New daily pill could ease sickle cell pain for kids
NCT ID NCT06198712
First seen Jun 27, 2026 · Last updated Sep 18, 2026 · Updated 3 times
Summary
This study tests a once-daily pill called etavopivat in children (6 months to 18 years) with sickle cell disease. The main goals are to check safety and how the drug works in the body, and to see if it can raise hemoglobin levels and reduce painful crises. About 95 children will take the pill every day for 96 weeks, with follow-up visits to track results.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 95 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2023
- Expected to finish
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Aug 2029
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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6 months to 18 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.
Inclusion Criteria: * Type of Participant and Disease Characteristics 1. Patient's parent, legal guardian, or legal representative has provided documented informed consent and patients have provided age-appropriate assent 2. Age greater than or equal to (≥) 6 months and lesser than (\<) 18 years of age at time of enrollment, according to the enrolling cohort: * Cohort 1: age 12 to \< 18 years (adolescents) * Cohort 2: age 6 to \< 12 years * Cohort 3: age 2 to \< 6 years * Cohort 4: age 6 months to \< 2 years 3. Patient has confirmed diagnosis of SCD • Documentation of SCD genotype (HbSS, HbSβ0-thalassemia or other sickle cell syndrome variants) based on prior history of laboratory testing. Molecular genotyping is not required. SCD genotype may be determined from the results of Hb electrophoresis, high-performance liquid chromatography (HPLC), or similar testing. Note that Hb electrophoresis is performed by the local laboratory at Screening. 4. Hemoglobin ≥ 5.5 and lesser than or equal to (≤) 10.5 grams per deciliter (g/dL) 5. Pediatric patients with severe SCD, as defined by at least 1 of the following: * 2-15 episodes of documented VOC within the 12 months prior to screening. Documentation must exist in the patient's medical record prior to screening. Events based solely on patient recall without supporting documentation should not be counted towards eligibility. * Hospitalization for any SCD-related complication in the last 12 months prior to starting study treatment * Proteinuria, defined as an albumin:creatinine ratio (ACR) \> 100 mg/g on 2 measures (separated by ≥ 1 month) as an indicator of early renal disease * History of a conditional TCD in the last 12 months prior to starting study treatment, but not currently being treated with chronic transfusion therapy (applicable to participants \> 2 years of age). Conditional TCD is defined as a TAMMV of 170-199 cm/s by TCD or 155-184 cm/s by imaging TCD (TCDi). 6. For participants taking hydroxyurea (HU), the dose of HU (mg/kg) must be stable (no more than a 20% change in dosing) for at least 90 days prior to start of study treatment with no anticipated need for dose adjustments during the study, in the opinion of the Investigator 7. Patients on crizanlizumab or L-glutamine treatment at the time of consent may be eligible if they: * Have been on a stable dose for ≥ 12 months at the time of consent (ie, no changes to the dose except for changes to weight or for safety reasons) * For patients on crizanlizumab, have been ≥ 80% compliant with the planned regimen during the 12 months prior to the time of consent 8. Female patients of childbearing potential who are using acceptable methods of contraception and agree not to donate ova from study start to 90 days after the last dose of study drug, and male patients who are willing to use acceptable methods of contraception and agree not to donate sperm, from study start to 90 days after the last dose of study drug. Exclusion Criteria: * Medical Conditions 1. Female who is breastfeeding or pregnant 2. More than 15 VOCs within the 12 months prior to starting study treatment that required a hospital, emergency room (ER), or clinic visit 3. Hospitalized for sickle cell crisis or other vaso-occlusive event occurring in the 14 days prior to starting study treatment 4. Abnormal TCD in the 12 months prior to starting study treatment Prior/Concomitant Therapy 5. Patients receiving regularly scheduled blood (RBC) transfusion therapy (also termed chronic, prophylactic, or preventive transfusion) 6. Received any blood products within 30 days of starting study treatment 7. Receiving or use of concomitant medications that are strong inducers of cytochrome P450 (CYP) 3A4/5 within 2 weeks of starting study treatment 8. Use of voxelotor within 28 days prior to starting study treatment or anticipated need for this agent during the study 9. Receipt of erythropoietin or other hematopoietic growth factor treatment within 28 days of starting study treatment or anticipated need for such agents during the study 10. Receipt of prior cellular based therapy (eg, hematopoietic cell transplant, gene modification therapy)
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
15 sites in 5 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
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Study contacts
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Contact
Email: •••••@•••••
Locations
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APHP - Centre de Référence des Syndromes
NOT_YET_RECRUITINGParis, 75019, France
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Acıbadem Adana Hastanesi
COMPLETEDSeyhan, 1130, Turkey (Türkiye)
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Ahero Clinical Trials Unit
RECRUITINGKisumu, 40101, Kenya
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American University of Beirut Medical center
RECRUITINGBeirut, 1107 2020, Lebanon
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Aminu Kano Teaching Hospital (AKTH)
RECRUITINGTarauni, 700101, Nigeria
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Centre Hospitalier Universitaire de Rouen-Hopital Charles Nicolle
NOT_YET_RECRUITINGRoeun, 76031, France
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Guys and St Thomas NHS Foundation Trust / Evelina Childrens Hospital
RECRUITINGLondon, SE1 7EH, United Kingdom
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HCL-HOPITAL LYON SUD_Institut d'Hématologie et d'Oncologie Pédiatrique (IHOPe)
NOT_YET_RECRUITINGLyon, 69008, France
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Hacettepe University pediatric hematology
COMPLETEDAnkara, 06100, Turkey (Türkiye)
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Hospital Nini
RECRUITINGTripoli, 113-6044, Lebanon
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KEMRI CRDR Siaya Clinical Research Annex, Country Referral Hospital
RECRUITINGSiaya, Siaya County, 40600, Kenya
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KEMRI-Walter-Reed Kericho
RECRUITINGKericho, 20200, Kenya
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King's College Hospital - Alex Mowat Research Hub
RECRUITINGLondon, SE5 9RS, United Kingdom
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Kombewa Clinical Research Centre
RECRUITINGKisumu, 40100, Kenya
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Lagos University Teaching Hospital, Lagos
RECRUITINGLagos, 102215, Nigeria
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Manchester Royal Infirmary_1
RECRUITINGManchester, M13 9WL, United Kingdom
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The Hospital for Sick Children
COMPLETEDToronto, Ontario, M5G 1X8, Canada
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University of Nigeria Teaching Hospital (UNTH)
RECRUITINGItuku-Ozalla, Enugu State, 400001, Nigeria
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can adding common pain drugs reduce morphine needs in sickle cell crises?
- Gene editing offers hope for a One-Time sickle cell cure
- Tiny biochip could reveal sickle cell severity
- Can a milder transplant cure sickle cell and thalassemia in adults?
- Can an antioxidant supplement calm sickle cell blood cells?
- Can a softer transplant cure sickle cell disease?