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Trial ยท NCT03814746

Study of Two Doses of Crizanlizumab Versus Placebo in Adolescent and Adult Sickle Cell Disease Patients

NCT03814746, Phase 3, Active not recruiting, Novartis Pharmaceuticals; results first posted 2024-01-08

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of Two Doses of Crizanlizumab Versus Placebo in Adolescent and Adult Sickle Cell Disease Patients. Trials, record NCT03814746. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03814746

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of Two Doses of Crizanlizumab Versus Placebo in Adolescent and Adult Sickle Cell Disease Patients
NCT number
NCT03814746
Status
Active not recruiting
Phases
Phase 3
Enrollment
253 participants, actual
Lead sponsor
Novartis Pharmaceuticals
Conditions
Sickle Cell Disease (SCD)
Interventions
Crizanlizumab (SEG101), Placebo
First posted
2019-01-24
Last updated
2026-10-14
Other registries' IDs
eudract:2017-001746-10
Results first posted
2024-01-08

Source ClinicalTrials.gov

Registered outcomes24

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryAnnualized Rate of Vaso-occlusive Crisis (VOC) Events Leading to a Healthcare Visit1 year
VOC is defined as pain crisis (defined as an acute onset of pain for which there is no other medically determined explanation other than vaso-occlusion) which requires therapy with oral or parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome (ACS), priapism and hepatic or splenic sequestration. Healthcare visit is defined as any visit to a medical facility such as emergency room (ER), hospital and/or office visit, which includes pain management of VOC in situ. Annualized rate of corresponding VOC events = (Number of corresponding VOC events \* 365)/(number of days in the observation period). Observation period = time from date of randomization to minimum of (last dose date until treatment discontinuation + 27 days, date of initiation or discontinuation of HU/HC or L-Glutamine (or other therapies such as Voxelotor and erythropoietin therapies to treat SCD and/or to prevent/reduce VOCs), date of randomization + 365 days).
SecondaryAnnualized Rate of All VOCs Leading to a Healthcare Visit and Treated at Home Over the First-year Post Randomization (Key Secondary)1 year
VOCs are based on documentation by provider following contact with participant. VOC:pain crisis requiring therapy with oral/parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome, priapism and hepatic or splenic sequestration. Healthcare visit:a visit to a medical facility (ER, hospital \&/or office visit resulting in pain management of VOC. Managed at home: no visit to any medical facility \&/or healthcare professional to receive treatment for VOC. Healthcare contact for medical advice is allowed. Annualized rate of corresponding VOC events = (# of corresponding VOC events \* 365)/(# of days in observation period). Observation period = time from date of randomization to minimum of (last dose date until treatment discontinuation + 27 days, date of initiation or discontinuation of HU/HC or L-Glutamine (or other therapies such as Voxelotor \& erythropoietin therapies to treat SCD \&/or to prevent/reduce VOCs), date of randomization + 365 days)
SecondaryAnnualized Rate of All VOCs Leading to a Healthcare Visit and Treated at Home Over 5 Years Post Randomization (Key Secondary)5 years
To compare the efficacy of 5.0 mg/kg vs placebo \& 7.5 mg/kg vs placebo on the annualized rate of all VOCs based on documentation by provider following contact with participant. VOC is defined as pain crisis (an acute onset of pain for which there is no other medically determined explanation other than vaso-occlusion) requiring therapy with oral/parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome, priapism and hepatic or splenic sequestration. Healthcare visit is defined as a visit to a medical facility (emergency room, hospital and/or office visit resulting in pain management of VOC. Managed at home is defined as no visit to any medical facility and/or healthcare professional to receive treatment for VOC. Healthcare contact for medical advice is allowed. The annualized rate of VOC leading to healthcare visit is the number of VOC leading to healthcare visit multiplied by 365 \& divided by the number of days in observation period.
SecondaryMean Duration of VOCs Leading to a Healthcare Visit Over the First-year Post Randomization1 year
To assess the duration of VOCs leading to healthcare visit in each group. Mean duration of VOC per participant is defined as the average duration of all individual episodes of VOCs leading to healthcare visits of a given participant (a VOC duration is defined as end date of the VOC - start date of the VOC + 1). Participants with no VOC leading to healthcare visits have been excluded.
SecondaryNumber of Participants Free From VOCs Leading to a Healthcare Visit Over the First-year Post Randomization1 year
To assess the number of participants free from VOCs leading to healthcare visit. VOC is defined as pain crisis (defined as an acute onset of pain for which there is no other medically determined explanation other than vaso-occlusion) which requires therapy with oral or parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome (ACS), priapism and hepatic or splenic sequestration. A participant is free from VOC if they do not have a VOC crisis.
SecondaryPercentage of Participants Free From VOCs Leading to a Healthcare Visit Over the First-year Post Randomization1 year
To assess the percentage of participants free from VOCs leading to healthcare visit. VOC is defined as pain crisis (defined as an acute onset of pain for which there is no other medically determined explanation other than vaso-occlusion) which requires therapy with oral or parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome (ACS), priapism and hepatic or splenic sequestration. A participant is free from VOC if they do not have a VOC crisis.
SecondaryTime to First and Second VOCs Leading to a Healthcare Visit Over the First-year Post Randomization1 year
To assess the time to first and second VOC leading to healthcare visit in each group. Time to first occurrence of VOC leading to a healthcare visit is defined as the time from the date of randomization to the date of the first occurrence of the VOC. Time to second occurrence of VOC leading to a healthcare visit is defined as the time from date of randomization to the date of the second occurrence of VOC.
SecondaryAnnualized Rate of Visits to Clinic, Emergency Room (ER) and Hospitalizations, Both Overall and VOC-related Over the First-year Post-randomization1 year
To assess Healthcare resource utilization (visits to clinic, Emergency room (ER) and hospitalizations) both overall and VOC-related in each group. Annualized rate of corresponding healthcare visits =(Number of corresponding healthcare visits \* 365)/(number of days in the observation period). Observation period = time from date of randomization to minimum of (last dose date until treatment discontinuation + 27 days, date of initiation or discontinuation of HU/HC or L-Glutamine (or other therapies such as Voxelotor and erythropoietin therapies to treat SCD and/or to prevent/reduce VOCs), date of randomization + 365 days)
SecondaryAnnualized Days of Visits to Clinic, Emergency Room (ER) and Hospitalizations, Both Overall and VOC-related Over the First-year Post-randomization1 year
To assess Healthcare resource utilization (visits to clinic, Emergency room (ER) and hospitalizations) both overall and VOC-related in each group. Annualized days of corresponding healthcare visits =(Number of days =(Number of days of corresponding healthcare visits \* 365)/(number of days in the observation period). Observation period = time from date of randomization to minimum of (last dose date until treatment discontinuation + 27 days, date of initiation or discontinuation of HU/HC or L-Glutamine (or other therapies such as Voxelotor and erythropoietin therapies to treat SCD and/or to prevent/reduce VOCs), date of randomization + 365 days).
SecondaryEvolution of Albumin Creatinine Ratio (ACR) Over the First-year Post-randomization (Change From Baseline)Over first year post-randomization (Baseline, Week 27 Day 1, Week 51 Day 1)
Laboratory values for parameters related to renal function (creatinine, estimated glomerular filtration rate, urine microalbumin, and urine albumin/creatinine ratio) were measured at 6-month intervals over time from baseline.

Outcomes24

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYAnnualized Rate of Vaso-occlusive Crisis (VOC) Events Leading to a Healthcare Visit1 yearThe FAS comprises all participants to whom study treatment has been assigned by randomization.number of events per yearMEAN
SECONDARYAnnualized Rate of All VOCs Leading to a Healthcare Visit and Treated at Home Over the First-year Post Randomization (Key Secondary)1 yearThe FAS comprises all participants to whom study treatment has been assigned by randomization.number of events per yearMEAN
SECONDARYAnnualized Rate of All VOCs Leading to a Healthcare Visit and Treated at Home Over 5 Years Post Randomization (Key Secondary)5 years
SECONDARYMean Duration of VOCs Leading to a Healthcare Visit Over the First-year Post Randomization1 yearThe FAS comprises all participants to whom study treatment has been assigned by randomization. Participants with no VOC leading to healthcare visits are excluded.daysMEAN
SECONDARYNumber of Participants Free From VOCs Leading to a Healthcare Visit Over the First-year Post Randomization1 yearThe FAS comprises all participants to whom study treatment has been assigned by randomization.ParticipantsNUMBER
SECONDARYPercentage of Participants Free From VOCs Leading to a Healthcare Visit Over the First-year Post Randomization1 yearThe FAS comprises all participants to whom study treatment has been assigned by randomization.Percentage of participantsNUMBER
SECONDARYTime to First and Second VOCs Leading to a Healthcare Visit Over the First-year Post Randomization1 year
The FAS comprises all participants to whom study treatment has been assigned by randomization. The estimated time to first and second VOC using Kaplan-Meier analyzed all participants, including those who experienced first (n=59, 52, 51) and second (n=41, 33, 33) events in 5mg/kg, 7.5mg/kg and placebo arms, respectively, those who were at risk, and those who were censored.
MonthsMEDIAN
SECONDARYAnnualized Rate of Visits to Clinic, Emergency Room (ER) and Hospitalizations, Both Overall and VOC-related Over the First-year Post-randomization1 yearThe FAS comprises all participants to whom study treatment has been assigned by randomization.number of events per yearMEAN
SECONDARYAnnualized Days of Visits to Clinic, Emergency Room (ER) and Hospitalizations, Both Overall and VOC-related Over the First-year Post-randomization1 yearThe FAS comprises all participants to whom study treatment has been assigned by randomization.number of days per yearMEAN
SECONDARYEvolution of Albumin Creatinine Ratio (ACR) Over the First-year Post-randomization (Change From Baseline)Over first year post-randomization (Baseline, Week 27 Day 1, Week 51 Day 1)The FAS comprises all participants to whom study treatment has been assigned by randomization.g/molMEDIAN

Results by group81

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Annualized Rate of Vaso-occlusive Crisis (VOC) Events Leading to a Healthcare VisitCrizanlizumab (SEG101) at 5.0 mg/kg2.5Standard Deviation 2.98number of events per year
Annualized Rate of Vaso-occlusive Crisis (VOC) Events Leading to a Healthcare VisitCrizanlizumab (SEG101) at 7.5 mg/kg1.9Standard Deviation 2.30number of events per year
Annualized Rate of Vaso-occlusive Crisis (VOC) Events Leading to a Healthcare VisitPlacebo2.1Standard Deviation 2.81number of events per year
Annualized Rate of All VOCs Leading to a Healthcare Visit and Treated at Home Over the First-year Post Randomization (Key Secondary)Crizanlizumab (SEG101) at 5.0 mg/kg4.5Standard Deviation 6.49number of events per year
Annualized Rate of All VOCs Leading to a Healthcare Visit and Treated at Home Over the First-year Post Randomization (Key Secondary)Crizanlizumab (SEG101) at 7.5 mg/kg3.1Standard Deviation 2.89number of events per year
Annualized Rate of All VOCs Leading to a Healthcare Visit and Treated at Home Over the First-year Post Randomization (Key Secondary)Placebo3.7Standard Deviation 3.78number of events per year
Mean Duration of VOCs Leading to a Healthcare Visit Over the First-year Post RandomizationCrizanlizumab (SEG101) at 5.0 mg/kg7.7Standard Deviation 6.93days
Mean Duration of VOCs Leading to a Healthcare Visit Over the First-year Post RandomizationCrizanlizumab (SEG101) at 7.5 mg/kg6.0Standard Deviation 4.54days
Mean Duration of VOCs Leading to a Healthcare Visit Over the First-year Post RandomizationPlacebo6.6Standard Deviation 5.55days
Number of Participants Free From VOCs Leading to a Healthcare Visit Over the First-year Post RandomizationCrizanlizumab (SEG101) at 5.0 mg/kg25Participants

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCrizanlizumab (SEG101) at 5.0 mg/kg84
Overall StudySTARTEDCrizanlizumab (SEG101) at 7.5 mg/kg83
Overall StudySTARTEDPlacebo85
Overall StudyCOMPLETEDCrizanlizumab (SEG101) at 5.0 mg/kg66
Overall StudyCOMPLETEDCrizanlizumab (SEG101) at 7.5 mg/kg68
Overall StudyCOMPLETEDPlacebo58
Overall StudyNOT COMPLETEDCrizanlizumab (SEG101) at 5.0 mg/kg18
Overall StudyNOT COMPLETEDCrizanlizumab (SEG101) at 7.5 mg/kg15
Overall StudyNOT COMPLETEDPlacebo27

Adverse events369

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersCrizanlizumab (SEG101) at 5.0 mg/kg (On-treatment)384
otherAnaemiaBlood and lymphatic system disordersCrizanlizumab (SEG101) at 7.5 mg/kg (On-treatment)883
otherAnaemiaBlood and lymphatic system disordersPlacebo (On-treatment)485
otherSickle cell anaemia with crisisBlood and lymphatic system disordersCrizanlizumab (SEG101) at 5.0 mg/kg (On-treatment)584
otherSickle cell anaemia with crisisBlood and lymphatic system disordersCrizanlizumab (SEG101) at 7.5 mg/kg (On-treatment)383
otherSickle cell anaemia with crisisBlood and lymphatic system disordersPlacebo (On-treatment)185
otherThrombocytopeniaBlood and lymphatic system disordersCrizanlizumab (SEG101) at 5.0 mg/kg (On-treatment)584
otherThrombocytopeniaBlood and lymphatic system disordersCrizanlizumab (SEG101) at 7.5 mg/kg (On-treatment)383
otherThrombocytopeniaBlood and lymphatic system disordersPlacebo (On-treatment)185
otherAbdominal painGastrointestinal disordersCrizanlizumab (SEG101) at 5.0 mg/kg (On-treatment)584

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCrizanlizumab (SEG101) at 5.0 mg/kg (On-treatment)284
Total, all-cause mortalityCrizanlizumab (SEG101) at 7.5 mg/kg (On-treatment)283
Total, all-cause mortalityPlacebo (On-treatment)285
Total, other adverse eventsCrizanlizumab (SEG101) at 5.0 mg/kg (On-treatment)6784
Total, other adverse eventsCrizanlizumab (SEG101) at 7.5 mg/kg (On-treatment)7183
Total, other adverse eventsPlacebo (On-treatment)6685
Total, serious adverse eventsCrizanlizumab (SEG101) at 5.0 mg/kg (On-treatment)3584
Total, serious adverse eventsCrizanlizumab (SEG101) at 7.5 mg/kg (On-treatment)2283
Total, serious adverse eventsPlacebo (On-treatment)2685

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
37254256DERIVEDPubMed
40088922DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03814746

GET https://conductscience.org/api/trials/v1/NCT03814746/registered?page=2