Study to Evaluate the Effect of Voxelotor Administered Orally to Patients With Sickle Cell Disease (GBT_HOPE) (GBT_HOPE)
A Phase 3, Double-blind, Randomized, Placebo-controlled, Multicenter Study of Voxelotor Administered Orally to Patients With Sickle Cell Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Expanded Access
Expanded Access
No longer available
- Available: Expanded access is currently available for this investigational treatment, and patients who are not participants in the clinical study may be able to gain access to the drug, biologic, or medical device being studied.
- No longer available: Expanded access was available for this intervention previously but is not currently available and will not be available in the future.
- Temporarily not available: Expanded access is not currently available for this intervention but is expected to be available in the future.
- Approved for marketing: The intervention has been approved by the U.S. Food and Drug Administration for use by the public.
Contacts and Locations
Study Locations
-
-
-
Toronto, Canada, M5G 2C4
-
-
-
-
-
Alexandria, Egypt, 21131
-
Cairo, Egypt
-
Cairo, Egypt, 11566
-
Zagazig, Egypt, 44519
-
-
-
-
-
Créteil, France, 94010
-
Paris, France, 75743
-
Paris, France, 75908
-
-
-
-
-
Padova, Italy, 35128
-
Verona, Italy, 37134
-
-
Milano
-
Monza, Milano, Italy, 20900
-
-
-
-
-
Kingston, Jamaica, JMAAW15
-
-
-
-
-
Nairobi, Kenya, 42325-00100
-
Nairobi, Kenya, 47855
-
Nairobi, Kenya, 59857-00200
-
Siaya, Kenya, 144-40600
-
-
-
-
-
Beirut, Lebanon, 11072020
-
Beirut, Lebanon, 1136044
-
Tripoli, Lebanon, 1434
-
-
-
-
-
Amsterdam, Netherlands, 1105 AZ
-
Den Haag, Netherlands, 2545 CH
-
Rotterdam, Netherlands, 3015 AA
-
-
-
-
-
Muscat, Oman, 123
-
-
-
-
-
Adana, Turkey, 01130
-
Kayseri, Turkey, 38039
-
Mersin, Turkey, 33342
-
-
-
-
-
London, United Kingdom, W12 0HS
-
London, United Kingdom, E11BB
-
London, United Kingdom, E96SR
-
London, United Kingdom, SE17EH
-
London, United Kingdom, SE59NU
-
London, United Kingdom, WC1N3BG
-
Manchester, United Kingdom, M13 9WL
-
-
-
-
Alabama
-
Birmingham, Alabama, United States, 35205
-
Mobile, Alabama, United States, 36693
-
-
Arkansas
-
Little Rock, Arkansas, United States, 72204
-
-
California
-
Oakland, California, United States, 94609
-
-
Florida
-
Miami, Florida, United States, 33136
-
-
Georgia
-
Atlanta, Georgia, United States, 30342
-
-
Illinois
-
Chicago, Illinois, United States, 60612
-
-
Indiana
-
Indianapolis, Indiana, United States, 46260
-
-
Louisiana
-
Baton Rouge, Louisiana, United States, 70808
-
New Orleans, Louisiana, United States, 70112
-
-
Maryland
-
Baltimore, Maryland, United States, 21287
-
Bethesda, Maryland, United States, 20817
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02118
-
Boston, Massachusetts, United States, 02115
-
-
Michigan
-
Detroit, Michigan, United States, 48201
-
-
New Jersey
-
Newark, New Jersey, United States, 07112
-
-
New York
-
Bronx, New York, United States, 11501
-
New York, New York, United States, 10032
-
-
North Carolina
-
Chapel Hill, North Carolina, United States, 27514
-
Durham, North Carolina, United States, 27710
-
Greenville, North Carolina, United States, 27834
-
-
Oklahoma
-
Oklahoma City, Oklahoma, United States, 73112
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, United States, 19107
-
Pittsburgh, Pennsylvania, United States, 15219
-
-
South Carolina
-
Charleston, South Carolina, United States, 29425
-
-
Tennessee
-
Memphis, Tennessee, United States, 38105
-
Nashville, Tennessee, United States, 37232
-
-
Texas
-
Houston, Texas, United States, 77030
-
-
Virginia
-
Richmond, Virginia, United States, 23298
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male or female study participants with sickle cell disease
- Participants have had at least 1 episode of vaso-occlusive crisis (VOC) in the past 12 months.
- Age 12 to 65 years
- Hemoglobin (Hb) ≥5.5 and ≤10.5 g/dL during screening
- For participants taking hydroxyurea (HU), the dose of HU (mg/kg) must be stable for at least 3 months prior to signing the ICF.
Exclusion Criteria:
- More than 10 VOCs within the past 12 months that required a hospital, emergency room or clinic visit
- Patients who are receiving regularly scheduled blood (RBC) transfusion therapy (also termed chronic, prophylactic, or preventive transfusion) or have received a RBC transfusion for any reason within 60 days of signing the ICF
- Hospitalized for sickle cell crisis or other vaso-occlusive event within 14 days of signing the ICF (i.e., a vaso-occlusive event cannot be within 14 days prior to signing the ICF)
- Hepatic dysfunction characterized by alanine aminotransferase (ALT) >4 × upper limit of normal
- Severe renal dysfunction (estimated glomerular filtration rate at the Screening visit; calculated by the central laboratory) <30 mL/min/1.73 m^2 or on chronic dialysis
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
|
|
|
Active Comparator: Dose 1
voxelotor
|
Other Names:
|
|
Active Comparator: Dose 2
voxelotor
|
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Participants With Increase in Hb >1 g/dL From Baseline to Week 24
Time Frame: Baseline to Week 24
|
Number of participants with increase in Hb >1 g/dL from Baseline to Week 24
|
Baseline to Week 24
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Annualized Vaso-Occlusive Crisis (VOC) Incidence Rate
Time Frame: Baseline to Week 72
|
Number of Vaso-Occlusive Crisis (VOC) events averaged per year.
|
Baseline to Week 72
|
|
Percentage Change From Baseline in Hemolysis Measures
Time Frame: Baseline to Week 24
|
Percentage change from Baseline to week 24 in unconjugated bilirubin
|
Baseline to Week 24
|
|
Percentage Change From Baseline in Hemolysis Measures
Time Frame: Baseline to Week 24
|
Percentage change from Baseline to week 24 in the absolute reticulocyte which is used to estimate the degree of effective erythropoiesis.
This values is important in Sickle Cell Disease and was reported by the central laboratory.
|
Baseline to Week 24
|
|
Percentage Change From Baseline in Hemolysis Measures
Time Frame: Baseline to Week 24
|
Percentage change from Baseline to week 24 in reticulocytes % which is a % of total Red Blood Cells (RBCs).
|
Baseline to Week 24
|
|
Percentage Change From Baseline in Hemolysis Measures
Time Frame: Baseline to Week 24
|
Percentage change from Baseline to week 24 in Lactate Dehydrogenase (LDH)
|
Baseline to Week 24
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Pfizer CT.gov Call Center, Pfizer
Publications and helpful links
General Publications
- Howard J, Ataga KI, Brown RC, Achebe M, Nduba V, El-Beshlawy A, Hassab H, Agodoa I, Tonda M, Gray S, Lehrer-Graiwer J, Vichinsky E. Voxelotor in adolescents and adults with sickle cell disease (HOPE): long-term follow-up results of an international, randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Haematol. 2021 May;8(5):e323-e333. doi: 10.1016/S2352-3026(21)00059-4. Epub 2021 Apr 7.
- Minniti CP, Knight-Madden J, Tonda M, Gray S, Lehrer-Graiwer J, Biemond BJ. The impact of voxelotor treatment on leg ulcers in patients with sickle cell disease. Am J Hematol. 2021 Apr 1;96(4):E126-E128. doi: 10.1002/ajh.26101. Epub 2021 Feb 19. No abstract available.
- Vichinsky E, Hoppe CC, Ataga KI, Ware RE, Nduba V, El-Beshlawy A, Hassab H, Achebe MM, Alkindi S, Brown RC, Diuguid DL, Telfer P, Tsitsikas DA, Elghandour A, Gordeuk VR, Kanter J, Abboud MR, Lehrer-Graiwer J, Tonda M, Intondi A, Tong B, Howard J; HOPE Trial Investigators. A Phase 3 Randomized Trial of Voxelotor in Sickle Cell Disease. N Engl J Med. 2019 Aug 8;381(6):509-519. doi: 10.1056/NEJMoa1903212. Epub 2019 Jun 14.
- Metcalf B, Chuang C, Dufu K, Patel MP, Silva-Garcia A, Johnson C, Lu Q, Partridge JR, Patskovska L, Patskovsky Y, Almo SC, Jacobson MP, Hua L, Xu Q, Gwaltney SL 2nd, Yee C, Harris J, Morgan BP, James J, Xu D, Hutchaleelaha A, Paulvannan K, Oksenberg D, Li Z. Discovery of GBT440, an Orally Bioavailable R-State Stabilizer of Sickle Cell Hemoglobin. ACS Med Chem Lett. 2017 Jan 23;8(3):321-326. doi: 10.1021/acsmedchemlett.6b00491. eCollection 2017 Mar 9.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- GBT440-031
- C5341043 (Other Identifier: Alias Study Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
Clinical Trials on Sickle Cell Disease
-
NCT07540767Not yet recruitingSickle Cell Disease | Sickle Cell Disease (SCD) | Sickle Cell Anemia in Children | Sickle Cell | Sickle Cell Anemia (HbSS)
-
NCT04579926CompletedSickle Cell Disease | Sickle Cell Anemia in Children | Sickle Cell Thalassemia | Sickle Cell SC Disease
-
NCT03763656CompletedSickle Cell Disease | Sickle Cell Hemoglobin C | Sickle Cell-beta-thalassemia | Sickle-Cell; Hemoglobin Disease, Thalassemia
-
NCT06396403CompletedSickle Cell Disease | Sickle Cell SC Disease | Sickle Cell-SS Disease | Sickle Cell Retinopathy
-
NCT01925001WithdrawnSickle Cell Disease | Anemia, Sickle Cell | Sickle Cell Anemia | Hemoglobin SC Disease | Sickle Cell Disorders | Sickle Cell Hemoglobin C Disease
-
NCT01356485CompletedSickle Cell Disease | Anemia, Sickle Cell | Sickle Cell Anemia | Hemoglobin SC Disease | Sickle Cell Disorders | Sickle Cell Hemoglobin C Disease
-
NCT05506358CompletedSickle Cell Disease | Beta-Thalassemia | Sickle Cell Trait | Sickle Cell-Beta Thalassemia | Sickle Cell-SS Disease
-
NCT01350232TerminatedSickle Cell Anemia | Sickle Cell-hemoglobin C Disease | Sickle Cell-β0-thalassemia
-
NCT04201210RecruitingSickle Cell Disease | Sickle Cell Anemia | Sickle Cell Disorders | HbS Disease | Hemoglobin S Disease | Sickling Disorder Due to Hemoglobin S
-
NCT03971136RecruitingSickle-Cell Disease Nos With Crisis
Clinical Trials on Placebo
-
NCT03827590UnknownAcute Bronchitis | Acute Upper Respiratory Tract Infection
-
NCT02177513Completed
-
NCT06767540Not yet recruiting
-
NCT02935712CompletedMale Subjects With Type II Diabetes (T2DM)
-
NCT03198624CompletedPharmacokinetics | Safety Issues
-
NCT02982187CompletedPulmonary Disease, Chronic Obstructive
-
NCT04693039Completed
-
NCT01610388Completed
-
NCT01550471CompletedAsthma | Allergic Rhinitis