A Randomized, Blinded, Placebo-controlled, Dose Escalation Study to Evaluate the Safety, Tolerability and Pharmacokinetics of HQK-1001 in Subjects With Sickle Cell Disease
Inclusion Criteria:
- Diagnosis of SCD or sickle beta thalassemia (excluding Hemoglobin C)
- Between 12 and 60 years of age, inclusive
- 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
- Screening (untransfused) HbF level >/= 2% as analyzed by a central laboratory
- If receiving hydroxyurea therapy, must be receiving a stable dose for at least 6
months
- Able and willing to give informed consent
- If female, must have a negative serum pregnancy test within 7 days of dosing
- 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
- 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
- In the view of the Investigator, able to comply with necessary study procedures
Exclusion Criteria:
- Red blood cell (RBC) transfusion within 3 months prior to beginning study medication
- Participation in a regular blood transfusion program
- More than 4 hospitalizations for acute sickle cell-related events in the previous 12
months
- An acute vaso-occlusive event within 3 weeks prior to receiving first dose of study
medication
- Pulmonary hypertension requiring oxygen
- QTc > 450 msec on screening
- Alanine transaminase (ALT) > 3X upper limit of normal (ULN)
- Creatinine phosphokinase (CPK) > 20% above the ULN
- Serum creatinine >1.2 mg/dL
- An acute illness (e.g., febrile, gastrointestinal [GI], respiratory) within 72 hours
prior to receiving first dose of study medication
- History of syncope, clinically significant dysrhythmias or resuscitation from sudden
death
- Chronic opiate use which, in the view of the Investigator, could confound evaluation
of an investigational drug
- Current abuse of alcohol or drugs
- Received another investigational agent within 4 weeks, or 5 half-lives, whichever is
longer, prior to administration of study medication
- Currently pregnant or breast feeding a child
- Known infection with HIV-1
- Infection with hepatitis B or hepatitis C such that patients are currently on therapy
or will be placed on therapy during the trial