A Phase 4 interventional study of Voxelotor in Sickle Cell Disease and Sickle Cell Anemia, sponsored by Pfizer. Completed at 10 sites in United States. Open to participants aged 12 Years to 55 Years. Per ClinicalTrials.gov, last updated 2023-11-21.
Sponsored by Pfizer · Phase 4, Interventional, and Treatment
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.
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.
1,103 studies on the registry are indexed under Anemia, Sickle Cell; 235 are open to participants now.
This study's enrollment of 25 is below the median of 40 across 750 interventional studies indexed under Anemia, Sickle Cell.
Browse Anemia, Sickle Cell studies →Pfizer is the lead sponsor of 3,244 studies on the registry; 139 are open to participants now.
Of its 582 completed or terminated interventional studies of FDA-regulated products, 381 (65%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participants will receive voxelotor at 1500 mg
Drug: Voxelotor
500 mg Tablet, Oral, With or Without Food
Also known as: GBT440, Oxbryta
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.
Time frame: Baseline, Week 10-12
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.
Time frame: Baseline, Week 22-24
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.
Time frame: Baseline, Week 10-12
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.
Time frame: Baseline, Week 22-24
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.
Time frame: Baseline, Week 10-12
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.
Time frame: Baseline, Week 22-24
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.
Time frame: Baseline, Week 10-12
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.
Time frame: Baseline, Week 22-24
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.
Time frame: Baseline, Week 10-12
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.
Time frame: Baseline, Week 22-24
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.
Time frame: Baseline, Week 10-12
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.
Time frame: Baseline, Week 22-24
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.
Time frame: Baseline, Week 10-12
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.
Time frame: Baseline, Week 22-24
Percentage of Participants With a More Than (>)1 Grams Per Deciliter (g/dL) Increase in Hemoglobin (Hb) at Week 12
Time frame: Week 12
Percentage of Participants With a >1 g/dL Increase in Hemoglobin (Hb) at Week 24
Time frame: Week 24
Change From Baseline in Mean Overnight Oxygen Saturation (SpO2 Percentage [%]) to Week 10-12
Time frame: Baseline, Week 10-12
Change From Baseline in Mean Overnight SpO2 % to Week 22-24
Time frame: Baseline, Week 22-24
Change From Baseline in Median Number of Overnight SpO2 Dips > 3% Per Hour to Week 10-12
Time frame: Baseline, Week 10-12
Change From Baseline in Median Number of Overnight SpO2 Dips > 3% Per Hour to Week 22-24
Time frame: Baseline, Week 22-24
The study included a 28-day screening period, a 14-day run-in period, a 24-week treatment period and a 28-day follow-up period after last dose.
| Milestone | Voxelotor |
|---|---|
| Started | 25 |
| Completed | 25 |
| Not completed | 0 |
| Milestone | Voxelotor |
|---|---|
| Started | 25 |
| Completed | 25 |
| Not completed | 0 |
| Milestone | Voxelotor |
|---|---|
| Started | 25 |
| Treated (with at least 1 dose of study treatment) | 25 |
| Completed | 23 |
| Not completed | 2 |
| Withdrew: Withdrawal by subject | 1 |
| Withdrew: Non-compliance | 1 |
| Milestone | Voxelotor |
|---|---|
| Started | 23 |
| Completed | 21 |
| Not completed | 2 |
| Withdrew: Started commercial product | 2 |
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.
| Counts per minute | Voxelotor |
|---|---|
| Change From Baseline in Total Daily Physical Activity (Counts Per Minute) to Week 10-12 | -155.6 ± 458.45 |
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.
| Counts per minute | Voxelotor |
|---|---|
| Change From Baseline in Total Daily Physical Activity (Counts Per Minute) to Week 22-24 | -79.4 ± 443.77 |
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.
| minutes/day | Voxelotor |
|---|---|
| Change From Baseline in Light Physical Activity to Week 10-12 | 5.8 ± 62.67 |
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.
| minutes/day | Voxelotor |
|---|---|
| Change From Baseline in Light Physical Activity to Week 22-24 | -11.7 ± 115.34 |
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.
| minutes/day | Voxelotor |
|---|---|
| Change From Baseline in Moderate Physical Activity to Week 10-12 | -9.0 ± 25.55 |
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.
| minutes/day | Voxelotor |
|---|---|
| Change From Baseline in Moderate Physical Activity to Week 22-24 | -5.7 ± 30.01 |
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.
| minutes/day | Voxelotor |
|---|---|
| Change From Baseline in Vigorous Physical Activity to Week 10-12 | 0.0 ± 4.94 |
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.
| Minutes/day | Voxelotor |
|---|---|
| Change From Baseline in Vigorous Physical Activity to Week 22-24 | -1.2 ± 6.52 |
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.
| Minutes/day | Voxelotor |
|---|---|
| Change From Baseline in Total Nocturnal Sleep Time to Week 10-12 | 0.3 ± 77.64 |
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.
| Minutes/day | Voxelotor |
|---|---|
| Change From Baseline in Total Nocturnal Sleep Time to Week 22-24 | 17.6 ± 141.10 |
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.
| Minutes/day | Voxelotor |
|---|---|
| Change From Baseline in Wake Time After Sleep Onset to Week 10-12 | 2.0 ± 37.10 |
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.
| Minutes/day | Voxelotor |
|---|---|
| Change From Baseline in Wake Time After Sleep Onset to Week 22-24 | 2.0 ± 42.00 |
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.
No measurements were reported for this outcome.
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.
No measurements were reported for this outcome.
| Percentage of participants | Voxelotor |
|---|---|
| Percentage of Participants With a More Than (>)1 Grams Per Deciliter (g/dL) Increase in Hemoglobin (Hb) at Week 12 | 41.7 |
| Percentage of participants | Voxelotor |
|---|---|
| Percentage of Participants With a >1 g/dL Increase in Hemoglobin (Hb) at Week 24 | 26.1 |
No measurements were reported for this outcome.
No measurements were reported for this outcome.
No measurements were reported for this outcome.
No measurements were reported for this outcome.
Collected over From screening period to 28 days post last dose of study treatment (maximum of 238 days). Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Voxelotor: SCD Related | 0/25 (0%) | 8/25 (32%) | 5/25 (20%) |
| Voxelotor: Non-SCD Related | 0/25 (0%) | 3/25 (12%) | 19/25 (76%) |
| Event | Voxelotor: SCD Related | Voxelotor: Non-SCD Related |
|---|---|---|
| Sickle cell anaemia with crisisBlood and lymphatic system disorders | 8/25 | 0/25 |
| CellulitisInfections and infestations | 0/25 | 1/25 |
| ArthritisMusculoskeletal and connective tissue disorders | 0/25 | 1/25 |
| HeadacheNervous system disorders | 0/25 | 1/25 |
| Pulmonary embolismRespiratory, thoracic and mediastinal disorders | 0/25 | 1/25 |
| Acute chest syndromeRespiratory, thoracic and mediastinal disorders | 1/25 | 0/25 |
| Event | Voxelotor: SCD Related | Voxelotor: Non-SCD Related |
|---|---|---|
| DiarrhoeaGastrointestinal disorders | 0/25 | 9/25 |
| NauseaGastrointestinal disorders | 0/25 | 6/25 |
| HeadacheNervous system disorders | 0/25 | 6/25 |
| Sickle cell anaemia with crisisBlood and lymphatic system disorders | 5/25 | 0/25 |
| VomitingGastrointestinal disorders | 0/25 | 3/25 |
| Abdominal painGastrointestinal disorders | 0/25 | 2/25 |
| COVID-19Infections and infestations | 0/25 | 2/25 |
| Abdominal pain upperGastrointestinal disorders | 0/25 | 1/25 |
| ConstipationGastrointestinal disorders | 0/25 | 1/25 |
| Gastrooesophageal reflux diseaseGastrointestinal disorders | 0/25 | 1/25 |
All participants who received at least 1 dose of study treatment were included in the safety population.
| Age, Continuous(Years) | Voxelotor |
|---|---|
| Mean | 25 ± 12.05 |
| Sex: Female, Male(Participants) | Voxelotor |
|---|---|
| Female | 16 |
| Male | 9 |
| Ethnicity (NIH/OMB)(Participants) | Voxelotor |
|---|---|
| Hispanic or Latino | 2 |
| Not Hispanic or Latino | 23 |
| Unknown or Not Reported | 0 |
| Race (NIH/OMB)(Participants) | Voxelotor |
|---|---|
| American Indian or Alaska Native | 0 |
| Asian | 0 |
| Native Hawaiian or Other Pacific Islander | 0 |
| Black or African American | 23 |
| White | 0 |
| More than one race | 0 |
| Unknown or Not Reported | 2 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: 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.
This study is completed, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Pfizer