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Sickle Cell DiseasePhase 3NCT04927247

A Study of a Single Dose of Inclacumab to Reduce Re-admission in Participants With Sickle Cell Disease and Recurrent Vaso-occlusive Crises

A Phase 3 study testing Inclacumab in people with Sickle Cell Disease and Vaso-occlusive Crisis, run by Pfizer at 59 sites in 14 countries.

Terminated

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

Official record
Search all trials

Trial summary

This Phase 3 study will assess the safety and efficacy of a single dose of inclacumab, a P-selectin inhibitor, for a vaso-occlusive crisis (VOC) after an index VOC in participants with sickle cell disease (SCD). Participants will be randomized to receive either inclacumab or placebo. Read more about this study

Who is it for?
Ages 12 years and older
What is being tested?
Inclacumab
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
72 participants
Where
59 sitesin 14 countries
Study dates
9 Dec 2021to 24 Nov 2023
Phase
Phase 3
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 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Participant has an index VOC. The index VOC is any VOC that required admission to a healthcare facility and treatment with parenteral pain medication. An admission for the index VOC includes:
  • A hospital admission, or
  • An admission to an emergency room, observation unit, or infusion center for ≥ 12 hours, or
  • 2 visits to an emergency room, observation unit, or infusion center over a 72-hour period
  • for an acute episode of pain with no other cause other than a vaso- occlusive event that includes the following:
  • Uncomplicated VOC,
Show all 18Show fewer
  • Acute chest syndrome (ACS),
  • Acute hepatic sequestration,
  • Acute splenic sequestration, or
  • Priapism.
  • Participant has a confirmed diagnosis of SCD (any genotype). Documentation of SCD genotype is required and may be based on documented history of laboratory testing or confirmed by laboratory testing at Baseline.
  • Participant is male or female, ≥ 12 years of age at the time of informed consent.
  • Participant has experienced between 2 and 10 VOCs within the 12 months prior to Screening as determined by documented medical history. The index VOC is not to be considered as one of the 2 to 10 events. A prior VOC is defined as an acute episode of pain that:
  • Has no medically determined cause other than a vaso-occlusive event, and
  • Results in a visit to a healthcare facility (hospital, emergency department, urgent care center, outpatient clinic, or infusion center) or results in a remote contact with a healthcare provider; and
  • Requires parenteral narcotic agents, parenteral nonsteroidal anti-inflammatory drugs (NSAIDs), or an increase in treatment with oral narcotics.
  • Participants receiving erythropoiesis-stimulating agents (ESA, e.g., erythropoietin [EPO]) must be on a stable dose for at least 90 days prior to Screening and expected to continue with the stabilized regimen throughout the course of the study.
  • Participants receiving hydroxyurea (HU), L-glutamine, or voxelotor (Oxbryta®) must be on a stable dose for at least 30 days prior to Screening and expected to continue with the stabilized regimen throughout the course of the study.

Who cannot join

  • Participant is receiving regularly scheduled red blood cell (RBC) transfusion therapy (also termed chronic, prophylactic, or preventative transfusion).
  • Participant is taking or has received crizanlizumab (ADAKVEO®) within 90 days prior to Screening.
  • Participant weighs > 133 kg (292 lbs.).
  • Other protocol-defined Inclusion/Exclusion may apply.

Trial locations and contacts

59 sites in 14 countries.

59 sites in 14 countries

United States17 sites
  • University of Michigan Hospitals - Michigan Medicine

    Ann Arbor, Michigan, 48109

  • Erie County Medical Center

    Buffalo, New York, 14215

  • Functional Fluidics, Inc.

    Detroit, Michigan, 48202

  • Duke University Medical Center

    Durham, North Carolina, 27705

  • DUMC Investigational Drug Services Pharmacy

    Durham, North Carolina, 27710

  • Alliance for Childhood Diseases dba Cure 4 The Kids Foundation

    Las Vegas, Nevada, 89135

  • Arkansas Children's Hospital

    Little Rock, Arkansas, 72202

  • St. Jude Children's Research Hospital

    Memphis, Tennessee, 38105

  • Strada Patient Care Center

    Mobile, Alabama, 36604

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

    Mobile, Alabama, 36604

  • University of South Alabama Mitchell Cancer Institute

    Mobile, Alabama, 36604

  • UCSF Benioff Children's Hospital, Oakland

    Oakland, California, 94609

  • Children's Hospital of Orange County

    Orange, California, 92868

  • Phoenix Children's Hospital

    Phoenix, Arizona, 85016

  • PPD Bioanalytical

    Richmond, Virginia, 23230

  • St. Joseph's Hospital

    Tampa, Florida, 33607

  • Jacobi Medical Center

    The Bronx, New York, 10461

Other trials in United States

Brazil8 sites
  • Hospital de Clinicas de Porto Alegre

    Porto Alegre, Rio Grande do Sul, 90035-903

  • Multihemo Servicos Medicos S/A

    Recife, Pernambuco, 50070-460

  • Instituto Estadual de Hematologia Arthur de Siqueira Cavalcanti - HEMORIO

    Rio de Janeiro, 20211-030

  • Instituto D'Or de Pesquisa e Ensino - Hospital São Rafael

    Salvador, Estado de Bahia, 41253-190

  • Fundação Faculdade Regional de Medicina de São José do Rio Preto

    São José do Rio Preto, São Paulo, 15090-000

  • Casa de Saude Santa Marcelina

    São Paulo, São Paulo, 08270-070

  • Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo -HCFMUSP

    São Paulo, 05403-000

  • CEPEC-Centro de Pesquisa Clinica

    São Paulo, 08270-120

Other trials in Brazil

Nigeria8 sites
  • National Hospital Abuja

    Abuja, Federal Capital Territory, 900211

  • University of Calabar Teaching Hospital

    Calabar, Cross River State, 540242

  • University of Nigeria Teaching Hospital

    Enugu, 460000

  • University of Abuja Teaching Hospital

    Gwagwalada, Federal Capital Territory, 902101

  • Barau Dikko Teaching Hospital/Kaduna State University

    Kaduna, 800212

  • Aminu Kano Teaching Hospital

    Kano, 700223

  • Department of Pediatrics, College of Medicine, Lagos University Teaching Hospital

    Lagos, 100254

  • Ahmadu Bello University Teaching Hospital (ABUTH)

    Zaria, Kaduna State, 810107

Other trials in Nigeria

Italy6 sites
  • Farmacia Interna Azienda Ospedaliero-Ente Ospedaliero Ospedali Galliera

    Genova, Genoa, 16128

  • S.S.D. Microcitemia, anemie congenite e dismetabolismo del ferro

    Genova, 16128

  • DAI Materno-Infantile, UOC Clinica Pediatrica 1 Azienda Ospedaliera Universitaria "Luigi Vanvitell

    Naples, 80138

  • UO di Farmacia Clinica, Dipartimento di Medicina Sperimentale Azienda Ospedaliera Universitaria

    Naples, 80138

  • UOC Patologia Clinica e Molecolare Azienda Ospedaliera Universitaria "Luigi Vanvitelli"

    Naples, 80138

  • UOC Radiologia Azienda Ospedaliera Universitaria "Luigi Vanvitelli"

    Naples, 80138

Other trials in Italy

Kenya4 sites
  • International Cancer Institute

    Eldoret, 30100

  • Kemri/Crdr, Siaya, Kemri Clinical Research Annex,

    Kisumu, Siaya County, 40600

  • Kenya medical Research Institute-centre for Respiratory Disease Research

    Nairobi, 00100

  • Strathmore University Medical Center - Center for Research in Therapeutic Sciences(CREATES)

    Nairobi, 00200

Other trials in Kenya

Turkey (Türkiye)4 sites
  • Baskent University Hospital

    Adana, Yuregir, 01250

  • Acibadem Adana Hastanesi Cocuk Hematoloji Onkoloji

    Adana, 01130

  • Hacettepe University

    Ankara, Altindag/sihhiye, 06230

  • Mersin Universitesi Tip Fakultesi Saglik Arastirma ve Uygulama Merkezi Hastanesi

    Yenischir, Mersin, Mersin, 33343

Other trials in Turkey (Türkiye)

Colombia2 sites
  • Clinica de la Costa Ltda.

    Barranquilla, Atlántico, 080020

  • Organizacion Clinica Bonnadona Prevenir S.A.S.

    Barranquilla, Atlántico, 080020

Other trials in Colombia

France2 sites
  • Hopital Avicenne

    Bobigny, 93000

  • Hopital Henri Mondor

    Créteil, 94010

Other trials in France

Lebanon2 sites
  • American University of Beirut Medical Center

    Hamra, Beirut

  • Nini Hospital

    Tripoli, North Lebanon

Other trials in Lebanon

Zambia2 sites
  • Matero Clinical Research Site,

    Lusaka, 10101

  • University Teaching Hospital- Children's Hospital

    Lusaka, 10101

Other trials in Zambia

Germany1 site
  • Universitatsklinikum Regensburg Padiatrische Hamatologie, Onkologie und Stammzelltransplantation

    Regensburg, 93053

Other trials in Germany

Oman1 site
  • Sultan Qaboos University Hospital

    Muscat, 123

Other trials in Oman

Saudi Arabia1 site
  • Prince Mohammed bin Nasser Hospital

    Jizan, Southern, 82943

Other trials in Saudi Arabia

United Kingdom1 site
  • Guy's & Thomas' NHS Foundation Trust

    London, England, SE1 9RT

Other trials in United Kingdom

About this study

Official title: A Randomized, Double-blind, Placebo-controlled, Multicenter Study of a Single Dose of Inclacumab to Reduce Re-admission in Participants With Sickle Cell Disease and Recurrent Vaso-occlusive Crises

This Phase 3 study will assess the safety and efficacy of a single dose of inclacumab, a P-selectin inhibitor, for a vaso-occlusive crisis (VOC) after an index VOC in participants with sickle cell disease (SCD). Participants will be randomized to receive either inclacumab or placebo.

Read the detailed description

The study will include approximately 280 adult and adolescent participants (≥ 12 years of age) with SCD.

Eligible participants will be administered inclacumab or placebo intravenous (IV) as a single dose.

Participants that complete the study through Day 90 will be provided the opportunity to enroll in an open-label extension (OLE) study.

Being tested
Inclacumab, Placebo
Keywords
Re-admission, Acute, blood disorders, hemoglobin, red blood cells, RBCs, sickle-like shape, mutation in hemoglobin gene, sickle-cell trait, sickle-cell crisis, Sickle Cell Disease, SCD, Vaso-occlusive Crisis, VOC, SCA
Medical subject headings
Anemia, Sickle Cell, Vaso-Occlusive Crises, Hematologic Diseases, Sickle Cell Trait

What participants receive

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

  • InclacumabDrug

    Inclacumab will be supplied in single use 10 mL vials at a concentration of 50 mg/mL. One vial contains 500 mg of inclacumab. This is a liquid concentrate for IV infusion.

  • PlaceboDrug

    Placebo will be supplied in single use 10 mL vials containing the same ingredients without the active drug. Placebo will be prepared as a liquid concentrate for IV infusion and administered in the same manner as active study drug.

Study groups in NCT04927247
Study groupRoleWhat they receive
inclacumab 30 mg/kgExperimentalInclacumab 30 mg/kg administered intravenously (IV)
Receives: Drug: Inclacumab
placeboPlacebo comparatorPlacebo administered IV
Receives: Drug: Placebo

What is being measured

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

  1. Percentage of Participants With at Least 1 VOC That Required Admission to a Healthcare Facility and Treatment With Parenteral Pain Medication Within 90 Days of Randomization

    A VOC was a complication of SCD characterized by vaso-occlusion presenting as recurrent pain episodes. An admission for a VOC included a hospital admission, or an admission to an emergency room, observation unit, or infusion center for >= 12 hours, or 2 visits to an emergency room, observation unit, or infusion center over a 72-hour period. An acute episode of pain with no other cause other than a vaso-occlusive event included: uncomplicated VOC, acute chest syndrome, hepatic sequestration, splenic sequestration, or priapism. All on-study VOCs were adjudicated by an independent, blinded VOC Adjudication Committee comprised of experts in SCD.

    Measured: Within 90 days of randomization (randomization happened on Day 1 [Day 1 to Day 91])

Secondary outcomes (3)
  1. Time to First VOC That Required Admission to a Healthcare Facility and Treatment With Parenteral Pain Medication Within 90 Days of Randomization

    A VOC was a complication of SCD characterized by vaso-occlusion presenting as recurrent pain episodes. Time to first VOC that required admission to a healthcare facility and treatment with parenteral pain medication within 90 days was defined as the time between randomization date and onset date of first VOC event. For participants who did not experience a protocol-defined VOC within 90 days of randomization, time to first VOC was censored at the end of their time at risk (participant's end of study date or Study Day 91, whichever was earlier). An admission for a VOC included a hospital admission, or an admission to an emergency room, observation unit, or infusion center for >= 12 hours, or 2 visits to an emergency room, observation unit, or infusion center over a 72-hour period. All on-study VOCs were adjudicated by an independent, blinded VOC Adjudication Committee comprised of experts in SCD. Kaplan-Meier method used for analysis.

    Measured: Within 90 days of randomization (randomization happened on Day 1 [Day 1 to Day 91]) or censored day, whichever occurred earlier

  2. Percentage of Participants With at Least 1 VOC That Required Admission to a Healthcare Facility and Treatment With Parenteral Pain Medication Within 30 Days of Randomization

    A VOC was a complication of SCD characterized by vaso-occlusion presenting as recurrent pain episodes. An admission for a VOC included a hospital admission, or an admission to an emergency room, observation unit, or infusion center for >= 12 hours, or 2 visits to an emergency room, observation unit, or infusion center over a 72-hour period. An acute episode of pain with no other cause other than a vaso-occlusive event included: uncomplicated VOC, acute chest syndrome, hepatic sequestration, splenic sequestration, or priapism. All on-study VOCs were adjudicated by an independent, blinded VOC Adjudication Committee comprised of experts in SCD.

    Measured: Within 30 days of randomization (randomization happened on Day 1 [Day 1 to Day 31])

  3. Rate of VOCs Leading to a Healthcare Visit That Requires Parenteral Pain Medication or an Increase in Treatment With Oral Narcotics Within 90 Days Following Randomization

    VOC leading to a healthcare visit was defined as VOC at (hospital, emergency room, clinic visit, or remote contact with a healthcare provider) that required parenteral pain medication (e.g., parenteral narcotic agents or parenteral nonsteroidal anti-inflammatory drugs [NSAIDs]), or an increased treatment with oral narcotics. Complicated VOCs included acute chest syndrome (ACS),hepatic sequestration, splenic sequestration, and priapism. For each participant, the time period at risk for evaluation of VOCs was from date of randomization to the participant's end of study date or study Day 91, whichever was earlier. In this outcome measure adjusted rates of VOCs (percentages) reported were based on estimate from a negative binomial model with the independent variable of treatment group (inclacumab, placebo) and adjusted for baseline hydroxyurea use (yes, no). All on-study VOCs were adjudicated by an independent, blinded VOC Adjudication Committee comprised of experts in SCD.

    Measured: Within 90 days of randomization (randomization happened on Day 1 [Day 1 to Day 91])

Timeline

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

  1. First posted15 Jun 2021
  2. Study start9 Dec 2021
  3. Primary completion24 Nov 2023
  4. Study completion24 Nov 2023

Why it stopped: Study was terminated due to poor accrual and associated recrutiment challenges

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
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
72 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04927247
Sponsor's protocol ID
GBT2104-132
Other IDs
C5361002, 2020-005287-60, 2020-005287-60
Status last verified
Nov 2024
First submitted
26 May 2021
Last updated
11 Dec 2024
Data monitoring committee
Yes
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 3 study testing Inclacumab in people with Sickle Cell Disease and Vaso-occlusive Crisis, run by Pfizer at 59 sites in 14 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 18 inclusion and 4 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 11 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 59 sites in United States, Brazil, Nigeria, Italy, Kenya and 9 more countries. 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. Some participants in this study may receive a placebo. 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?

Yes. Results are posted in the registry (first posted 11 Dec 2024). 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?

Percentage of Participants With at Least 1 VOC That Required Admission to a Healthcare Facility and Treatment With Parenteral Pain Medication Within 90 Days of Randomization (time frame: Within 90 days of randomization (randomization happened on Day 1 [Day 1 to Day 91])). 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 11 Dec 2024.

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