New drug aims to cut sickle cell pain crises in half
NCT ID NCT05031780
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a drug called mitapivat in 286 people with sickle cell disease, ages 16 and older. The goal is to see if mitapivat can raise hemoglobin levels and reduce painful sickle cell crises compared to a placebo. The trial has two phases: first to find the best dose, then to confirm its safety and effectiveness, with an option for long-term follow-up.
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 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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286 people
The number who actually took part.
- Started
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Feb 2022
- Expected to finish
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Feb 2030
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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16 years and older
- 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: * Age 16 years or older (18 years or older \[France and Germany\]); participants age 16 or 17 years must physically have completed puberty; * Documented diagnosis of sickle cell disease (SCD) (HbSS, HbSC \[combined heterozygosity for hemoglobins S and C\], HbS/beta 0- thalassemia, HbS/ beta plus thalassemia, or other sickle cell syndrome variants); * At least 2 SCPCs and no more than 10 SCPCs in the past 12 months; * Hemoglobin at least 5.5 and 10.5 gram per deciliter (g/dL) at the most. Hemoglobin concentration must be based on an average of at least 2 Hb concentration measurements (separated by ≥7 days) collected during the Screening Period; * If taking hydroxyurea, the hydroxyurea dose must be stable for at least 90 days before starting study drug. Discontinuation of hydroxyurea requires a 90-day washout prior to informed assent/consent; * Women capable of becoming pregnant must agree to use 2 forms of contraception. Exclusion Criteria: * Pregnant, breastfeeding, or parturient; * Receiving regularly scheduled transfusions; * Hepatobiliary disorders including but not limited to significant liver disease or gallbladder disease; * Severe kidney disease; * Prior exposure to gene therapy or prior bone marrow or stem cell transplantation; * Currently receiving treatment with a disease-modifying therapy for SCD (eg, voxelotor, crizanlizumab, L-glutamine), with the exception of hydroxyurea. The last dose of voxelotor, crizanlizumab, and L-glutamine must have been administered at least 90 days before randomization; * Currently receiving treatment with hematopoietic stimulating agents; the last dose must have been administered at least 90 days before starting study drug; * Received treatment on another investigational trial within 90 days prior to start of study drug or plans to participate in another investigational drug trial; * Taking medications that are strong inhibitors of CYP3A4/5 or strong inducers of CYP3A4 that cannot be stopped in an acceptable timeframe before starting study drug (timeframe will be discussed with your doctor).
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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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A.O.R.N. "A. Cardarelli"
Naples, Campania, 80131, Italy
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AOU dell'Università degli Studi della Campania Luigi Vanvitelli
Naples, Campania, 80138, Italy
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Acibadem Adana Hospital
Seyhan, Adana, 01130, Turkey (Türkiye)
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American University of Beirut Medical Center
Beirut, Beirut, 11-0236, Lebanon
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American University of Beirut Medical Center
Beirut, 4407-2020, Lebanon
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Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello
Palermo, Sicily, 90146, Italy
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Azienda Ospedaliero Universitaria Di Modena Policlinico
Modena, Emilia-Romagna, 41100, Italy
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Boston Children's Hospital
Boston, Massachusetts, 02115-5724, United States
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Boston Medical Center & Boston University School of Medicine
Boston, Massachusetts, 02118, United States
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CHR de la Citadelle
Liège, 4000, Belgium
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CHU Guadeloupe
Pointe à Pitre, Guadeloupe, 97139, France
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CHU Hôpital Henri Mondor
Créteil, Val-de-Marne, 94000, France
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CHU Montreal
Montreal, Quebec, H2X 3E4, Canada
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Cambridge University Hospitals NHS Foundation Trust
Cambridge, CB2 0QQ, United Kingdom
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Children's Hospital Oakland
Oakland, California, 94609, United States
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Children's Hospital of Michigan
Detroit, Michigan, 48201, United States
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Children's National Hospital
Washington D.C., District of Columbia, 20010-2916, United States
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Clinique CHC MontLégia
Liège, 4000, Belgium
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Cure 4 The Kids Foundation, A Division of Roseman University of Health Sciences
Las Vegas, Nevada, 89106, United States
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East Carolina University - Brody School of Medicine
Greenville, North Carolina, 27834, United States
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Ente Ospedaliero Ospedali Galliera
Genoa, Liguria, 16128, Italy
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Erasmus MC
Rotterdam, South Holland, 3015 GD, Netherlands
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Evelina Children's Hospital
London, City of London, SE1 7EH, United Kingdom
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Gertrude's Children's Hospital
Nairobi, 42325- 00100, Kenya
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Guy's and St Thomas' NHS Foundation Trust
London, SE1 7EH, United Kingdom
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HEMORIO Instituto Nacional de Hematologia
Rio de Janeiro, 20211-030, Brazil
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HaEmek Medical Center
Afula, 18101, Israel
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Hacettepe Universitesi Tip Fakultesi Hastanesi
Ankara, Adana, 06200, Turkey (Türkiye)
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Hacettepe University
Ankara, Adana, Turkey (Türkiye)
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Hammersmith Hospital
London, W12 0HS, United Kingdom
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Hammoud Hospital University Medical Center
Sidon, H96G+247, Lebanon
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Hopitaux de La Timone
Marseille, Bouches-du-Rhône, 13005, France
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Hospital Das Clínicas da Faculdade de Medicina de Ribeirão Preto - USP
Ribeirão Preto, São Paulo, 14051-140, Brazil
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Hospital Sao Lucas Da Pontificia Universidade Catolica Do Rio Grande Do Sul (PUCRS)
Porto Alegre, Rio Grande do Sul, 90619-900, Brazil
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Hospital das Clínicas da Faculdade de Medicina da Universidad de São Paulo
São Paulo, 05403-010, Brazil
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Hospital de Clinicas de Porto Alegre (HCPA) - PPDS
Porto Alegre, Rio Grande do Sul, 90035-903, Brazil
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Hospital de Clínicas da Unicamp
Campinas, São Paulo, 13083-878, Brazil
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Hôpital Erasme
Anderlecht, Brussels Capital, 1070, Belgium
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Hôpital Européen Georges Pompidou
Paris, Île-de-France Region, 75015, France
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Hôpital Pellegrin, CHU de Bordeaux
Bordeaux, Gironde, 33000, France
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IRCCS Ospedale Pediatrico Bambino Gesù - INCIPIT - PIN
Rome, Lazio, 00165, Italy
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Institut Universitaire du Cancer de Toulouse - Oncopole
Toulouse, Haute-Garonne, 31059, France
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KEMRI CRDR Clinical Research Clinic Nairobi
Nairobi, 00100, Kenya
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KEMRI/CRDR Siaya Clinical Research Annex
Nairobi, 00200, Kenya
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Kaiser Permanente - Largo Medical Center
Largo, Maryland, 20774-5374, United States
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Kemri Usamru
Kisumu, Western, 40100, Kenya
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King Abdullah International Medical Research Center
Riyadh, 1515 (KAIMRC), Saudi Arabia
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King Khalid University Hospital
Riyadh, Ar Riya, 11472, Saudi Arabia
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King's College Hospital NHS Foundation Trust
London, SE5 9RS, United Kingdom
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Kondele Children's Hospital
Kisumu, 40100, Kenya
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LSU Health Sciences Center - Shreveport
Shreveport, Louisiana, 71103-4228, United States
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Lagos University Teaching Hospital
Surulere, Lagos, 101014, Nigeria
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Lifespan at Rhode Island Hospital
Providence, Rhode Island, 02903, United States
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Manchester Royal Infirmary, Manchester University NHS Foundation Trust
Manchester, M13 9WL, United Kingdom
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Massachusetts General Hospital
Boston, Massachusetts, 02114-2621, United States
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McGill University Health Center
Montreal, Quebec, H4A 3J1, Canada
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McMaster University - St. Joseph's Healthcare Hamilton
Hamilton, Ontario, L8N 3Z5, Canada
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MedStar Washington Hospital Center
Washington D.C., District of Columbia, 20010, United States
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Mississippi Center for Advanced Medicine
Madison, Mississippi, 39110-6115, United States
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Multihemo Servicos Medicos S/A
Recife, Pernambuco, 50070-460, Brazil
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National Heart Lung and Blood Institute
Bethesda, Maryland, 20814, United States
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National Hospital Abuja
Abuja, Federal Capital Territory, 900271, Nigeria
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Nini Hospital
Tarablus, North Lebanon, 1434, Lebanon
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Penn Medicine - University of Pennsylvania Health System
Philadelphia, Pennsylvania, 19104-5127, United States
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Praxis Pesquisa Medica
Santo André, São Paulo, Brazil
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Rambam Medical Center
Haifa, Ḥeifā, 31096, Israel
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Riley Hospital For Children
Indianapolis, Indiana, 46202-5109, United States
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Seattle Cancer Care Alliance, University of Washington
Seattle, Washington, 98195, United States
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Southern Specialty Clinic
Flowood, Mississippi, 39232, United States
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St. Christopher's Hospital for Children
Philadelphia, Pennsylvania, 19134-1011, United States
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Strathmore University
Nairobi, 00200, Kenya
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Sultan Qaboos University Hospital, Hematology Department, COM&HS
Muscat, Musqal, H5QC+36M, Oman
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Sylvester Comprehensive Cancer Center-Miami
Miami, Florida, 33101, United States
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Texas Children's Hospital
Houston, Texas, 77030, United States
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UCLA Health
Los Angeles, California, 90095-1678, United States
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Universitair Medisch Centrum Utrecht
Utrecht, 3584 CX, Netherlands
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Universitair Ziekenhuis Antwerpen
Edegem, Brussels Capital, 2650, Belgium
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University College London Hospitals (UCLH)
London, WC1E 6BT, United Kingdom
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University Health Network
Toronto, Ontario, M5G2C4, Canada
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University of Abuja Teaching Hospital
Abuja, Federal Capital Territory, 900271, Nigeria
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University of California San Diego
La Jolla, California, 92037-1337, United States
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University of Chicago Medical Center
Chicago, Illinois, 60637-1443, United States
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University of Connecticut Health Center
Farmington, Connecticut, 06030-0001, United States
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University of Michigan
Ann Arbor, Michigan, 48109-5000, United States
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University of Texas Health Science Center of Houston
Houston, Texas, 77030-1501, United States
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Universitätsklinikum Essen
Essen, 45147, Germany
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Universitätsklinikum Regensburg
Regensburg, 93053, Germany
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Victoria Biomedical Research Institute (VIBRI)
Kisumu, 40100, Kenya
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Virginia Commonwealth University
Richmond, Virginia, 23298-5058, United States
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ZAS Cadix
Antwerp, 2030, Belgium
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Ziv Medical Center
Safed, Ḥeifā, 13100, Israel
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Sickle cell clues to diabetes risk hidden in DNA
- 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?