This is a study to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of Pociredir in participants with sickle cell disease.
This is a Phase 1 multicenter, international, open-label study evaluating the safety, tolerability, pharmacokinetics (PK), fetal hemoglobin (HbF) induction and biological activity of Pociredir in participants 18-65 years of age, inclusive, with SCD. Participants will receive 12 weeks of dosing with 4 weeks of follow-up. Approximately 10 participants will be enrolled in each cohort. A maximum of 3 participants with SCD HbSC+ genotype may be enrolled in each cohort. Cohort 1 will receive 6 milligrams (mg) of Pociredir by mouth once daily. Doses for subsequent cohorts will be determined following review by the Data Monitoring Committee \[DMC\]. A total of seven cohorts may be included. Cohort 2 will be dosed at 2 mg once daily by mouth, and cohort 3 will be dosed at 12 mg once daily by mouth. The Sponsor will reinitiate enrolment in the 3rd cohort (12 mg cohort) with the updated inclusion and exclusion criteria. Based on review of available safety and biomarker data and with the recommendation of the DMC, a subsequent 4th cohort of 20 mg and potentially a 5th cohort of 30 mg may be initiated. Additional cohorts using alternative dosing schedules may be considered based on available data. The primary endpoints of the study are to evaluate the safety and tolerability of Pociredir as measured by the frequency of adverse events and to evaluate single and multiple-dose pharmacokinetics of Pociredir in participants with sickle cell disease. Secondary endpoints include evaluating the effect of Pociredir on fetal hemoglobin induction in peripheral blood and evaluating the effects of Pociredir on hemolysis in participants with sickle cell disease.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
45
Participants will receive Pociredir
University of Arkansas for Medical Sciences (UAMS)
Little Rock, Arkansas, United States
University of California, Los Angeles
Los Angeles, California, United States
Treatment-Emergent Adverse Events
To evaluate the safety and tolerability of Pociredir in adult participants with sickle cell disease based on the frequency of adverse events (AEs) and changes in clinically significant laboratory test results, vital signs and electrocardiograms (ECGs) parameters.
Time frame: Up to approximately 16 weeks of monitoring
Plasma Concentrations of Pociredir
Blood samples will be collected to measure the plasma concentration of Pociredir at specified timepoints.
Time frame: Days 1, 14, 28, 42, 56, 70, 84 and 91
Change from Baseline in percentage fetal hemoglobin (%HbF) biomarkers in peripheral blood
The percentage of HbF will be measured in peripheral whole blood.
Time frame: Baseline and at Days 1, 14, 28, 42, 56, 70, 84, 91, and 112
Change from Baseline in % Reticulocytes
The percentage of reticulocytes will be measured in peripheral whole blood.
Time frame: Baseline and at Days 1, 14, 28, 42, 56, 70, 84, 91, and 112
Change from Baseline in Absolute Reticulocyte Count
The absolute reticulocyte count will be measured in peripheral whole blood.
Time frame: Baseline and at Days 1, 14, 28, 42, 56, 70, 84, 91, and 112
Change from Baseline in Red cell distribution width
Blood samples will be collected for the analysis of hematology parameter: red cell distribution width
Time frame: Baseline and at Days 1, 14, 28, 42, 56, 70, 84 and 91
Change from Baseline in unconjugated bilirubin
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Sonar Research Center
Atlanta, Georgia, United States
University of Illinois Chicago
Chicago, Illinois, United States
Our Lady of the Lake Hospital
Baton Rouge, Louisiana, United States
Boston Medical Center
Boston, Massachusetts, United States
Queens Hospital Cancer Center
Jamaica, New York, United States
Jacobi Medical Center
The Bronx, New York, United States
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, United States
Eastern Carolina University
Greenville, North Carolina, United States
...and 8 more locations
Blood samples will be collected for the analysis of clinical chemistry parameter: unconjugated bilirubin
Time frame: Baseline and at Days 1, 14, 28, 42, 56, 70, 84 and 91