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Trial · NCT03938454

A Study to Evaluate the Safety and Efficacy of Crizanlizumab in Sickle Cell Disease Related Priapism

NCT03938454, Phase 2, Completed, Novartis Pharmaceuticals; results first posted 2025-03-10

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Evaluate the Safety and Efficacy of Crizanlizumab in Sickle Cell Disease Related Priapism. Trials, record NCT03938454. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03938454

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Trial

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

Title
A Study to Evaluate the Safety and Efficacy of Crizanlizumab in Sickle Cell Disease Related Priapism
NCT number
NCT03938454
Status
Completed
Phases
Phase 2
Enrollment
36 participants, actual
Lead sponsor
Novartis Pharmaceuticals
Conditions
Priapism
Interventions
Crizanlizumab
First posted
2019-05-06
Last updated
2026-01-13
Results first posted
2025-03-10
Limitations and caveats
This was a single-arm trial in a disease where clinical history has significant variability.

Source ClinicalTrials.gov

Registered outcomes5

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

ListOutcomeTime frameDescription
PrimaryPercent Change in Priapic Events From Baseline to 26 WeeksBaseline up to 26 weeks
A priapic event was defined as an unwanted or painful penile erection lasting at least 60 minutes. Priapic events were self-reported via an electronic reporting system, and data was collected throughout the study period. Number of priapic events was summarized at Baseline (adjusted for 26 weeks) and by 26 weeks, and percent reduction from adjusted Baseline by 26 weeks was summarized.
SecondaryAnnualized Rate of Priapic EventsBaseline up to 26 and 52 weeks
A priapic event was defined as an unwanted or painful penile erection lasting at least 60 minutes. Priapic events were self-reported via an electronic reporting system, and data was collected throughout the study period. The annualized rate of events was defined as the total number of events for a participant occurring from the date of initial infusion to the last contact date of the Treatment Phase of the study x 365.25 divided by the number of days during that same time period. The calculation accounted for early dropouts or lost to follow-up by extrapolating the priapism events rate of every participant to 1 year.
SecondaryNumber of Acute Priapic Events From Baseline to 26 and 52 WeeksBaseline up to 26 and 52 weeksAn acute priapic event was defined as an unwanted, painful erection that lasted more than 4 hours and required a visit to the emergency room.
SecondaryAnnualized Rate of Uncomplicated Vaso-occlusive Crises (VOCs)Baseline up to 26 and 52 weeks
An uncomplicated VOC event was defined as an acute event of pain with no known cause for pain other than a VOC event; and requiring treatment with a parenteral or oral opioids or other parenteral analgesic; but was NOT classified as an acute chest syndrome, hepatic sequestration, splenic sequestration or priapism. Events included both healthcare and self-reported events. The annualized rate of events was defined as the total number of events for a participant occurring from the date of initial infusion to the last contact date of the Treatment Phase of the study x 365.25 divided by the number of days during that same time period. The calculation accounted for early dropouts or lost to follow-up by extrapolating the priapism events rate of every participant to 1 year.
SecondaryAnnualized Rate of Complicated VOCsBaseline up to 26 and 52 weeks
Complicated VOCs were defined as acute chest syndrome, hepatic sequestration, splenic sequestration, and acute priapism recorded by healthcare visit. The annualized rate of events was defined as the total number of events for a participant occurring from the date of initial infusion to the last contact date of the Treatment Phase of the study x 365.25 divided by the number of days during that same time period. The calculation accounted for early dropouts or lost to follow-up by extrapolating the priapism events rate of every participant to 1 year.

Outcomes7

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercent Change in Priapic Events From Baseline to 26 WeeksBaseline up to 26 weeks
The full analysis set (FAS) included all enrolled participants to whom the study treatment was assigned regardless of whether or not they received at least one dose of study treatment or had at least one post-baseline assessment.
Percent change from baselineMEDIAN
SECONDARYAnnualized Rate of Priapic EventsBaseline up to 26 and 52 weeks
The FAS included all enrolled participants to whom the study treatment was assigned regardless of whether or not they received at least one dose of study treatment or had at least one post-baseline assessment.
Events per yearMEDIAN
SECONDARYNumber of Acute Priapic Events From Baseline to 26 and 52 WeeksBaseline up to 26 and 52 weeks
The FAS included all enrolled participants to whom the study treatment was assigned regardless of whether or not they received at least one dose of study treatment or had at least one post-baseline assessment. Only participants with Acute Priapic Events are included in this analysis.
Number of acute priapic eventsMEDIAN
SECONDARYAnnualized Rate of Uncomplicated Vaso-occlusive Crises (VOCs)Baseline up to 26 and 52 weeks
The FAS included all enrolled participants to whom the study treatment was assigned regardless of whether or not they received at least one dose of study treatment or had at least one post-baseline assessment. Only participants who had uncomplicated VOC events within the specified time frame were included in the analysis.
Events per yearMEDIAN
SECONDARYAnnualized Rate of Complicated VOCsBaseline up to 26 and 52 weeks
The FAS included all enrolled participants to whom the study treatment was assigned regardless of whether or not they received at least one dose of study treatment or had at least one post-baseline assessment. Only participants who had complicated VOC events within the specified time frame were included in the analysis.
Events per yearMEDIAN
POST_HOCNumber of Participants With Treatment-emergent Adverse Events (TEAEs) Associated With Infusion Related Reactions (Adverse Events of Special Interest)Baseline up to 57 weeksThe Safety Analysis Set consisted of all participants who received at least 1 dose of study treatment.ParticipantsCOUNT_OF_PARTICIPANTS
POST_HOCPercent Change in Priapic Events From Baseline to 26 Weeks Without the OutlierBaseline up to 26 weeks
The FAS included all enrolled participants to whom the study treatment was assigned regardless of whether or not they received at least one dose of study treatment or had at least one post-baseline assessment. Analysis was performed excluding one outlier participant, who had a large amount of data unreported.
Percent change from baselineMEDIAN

Results by group21

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

OutcomeGroupCategoryValueSpreadUnits
Percent Change in Priapic Events From Baseline to 26 WeeksCrizanlizumab 5 mg/kg-61.3Inter-Quartile Range -80.1 to -17.3Percent change from baseline
Annualized Rate of Priapic EventsCrizanlizumab 5 mg/kgAnnualized rate of priapic events by 26 weeks31.1Inter-Quartile Range 10.2 to 97.4Events per year
Annualized Rate of Priapic EventsCrizanlizumab 5 mg/kgAnnualized rate of priapic events by 52 weeks25.6Inter-Quartile Range 9.9 to 68.7Events per year
Number of Acute Priapic Events From Baseline to 26 and 52 WeeksCrizanlizumab 5 mg/kgNumber of acute priapic events at Baseline7.0Full Range 2 to 11Number of acute priapic events
Number of Acute Priapic Events From Baseline to 26 and 52 WeeksCrizanlizumab 5 mg/kgNumber of post-baseline acute priapic events by 26 weeks1.5Full Range 1 to 2Number of acute priapic events
Number of Acute Priapic Events From Baseline to 26 and 52 WeeksCrizanlizumab 5 mg/kgNumber of post-baseline acute priapic events by 52 weeks1.0Full Range 1 to 2Number of acute priapic events
Annualized Rate of Uncomplicated Vaso-occlusive Crises (VOCs)Crizanlizumab 5 mg/kgAnnualized rate of uncomplicated VOCs by 26 weeks4.1Inter-Quartile Range 3.9 to 8.0Events per year
Annualized Rate of Uncomplicated Vaso-occlusive Crises (VOCs)Crizanlizumab 5 mg/kgAnnualized rate of uncomplicated VOCs by 52 weeks2.5Inter-Quartile Range 1.4 to 6.8Events per year
Annualized Rate of Complicated VOCsCrizanlizumab 5 mg/kgAnnualized rate of complicated VOCs by 26 weeks1.9Inter-Quartile Range 1.9 to 1.9Events per year
Annualized Rate of Complicated VOCsCrizanlizumab 5 mg/kgAnnualized rate of complicated VOCs by 52 weeks1.4Inter-Quartile Range 0.9 to 1.9Events per year

Participant flow3

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCrizanlizumab 5 mg/kg36
Overall StudyCOMPLETEDCrizanlizumab 5 mg/kg30
Overall StudyNOT COMPLETEDCrizanlizumab 5 mg/kg6

Adverse events32

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherSinus bradycardiaCardiac disordersCrizanlizumab 5 mg/kg236
otherConstipationGastrointestinal disordersCrizanlizumab 5 mg/kg236
otherDiarrhoeaGastrointestinal disordersCrizanlizumab 5 mg/kg436
otherVomitingGastrointestinal disordersCrizanlizumab 5 mg/kg236
otherChest discomfortGeneral disordersCrizanlizumab 5 mg/kg236
otherFatigueGeneral disordersCrizanlizumab 5 mg/kg336
otherNon-cardiac chest painGeneral disordersCrizanlizumab 5 mg/kg236
otherPyrexiaGeneral disordersCrizanlizumab 5 mg/kg636
otherCOVID-19Infections and infestationsCrizanlizumab 5 mg/kg536
otherInfusion related reactionInjury, poisoning and procedural complicationsCrizanlizumab 5 mg/kg236

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCrizanlizumab 5 mg/kg036
Total, other adverse eventsCrizanlizumab 5 mg/kg2636
Total, serious adverse eventsCrizanlizumab 5 mg/kg736

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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/NCT03938454

GET https://conductscience.org/api/trials/v1/NCT03938454/results?page=2