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Trial · NCT05451940

Hydroxyurea and EPO in Sickle Cell Disease

NCT05451940, Phase 1, Phase 2, Completed, Julia Xu; results first posted 2026-01-07

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Hydroxyurea and EPO in Sickle Cell Disease. Trials, record NCT05451940. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05451940

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Trial

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

Title
Hydroxyurea and EPO in Sickle Cell Disease
NCT number
NCT05451940
Status
Completed
Phases
Phase 1, Phase 2
Enrollment
17 participants, actual
Lead sponsor
Julia Xu
Conditions
Anemia, Sickle Cell, Sickle Cell Disease
Interventions
Hydroxyurea, Epoetin Alfa-BioSimilar
First posted
2022-07-11
Last updated
2026-01-07
Results first posted
2026-01-07
Limitations and caveats
The sponsor provided the study drug (EPO) for the duration of the treatment period (12 weeks). However, the sponsor was not able to provide study drug for a longer study, and participants who wanted to continue on EPO treatment during the observation period had to pay out of pocket or get insurance coverage. Thus, most participants had to discontinue EPO after the treatment period. The long-term safety of EPO treatment in patients with sickle cell disease cannot be evaluated from this study.

Source ClinicalTrials.gov

Registered outcomes13

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

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With Hemoglobin (Hb) ResponseBaseline to 12 weeksHb response is defined as a Hb increase of ≥ 1.0 g/dL at 12 weeks compared to baseline
SecondaryChange in Number of Blood Transfusions Per YearBaseline to 12 weeksAnnualized number of units of simple red blood cell transfusions received in the 12 months before treatment initiation, compared to during the treatment period
OtherChanges in Tricuspid Valve Regurgitant Jet Velocity as Assessed by EchocardiographyBaseline to 12 weeks; Baseline to 24 weeksChanges in tricuspid valve regurgitant jet velocity
OtherChanges in Cardiac Index as Assessed by EchocardiographyBaseline to 12 weeks; Baseline to 24 weeksChanges in cardiac index
OtherChanges in Left Ventricular End-diastolic Volume as Assessed by EchocardiographyBaseline to 12 weeks; Baseline to 24 weeksChanges in left ventricular end-diastolic volume
OtherChanges in Exercise Capacity as Assessed by 6-minute Walk Test With Modified Borg Dyspnea ScaleBaseline to 12 weeks; Baseline to 24 weeks
Changes in 6-minute walk distance and Modified Borg Dyspnea scale (severity of dyspnea during the 6-minute walk test will be measured on a 10-point scale with 0=nothing at all and 10= maximum severity of breathlessness)
OtherChanges in Hemoglobin (Hb)Baseline to 12 weeksMean change in Hb at 12 weeks compared to baseline
OtherChanges in Absolute Reticulocyte CountBaseline to 12 weeks; Baseline to 24 weeksChanges in absolute reticulocyte count
OtherChanges in Lactate DehydrogenaseBaseline to 12 weeks; Baseline to 24 weeksChanges in lactate dehydrogenase
OtherChanges in Renal FunctionBaseline to 12 weeks; Baseline to 24 weeksChanges in serum creatinine (and associated eGFR)

Outcomes13

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Hemoglobin (Hb) ResponseBaseline to 12 weeksAll enrolled participants who have completed baseline and end of treatment testing, regardless of duration of treatment with EPO, will be included in the analysis.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYChange in Number of Blood Transfusions Per YearBaseline to 12 weeksAll enrolled participants who have completed baseline and end-of-treatment (12-week) testing, regardless of duration of treatment with EPO, will be included in the analysis.Transfusions per yearMEAN
OTHER_PRE_SPECIFIEDChanges in Tricuspid Valve Regurgitant Jet Velocity as Assessed by EchocardiographyBaseline to 12 weeks; Baseline to 24 weeks
OTHER_PRE_SPECIFIEDChanges in Cardiac Index as Assessed by EchocardiographyBaseline to 12 weeks; Baseline to 24 weeks
OTHER_PRE_SPECIFIEDChanges in Left Ventricular End-diastolic Volume as Assessed by EchocardiographyBaseline to 12 weeks; Baseline to 24 weeks
OTHER_PRE_SPECIFIEDChanges in Exercise Capacity as Assessed by 6-minute Walk Test With Modified Borg Dyspnea ScaleBaseline to 12 weeks; Baseline to 24 weeks
OTHER_PRE_SPECIFIEDChanges in Hemoglobin (Hb)Baseline to 12 weeksAll enrolled participants who have completed baseline and end-of-treatment (12-week) testing, regardless of duration of treatment with EPO, will be included in the analysis.g/dLMEAN
OTHER_PRE_SPECIFIEDChanges in Absolute Reticulocyte CountBaseline to 12 weeks; Baseline to 24 weeks
OTHER_PRE_SPECIFIEDChanges in Lactate DehydrogenaseBaseline to 12 weeks; Baseline to 24 weeks
OTHER_PRE_SPECIFIEDChanges in Renal FunctionBaseline to 12 weeks; Baseline to 24 weeks

Results by group3

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

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Hemoglobin (Hb) ResponseErythropoietin15Participants
Change in Number of Blood Transfusions Per YearErythropoietin-1.1Standard Deviation 3.7Transfusions per year
Changes in Hemoglobin (Hb)Erythropoietin3.0Standard Deviation 1.6g/dL

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Treatment PeriodSTARTEDErythropoietin17
Treatment PeriodCOMPLETEDErythropoietin16
Treatment PeriodNOT COMPLETEDErythropoietin1
Observation PeriodSTARTEDErythropoietin16
Observation PeriodCOMPLETEDErythropoietin16
Observation PeriodNOT COMPLETEDErythropoietin0

Adverse events23

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnorexiaGastrointestinal disordersErythropoietin1171
otherCardiac troponin I increasedCardiac disordersErythropoietin1171
otherCholelithiasisHepatobiliary disordersErythropoietin1171
otherConjunctivitis infectiveEye disordersErythropoietin1171
otherDiarrheaGastrointestinal disordersErythropoietin1171
otherDizzinessNervous system disordersErythropoietin2172
otherDysgeusiaNervous system disordersErythropoietin1171
otherEdema limbsBlood and lymphatic system disordersErythropoietin1171
otherHeadacheNervous system disordersErythropoietin1171
otherLung infectionInfections and infestationsErythropoietin1171

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityErythropoietin017
Total, other adverse eventsErythropoietin1517
Total, serious adverse eventsErythropoietin217

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/NCT05451940

GET https://conductscience.org/api/trials/v1/NCT05451940/events?page=2