Could a common drug ease sickle cell pain for african children?
NCT ID NCT01966731
First seen Jun 30, 2026 · Last updated Jul 01, 2026 · Updated 1 time
Summary
This study tests whether hydroxyurea, a drug already used for sickle cell disease in other parts of the world, is safe and effective for children with sickle cell anemia in Africa. Children aged 1 to 10 years receive daily doses of hydroxyurea, with careful monitoring for side effects and improvements in blood counts and pain crises. The goal is to gather evidence that could make this treatment more accessible across the continent.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Hydroxyurea
- What this could lead to
- If successful, this could make hydroxyurea widely available for children with sickle cell anemia in Africa, reducing pain episodes and hospital visits.
- What could go wrong
- This is an early-phase study, so the full benefits and risks are not yet known. Hydroxyurea can lower blood cell counts, requiring careful monitoring.
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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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635 people
The number who actually took part.
- Start date
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Jun 2014
- Expected to finish
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Aug 2033
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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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1 year to 10 years
- Sex
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Anyone
- Healthy volunteers
-
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 1. Pediatric patients with documented sickle cell anemia (typically HbSS supported by hemoglobin electrophoresis, complete blood count, and peripheral blood smear) 2. Age range of 1.00-9.99 years, inclusive, at the time of enrollment 3. Weight at least 10.0 kg at the time of enrollment 4. Parent or guardian willing and able to provide written informed consent, with child's verbal assent as per local IRB/Ethics Board requirements 5. Willingness to comply with all study-related treatments, evaluations, and follow-up Exclusion Criteria 1. Known medical condition making participation ill-advised, (e.g., acute or chronic infectious disease, HIV, or malignancy) 2. Acute or chronic severe malnutrition determined by impaired growth parameters as defined by WHO (weight for length/height or height for age \>3 z-scores below the median WHO growth standards, as defined in Appendix I) 3. Pre-existing severe hematological toxicity (temporary exclusions) 1. Anemia: Hb \<4.0 gm/dL 2. Anemia: Hb \<6.0 gm/dL with ARC \<100 x 109/L 3. Reticulocytopenia: ARC \<80 x 109/L with Hb \<7.0 gm/dL 4. Thrombocytopenia: Platelets \<80 x 109/L 5. Neutropenia: ANC \<1.0 x 109/L 4. Blood transfusion within 60 days before enrollment (temporary exclusion) 5. Hydroxyurea use within 6 months before enrollment (temporary exclusion)
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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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Centre Hospitalier Monkole
Kinshasa, Democratic Republic of the Congo
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Hospital Pediátrico David Bernardino
Luanda, Angola
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KEMRI/Wellcome Trust Research
Kilifi, Kenya
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Ministry of Health Mbale Regional Hospital
Mbale, Uganda
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Gene editing offers hope for a One-Time sickle cell cure
- Tiny biochip could reveal sickle cell severity
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- Can an antioxidant supplement calm sickle cell blood cells?
- Can a softer transplant cure sickle cell disease?