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Sickle Cell AnemiaPhase 3NCT02433158

Safety of Rivipansel (GMI-1070) in the Treatment of One or More Vaso-Occlusive Crises in Hospitalized Subjects With Sickle Cell Disease

A Phase 3 study testing Rivipansel in people with Sickle Cell Anemia and Sickle Cell Disease, run by GlycoMimetics Incorporated at 97 sites in 2 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is an open label extension study in subjects with Sickle Cell Disease (SCD) who have completed the double blind Phase 3 study (B5201002). Read more about this study

Who is it for?
Ages 6 years and older
What is being tested?
Rivipansel
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
154 participants
Where
97 sitesin 2 countries
Study dates
16 Dec 2015to 15 Nov 2019
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 6 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Completion of Study B5201002.
  • Documented diagnosis of SCD.
  • At least 6 years of age.
  • Male and female subjects of childbearing potential and at risk for pregnancy must agree to use a highly effective method of contraception throughout the study.
  • Diagnosis of VOC necessitating IV opioids and admission to the hospital.
  • Able to receive the first dose of rivipansel within 24 hours from administration of the first dose of IV opioids for this hospitalization.

Who cannot join

  • Non-compliance with study procedures in the double blind study (B5201002).
  • Occurrence of any severe and/or generalized cutaneous manifestation or any other adverse event during participation in Study B5201002 that was related to study drug and which would therefore make it inappropriate for the subject to receive rivipansel in the current study.
  • Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or study drug administration or may interfere with the interpretation of study results.
  • Clinically significant deterioration in renal function in Study B5201002.
  • Pregnant female subjects, breastfeeding female subjects and male and female subjects of childbearing potential who are unwilling or unable to use a highly effective method of contraception.
  • Active use of illicit drugs and/or alcohol dependence.

Trial locations and contacts

97 sites in 2 countries.

97 sites in 2 countries

United States85 sites
  • Children's Healthcare of Atlanta Aflac Cancer and Blood Disorders Center:

    Atlanta, Georgia, 30303

  • Grady Health System

    Atlanta, Georgia, 30303

  • Children's Healthcare of Atlanta Aflac Cancer and Blood Disorders Center:

    Atlanta, Georgia, 30322

  • Emory Children's Center

    Atlanta, Georgia, 30322

  • Children's Healthcare of Atlanta Aflac Cancer and Blood Disorders Center/

    Atlanta, Georgia, 30342

  • Children's Healthcare of Atlanta: Scottish Rite Campus

    Atlanta, Georgia, 30342

  • University of Maryland Medical System Investigational Pharmacy

    Baltimore, Maryland, 21201

  • University of Maryland Medical System

    Baltimore, Maryland, 21201

  • Johns Hopkins Department of Medicine Clinical Trials Unit

    Baltimore, Maryland, 21205

  • The Johns Hopkins University School of Medicine

    Baltimore, Maryland, 21205

  • The Johns Hopkins Hospital Department of Pharmacy Services

    Baltimore, Maryland, 21287-6180

  • Johns Hopkins Medicine

    Baltimore, Maryland, 21287

  • Boston Children's Hospital

    Boston, Massachusetts, 02115

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • Center for Clinical Investigation, Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • Investigational Drug Services

    Boston, Massachusetts, 02115

  • Kings County Hospital Center

    Brooklyn, New York, 11203

  • State University of New York (SUNY) Downstate Medical Center

    Brooklyn, New York, 11203

  • SUNY Downstate Medical Center University Hospital of Brooklyn

    Brooklyn, New York, 11203

  • Medical University of South Carolina Lifespan Comprehensive Sickle Cell Center

    Charleston, South Carolina, 29425

  • Medical University of South Carolina-Hospital

    Charleston, South Carolina, 29425

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • MUSC Investigational Drug Services

    Charleston, South Carolina, 29425

  • The University of Chicago/Comer Children's Hospital

    Chicago, Illinois, 60637

  • University of Chicago, Investigational Drug Service Pharmacy

    Chicago, Illinois, 60637

  • University of Cincinnati - Hoxworth Building

    Cincinnati, Ohio, 45219

  • University of Cincinnati Medical Center / Investigational Pharmacy

    Cincinnati, Ohio, 45219

  • University of Cincinnati Medical Center / Research Office

    Cincinnati, Ohio, 45219

  • University of Cincinnati Medical Center

    Cincinnati, Ohio, 45219

  • University of Cincinnati Physicians Company LLC

    Cincinnati, Ohio, 45219

  • UC Health Ridgeway Hospital

    Cincinnati, Ohio, 45229

  • The Ohio State University Investigational Drug Services

    Columbus, Ohio, 43203

  • The Ohio State University Wexner Center East

    Columbus, Ohio, 43203

  • The Ohio State University James Comprehensive Cancer Hospital & Solove Research Institute

    Columbus, Ohio, 43210

  • The Ohio State University Wexner Medical Center

    Columbus, Ohio, 43210

  • Children's Hospital of Michigan

    Detroit, Michigan, 48201

  • Duke University Hospital, Investigational Drug Service

    Durham, North Carolina, 27710

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • Golisano Childrens Hospital of Southwest Florida

    Fort Myers, Florida, 33908

  • Cook Children's Hematology and Oncology Center

    Fort Worth, Texas, 76104

  • Cook Children's Medical Center

    Fort Worth, Texas, 76104

  • Cook Children's Hematology and Oncology Center-Grapevine

    Grapevine, Texas, 76051

  • East Carolina University Brody School of Medicine

    Greenville, North Carolina, 27834

  • East Carolina University, Brody School of Medicine

    Greenville, North Carolina, 27834

  • Leo W. Jenkins Cancer Center

    Greenville, North Carolina, 27834

  • Vidant Medical Center

    Greenville, North Carolina, 27834

  • University of Texas Medical School

    Houston, Texas, 77030

  • University of Mississippi Medical Center - Outpatient Clinical Research Unit

    Jackson, Mississippi, 39216

  • University of Mississippi Medical Center

    Jackson, Mississippi, 39216

  • Arkansas Children's Hospital Research Pharmacy

    Little Rock, Arkansas, 72202

  • Arkansas Children's Hospital

    Little Rock, Arkansas, 72202

  • Jackson Memorial Hospital

    Miami, Florida, 33136

  • University of Miami

    Miami, Florida, 33136

  • University of South Alabama Women's and Children's Hospital

    Mobile, Alabama, 36604

  • Bristol Myers Squibb Children's Hospital at Robert Wood Johnson University Hospital

    New Brunswick, New Jersey, 08901

  • Rutgers-Robert Wood Johnson Medical School

    New Brunswick, New Jersey, 08901

  • Rutgers Cancer Institute of New Jersey

    New Brunswick, New Jersey, 08903

  • Columbia University Medical Center Research Pharmacy

    New York, New York, 10032

  • MS CHONY Pediatric Emergency Department

    New York, New York, 10032

  • MS CHONY Pediatric Hematology/Oncology Unit

    New York, New York, 10032

  • UPMC Presbyterian

    Pittsburgh, Pennsylvania, 15213

  • UPMC Hillman Cancer Center

    Pittsburgh, Pennsylvania, 15232

  • Hasbro Children's Hospital

    Providence, Rhode Island, 02903

  • Rhode Island Hospital-Pharmacy Service

    Providence, Rhode Island, 02903

  • Rhode Island Hospital

    Providence, Rhode Island, 02903

  • The Miriam Hospital

    Providence, Rhode Island, 02906

  • Main Hospital-VCU

    Richmond, Virginia, 23298

  • Virginia Commonwealth University - Investigational Drug Services

    Richmond, Virginia, 23298

  • Virginia Commonwealth University- Clinical Research Services Unit

    Richmond, Virginia, 23298

  • UC Davis Medical Center Main Hospital

    Sacramento, California, 95817

  • University of California Davis Medical Center

    Sacramento, California, 95817

  • Primary Children's Hospital Laboratory

    Salt Lake City, Utah, 84113

  • Primary Children's Hospital

    Salt Lake City, Utah, 84113

  • Memorial Family Medicine Center

    Savannah, Georgia, 31404

  • Memorial Health University Medical Center

    Savannah, Georgia, 31404

  • Center for Outpatient Health

    St Louis, Missouri, 63108

  • Barnes-Jewish Hospital Department of Pharmacy

    St Louis, Missouri, 63110

  • Barnes-Jewish Hospital

    St Louis, Missouri, 63110

  • Center for Advanced Medicine

    St Louis, Missouri, 63110

  • Washington University School of Medicine

    St Louis, Missouri, 63110

  • Jacobi Medical Center

    The Bronx, New York, 10461

  • Howard University Center for Sickle Cell disease

    Washington D.C., District of Columbia, 20001

  • MedStar Health Research Institute

    Washington D.C., District of Columbia, 20010

  • Howard University Hospital

    Washington D.C., District of Columbia, 20060

  • St. Mary's Medical Center

    West Palm Beach, Florida, 33407

Other trials in United States

Canada12 sites
  • Royal Alexandra Hospital

    Edmonton, Alberta, T5H 3V9

  • Miseracordia Community Hospital

    Edmonton, Alberta, T5R 4H5

  • Kaye Edmonton Clinic 3C

    Edmonton, Alberta, T6G 1Z1

  • University of Alberta Hospital, Pharmacy Services

    Edmonton, Alberta, T6G 1Z1

  • Stollery Children's Hospital

    Edmonton, Alberta, T6G 2B7

  • University of Alberta Hospital

    Edmonton, Alberta, T6G 2B7

  • Research transition Facility

    Edmonton, Alberta, T6G 2V2

  • Grey Nuns Community Hospital

    Edmonton, Alberta, T6L 5X8

  • Centre Hospitalier Universitaire Sainte-Justine

    Montreal, Quebec, H3T 1C5

  • The Montreal Children's Hospital / McGill University Health Centre

    Montreal, Quebec, H4A3J1

  • Children's Hospital of Eastern Ontario

    Ottawa, Ontario, K1H 8L1

  • The Hospital for Sick Children

    Toronto, Ontario, M5G 1X8

Other trials in Canada

About this study

Official title: An Open-Label Extension Study to Evaluate the Safety of Rivipansel (GMI-1070) in the Treatment of One or More Vaso-Occlusive Crises in Hospitalized Subjects With Sickle Cell Disease

This is an open label extension study in subjects with Sickle Cell Disease (SCD) who have completed the double blind Phase 3 study (B5201002).

Read the detailed description

This is an open label extension study in subjects who are 6 years of age or older with Sickle Cell Disease (SCD) who have completed the double blind Phase 3 study (B5201002). This study is designed to evaluate the safety and describe the efficacy of rivipansel as treatment for one or more vaso-occlusive crisis (VOC) events in hospitalized subjects with SCD.

Being tested
Rivipansel
Keywords
Rivipansel, GMI-1070, Selectin Inhibitor, SCD, VOC
Medical subject headings
Anemia, Sickle Cell, Vaso-Occlusive Crises

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • RivipanselDrug

    Also called GMI-1070

    Rivipansel will be infused intravenously every 12 hours up to a maximum of 15 doses.

Study groups in NCT02433158
Study groupRoleWhat they receive
Cohort 1ExperimentalIncludes one adult stratum (>18 years old) and one pediatric stratum (12-17 years old). Subjects aged 12 and over who weigh >40 kg, will receive a loading dose of 1680 mg followed by a maintenance dose of 840 mg.
Receives: Drug: Rivipansel
Cohort 2ExperimentalIncludes one pediatric stratum (6-11 years old). Subjects 6 to 11 years of age or subjects who weigh 40 kg, will receive a loading dose of 40 mg/kg (maximum of 1680 mg) followed by a maintenance dose of 20 mg/kg (maximum of 840 mg).
Receives: Drug: Rivipansel

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number (%) of subjects with treatment emergent adverse events (TEAEs) over the study.

    Number (%) of subjects with treatment emergent adverse events (TEAEs) over the study, number of TEAEs over the study and rate of TEAEs per subject per Vaso-Occlusive Crisis (VOC) will be summarized overall, by system organ class and by preferred term.

    Measured: 18 months

  2. Number (%) of subjects with adjudicated Acute Chest Syndrome (ACS) over the study.

    Number (%) of subjects with adjudicated Acute Chest Syndrome (ACS) over the study, number of events of adjudicated ACS and the rates of these events per subject per Vaso-Occlusive Crisis (VOC) will be summarized.

    Measured: 18 months

  3. Number (%) of subjects with adjudicated severe and/or generalized cutaneous manifestations over the study

    Number (%) of subjects with adjudicated severe and/or generalized cutaneous manifestations over the study, number of events of adjudicated severe and/or generalized cutaneous manifestations and the rates of these events per subject per Vaso-Occlusive Crisis (VOC) will be summarized.

    Measured: 18 months

  4. Number (%) of subjects with serious adverse events (SAEs) over the study.

    Number (%) of subjects with serious adverse events (SAEs) over the study, number of SAEs over the study and rate of SAEs per subject per VOC will be summarized overall, by system organ class and by preferred term.

    Measured: 18 months

Secondary outcomes (1)
  1. Subject re hospitalization

    Number (%) of subjects re hospitalized for VOC within 7, 14, and 30 days of most recent discharge will be provided overall. Number of re hospitalizations for VOC within 7, 14, and 30 days of most recent discharge and the rate of re hospitalization for VOC within 7, 14, and 30 days of most recent discharge per subject per VOC will be provided as well.

    Measured: 18 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 May 2015 (estimated)
  2. Study start16 Dec 2015
  3. Primary completion15 Nov 2019
  4. Study completion15 Nov 2019

Why it stopped: The B5201003 OLE study was terminated based on the failure of the 'parent" B5201002 study to meet its efficacy endpoints. Termination was not due to safety.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
154 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02433158
Sponsor's protocol ID
B5201003
Status last verified
Feb 2021
First submitted
29 Apr 2015
Last updated
10 Feb 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Dampier CD, Telen MJ, Wun T, Brown RC, Desai P, El Rassi F, Fuh B, Kanter J, Pastore Y, Rothman J, Taylor JG, Readett D, Sivamurthy KM, Tammara B, Tseng LJ, Lozier JN, Thackray H, Magnani JL, Hassell KL; RESET Investigators. A randomized clinical trial of the efficacy and safety of rivipansel for sickle cell vaso-occlusive crisis. Blood. 2023 Jan 12;141(2):168-179. doi: 10.1182/blood.2022015797.

    PubMed 35981565

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Rivipansel in people with Sickle Cell Anemia and Sickle Cell Disease, run by GlycoMimetics Incorporated at 97 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 10 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 97 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: The B5201003 OLE study was terminated based on the failure of the 'parent" B5201002 study to meet its efficacy endpoints. Termination was not due to safety.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number (%) of subjects with treatment emergent adverse events (TEAEs) over the study. (time frame: 18 months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02433158, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Feb 2021.

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