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

RecruitingPhase 1/2Healthy volunteers welcome

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

Who can join

Ages 18 and older · All sexes · Healthy volunteers welcome

Full eligibility criteria
Inclusion Criteria:

Cohort A:

* 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.
* Body mass index (BMI) of 18.0 to 32.0 kg/m2, inclusive. BMI = weight (kg)/\[height (m)\]2 as measured at screening.
* 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:

* Participants with a documented diagnosis of sickle cell disease (SCD) with genotype HbSS, HbSβ0-thal, or HbSβ+-thal.
* For Cohort B Part 1 only: Participants with ≥ 4 vaso-occlusive crises (VOCs) within the previous 12 months or ≥ 2 VOCs within the previous 6 months. For Cohort B Part 2 only: Participants with ≥ 2 VOCs and ≤ 15 VOCs within the previous 12 months.
* Participant has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
* Participants must have the following laboratory values:

  i) Hemoglobin ≥ 5.5 and ≤ 12 g/dL (males) or ≥ 5.5 and ≤ 10.6 g/dL (females). ii) Absolute neutrophil count ≥ 1500/μL. iii) Platelet count ≥ 100 × 10\^3/μL. iv) Absolute reticulocyte count \> 100 × 10\^3/μL or \> 50 × 10\^3/μL if taking hydroxyurea.

Exclusion Criteria:

Cohort A:

* Any significant medical condition or any condition that confounds the ability to interpret data from the study.
* 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.
* Any major surgery or planned surgery (except GI surgery) within 12 weeks of the first study intervention administration.

Cohort B:

* 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.
* For Cohort B Part 1 only: 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.
* For Cohort B Part 1 only: participants with any episode of acute chest syndrome within the last 6 months prior to the first dose of study intervention.
* Creatinine clearance (CrCl) \< 60 mL/min/1.72m2 using Chronic Kidney Disease Epidemiology (CKD-EPI) equation.

Cohort A and B:

* 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.
* Other protocol-defined Inclusion/Exclusion criteria apply.

About the study

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.

What is being tested

Sponsor: Bristol-Myers Squibb · Participants: 224 · Started: Jul 17, 2024

Contact the study team

Official record on ClinicalTrials.gov — NCT06481306

Locations in the U.S.

AlabamaUniversity of Alabama at Birmingham, Birmingham
CaliforniaUniversity of California San Diego - La Jolla, La Jolla
UCSF Benioff Children's Hospital Oakland, Oakland
ConnecticutYale-New Haven Hospital, New Haven
GeorgiaWinship Cancer Institute of Emory University, Atlanta
IllinoisLocal Institution - 0034, Chicago (Not yet recruiting)
MarylandLocal Institution - 0064, Baltimore (Not yet recruiting)
MassachusettsBoston Medical Center, Boston
Local Institution - 0024, Boston (Not yet recruiting)
MissouriLocal Institution - 0030, St Louis (Not yet recruiting)
North CarolinaLocal Institution - 0033, Greenville (Not yet recruiting)
OhioLocal Institution - 0028, Cleveland (Not yet recruiting)
PennsylvaniaLocal Institution - 0029, Philadelphia (Not yet recruiting)
Thomas Jefferson University - Medicine/GI and Hepatology, Philadelphia
Local Institution - 0032, Pittsburgh (Not yet recruiting)
South CarolinaLocal Institution - 0027, Greenville (Not yet recruiting)
VirginiaInova Schar Cancer Institute, Fairfax
Virginia Commonwealth University (VCU) Medical Center, Richmond

Conditions

From ClinicalTrials.gov, data retrieved Sep 29, 2026. Each study sets its own eligibility; the study team decides who can join.