New drug aims to cut sickle cell pain crises in half
NCT ID NCT03814746
First seen Jun 24, 2026 · Last updated Sep 15, 2026 · Updated 7 times
Summary
This phase 3 study tests two doses of crizanlizumab against a placebo in 255 adolescents and adults with sickle cell disease who have frequent pain crises. The goal is to see if the drug can reduce the number of severe pain episodes that require a hospital or clinic visit. Participants may also continue taking hydroxyurea or other standard treatments.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- crizanlizumab (a drug given by IV infusion)
- What this could lead to
- If it works, this could provide a new treatment to reduce painful crises and hospital visits for people with sickle cell disease.
- What could go wrong
- This is an advanced trial, but results may not show a clear benefit over placebo. Side effects or lack of efficacy could limit its use.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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254 people
The number who actually took part.
- Started
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Jul 2019
- Expected to finish
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Nov 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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12 to 100 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: 1. Written informed consent must be obtained prior to any screening procedures 2. Male or female patients aged 12 years and older on the day of signing informed consent. Adolescent include patients aged 12 to 17 years old and adults ≥ 18 years 3. Confirmed diagnosis of SCD by hemoglobin electrophoresis or high performance liquid chromatography (HPLC) \[performed locally\]. All SCD genotypes are eligible, genotyping is not required for study entry 4. Experienced at least 2 VOCs leading to healthcare visit within the 12 months prior to screening visit as determined by medical history. Prior VOC leading to healthcare visit must resolve at least 7 days prior to Week 1 Day 1 and must include: 1. Pain crisis defined as an acute onset of pain for which there is no other medically determined explanation other than vaso- occlusion - 2. which requires a visit to a medical facility and/or healthcare professional, 3. and receipt of oral/parenteral opioids or parenteral nonsteroidal anti-inflammatory drug (NSAID) analgesia Acute chest syndrome (ACS), priapism and hepatic or splenic sequestration will be considered VOC in this study 5. If receiving HU/HC or L-glutamine (local HA approved medicinal product), must have been receiving the drug for at least 6 months and at a stable dose for at least 3 months prior to Screening visit and plan to continue taking it at the same dose and schedule until the subject has reached one year of study treatment. Patients who have not been receiving such drug must not have received it for at least 6 months prior to Screening visit to be included. Patients must have evidence of insufficient control of acute pain, such as at least one VOC leading to healthcare visit while on HU/HC or L-Glutamine treatment. If receiving erythropoietin stimulating agent, must have been receiving the drug for at least 6 months prior to Screening visit and plan to continue taking the treatment to maintain stable Hb levels at least until the subject has reached one year of study treatment 6. Patients must meet the following central laboratory values prior to Week 1 Day 1: * Absolute Neutrophil Count ≥1.0 x 109/L * Platelet count ≥75 x 109/L * Hemoglobin: for adults (Hb) ≥4.0 g/dL and for adolescents (Hb) ≥5.5 g/dL * Glomerular filtration rate ≥ 45 mL/min/1.73 m2 using CKD-EPI formula in adults, and Shwartz formula in adolescents * Direct (conjugated) bilirubin \< 2.0 x ULN * Alanine transaminase (ALT) \< 3.0 x ULN 7. ECOG performance status ≤2.0 for adults and Karnofsky ≥ 50% for adolescents Key Exclusion Criteria: 1. History of stem cell transplant. 2. Participating in a chronic transfusion program (pre-planned series of transfusions for prophylactic purposes) and/or planning on undergoing an exchange transfusion during the duration of the study; episodic transfusion in response to worsened anemia or VOC is permitted. 3. Contraindication or hypersensitivity to any drug or metabolites from similar class as study drug or to any excipients of the study drug formulation. History of severe hypersensitivity reaction to other monoclonal antibodies, which in the opinion of the investigator may pose an increased risk of serious infusion reaction. 4. Received active treatment on another investigational trial within 30 days (or 5 half-lives of that agent, whichever is greater) prior to Screening visit or plans to participate in another investigational drug trial. 5. Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant unless they are using highly effective methods of contraception during dosing and for 15 weeks after stopping treatment. 6. Concurrent severe and/or uncontrolled medical conditions which, in the opinion of the Investigator, could cause unacceptable safety risks or compromise participation in the study. 7. History or current diagnosis of ECG abnormalities indicating significant risk of safety such as: * Concomitant clinically significant cardiac arrhythmias (e.g ventricular tachycardia), and clinically significant second or third degree AV block without a pacemaker * History of familial long QT syndrome or know family history of Torsades de Pointes 8. Not able to understand and to comply with study instructions and requirements. 9. Received prior treatment with crizanlizumab or other selectin targeting agent
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Boston Medical Center
Boston, Massachusetts, 02118, United States
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Childrens Healthcare of Atlanta
Atlanta, Georgia, 30342, United States
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Levine Cancer Insitute Carolinas Healthcare System
Charlotte, North Carolina, 28204, United States
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Novartis Investigative Site
Brussels, Brussels Capital, 1070, Belgium
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Novartis Investigative Site
Brussels, 1000, Belgium
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Novartis Investigative Site
Edegem, 2650, Belgium
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Novartis Investigative Site
Salvador, Estado de Bahia, 41253-190, Brazil
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Novartis Investigative Site
Belém, Pará, 66033-000, Brazil
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Novartis Investigative Site
Recife, Pernambuco, 50070-170, Brazil
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Novartis Investigative Site
Rio de Janeiro, Rio de Janeiro, 20211-030, Brazil
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Novartis Investigative Site
Porto Alegre, Rio Grande do Sul, 90035-003, Brazil
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Novartis Investigative Site
Ribeirão Preto, São Paulo, 14048-900, Brazil
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Novartis Investigative Site
São Paulo, São Paulo, 01232-010, Brazil
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Novartis Investigative Site
São Paulo, São Paulo, 05403-000, Brazil
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Novartis Investigative Site
São Paulo, São Paulo, 08270-070, Brazil
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Novartis Investigative Site
Toronto, Ontario, M5G 2C4, Canada
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Novartis Investigative Site
Montreal, Quebec, H2X 1R9, Canada
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Novartis Investigative Site
Barranquilla, Atlántico, 080020, Colombia
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Novartis Investigative Site
Valledupar, Cesar Department, 200001, Colombia
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Novartis Investigative Site
Montería, 230004, Colombia
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Novartis Investigative Site
Helsinki, 00290, Finland
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Novartis Investigative Site
Créteil, 94010, France
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Novartis Investigative Site
Marseille, 13885, France
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Novartis Investigative Site
Paris, 75015, France
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Novartis Investigative Site
Stuttgart, Baden-Wurttemberg, 70376, Germany
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Novartis Investigative Site
Cologne, North Rhine-Westphalia, 50937, Germany
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Novartis Investigative Site
Berlin, 13353, Germany
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Novartis Investigative Site
Essen, 45147, Germany
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Novartis Investigative Site
Accra, GA-270-9830, Ghana
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Novartis Investigative Site
Athens, 115 27, Greece
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Novartis Investigative Site
Pátrai, 265 04, Greece
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Novartis Investigative Site
Thessaloniki, 54636, Greece
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Novartis Investigative Site
Bhubaneswar, Odisha, 751003, India
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Novartis Investigative Site
Hyderabad, Telangana, 500082, India
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Novartis Investigative Site
Genova, GE, 16128, Italy
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Novartis Investigative Site
Milan, MI, 20122, Italy
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Novartis Investigative Site
Verona, VR, 37134, Italy
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Novartis Investigative Site
Naples, 80138, Italy
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Novartis Investigative Site
Irbid, 22110, Jordan
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Novartis Investigative Site
Beirut, 113-0236, Lebanon
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Novartis Investigative Site
Tripoli, 1434, Lebanon
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Novartis Investigative Site
Amsterdam, North Holland, 1105 AZ, Netherlands
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Novartis Investigative Site
Rotterdam, South Holland, 3015 GD, Netherlands
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Novartis Investigative Site
The Hague, South Holland, 2545 AA, Netherlands
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Novartis Investigative Site
Khoudh, 123, Oman
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Novartis Investigative Site
Panama City, 0801, Panama
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Novartis Investigative Site
Soweto, Gauteng, 2013, South Africa
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Novartis Investigative Site
Barcelona, 08035, Spain
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Novartis Investigative Site
Madrid, 28034, Spain
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Novartis Investigative Site
Madrid, 28046, Spain
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Novartis Investigative Site
Adana, Saricam, 01330, Turkey (Türkiye)
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Novartis Investigative Site
Sheffield, South Yorkshire, S10 2JF, United Kingdom
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Novartis Investigative Site
Cambridge, CB2 0QQ, United Kingdom
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Novartis Investigative Site
London, SE1 9RT, United Kingdom
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Novartis Investigative Site
London, SE5 9RS, United Kingdom
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Novartis Investigative Site
Sheffield, S10 2TH, United Kingdom
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U of TX Health Science Ct
Houston, Texas, 77030, United States
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Univ of Tenn Health Sciences Ctr
Memphis, Tennessee, 38163, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a national registry unlock better sickle cell care in egypt?
- Can a single buprenorphine dose tame sickle cell pain?
- Can a bedside ultrasound predict a deadly sickle cell complication?
- Can a blood test find the right drug dose faster for sickle cell?
- Can gene therapy free sickle cell patients from painful crises?
- Simple breathing device may speed recovery from a deadly sickle cell complication