Evidence map›Paper›PMID 30743314›Full record

Trial reportBritish journal of clinical pharmacology2019

Pharmacokinetics and pharmacodynamics of voxelotor (GBT440) in healthy adults and patients with sickle cell disease.

Athiwat Hutchaleelaha, Mira Patel, Carla Washington, Vincent Siu, Elizabeth Allen, Donna Oksenberg, Daniel D Gretler, Timothy Mant, Josh Lehrer-Graiwer

Open access · hybridAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in British journal of clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
6.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 97 citations in OpenAlex.

  1. Trial
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  14. Review
  15. Hypoxia as a medicine.Science translational medicine · 2025
    Review
  16. Hemoglobin Variants as Targets for Stabilizing Drugs.Molecules (Basel, Switzerland) · 2025
    Review
  17. Article
  18. Sickle Cell Disease.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2024
    Review
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

Athiwat HutchaleelahaGlobal Blood Therapeutics, South San Francisco, CA, USA.ORCID 0000-0002-8541-0257
Mira PatelGlobal Blood Therapeutics, South San Francisco, CA, USA.
Carla WashingtonGlobal Blood Therapeutics, South San Francisco, CA, USA.
Vincent SiuGlobal Blood Therapeutics, South San Francisco, CA, USA.
Elizabeth AllenIQVIA, Reading, Guy's and St. Thomas' NHS Foundation Trust and King's College, London, UK.
Donna OksenbergGlobal Blood Therapeutics, South San Francisco, CA, USA.
Daniel D GretlerIndependent Drug Development Consultant, San Francisco, CA, USA.
Timothy MantIQVIA, Reading, Guy's and St. Thomas' NHS Foundation Trust and King's College, London, UK.
Josh Lehrer-GraiwerGlobal Blood Therapeutics, South San Francisco, CA, USA.
Global Blood Therapeutics (United States) · USKing's College London · GBInternational Drug Development · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsVoxelotor (previously GBT440) is a haemoglobin (Hb) modulator that increases Hb-oxygen affinity, thereby reducing Hb polymerization and sickling of red blood cells (RBCs), being developed as a once-daily oral drug to treat sickle cell disease (SCD). This first-in-human study evaluated the safety, tolerability, pharmacokinetics and pharmacodynamics of voxelotor in healthy volunteers and SCD patients.

methodsA total of 40 healthy volunteers (100, 400, 1000, 2000 or 2800 mg) and 8 SCD patients (1000 mg) were randomly assigned to a single dose of voxelotor once daily (n = 6 per group) or placebo (n = 2 per group). Twenty-four healthy volunteers received multiple doses of voxelotor once daily for 15 days (300, 600 or 900 mg, n = 6 per group) or placebo (n = 2 per group).

resultsVoxelotor was well tolerated and exhibited a linear pharmacokinetic profile and a half-life ranging from 61 ± 7 h to 85 ± 7 h. High partitioning into the RBC compartment provides evidence of highly specific binding to Hb. Voxelotor exhibited a concentration-dependent left-shift of oxygen equilibrium curves. Percent Hb modification following 900 mg voxelotor for 15 days was 38 ± 9%. Terminal half-life of voxelotor in SCD patients (50 ± 3 h) was shorter than in healthy volunteers. Evaluation of erythropoietin, exercise testing, and haematologic parameters were consistent with normal oxygen delivery during both rest and exercise.

conclusionThis first-in-human study demonstrates voxelotor was well tolerated in SCD patients and healthy volunteers and established proof of mechanism on increasing Hb-oxygen affinity.

Indexed as

AdolescentAdultAnemia, Sickle CellAntisickling AgentsBenzaldehydesBiomarkersDouble-Blind MethodErythrocytesFemaleHumansLondonMaleMiddle AgedModels, BiologicalOxyhemoglobinsPyrazinesAntisickling AgentsBenzaldehydesBiomarkersOxyhemoglobinsPyrazinesPyrazolesvoxelotorclinical trialpharmacodynamicspharmacokineticsphase Isickle cell diseasevoxelotor

Identifiers

PMID30743314
PMCPMC6533444
OpenAlexW2914004333

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.