GBT021601 for Sickle Cell Disease

No longer recruiting at 10 trial locations
AA
JG
PP
Overseen ByPfizer Pfizer CT.gov Call Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment called GBT021601 for people with sickle cell disease, a condition where red blood cells are sickle-shaped, causing pain and other health issues. The trial aims to assess the treatment's long-term effectiveness and safety. Participants should have previously taken part in a study with this drug or a placebo and completed the treatment visit. As a Phase 2, Phase 3 trial, this study evaluates the treatment's effectiveness in a larger group and represents the final step before FDA approval, offering participants a chance to contribute to advancing care for sickle cell disease.

Will I have to stop taking my current medications?

The trial requires that you stop taking voxelotor at least 10 days before starting and crizanlizumab at least 90 days before starting. The protocol does not specify other medications, so it's best to discuss your current medications with the study team.

Is there any evidence suggesting that GBT021601 is likely to be safe for humans?

Research has shown that GBT021601 is generally well-tolerated by both healthy individuals and those with sickle cell disease. Studies indicate that patients taking GBT021601 experienced improved hemoglobin levels and healthier red blood cells. Importantly, these studies also suggest that the treatment is safe, as it did not cause many serious side effects.

In one study, participants received multiple doses of GBT021601 and tolerated it well without major issues. Another study found that even at lower doses, the drug appeared to reduce the treatment burden compared to other similar medications. This suggests that the drug might be effective without requiring large amounts.

Overall, the available evidence suggests that GBT021601 is safe for individuals with sickle cell disease. However, as with any treatment, discussing all potential risks and benefits with a healthcare provider is important.12345

Why do researchers think this study treatment might be promising?

GBT021601 is unique because it targets sickle cell disease with a novel mechanism of action. Unlike standard treatments such as hydroxyurea, which increases fetal hemoglobin to reduce sickling, GBT021601 works by directly inhibiting hemoglobin polymerization, the root cause of red blood cell sickling. This targeted approach could potentially offer more effective management of the disease with fewer side effects. Researchers are excited about the possibility of GBT021601 providing a new pathway to alleviate symptoms and improve the quality of life for those living with sickle cell disease.

What evidence suggests that GBT021601 might be an effective treatment for Sickle Cell Disease?

Research has shown that GBT021601, also known as osivelotor, is a promising treatment for sickle cell disease. Studies have found that it prevents sickle hemoglobin from sticking together, a major issue in this disease. Early tests suggest that GBT021601 can improve red blood cell health and help hemoglobin levels return to normal, potentially reducing problems caused by sickle cell disease. Additionally, it was well tolerated by both healthy volunteers and people with sickle cell disease, indicating good safety.12567

Who Is on the Research Team?

PC

Pfizer CT.gov Call Center

Principal Investigator

Pfizer

Are You a Good Fit for This Trial?

This trial is for males and females aged 6 months or older with Sickle Cell Disease who were part of a previous GBT021601 study. They must use effective contraception if sexually active, have provided consent, and not have withdrawn from the earlier study. Those who recently used voxelotor or were noncompliant are excluded.

Inclusion Criteria

I will use barrier contraception methods for 120 days after my last dose.
Participant has provided written informed consent/assent. For underage participants, both the consent of the participant's legal representative or legal guardian and the participant's assent (where applicable) must be obtained based on local requirements
I am using reliable birth control methods during and for 4 months after the study.
See 3 more

Exclusion Criteria

Participant withdrew consent or was noncompliant from the originating GBT021601 clinical study
I have taken voxelotor within the last 10 days.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive GBT021601 to evaluate long-term safety and efficacy

Up to 5 years

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

Open-label extension

Participants continue to receive GBT021601 to assess long-term safety

Up to 5 years

What Are the Treatments Tested in This Trial?

Interventions

  • GBT021601
Trial Overview The trial is testing an open-label drug called GBT021601 in participants with Sickle Cell Disease to see its long-term effects. It's an extension of a prior study where participants continue receiving this medication.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: TreatmentExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Pfizer

Lead Sponsor

Trials
4,712
Recruited
50,980,000+
Known For
Vaccine Innovations
Top Products
Viagra, Zoloft, Lipitor, Prevnar 13

Albert Bourla

Pfizer

Chief Executive Officer since 2019

PhD in Biotechnology of Reproduction, Aristotle University of Thessaloniki

Patrizia Cavazzoni profile image

Patrizia Cavazzoni

Pfizer

Chief Medical Officer

MD from McGill University

Global Blood Therapeutics

Lead Sponsor

Trials
36
Recruited
3,200+

Citations

Preliminary Results from a Multicenter Phase 2/3 Study of ...GBT021601 has the potential for higher Hb occupancies at lower doses than voxelotor and could potentially reduce treatment burden and improve ...
Hematology, Transfusion and Cell TherapyOsivelotor (previously GBT021601) is a next-generation sickle hemoglobin (HbS) polymerization inhibitor in development for sickle cell disease (SCD).
3.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/36960712/
GBT021601 improves red blood cell health and the ...In summary, GBT021601 improves RBC health and normalizes haemoglobin in SS mice, suggesting that it may be useful for the treatment of SCD.
A Study of GBT021601 in Participants With Sickle Cell ...An open-label extension study to evaluate the long-term safety and efficacy of GBT021601 administered to participants with Sickle Cell Disease.
Safety, Tolerability, andHb, hemoglobin; RBC, red blood cell; SCD, sickle cell disease. Multiple daily doses of GBT021601 were well tolerated in healthy volunteers and patients with SCD ...
GBT021601, a Next Generation HbS Polymerization ...We hypothesized that GBT021601 would achieve a substantial reduction in RBC hemolysis and increase in hemoglobin while maintaining a favorable safety profile.
S268: SAFETY, TOLERABILITY, AND... : HemaSphereIn patients with SCD, the GBT021601 100 mg maintenance dose led to a mean Hb occupancy >30%, increased Hb, reduced markers of hemolysis, and improved RBC health ...
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