Anumigilimab: Participants will receive anumigilimab, escalated to a maximum dose guided by absolute neutrophil count (ANC) and safety concerns.
Placebo: Volume matched saline will be administered SC.
Study summary
This is a phase 2a, global, multicenter, randomized, double-blind, placebo-controlled study investigating the safety of anumigilimab administered subcutaneously (SC) at the maximum tolerated dose (MTD) in adult participants with SCD.
The primary aim of the study is to assess the safety of anumigilimab in participants with SCD. Participants will be treated for 64 weeks: for 12 weeks in the dose escalation period, where the dose will be escalated to each participant's individual MTD; and for 52 weeks at the MTD in the maintenance period.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Adults aged greater than or equal to (\>=) 18 years on the day of signing the informed consent form.
* Confirmed diagnosis of SCD of any genotype.
* Experienced 1 to 12 VOCs requiring a visit to a medical facility and treatment with parenteral opioids or a parenteral nonsteroidal anti-inflammatory drug within the 12 months before Screening.
* HU Regimen:
* a. On stable and well-tolerated Hydroxyurea (HU) regimen for at least 30 days before Screening.
* or
* b. HU was discontinued or refused (eg, due to concern of side effects or lack of effect).
Exclusion Criteria:
* Absolute neutrophil count less than (\<) 2.5 ×10\^9 cells/Litre at Screening or Baseline (Week 1 Day 1).
* If on SCD preventive medication, dose is not stable in the 30 days before Screening.
Primary outcome measure(s)
Number of participants with Treatment Emergent Adverse Events (TEAEs), Overall and by severity, seriousness and relationship to Investigational Product (IP) — From baseline up to Week 75
Percentage of participants with TEAEs Overall and by severity, seriousness and relationship to IP — From baseline up to Week 75
Number of participants with Adverse Events of Special Interest (AESI) — From baseline up to Week 75 The following AEs are to be reported as AESI: neutropenia (Common Terminology Criteria for Adverse Events \[CTCAE\] Grade 3 or 4), severe infection and neutropenic fever.
Percentage of participants with AESI — From baseline up to Week 75 The following AEs are to be reported as AESI: neutropenia (CTCAE Grade 3 or 4), severe infection and neutropenic fever.
Number of participants with clinically relevant changes from baseline in laboratory assessments and vital signs — From baseline up to Week 75
Percentage of participants with clinically relevant changes from baseline in laboratory assessments and vital signs — From baseline up to Week 75
Trial sites (16)
Facility
City
Region
Status
UAMS Medical Center
Little Rock
Arkansas
Recruiting
University of California Irvine
Orange
California
Recruiting
The Foundation for Sickle Cell Disease
Hollywood
Florida
Recruiting
Arthur M. Blank Hospital- Children's Healthcare of Atlanta
Atlanta
Georgia
Recruiting
Center for Cancer and Blood Disorders
Bethesda
Maryland
Recruiting
Southern Specialty Research
Flowood
Mississippi
Recruiting
Jacobi Medical Center
The Bronx
New York
Recruiting
Ohio State University
Columbus
Ohio
Recruiting
Virginia Commonwealth University
Richmond
Virginia
Recruiting
CHU Saint-Pierre
Brussels
Belgium
Recruiting
CHU de Nantes, Hotel-Dieu
Nantes
France
Recruiting
Institut Universitaire du Cancer de Toulouse
Toulou
France
Recruiting
AOUI Verona and University of Verona
Verona
Italy
Recruiting
Central Middlesex Hospital
London
United Kingdom
Recruiting
St George's University Hopsitals NHS Foundation Trust
London
United Kingdom
Recruiting
Hammersmith Hospital Imperial College Healthcare NHS Trust
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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