A Safety, Efficacy, and Pharmacokinetic (PK) Study of HBI-002, an Oral Carbon Monoxide (CO) Therapeutic, in Subjects With Sickle Cell Disease (SCD)

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18-55
SponsorHillhurst Biopharmaceuticals, Inc.

About this trial

This is a multi-center, open label Phase 2a clinical trial in subjects with sickle cell disease to assess safety, tolerability, pharmacokinetics, and pharmacodynamics of HBI-002, an orally administered liquid containing carbon monoxide (CO), with doses daily for 14 days.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Signed informed consent.

Male or female 14-55 years of age inclusive.

Negative Hepatitis B surface antigen (HBsAg), anti-Hepatitis C (aHCV), anti-Human Immunodeficiency Virus (aHIV), and SARS-CoV-2 test. Subjects that test SARS-CoV-2 positive at screen or baseline can be re-screened at least four weeks after the positive test so long as they are asymptomatic and test negative.

Non-smoker or vaper (no use of tobacco or marijuana products within 3 months of screening).

Disqualifiers

Hemoglobinopathy other than SCD or S/beta 0 thalassemia.

Clinical, ECG or laboratory evidence of cardiac dysfunction as determined by the PI.

Acute chest syndrome or VOC within 21 days or signs or symptoms of an impending vaso-occlusive crisis as determined by both the subject and PI immediately prior to first dosing with HBI-002/placebo.

Current smoker.

Trial design

Design model

Single group

Treatments tested in this trial

  • HBI-002

    Drug

    Oral liquid carbon monoxide drug product.

Treatment groups

9 Participants
are divided into 1 treatment group
Group A: Ascending Multiple DoseExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Frequency and severity of Treatment Emergent Adverse Events, including adverse events of special interest

Time frame
Day 1 to 44

Secondary outcomes

1

Maximum hemoglobin concentration (Cmax) as measured by carboxyhemoglobin (COHb) saturation

Time frame
Days 1 and 4
2

Elimination half-life (t1/2) as measured by COHb saturation

Time frame
Days 1 and 4
3

Change from baseline in complete blood count (CBC) test parameters, including hemoglobin, hematocrit, red blood cell (RBC) count, white blood cell (WBC) count, and neutrophil count

Time frame
Day 0 to 15
4

Change from baseline in inflammation and oxidation, as assessed by levels of protein and/or mRNA indicators, particularly those associated with heme oxygenase-1 (HO-1)

Time frame
Day 0 to 15

Other outcomes

Sponsors and contacts

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Hillhurst Biopharmaceuticals, Inc.

Lead sponsor

National Heart, Lung, and Blood Institute (NHLBI)

Collaborator