NIH-funded research U01 cooperative agreement

Stroke prevention with hydroxyurea for children with sickle cell anemia in Nigeria

Official title: Stroke Prevention in Nigeria: SPRING 2

Funded at Vanderbilt University Medical Center · NIH-11629280 · Data updated 2026-11-12

A multinational, patient-facing study tests whether hydroxyurea can safely prevent first strokes in Nigerian children with sickle cell anemia.

More Stroke research and trials

Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionVanderbilt University Medical Center
NIH-funded
Lab location1 site (Nashville, United States)
Project startSeptember 1, 2023
Project endAugust 31, 2029
Funding year2026
Award (this year)$372,122
NIH project number3U01NS129143-03S1
Project IDNIH-11629280 on NIH RePORTER

Who could benefit from this research

Could help

Children with sickle cell anemia and abnormal TCD velocities living in Nigeria who would be treated with hydroxyurea.

Less likely to help

Children without abnormal TCD velocities or without access to hydroxyurea monitoring may not benefit.

What this research studies

This project will enroll children with sickle cell anemia and abnormal transcranial Doppler speeds in Nigeria to receive hydroxyurea in a multicenter, open-label design. Building on a prior trial, it compares dosing to see if stroke risk stays low while reducing painful crises and hospital visits. The study is conducted as a single-arm type I hybrid trial, aiming to show non-inferiority to previous SPRING results in real-world settings. Participation will involve regular follow-up, blood tests, and assessments to monitor safety and effectiveness.

Why it matters

Potential benefit: If successful, children may experience fewer strokes and fewer painful episodes, with potential improvements in quality of life.

How similar studies have gone: Previous SPRING trial showed reduced stroke incidence and fewer hospitalizations with hydroxyurea, supporting safety and potential benefit.

Where this research is happening

  • Vanderbilt University Medical Center
    Nashville, United States
    Active

Researchers

  • Principal investigator: Debaun, Michael R. — Vanderbilt University Medical Center
  • Study coordinator: Debaun, Michael R.

Related research

Other NIH-funded projects on the same topics.

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.