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The production of sickle hemoglobin is caused by a sickle point mutation in the beta globin gene.
The solubility of this hemoglobin is worse than that of normal fetal or adult hemoglobin
.
Sickle cell disease (SCD) refers to any of the following syndromes, in which a sickle mutation is co-inherited with a mutation on another allele of β-globin, resulting in a reduction or disappearance of normal β-globin production
Global Blood Therapeutics (GBT) recently stated that the FDA has expanded the indications of Oxbryta (voxelotor) to allow it to treat sickle cell disease (SCD) in children under 4 to 12 years of age
.
Oxbryta (voxelotor), a once-daily oral hemoglobin polymerization inhibitor, was initially approved in 2019 for accelerated approval for adults and adolescents with SCD aged 12 years and older
FDA children
This approval is supported by data from the Phase IIa HOPE-KIDS 1 trial, which involved 45 SCD patients aged 4 to 11 years
.
The HOPE-KIDS 1 test has four parts
The average age of the patients was 7 years, slightly more than half of the women, and the average weight was 24 kg
.
The baseline mean hemoglobin was 8.
Blood vessel
The results show that treatment with voxelotor can significantly improve anemia in pediatric patients
.
The average hemoglobin change from baseline at week 24 was 1.
Voxelotor treatment also resulted in a reduction in hemolysis markers at 24 weeks
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