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Sickle Cell DiseasePhase 4ActIVeNCT04400487

Actigraphy Improvement With Voxelotor (ActIVe) Study

A Phase 4 study testing Voxelotor in people with Sickle Cell Disease and Sickle Cell Anemia, run by Pfizer at 10 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a study to evaluate the effect of voxelotor on daily physical activity and sleep quality, as measured by a wrist-worn device in participants with sickle cell disease (SCD) and chronic moderate anemia. Read more about this study

Who is it for?
Ages 12 to 55 years
Conditions the study is for
Sickle Cell Disease, Sickle Cell Anemia
What is being tested?
Voxelotor
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
25 participants
Where
10 sitesUnited States
Study dates
21 Dec 2020to 13 Sep 2022
Phase
Phase 4
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 12 to 55 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Male or female participants with SCA (sickle hemoglobin with two sickle cell genes [HbSS] or sickle hemoglobin (S) and one beta thalassemia gene [HbS β0] thal genotype)
  • Between 12 to 55 years of age (inclusive)
  • Screening Hb level ≤8.0 g/dL
  • Treatment with hydroxyurea (HU) therapy on study is permitted if the participant has been on a stable dose for at least 90 days before enrollment with no dose modifications planned or anticipated by the Investigator
  • Treatment with glutamine is permitted
  • Treatment with erythropoiesis-stimulating agents (ESAs) is permitted if the participant has been on a stable dose for at least 12 weeks before enrollment with no dose modifications planned or anticipated by the Investigator
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  • Female participants of child-bearing potential must use highly effective methods of contraception to 30 days after the last dose of study drug. Male participants must use barrier methods of contraception to 30 days after the last dose of study drug
  • Females of child-bearing potential are required to have a negative pregnancy test before the administration of study drug
  • Written informed consent and/or parental/guardian consent and participant assent per Institutional Review Board (IRB) policy and requirements, consistent with ICH guidelines

Who cannot join

  • Red blood cell (RBC transfusion within 3 months before initiation of study drug
  • Planned initiation of regularly scheduled RBC transfusion therapy (also termed chronic, prophylactic, or preventive transfusion) during the study
  • Hospitalization for vaso-occlusive crisis (VOC) or acute chest syndrome (ACS) within 30 days prior to informed consent/assent.
  • More than 10 VOCs requiring hospitalization, emergency department or clinic visit within the past 12 months
  • Planned elective surgery within the next 6 months
  • Physical inactivity attributable to clinically significant musculoskeletal, cardiovascular, or respiratory comorbidities
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  • Anemia due to bone marrow failure (eg, myelodysplasia)
  • Absolute reticulocyte count (ARC) < 100 x10^9/L
  • Screening alanine aminotransferase (ALT) > 4× upper limit of normal (ULN)
  • Severe renal dysfunction (estimated glomerular filtration rate [GFR] < 30 mL/min/1.73 m2 by Schwartz formula) or is on chronic dialysis
  • Known active hepatitis A, B or C or known to be human immunodeficiency virus (HIV)-positive.
  • Females who are breast-feeding or pregnant
  • Major surgery within 8 weeks before enrollment. Participants must have completely recovered from any previous surgery before enrollment
  • History of hematopoietic stem cell transplant or gene therapy
  • Received an investigational drug within 30 days or 5-half-lives, whichever is longer, prior to consent, or is currently participating in another trial of an investigational or marketed drug (or medical device)
  • Use of concomitant medications (eg, crizanlizumab) that confound the ability to interpret data from the study
  • Medical, psychological, or behavioral condition that, in the opinion of the Investigator, would confound or interfere with evaluation of safety and/or efficacy of the study drug, prevent compliance with the study protocol; preclude informed consent; or, render the participant unable/unlikely to comply with the study procedures
  • Use of herbal medications (e.g., St. John's Wort), sensitive cytochrome P450 (CYP) 3A4 substrates with a narrow therapeutic index, strong CYP3A4 inhibitors, fluconazole, or moderate or strong CYP3A4 inducers
  • Symptomatic coronavirus disease of 2019 (COVID-19) infection

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

United States10 sites
  • Children's Healthcare of Atlanta

    Atlanta, Georgia, 30342

  • The Ohio State University Wexner Medical Center

    Columbus, Ohio, 43210

  • Children's Hospital of Michigan

    Detroit, Michigan, 48201

  • Duke Department of Pediatrics

    Durham, North Carolina, 27710

  • UConn Health

    Farmington, Connecticut, 06030

  • The University of Texas Health Science Center at Houston

    Houston, Texas, 77030

  • Icahn School of Medicine at Mount Sinai

    New York, New York, 10029

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15213

  • VCU Health

    Richmond, Virginia, 23298

  • The Children's Hospital at Montefiore

    The Bronx, New York, 10476

Other trials in United States

About this study

Official title: A Phase 4, Multicenter, Open-label Study to Evaluate the Treatment Effect of Voxelotor on Physical Activity in Adolescents and Adults With Sickle Cell Disease

This is a study to evaluate the effect of voxelotor on daily physical activity and sleep quality, as measured by a wrist-worn device in participants with sickle cell disease (SCD) and chronic moderate anemia.

Read the detailed description

All participants will receive Voxelotor as treatment. There will be approximately 13 sites in the US.

Participant safety and tolerability will be monitored during the study using standard measures, including physical examinations, vital signs (including temperature, blood pressure, pulse rate, respiratory rate and peripheral oxygen saturation [SpO2]), clinical laboratory tests, and adverse event (AE) monitoring.

Screening Period (up to 4 weeks in duration): During this period, participants will sign the informed consent form (ICF), after which they will complete the screening assessments as detailed in the Schedule of Assessments (SOA).

Run-in Period (2 weeks in duration): During this period, participants will enter a 2-week run-in period (Day -14 to Day -1) during which baseline actigraphy measures of physical activity and sleep quality, overnight pulse oximetry assessments of oxygen saturation, and Patient-Reported Outcome (PRO) assessments will be collected before initiating treatment with voxelotor.

Treatment Period (24 weeks in duration): After completion of the 14-day Run-in Period, participants will enter the open label treatment period and receive voxelotor 1500 mg once daily for 24 weeks. Repeat actigraphy assessments of physical activity and sleep quality, and overnight pulse oximetry will be performed during the treatment period (Weeks 10 to 12 and Weeks 22 to 24). PRO and Clinical Global Impression (CGI) assessments will be completed at scheduled study visits. The open-label treatment period is considered the continuous 24 weeks of voxelotor treatment from date of first dose (Day 1).

Follow-up Period (4 weeks in duration): Immediately following the 24-week treatment period, participants will enter a 4-week Follow-up Period.

Being tested
Voxelotor
Medical subject headings
Anemia, Sickle Cell

What participants receive

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

  • VoxelotorDrug

    Also called GBT440, Oxbryta

    500 mg Tablet, Oral, With or Without Food

Study groups in NCT04400487
Study groupRoleWhat they receive
VoxelotorExperimentalParticipants will receive voxelotor at 1500 mg
Receives: Drug: Voxelotor

What is being measured

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

  1. Change From Baseline in Total Daily Physical Activity (Counts Per Minute) to Week 10-12

    Daily physical activity was measured by actigraphy in participants with sickle cell disease (SCD) and chronic moderate anemia. Actigraphy assessments were performed using wrist-worn tri-axial accelerometry device. Actigraphy is an accepted methodology for tracking activity levels, time spent in moderate and vigorous physical activity, step counts, and energy expenditure. Change from baseline to follow-up visit was calculated as the baseline measurement subtracted from the follow-up measurement for all assessments. In this outcome measure the average of at least 8 valid days during the specified two-week period was considered. A participant's daily wear must be 18 hours or more in a day to be considered a valid day.

    Measured: Baseline, Week 10-12

  2. Change From Baseline in Total Daily Physical Activity (Counts Per Minute) to Week 22-24

    Daily physical activity was measured by actigraphy in participants with SCD and chronic moderate anemia. Actigraphy assessments were performed using wrist-worn tri-axial accelerometry device. Actigraphy is an accepted methodology for tracking activity levels, time spent in moderate and vigorous physical activity, step counts, and energy expenditure. Change from baseline to follow-up visit was calculated as the baseline measurement subtracted from the follow-up measurement for all assessments. In this outcome measure the average of at least 8 valid days during the specified two-week period was considered. A participant's daily wear must be 18 hours or more in a day to be considered a valid day.

    Measured: Baseline, Week 22-24

  3. Change From Baseline in Light Physical Activity to Week 10-12

    Change in daily physical activity was measured by actigraphy in adolescent and adult participants with SCD and chronic moderate anemia. This outcome measure described the change from baseline in light physical activity. Change from baseline to follow-up visit was calculated as the baseline measurement subtracted from the follow-up measurement for all assessments. In this outcome measure the average of at least 8 valid days during the specified two-week period was considered. A participant's daily wear must be 18 hours or more in a day to be considered a valid day.

    Measured: Baseline, Week 10-12

  4. Change From Baseline in Light Physical Activity to Week 22-24

    Change in daily physical activity was measured by actigraphy in adolescent and adult participants with SCD and chronic moderate anemia. This outcome measure described the change from baseline in light physical activity. Change from baseline to follow-up visit was calculated as the baseline measurement subtracted from the follow-up measurement for all assessments. In this outcome measure the average of at least 8 valid days during the specified two-week period was considered. A participant's daily wear must be 18 hours or more in a day to be considered a valid day.

    Measured: Baseline, Week 22-24

  5. Change From Baseline in Moderate Physical Activity to Week 10-12

    Change in daily moderate physical activity (minutes per day) was measured by actigraphy in participants with SCD and chronic moderate anemia. Change from baseline to follow-up visit was calculated as the baseline measurement subtracted from the follow-up measurement for all assessments. In this outcome measure the average of at least 8 valid days during the specified two-week period was considered. A participant's daily wear must be 18 hours or more in a day to be considered a valid day.

    Measured: Baseline, Week 10-12

  6. Change From Baseline in Moderate Physical Activity to Week 22-24

    Change in daily moderate physical activity (minutes per day) was measured by actigraphy in participants with SCD and chronic moderate anemia. Change from baseline to follow-up visit was calculated as the baseline measurement subtracted from the follow-up measurement for all assessments. In this outcome measure the average of at least 8 valid days during the specified two-week period was considered. A participant's daily wear must be 18 hours or more in a day to be considered a valid day.

    Measured: Baseline, Week 22-24

  7. Change From Baseline in Vigorous Physical Activity to Week 10-12

    Change in daily vigorous physical activity (minutes per day) was measured by actigraphy in participants with SCD and chronic moderate anemia. Change from baseline to follow-up visit was calculated as the baseline measurement subtracted from the follow-up measurement for all assessments. In this outcome measure the average of at least 8 valid days during the specified two-week period was considered. A participant's daily wear must be 18 hours or more in a day to be considered a valid day.

    Measured: Baseline, Week 10-12

  8. Change From Baseline in Vigorous Physical Activity to Week 22-24

    Change in daily vigorous physical activity (minutes per day) was measured by actigraphy in participants with SCD and chronic moderate anemia. Change from baseline to follow-up visit was calculated as the baseline measurement subtracted from the follow-up measurement for all assessments. In this outcome measure the average of at least 8 valid days during the specified two-week period was considered. A participant's daily wear must be 18 hours or more in a day to be considered a valid day.

    Measured: Baseline, Week 22-24

  9. Change From Baseline in Total Nocturnal Sleep Time to Week 10-12

    Total nocturnal sleep time was measured by overnight actigraphy monitoring. Change from baseline to follow-up visit was calculated as the baseline measurement subtracted from the follow-up measurement for all assessments. In this outcome measure the average of at least 8 valid days during the specified two-week period was considered. A participant's daily wear must be 18 hours or more in a day to be considered a valid day.

    Measured: Baseline, Week 10-12

  10. Change From Baseline in Total Nocturnal Sleep Time to Week 22-24

    Total nocturnal sleep time was measured by overnight actigraphy monitoring. Change from baseline to follow-up visit was calculated as the baseline measurement subtracted from the follow-up measurement for all assessments. In this outcome measure the average of at least 8 valid days during the specified two-week period was considered. A participant's daily wear must be 18 hours or more in a day to be considered a valid day.

    Measured: Baseline, Week 22-24

  11. Change From Baseline in Wake Time After Sleep Onset to Week 10-12

    Measured by actigraphy monitoring. Change from baseline to follow-up visit was calculated as the baseline measurement subtracted from the follow-up measurement for all assessments. In this outcome measure the average of at least 8 valid days during the specified two-week period was considered. A participant's daily wear must be 18 hours or more in a day to be considered a valid day.

    Measured: Baseline, Week 10-12

  12. Change From Baseline in Wake Time After Sleep Onset to Week 22-24

    Measured by actigraphy monitoring. Change from baseline to follow-up visit was calculated as the baseline measurement subtracted from the follow-up measurement for all assessments. In this outcome measure the average of at least 8 valid days during the specified two-week period was considered. A participant's daily wear must be 18 hours or more in a day to be considered a valid day.

    Measured: Baseline, Week 22-24

  13. Change From Baseline in Sleep Efficiency to Week 10-12

    Sleep efficiency was defined as ration of total sleep time to time in bed. Change from baseline to follow-up visit was calculated as the baseline measurement subtracted from the follow-up measurement for all assessments.

    Measured: Baseline, Week 10-12

  14. Change From Baseline in Sleep Efficiency to Week 22-24

    Sleep efficiency was defined as ration of total sleep time to time in bed. Change from baseline to follow-up visit was calculated as the baseline measurement subtracted from the follow-up measurement for all assessments.

    Measured: Baseline, Week 22-24

  15. Percentage of Participants With a More Than (>)1 Grams Per Deciliter (g/dL) Increase in Hemoglobin (Hb) at Week 12

    Measured: Week 12

  16. Percentage of Participants With a >1 g/dL Increase in Hemoglobin (Hb) at Week 24

    Measured: Week 24

  17. Change From Baseline in Mean Overnight Oxygen Saturation (SpO2 Percentage [%]) to Week 10-12

    Measured: Baseline, Week 10-12

  18. Change From Baseline in Mean Overnight SpO2 % to Week 22-24

    Measured: Baseline, Week 22-24

  19. Change From Baseline in Median Number of Overnight SpO2 Dips > 3% Per Hour to Week 10-12

    Measured: Baseline, Week 10-12

  20. Change From Baseline in Median Number of Overnight SpO2 Dips > 3% Per Hour to Week 22-24

    Measured: Baseline, Week 22-24

Timeline

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

  1. First posted22 May 2020
  2. Study start21 Dec 2020
  3. Primary completion8 Sep 2022
  4. Study completion13 Sep 2022

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 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
25 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04400487
Sponsor's protocol ID
GBT440-039
Other IDs
C5341024
Acronym
ActIVe
Status last verified
Nov 2023
First submitted
25 Mar 2020
Last updated
21 Nov 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: 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.

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Voxelotor in people with Sickle Cell Disease and Sickle Cell Anemia, run by Pfizer at 10 sites in United States.

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 9 inclusion and 19 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: finished, as of the sponsor's last update on 21 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in United States. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 21 Nov 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Change From Baseline in Total Daily Physical Activity (Counts Per Minute) to Week 10-12 (time frame: Baseline, Week 10-12). The study lists 20 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 21 Nov 2023.

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