: Up to day 21 post screening visit
Up to day 21 post screening visit
Total oxygen levels in the retina as assessed by OI
Time Frame: Up to day 21 post screening visit
Up to day 21 post screening visit

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Study Director: Medical Director, Bioverativ Therapeutics Inc.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

June 1, 2015

Primary Completion (Actual)

October 1, 2016

Study Completion (Actual)

October 1, 2016

Study Registration Dates

First Submitted

April 16, 2015

First Submitted That Met QC Criteria

May 14, 2015

First Posted (Estimate)

May 19, 2015

Study Record Updates

Last Update Posted (Actual)

December 19, 2020

Last Update Submitted That Met QC Criteria

December 16, 2020

Last Verified

August 1, 2017

More Information

Terms related to this study

Other Study ID Numbers

  • 996SC001

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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