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Sickle Cell DiseasePROSPECTNCT04930445

Oxbryta® Product Registry An Observational Study Designed to Evaluate the Effect of Oxbryta in Individuals With SCD

An observational study of Sickle Cell Disease, run by Pfizer at 43 sites in United States.

Terminated

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

Official record
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Trial summary

This registry is an observational study designed to evaluate the effect of Oxbryta in individuals with SCD in a real-world setting. Read more about this study

Who is it for?
Ages 4 years and older
Conditions the study is for
Sickle Cell Disease
What is being tested?
Oxbryta® (voxelotor) 500mg Tablets
Type of treatment
Pill or oral medicine
How many people
265 participants
Where
43 sitesUnited States
Study dates
4 Feb 2022to 10 Oct 2024
How long will I take part?
5 Years
Phase
Observational
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 4 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: All patients at each participating study site who have been treated with Oxbryta will be considered for inclusion in this study.

Who may be able to join

  • Participants who meet all the following criteria will be eligible for enrollment:
  • Willing and able to provide written informed consent (aged ≥ 18 years), parental/ guardian consent and participant assent (aged ≥ 12 to <18 years) per local regulations, or pediatric participants (aged 4 to <12 years) with parental/guardian consent per Institutional Review Board (IRB) policy and requirements, consistent with ICH guidelines
  • Male or female participants with documented diagnosis of sickle cell disease (all genotypes)
  • Undergoing treatment with Oxbryta according to the Oxbryta USPI

Who cannot join

  • Participants meeting any of the following criteria will not be eligible for study enrollment:
  • Current participation in an investigation clinical trial or expanded access program, in which the participant may be receiving voxelotor treatment.
  • Medical, psychological, or behavioral condition that, in the opinion of the study doctor, would confound or interfere with evaluation of safety and/or effectiveness of the study drug, prevent compliance with the study protocol; preclude informed consent; or render the participant unable/unlikely to comply with the study procedures

Trial locations and contacts

43 sites in 1 country.

43 sites in 1 country

United States43 sites
  • Augusta University - Clinical Trials Office (clinic)

    Augusta, Georgia, 30912

  • Augusta University

    Augusta, Georgia, 30912

  • Children's Blood and Cancer Center at Dell Children's Medical Center

    Austin, Texas, 78723

  • Dell Children's Medical Center

    Austin, Texas, 78723

  • Boston University Medical Center

    Boston, Massachusetts, 02118

  • Medical University of South Carolina Shawn Jenkins Women's and Children's Hospital

    Charleston, South Carolina, 29425

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • Levine Cancer Institute

    Charlotte, North Carolina, 28204

  • University of Illinois at Chicago (UIC) Clinical Research Center

    Chicago, Illinois, 60612

  • University of Illinois at Chicago (UIC) Sickle Cell Center

    Chicago, Illinois, 60612

  • University of Illinois Hospital and Health Sciences System(UI Health)

    Chicago, Illinois, 60612

  • University of Illinois Hospital and Health Sciences System

    Chicago, Illinois, 60612

  • University of Maryland Medical Center

    College Park, Maryland, 21201

  • Duke University Hospital

    Durham, North Carolina, 27710

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • Inova Schar Cancer Institute

    Fairfax, Virginia, 22031

  • INOVA Health

    Falls Church, Virginia, 22042-2325

  • University of Connecticut Health

    Farmington, Connecticut, 06030-1163

  • University of Connecticut Health

    Farmington, Connecticut, 06030

  • East Carolina University

    Greenville, North Carolina, 27834-4300

  • ECU Health Medical Center Laboratory

    Greenville, North Carolina, 27834

  • ECU Health Medical Center

    Greenville, North Carolina, 27834

  • Foundation for Sickle Cell Disease Research

    Hollywood, Florida, 33023

  • University of Texas Health Science Center at Houston

    Houston, Texas, 77030

  • Nemours Children's Specialty Care

    Jacksonville, Florida, 32207

  • University of California, San Diego

    La Jolla, California, 92093-0987

  • Mississippi Center for Advanced Medicine

    Madison, Mississippi, 39110

  • St. Jude Children's Research Hospital

    Memphis, Tennessee, 38105

  • University of Miami Hospital

    Miami, Florida, 33136

  • University of South Alabama

    Mobile, Alabama, 36617

  • Newark Beth Israel Medical Center

    Newark, New Jersey, 07112

  • Center for Inherited Blood Disorders

    Orange, California, 92868

  • Bass Center for Childhood Cancer and Blood Disorders (Stanford Lucile Packard Children's Hospital)

    Palo Alto, California, 94304

  • Department of Pediatrics, Hematology section

    Palo Alto, California, 94304

  • Stanford Children's Hospital

    Palo Alto, California, 94304

  • Phoenix Children's Hospital

    Phoenix, Arizona, 85016

  • UPMC Montefiore Hospital

    Pittsburgh, Pennsylvania, 14213

  • UPMC Sickle Cell Center

    Pittsburgh, Pennsylvania, 15123

  • UPMC Presbyterian

    Pittsburgh, Pennsylvania, 15213

  • University of Pittsburgh Medical Center (UPMC)

    Pittsburgh, Pennsylvania, 15261

  • Montefiore Medical Center

    The Bronx, New York, 10467

  • Nemours Alfred I duPont Hospital for Children

    Wilmington, Delaware, 19803

  • Nemours Children's Health, Wilmington

    Wilmington, Delaware, 19803

Other trials in United States

About this study

Official title: An Open Label, Observational, Prospective Registry of Participants With Sickle Cell Disease (SCD) Treated With Oxbryta® (Voxelotor)

This registry is an observational study designed to evaluate the effect of Oxbryta in individuals with SCD in a real-world setting.

Read the detailed description

The study will be conducted at approximately 45 sites in the United States.

This registry is an observational study to evaluate the effects of Oxbryta in individuals with SCD. Any participant who is currently taking Oxbryta, or has been prescribed and will initiate treatment with Oxbryta, is eligible to participate. Eligible participants will receive treatment with Oxbryta as prescribed by their physician, as part of their usual care. Participants will be treated and evaluated per standard of care (SOC) and at the physician's discretion. This study will collect data that are recorded in the participants' medical records and other secondary data sources. Study data will be collected at regular intervals and entered in case report forms (CRFs) via an electronic data capture (EDC) system by the study staff. Participants will be considered to be on study for up to 5 years after their first dose of Oxbryta treatment, or until they withdraw their consent to participate, or are discontinued from the study. Treatment, including interruptions and restarting treatment, will continue at the discretion of the treating physician, and there are no pre-defined treatment requirements. Participants may receive any additional medications prescribed by their treating physician, or have any medical interventions that are deemed appropriate by the treating physician or study doctor. The participant or treating physician may discontinue Oxbryta at any time. Participants who discontinue treatment with Oxbryta earlier than 5 years will continue to be followed on study to collect clinical and quality of life (QoL) outcomes for up to 5 years after their first dose of Oxbryta treatment. Participant safety and tolerability will be assessed throughout the study data collection period by the study doctor and reported to the Sponsor.

Being tested
Oxbryta® (voxelotor) 500mg Tablets
Keywords
Registry Sickle Cell Disease
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.

  • Oxbryta® (voxelotor) 500mg TabletsDrug

    Also called Voxelotor, Oxbryta®

    Participants will receive treatment with Oxbryta as prescribed by their physician, as part of their usual care. Participants will be treated and evaluated per standard of care (SOC) and at the physician's discretion. There are no pre-defined treatment requirements.

Study groups in NCT04930445
Study groupRoleWhat they receive
Oxbryta Product RegistryNot described
Receives: Drug: Oxbryta® (voxelotor) 500mg Tablets

What is being measured

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

  1. Change in Hemoglobin From Pre-Oxbryta Treatment (Baseline) Through Month 60 Post-Oxbryta

    The pre-Oxbryta (baseline) value was the latest measurement on or prior to the first dose of Oxbryta. Post-Oxbryta value was the measurement for multiple assessments at the same specific visit, the average was used.

    Measured: Pre-Oxbryta (baseline) 3, 6, 9, 12, 18, 24, 30, 36, 42, 48, 54, 60 months post-Oxbryta

  2. Change in Percent Reticulocyte Count From Pre-Oxbryta Treatment (Baseline) Through Month 60 Post-Oxbryta

    The pre-Oxbryta (baseline) value was the latest measurement on or prior to the first dose of Oxbryta. Post-Oxbryta value was the measurement for multiple assessments at the same specific visit, the average was used.

    Measured: Pre-Oxbryta (baseline) 3, 6, 9, 12, 18, 24, 30, 36, 42, 48, 54, 60 months post-Oxbryta

  3. Change in Absolute Reticulocyte Count From Pre-Oxbryta Treatment (Baseline) Through Month 60 Post-Oxbryta

    The pre-Oxbryta (baseline) value was the latest measurement on or prior to the first dose of Oxbryta. Post-Oxbryta value was the measurement for multiple assessments at the same specific visit, the average was used.

    Measured: Pre-Oxbryta (baseline) 3, 6, 9, 12, 18, 24, 30, 36, 42, 48, 54, 60 months post-Oxbryta

  4. Change in Bilirubin (Total, Direct and Indirect) Level From Pre-Oxbryta Treatment (Baseline) Through Month 60 Post-Oxbryta

    The pre-Oxbryta (baseline) value was the latest measurement on or prior to the first dose of Oxbryta. Post-Oxbryta value was the measurement for multiple assessments at the same specific visit, the average was used. Abbreviations used: overall number of participants analyzed=N and Number analyzed= n

    Measured: Pre-Oxbryta (baseline) 3, 6, 9, 12, 18, 24, 30, 36, 42, 48, 54, 60 months post-Oxbryta

  5. Change in Iron Overload (Ferritin Levels) From Pre-Oxbryta Treatment (Baseline) Through Month 60 Post-Oxbryta

    The pre-Oxbryta (baseline) value was the latest measurement on or prior to the first dose of Oxbryta. Post-Oxbryta value was the measurement for multiple assessments at the same specific visit, the average was used.

    Measured: Pre-Oxbryta (baseline) 3, 6, 9, 12, 18, 24, 30, 36, 42, 48, 54, 60 months post-Oxbryta

  6. Change in Iron Overload as Measured by T2-weighted Magnetic Resonance Imaging (MRI) From Pre-Oxbryta Treatment (Baseline) Through Month 60 Post-Oxbryta

    The pre-Oxbryta (baseline) value was the latest measurement on or prior to the first dose of Oxbryta. Post-Oxbryta value was the measurement for multiple assessments at the same specific visit, the average was used.

    Measured: Pre-Oxbryta (baseline) up to 60 months post-Oxbryta

  7. Change in Serum Creatinine Level From Pre-Oxbryta Treatment (Baseline) Through Month 60 Post-Oxbryta

    The pre-Oxbryta (baseline) value was the latest measurement on or prior to the first dose of Oxbryta. Post-Oxbryta value was the measurement for multiple assessments at the same specific visit, the average was used.

    Measured: Pre-Oxbryta (baseline) 3, 6, 9, 12, 18, 24, 30, 36, 42, 48, 54, 60 months post-Oxbryta

  8. Change in Albumin Creatinine Ratio (ACR) From Pre-Oxbryta Treatment (Baseline) Through Month 54 Post-Oxbryta

    The pre-Oxbryta (baseline) value was the latest measurement on or prior to the first dose of Oxbryta. Post-Oxbryta value was the measurement for multiple assessments at the same specific visit, the average was used.

    Measured: Pre-Oxbryta (baseline) 3, 6, 9, 12, 18, 24, 30, 36, 42, 48, 54 months post-Oxbryta

  9. Number of Participants According to Hemoglobinuria Results Post-Oxbryta

    Hemoglobinuria was defined as urine dipstick results positive for blood +1 or greater and <=2 red blood cells (RBC) by high power field. Number of participants according to hemoglobinuria results (none/negative, trace, 1+, 2+, 3+, other: large, moderate, small, small=0-3, hereditary persistence of fetal hemoglobin [HPF], missing) was reported in this outcome measure. Small corresponded to trace or 1+ on dipstick, medium indicated 2+, large indicated 3+ or higher on dipstick. The pre-Oxbryta (baseline) value was the latest measurement on or prior to the first dose of Oxbryta. Post-Oxbryta value was the measurement for multiple assessments at the same specific visit, the average was used.

    Measured: Pre-Oxbryta (baseline) 3, 6, 9, 12, 18, 24, 30, 36, 42, 48, 54, 60 months post-Oxbryta

  10. Change in Serum Cystatin C Results From Pre-Oxbryta Treatment (Baseline) Through Month 30 Post-Oxbryta

    The pre-Oxbryta (baseline) value was the latest measurement on or prior to the first dose of Oxbryta. Post-Oxbryta value was the measurement for multiple assessments at the same specific visit, the average was used.

    Measured: Pre-Oxbryta (baseline) 3, 6, 12, 18, 24, 30 months post-Oxbryta

  11. Number of Participants According to Estimated Glomerular Filtration Rate (GFR) Results Post-Oxbryta

    Estimated GFR was calculated using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation. Number of participants according to estimated GFR results (stage 1 [G1] - GFR >=90 milliliter/minute [mL/min] per 1.73 square meters [m^2], stage 2 [G2] - GFR 60 to 89 mL/min per 1.73 m^2, stage 3a [G3a] - GFR 45 to 59 mL/min per 1.73 m^2, stage 3b [G3b] - GFR 30 to 44 mL/min per 1.73 m^2, stage 4 [G4] - GFR 15 to 29 mL/min per 1.73 m^2, stage 5 [G5] - GFR < 15 mL/min per 1.73 m^2 or treatment by dialysis, missing) was reported descriptively in this outcome measure. Stages 1 and 2 indicate mild damage, while stages 3 to 5 reflected progressive severity, leading to potential renal failure. The pre-Oxbryta (baseline) value was the latest measurement on or prior to the first dose of Oxbryta. Post-Oxbryta value was the measurement for multiple assessments at the same specific visit, the average was used.

    Measured: Pre-Oxbryta (baseline) 3, 6, 9, 12, 18, 24, 30, 36, 42, 48, 54, 60 months post-Oxbryta

  12. Number of Participants With SCD Complications

    SCD complications included acute pain crisis, acute chest syndrome (ACS), priapism, stroke, chronic or end stage kidney disease iron overload, leg ulcers, cardiac malfunction and pulmonary hypertension (PH) and RBC transfusions.

    Measured: From date of first Oxbryta treatment through the end of study (up to Month 60)

  13. Number of Participants With Treatment Initiation or Modification of SCD-related Medications

    Number of participants with treatment initiation or modification of SCD related medications is reported in this outcome measure.

    Measured: From date of first Oxbryta treatment through the end of study (up to Month 60)

  14. Number of Participants With Red Blood Cell (RBC) Transfusions

    Number of participants with RBC transfusions is reported in this outcome measure.

    Measured: From date of first Oxbryta treatment through the end of study (up to Month 60)

  15. Number of Participants According to Responses to Patient Global Impression of Change (PGIC) at Month 3 Through Month 60

    PGIC was a single question that reflected a participant's or caregiver's belief about the effectiveness of treatment with Oxbryta on a 7-point scale depicting a participant's rating of overall improvement. Participants/caregivers rated their change as "very much improved," "much improved," "minimally improved," "no change," "minimally worse," "much worse," or "very much worse".

    Measured: Month 3, 6, 9, 12, 18, 24, 30, 36, 42, 48, 54, 60

  16. Number of Participants According to Responses to Clinical Global Impression of Change (CGIC) at Month 3 Through Month 60

    CGIC was a brief, stand-alone assessment of the clinician's view of the participant's global functioning prior to and after initiating Oxbryta. The CGI provided an overall clinician-determined summary measure that took into account all available information, including a knowledge of the participant's history, psychosocial circumstances, symptoms, behavior, and the impact of the symptoms on the participant's ability to function. Participants rated their change as "very much improved," "much improved," "minimally improved," "no change," "minimally worse," "much worse," "very much worse," or "not assessed".

    Measured: Month 3, 6, 9, 12, 18, 24, 30, 36, 42, 48, 54, 60

  17. Number of Participants With Serious Adverse Events (SAEs) According to Severity

    An SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria - resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect and other important medical events. Severity was classified using common terminology criteria for adverse events (CTCAE), version 5.0, where Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe. Mild - SAEs does not interfere with participant's usual function b) moderate - SAEs interferes to some extent with participant's usual function c) severe - SAEs interferes significantly with participant's usual function.

    Measured: From date of first Oxbryta treatment up to end of study (up to Month 60)

  18. Number of Participants With Adverse Events (AEs) According to Severity

    An AE was any untoward medical occurrence in a participant or clinical investigational participant administered a medicinal product and which did not necessarily have a causal relationship with this treatment. Severity was classified using CTCAE, version 5.0, where Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe. AEs are classified according to the severity in 3 categories a) mild - AEs does not interfere with participant's usual function b) moderate - AEs interferes to some extent with participant's usual function c) severe - AEs interferes significantly with participant's usual function. AEs included both SAEs and non-SAEs.

    Measured: From date of first Oxbryta treatment up to end of study (up to Month 60)

  19. Number of Participants With AEs Leading to Dose Modification or Discontinuation of Oxbryta

    An AE was any untoward medical occurrence in a participant or clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment. Number of participants with AEs leading to dose modification or discontinuation of Oxbryta were reported in this outcome measure.

    Measured: From date of first Oxbryta treatment up to end of study (up to Month 60)

  20. Number of Participants With Positive Pregnancy Test and Fertility Complications

    Number of participants with positive pregnancy test and fertility complications were reported in this outcome measure.

    Measured: From date of first Oxbryta treatment up to end of study (up to Month 60)

Timeline

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

  1. First posted18 Jun 2021
  2. Study start4 Feb 2022
  3. Primary completion10 Oct 2024
  4. Study completion10 Oct 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
Observational
Observational model
Other
Time perspective
Prospective
Enrolment
265 participants (actual)
Target duration
5 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT04930445
Sponsor's protocol ID
GBT440-4R2
Other IDs
C5341019
Acronym
PROSPECT
Status last verified
Dec 2025
First submitted
4 Jun 2021
Last updated
31 Dec 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: 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.

Publications

  • Andemariam B, Shah N, Ershler WB, Ivy ED, Darbari DS, Anderson A, Rai P, Wun T, Yu CR, Purdie DM, Valenzuela CM, Xu M. Safety and effectiveness of voxelotor in individuals with sickle cell disease in the RETRO and PROSPECT US registries. Blood Adv. 2026 May 12;10(9):3032-3043. doi: 10.1182/bloodadvances.2025018992.

    PubMed 41701977

Questions about this trial

What is this clinical trial studying?

An observational study of Sickle Cell Disease, run by Pfizer at 43 sites in United States.

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 4 inclusion and 3 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 31 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 43 sites in United States. 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.

Are results available for this study?

Yes. Results are posted in the registry (first posted 31 Dec 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?

Change in Hemoglobin From Pre-Oxbryta Treatment (Baseline) Through Month 60 Post-Oxbryta (time frame: Pre-Oxbryta (baseline) 3, 6, 9, 12, 18, 24, 30, 36, 42, 48, 54, 60 months post-Oxbryta). The study lists 20 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04930445, which also lists 1 linked publication.

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 31 Dec 2025.

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