Phase 1/2 Study to Evaluate the Safety, Tolerability and Pharmacokinetics of HQK-1001 Administered Daily in Patients With Sickle Cell Disease
Study Details
Study Description
Brief Summary
The purpose of this study is to assess the safety and tolerability of HQK-1001 administered for a total of 12 weeks (with one dosing break) in subjects with sickle cell disease.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 1/Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Active
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Drug: HQK-1001
HQK-1001 capsules. 10 mg/kg, 20 mg/kg or 30 mg/kg administered once a day on dosing days.
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Placebo Comparator: Placebo
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Drug: Placebo
Matching placebo capsule. Administered orally once a day on dosing days.
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Outcome Measures
Primary Outcome Measures
- Safety as assessed by (1) adverse events (2) laboratory values (3) vital signs, and (4) physical exam. [126 days]
Secondary Outcome Measures
- Pharmacokinetics assessed by plasma drug concentration levels. [Days 0, 6, 69 and 97 post first dose]
- Pharmacodynamics assessed by red blood cell production and induction of fetal hemoglobin. [Every 2 weeks through Day 126 post first dose]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Diagnosis of SCD or sickle beta thalassemia (excluding Hemoglobin C)
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Between 12 and 60 years of age, inclusive
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At least one episode of a SCD-related crisis or complication (e.g., vaso-occlusive crisis, acute chest syndrome, priapism) per year for an average of 3 years or one episode of acute chest syndrome over the prior 5 years
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Screening (untransfused) HbF level >/= 2% as analyzed by a central laboratory
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If receiving hydroxyurea therapy, must be receiving a stable dose for at least 6 months
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Able and willing to give informed consent
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If female, must have a negative serum pregnancy test within 7 days of dosing
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If female, must not be of childbearing potential defined as post-menopausal by at least 2 years or surgically sterile, or must agree to use a medically accepted form of contraception throughout the study
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If the sexual partner of a male subject is a WCBP, she must agree to use a medically accepted form of birth control for themselves or their partner throughout the study
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In the view of the Investigator, able to comply with necessary study procedures
Exclusion Criteria:
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Red blood cell (RBC) transfusion within 3 months prior to beginning study medication
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Participation in a regular blood transfusion program
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More than 4 hospitalizations for acute sickle cell-related events in the previous 12 months
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An acute vaso-occlusive event within 3 weeks prior to receiving first dose of study medication
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Pulmonary hypertension requiring oxygen
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QTc > 450 msec on screening
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Alanine transaminase (ALT) > 3X upper limit of normal (ULN)
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Creatinine phosphokinase (CPK) > 20% above the ULN
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Serum creatinine >1.2 mg/dL
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An acute illness (e.g., febrile, gastrointestinal [GI], respiratory) within 72 hours prior to receiving first dose of study medication
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History of syncope, clinically significant dysrhythmias or resuscitation from sudden death
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Chronic opiate use which, in the view of the Investigator, could confound evaluation of an investigational drug
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Current abuse of alcohol or drugs
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Received another investigational agent within 4 weeks, or 5 half-lives, whichever is longer, prior to administration of study medication
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Currently pregnant or breast feeding a child
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Known infection with HIV-1
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Infection with hepatitis B or hepatitis C such that patients are currently on therapy or will be placed on therapy during the trial
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Trialogic Research | Madison | Alabama | United States | 35758 |
2 | Children's Hospital and Research Center at Oakland | Oakland | California | United States | 94609 |
3 | Century Clinical Research, Inc. | Daytona Beach | Florida | United States | 32117 |
4 | Medical College of Georgia | Augusta | Georgia | United States | 30912 |
5 | University of Illinois at Chicago | Chicago | Illinois | United States | 60612 |
6 | Johns Hopkins School of Medicine | Baltimore | Maryland | United States | 21205 |
7 | UNC Comprehensive Sickle Cell Program | Chapel Hill | North Carolina | United States | 27599 |
8 | Texas Children's Cancer Center and Hematology Service | Houston | Texas | United States | 77030 |
9 | University of the West Indies, Mona | Kingston | Mona | Jamaica | 7 |
Sponsors and Collaborators
- HemaQuest Pharmaceuticals Inc.
Investigators
- Study Director: Susan Perrine, M.D., HemaQuest Pharmaceuticals
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- HQP 2008-004