RecruitingPhase 1Phase 2NCT06481306

A Study to Evaluate BMS-986470 in Healthy Volunteers and Participants With Sickle Cell Disease

A Phase 1/2a, First-in-human, Randomized, Double-blinded, Placebo-controlled, Dose-finding Study in Healthy Volunteers and Participants With Sickle Cell Disease to Evaluate the Safety and Tolerability, Pharmacokinetics, Pharmacodynamics, pH and Food Effect, and Preliminary Efficacy of BMS-986470


Sponsor

Bristol-Myers Squibb

Enrollment

184 participants

Start Date

Jul 17, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to evaluate the safety and tolerability, pharmacokinetics and pharmacodynamics, pH and food effect, and preliminary efficacy of BMS-986470 in healthy volunteers and participants with sickle cell disease.


Eligibility

Min Age: 18 Years

Inclusion Criteria13

  • \- Cohort A.
  • i) Healthy male and female (who are not of childbearing potential) participants, as determined by the investigator based on medical history and other determinations. Females not of childbearing potential must have been amenorrhoeic for at least 12 months without an alternative medical cause and have follicle-stimulating hormone (FSH) levels of at least 40 IU/L or have undergone a hysterectomy, bilateral oophorectomy, or bilateral salpingectomy.
  • ii) Body mass index (BMI) of 18.0 to 32.0 kg/m\^2, inclusive. BMI = weight (kg)/ (height \[m\])\^2 as measured at screening.
  • iii) No evidence of organ dysfunction or any clinically significant deviation from normal in physical examination, vital signs, ECG, or clinical laboratory assessments beyond what is consistent with the target population.
  • \- Cohort B.
  • i) Participants with a documented diagnosis of Sickle Cell Disease (SCD) with genotype HbSS, HbSβ0-thal, or HbSβ+-thal.
  • ii) Participants with ≥ 4 vaso-occlusive crises (VOCs) within the previous 12 months or ≥ 2 VOCs within the previous 6 months.
  • iii) Participant has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • iv) Must have the following laboratory values:.
  • A. Hemoglobin ≥ 5.5 and ≤ 12 g/dL (males) or ≥ 5.5 and ≤ 10.6 g/dL (females).
  • B. Absolute neutrophil count ≥ 1500/μL.
  • C. Platelet count ≥ 100 × 10\^3/μL.
  • D. Absolute reticulocyte count \> 100 × 10\^3/μL or \> 50 × 10\^3/μL if taking hydroxyurea.

Exclusion Criteria11

  • \- Cohort A.
  • i) Any significant medical condition or any condition that confounds the ability to interpret data from the study.
  • ii) Participant has any condition, including the presence of laboratory abnormalities, that places the participant at unacceptable risk if the participant was to participate in the study.
  • iii) Any major surgery or planned surgery (except GI surgery) within 12 weeks of the first study intervention administration.
  • \- Cohort B.
  • i) Participants with any condition, including significant acute or chronic medical illness, active or uncontrolled infection, or the presence of laboratory abnormalities, that places participants at unacceptable risk if participating in this study.
  • ii) Participants with more than 6 severe VOCs defined as VOCs requiring ≥ 24 hours of hospital admission within 12 months prior to the first dose of study intervention or any VOC requiring ≥ 24 hours of hospital admission within 30 days prior to the first dose of study intervention.
  • iii) Participants with any episode of acute chest syndrome within the last 6 months prior to the first dose of study intervention.
  • iv) Creatinine clearance (CrCl) \< 60 mL/min/1.72m2 using Chronic Kidney Disease Epidemiology (CKD-EPI) equation
  • Cohort A and B.
  • i) Participant is receiving regularly scheduled RBC or platelet transfusions or has received a RBC transfusion within 28 days and a platelet transfusion within 14 days prior to starting treatment with BMS-986470.

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Interventions

DRUGBMS-986470

Specified dose on specified days

DRUGPlacebo

Specified dose on specified days

DRUGFamotidine

Specified dose on specified days


Locations(19)

University of Alabama at Birmingham

Birmingham, Alabama, United States

University of California San Diego - La Jolla

La Jolla, California, United States

UCSF Benioff Children's Hospital Oakland

Oakland, California, United States

Yale-New Haven Hospital

New Haven, Connecticut, United States

Winship Cancer Institute of Emory University

Atlanta, Georgia, United States

Local Institution - 0034

Chicago, Illinois, United States

Local Institution - 0001

Lenexa, Kansas, United States

Local Institution - 0024

Boston, Massachusetts, United States

Boston Medical Center

Boston, Massachusetts, United States

Thomas Jefferson University - Medicine/GI and Hepatology

Philadelphia, Pennsylvania, United States

Local Institution - 0032

Pittsburgh, Pennsylvania, United States

Inova Schar Cancer Institute

Fairfax, Virginia, United States

Virginia Commonwealth University (VCU) Medical Center

Richmond, Virginia, United States

Institut de cancérologie Strasbourg Europe (ICANS)

Strasbourg, Alsace, France

Assistance Publique Hôpitaux de Marseille - Hôpital de la Timone

Marseille, France

Hôpital Universitaire Necker Enfants Malades

Paris, France

University Hospitals Sussex NHS Foundation Trust

East Sussex, Brighton And Hove, United Kingdom

King's College Hospital

London, London, City of, United Kingdom

Local Institution - 0005

Leeds, United Kingdom

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NCT06481306


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