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Sickle Cell DiseasePhase 3034OLENCT03573882

Study to Assess the Effect of Long-term Treatment With Voxelotor in Participants Who Have Completed Treatment in Study GBT440-031

A Phase 3 study testing Voxelotor in people with Sickle Cell Disease, run by Pfizer at 60 sites in 11 countries.

Terminated

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

Official record
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Trial summary

Open Label Extension Study of Voxelotor Clinical Trial Participants with Sickle Cell Disease Who Participated in Voxelotor Clinical Trials Read more about this study

Who is it for?
Ages 12 to 65 years
Conditions the study is for
Sickle Cell Disease
What is being tested?
Voxelotor
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
179 participants
Where
60 sitesin 11 countries
Study dates
6 Jun 2018to 12 Nov 2024
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 to 65 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Male or female study participants with SCD who participated and received study treatment in Study GBT440-031.
  • Note: Participants in GBT440-031 who discontinued study drug due to an AE, but who remained on study may be eligible for treatment in this study provided the AE does not pose a risk for treatment with voxelotor.
  • Females of child-bearing potential are required to have a negative urine pregnancy test prior to dosing on Day 1.
  • Female participants of child-bearing potential must use highly effective methods of contraception to 30 days after the last dose of study drug. Male participants must use barrier methods of contraception to 30 days after the last dose of study drug.
  • Participant has provided written informed consent or assent (the ICF must be reviewed and signed by each participant; in the case of pediatric participants, both the consent of the participant's legal representative or legal guardian, and the participant's assent must be obtained).

Who cannot join

  • Female who is breast-feeding or pregnant.
  • Participant withdrew consent from Study GBT440-031.
  • Participant was lost to follow-up from Study GBT440-031.
  • Participant requiring chronic dialysis.
  • Any medical, psychological, safety, or behavioral conditions, which, in the opinion of the Investigator, may confound safety interpretation, interfere with compliance, or preclude informed consent.

Trial locations and contacts

60 sites in 11 countries.

60 sites in 11 countries

United States34 sites
  • Children's Healthcare of Atlanta - Scottish Rite

    Atlanta, Georgia, 30342

  • Johns Hopkins University/Sickle Cell Infusion Center

    Baltimore, Maryland, 21287

  • St. Jude Affiliate Clinic Baton Rouge

    Baton Rouge, Louisiana, 70808

  • Our Lady of the Lake Physician Group-Medical Oncology

    Baton Rouge, Louisiana, 70809

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • Brigham and Women's Hospital Research Pharmacy

    Boston, Massachusetts, 02215

  • Dana Farber Cancer Institute

    Boston, Massachusetts, 02215

  • UNC Hospitals

    Chapel Hill, North Carolina, 27514

  • Clinical and Translational Research Center (CTRC)

    Chapel Hill, North Carolina, 27599

  • Medical University of South Carolina - Comprehensive Sickle Cell Clinic

    Charleston, South Carolina, 29425

  • Medical University of South Carolina: Investigational Drug Services Pharmacy

    Charleston, South Carolina, 29425

  • University of Illinois at Chicago Clinical Research Center

    Chicago, Illinois, 60612

  • University of Illinois Hospital and Health Science System

    Chicago, Illinois, 60612

  • Children's Hospital of Michigan

    Detroit, Michigan, 48201

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • Investigational Drug Service, Duke University Hospital

    Durham, North Carolina, 27710

  • Texas Children's Hospital - Investigational Pharmacy

    Houston, Texas, 77030

  • Texas Children's Hospital

    Houston, Texas, 77030

  • Indiana Hemophilia and Thrombosis Center

    Indianapolis, Indiana, 46260

  • Arkansas Primary Care Clinic, PA

    Little Rock, Arkansas, 72204

  • Methodist Comprehensive Sickle Cell Clinic

    Memphis, Tennessee, 38104

  • Jackson Memorial Hospital (Investigational Drug Services)

    Miami, Florida, 33136

  • Jackson Memorial Hospital

    Miami, Florida, 33136

  • University of Miami Hospital & Clinics/SCCC, Research Pharmacy (Investigational Drug Services)

    Miami, Florida, 33136

  • University of Miami

    Miami, Florida, 33136

  • University Medical Center New Orleans

    New Orleans, Louisiana, 70112

  • Columbia University Medical Center - Herbert Irving Pavilion

    New York, New York, 10032

  • Newark Beth Israel Medical Center

    Newark, New Jersey, 07112

  • UCSF Benioff Children's Hospital Oakland

    Oakland, California, 94609

  • Lynn Health Science Institute

    Oklahoma City, Oklahoma, 73112

  • Thomas Jefferson University

    Philadelphia, Pennsylvania, 19107

  • University of Pittsburgh Medical Center (UPMC)

    Pittsburgh, Pennsylvania, 15232

  • Clinical Research Services Unit- Virginia Commonwealth University

    Richmond, Virginia, 23298

  • Montefiore - Einstein Center for Cancer Care

    The Bronx, New York, 10461

Other trials in United States

Egypt6 sites
  • Alexandria Clinical Research Center, Faculty of Medicine, Alexandria University

    Alexandria

  • Alexandria Clinical Research Center, Faculty of Medicine

    Alexandria

  • Zagazig University Hospital

    Alsharkia

  • Abu El Rich Hospital,Cairo University Hospital

    Cairo, 11541

  • Ain Shams University Hospital

    Cairo

  • The Egyptian Thalassemia Association ( E.T.A)

    Cairo

Other trials in Egypt

United Kingdom6 sites
  • Guys and St. Thomas Hospital NHS Foundation Trust

    Great Maze Pond, London, SE1 9RT

  • Barts Health NHS Trust

    London, Greater London, E1 1BB

  • Homerton University Hospital NHS Foundation Trust

    London, Greater London, E9 6SR

  • King's College Hospital

    London, SE5 9RS

  • Imperial College Healthcare NHS Trust, Hammersmith Hospital

    London, W12 0HS

  • McMillan Cancer Centre

    London, WC1E 6AG

Other trials in United Kingdom

Kenya3 sites
  • KEMRI/CRDR - Kenya Medical Research Insititute - Center for respiratory Disease Research

    Nairobi, 00101

  • Gertrude's Children's Hospital

    Nairobi

  • Centres for Disease Control and Prevention

    Siaya, Kisumu County

Other trials in Kenya

Turkey (Türkiye)3 sites
  • Adana Acibadem Hospital

    Adana, 01130

  • Erciyes Universitesi Tip Fakultesi

    Kayseri, 38039

  • Mersin Universitesi Tip Fakultesi Saglik Arastirma ve Uygulama Hastanesi

    Mersin, 33343

Other trials in Turkey (Türkiye)

Lebanon2 sites
  • American University of Beirut

    Beirut

  • Nini Hospital

    Tripoli

Other trials in Lebanon

Netherlands2 sites
  • Academic Medical Center(AMC)

    Amsterdam, 1105 AZ

  • ErasmusMC

    Rotterdam, 3015 CN

Other trials in Netherlands

Canada1 site
  • Toronto General Hospital-University Health Network

    Toronto, Ontario, M5G 2C4

Other trials in Canada

France1 site
  • Hôpital Européen Georges Pompidou - Medecine Interne

    Paris, 75015

Other trials in France

Italy1 site
  • Azienda Ospedaliera di Padova

    Padova, Padova Veneto, 35128

Other trials in Italy

Oman1 site
  • Sultan Qaboos University Hospital

    Muscat, 123

Other trials in Oman

About this study

Official title: An Open Label Extension Study of Voxelotor (GBT440) Administered Orally to Participants With Sickle Cell Disease Who Have Participated in Voxelotor Clinical Trials

Open Label Extension Study of Voxelotor Clinical Trial Participants with Sickle Cell Disease Who Participated in Voxelotor Clinical Trials

Read the detailed description

This open label extension (OLE), multi-center study will be conducted at approximately 100 clinical sites globally and will be available to eligible participants from study GBT440-031.

The study will enroll participants from GBT440-031 (approximately 435) under any of the following conditions:

  • Participant has completed 72 weeks of treatment regardless of dose selection for GBT440-031
  • Dose selection has occurred for GBT440-031 and participant is on non-selected dose on GBT440-031
  • GBT440-031 study interim data analysis and/or study modifications have occurred
  • GBT440-031 study has completed

The objective of this open-label extension (OLE) study is to assess the long-term safety and treatment effect of voxelotor in participants who have completed treatment in study GBT440-031, using the following parameters:

  1. Safety based upon AEs, clinical laboratory tests, physical examinations (PE) and other clinical measures.
  2. Frequency of sickle cell disease (SCD)-related complications.
  3. Hemolytic anemia as measured by hematological laboratory parameters (e.g. hemoglobin, reticulocytes and unconjugated bilirubin).

All participants will receive daily voxelotor treatment.

Participants may receive study drug as long they continue to receive clinical benefit which outweighs risk as determined by the Investigator and/or until the participant has access to voxelotor from an alternative source (i.e., commercialization or through a managed access program).

Being tested
Voxelotor
Keywords
Open Label Extension
Medical subject headings
Anemia, Sickle Cell

What participants receive

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

  • VoxelotorDrug

    Also called GBT440

    300mg or 500mg Tablet, Oral, With or Without Food

Study groups in NCT03573882
Study groupRoleWhat they receive
VoxelotorOtherParticipants will receive voxelotor (GBT440) at the highest dose (either 900 mg or 1500 mg) deemed safe by the Data Safety Monitoring Board (DSMB).
Receives: Drug: Voxelotor

What is being measured

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

  1. Number of Participants With Sickle Cell Disease (SCD)-Related Treatment Emergent Adverse Events (TEAEs)

    An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. TEAEs were defined as AEs with onset on or after the date of informed consent until 28 days after last dose of study drug. SCD-related TEAEs included preferred terms (PTs) of sickle cell anaemia with crisis, acute chest syndrome (ACS), pneumonia, priapism, and osteonecrosis. The number of participants with any SCD-related TEAEs was reported in this outcome measure.

    Measured: From date of informed consent up to 28 days after last dose of study drug (maximum up to 300.7 weeks)

  2. Number of Participants With Non- SCD-Related TEAEs

    An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug related. TEAEs were defined as AEs with onset on or after the date of informed consent until 28 days after last dose of study drug. Non-SCD-related TEAEs included all the PTs of TEAEs other than SCD- related TEAEs. The number of participants with any non-SCD-related TEAEs was reported in this outcome measure.

    Measured: From date of informed consent up to 28 days after last dose of study drug (maximum up to 300.7 weeks)

  3. Number of Participants With SCD-Related Treatment Emergent Serious Adverse Events (TESAEs)

    An SAE is an AE at any dose, in view of investigator resulted in any of following outcomes: death; life-threatening AE; inpatient hospitalization/prolongation of existing hospitalization; persistent/significant incapacity or disability; a congenital anomaly/birth defect and important medical events (IME) that may not result in death, be immediately life threatening; or require hospitalization may be considered serious when based upon medical judgement, they may jeopardize study participant and may require medical or surgical intervention to prevent one of outcomes listed in definition. TESAEs were defined as SAEs with onset on or after the date of informed consent until 28 days after last dose of study drug. Number of participants with SCD-Related TESAEs was reported in this outcome measure.

    Measured: From date of informed consent up to 28 days after last dose of study drug (maximum up to 300.7 weeks)

  4. Number of Participants With Non-SCD-Related TESAEs

    An SAE is an AE at any dose, in view of investigator resulted in any of following outcomes: death; life-threatening AE; inpatient hospitalization/prolongation of existing hospitalization; persistent/significant incapacity or disability; a congenital anomaly/birth defect and IME that may not result in death, be immediately life threatening; or require hospitalization may be considered serious when based upon medical judgement, they may jeopardize study participant and may require medical or surgical intervention to prevent one of outcomes listed in definition. TESAEs were defined as SAEs with onset on or after the date of informed consent until 28 days after last dose of study drug. Number of participants with non-SCD related TESAEs was reported in this outcome measure.

    Measured: From date of informed consent up to 28 days after last dose of study drug (maximum up to 300.7 weeks)

  5. Annualized Incidence Rate (Events Per Person Years) of SCD-Related Complications

    Annualized incidence rate was defined as total number of events (i.e. complications observed for all participants) divided by total person years. Total person-years= sum of participant summary period in years where summary period=date of informed consent until the earlier of 28 days after last dose of study drug or end of study date. SCD related complications included acute chest syndrome, cerebrovascular accident, hepatic sequestration, ocular icterus, osteonecrosis, pneumonia, priapism, pulmonary hypertension, retinopathy, sickle cell anaemia with crisis, skin ulcer and splenic sequestration. The 95% CI was based on exact Poisson confidence limits. Incidence rate of all SCD related complications is reported in this outcome measure.

    Measured: From date of informed consent up to earlier of 28 days after last dose of study drug or end of study date (maximum up to 300.7 weeks)

  6. Annualized Incidence Rate (VOC Events Per Person Years) of On-Treatment Vaso-occlusive Crisis (VOCs)

    Annualized incidence rate was defined as total number of VOC events divided by total person years. Total person-years= sum of participant summary period in years where summary period=date of informed consent to last dose of study drug. VOC during the treatment period was defined as composite of acute painful crisis or acute chest syndrome (ACS) and included the following: moderate to severe pain lasting at least 2 hours; no explanation other than VOC; required oral or parenteral opioids, ketorolac, or other analgesics prescribed or directed by a healthcare professional. The 95% CI was based on exact Poisson confidence limits.

    Measured: From date of informed consent to last dose of study drug (maximum up to 296.7 weeks)

Secondary outcomes (4)
  1. Change From Baseline in Hemoglobin Level at Week 48

    Change from baseline in hemoglobin at Week 48 was reported in this outcome measure. Baseline value was defined as the last available value (including Week 72, end of treatment [EOT], or end of study [EOS] visits in the parent study GBT440-031 [NCT03036813]) collected on or prior to first dose in GBT440-034.

    Measured: Baseline, Week 48

  2. Percent Change From Baseline in Reticulocytes Percentage at Week 48

    Percent change from baseline in reticulocytes percentage at Week 48 was reported in this outcome measure. Baseline value was defined as the last available value (including Week 72, EOT, or EOS visits in the parent study GBT440-031 [NCT03036813]) collected on or prior to first dose in GBT440-034.

    Measured: Baseline, Week 48

  3. Percent Change From Baseline in Absolute Reticulocytes at Week 48

    Percent change from baseline in absolute reticulocytes at Week 48 was reported in this outcome measure. Baseline value was defined as the last available value (including Week 72, EOT, or EOS visits in the parent study GBT440-031 [NCT03036813]) collected on or prior to first dose in GBT440-034.

    Measured: Baseline, Week 48

  4. Percent Change From Baseline in Indirect Bilirubin at Week 48

    Percent change from baseline in indirect bilirubin at Week 48 was reported in this outcome measure. Baseline value was defined as the last available value (including Week 72, EOT, or EOS visits in the parent study GBT440-031 [NCT03036813]) collected on or prior to first dose in GBT440-034.

    Measured: Baseline, Week 48

Timeline

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

  1. First posted29 Jun 2018
  2. Study start6 Jun 2018
  3. Primary completion12 Nov 2024
  4. Study completion12 Nov 2024

Why it stopped: Emerging clinical data evaluated by Pfizer and shared with regulatory authorities indicates that the risk profile of voxelotor in people with SCD exceeds the benefits observed in previously generated global research and requires further assessment.

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
179 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03573882
Sponsor's protocol ID
GBT440-034
Other IDs
C5341022
Acronym
034OLE
Status last verified
Nov 2025
First submitted
15 May 2018
Last updated
18 Nov 2025
Data monitoring committee
No
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.
Expanded access
Available

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Voxelotor in people with Sickle Cell Disease, run by Pfizer at 60 sites in 11 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 5 inclusion and 5 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 18 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 60 sites in United States, Egypt, United Kingdom, Kenya, Turkey (Türkiye) and 6 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. 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 18 Nov 2025). 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?

Number of Participants With Sickle Cell Disease (SCD)-Related Treatment Emergent Adverse Events (TEAEs) (time frame: From date of informed consent up to 28 days after last dose of study drug (maximum up to 300.7 weeks)). The study lists 6 primary outcomes in all. 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 18 Nov 2025.

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