Clinical trial Recruiting at 45 sites Phase 3 Interventional Ages 2 and up

Long-term treatment with Etavopivat for sickle cell disease and thalassemia

Official title: An Open-label, Multi-centre, Rollover Study to Characterise Long-term Safety and Efficacy of Etavopivat in Adults, Adolescents and Children Who Have Sickle Cell Disease or Thalassaemia and Have Completed a Treatment Period in an Etavopivat Study

Run by Novo Nordisk A/S · NCT06609226 · Data updated 2026-11-12

This study is testing how safe and effective a new medication called Etavopivat is for people with sickle cell disease and thalassemia who have already seen benefits from it.

More Sickle Cell Disease trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages2 Years and up
SexAll
Enrollment480 (estimated)
SponsorNovo Nordisk A/S
Industry-sponsored
Drugs / interventionscrizanlizumab
Locations107 sites (Birmingham, Alabama and 106 other locations)
StatusRecruiting
StartedJanuary 10, 2025
Main results expectedDecember 30, 2030
Study endsDecember 30, 2030
Registry record updatedSeptember 18, 2026
Trial IDNCT06609226 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are individuals who have previously participated in an Etavopivat parent study and have shown clinical benefit from the treatment.

Probably not a fit

Patients who have not participated in the parent study or have not derived clinical benefit from Etavopivat will not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the long-term safety and efficacy of Etavopivat, a new medication for treating blood disorders such as sickle cell disease and thalassemia. Participants must have previously benefited from Etavopivat in a parent study and will be monitored over a period of up to 264 weeks. The study aims to determine how well the treatment works and its safety profile in individuals with these inherited blood disorders.

Why it matters

Potential benefit: If successful, this treatment could significantly improve the management of sickle cell disease and thalassemia, enhancing patients' quality of life.

How similar studies have gone: Other studies involving similar treatments for sickle cell disease and thalassemia have shown promise, but this specific approach with Etavopivat is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Participant must have ongoing participation in an etavopivat parent study for treatment of sickle cell disease (SCD) or thalassaemia and have completed at least a treatment period of the parent study.
* Participant must have derived clinical benefit from treatment with etavopivat, as determined by the investigator.
* Any participant with dose reduction or temporary discontinuation will need to be successfully rechallenged to the full dose of etavopivat before transferring.
* Participants on hydroxyurea (HU), crizanlizumab or l-glutamine oral powder (Endari®) treatment at the time of consent may be eligible if they have been on a stable dose in the parent study as defined at the investigator's discretion. Necessary adjustments related to weight or age are accepted. Participants with temporary dose reductions or pauses due to medical reasons may still be considered to have a stable dose, as determined by the investigator, who will assess the impact of these adjustments based on clinical context and the participant's overall health status.

Exclusion Criteria:

* Any disorder, except for conditions associated with SCD or thalassaemia, which in the investigator's opinion might jeopardise participant's safety or compliance with the protocol.
* Participant withdrew or had permanent treatment discontinuation from an etavopivat clinical study.
* Participants on permanent dose reduction (greater than \[\>\] 28 days or more) or ongoing temporary treatment discontinuation.
* Use of any of the following within the timeframes prior to the transfer visit as stated:
* Use of haemoglobin S (HbS) polymerisation inhibitors within participation of the parent study or anticipated need for this agent during this study.
* Use of an experimental selectin antagonist (e.g., monoclonal antibody or small molecule) within the parent study or anticipated need for such agents during this study.
* Use of erythropoietin or other haematopoietic growth factor treatment for more than 4 consecutive weeks during the parent study or anticipated need of such agents for a maintenance treatment during this study.
* Receiving or use of concomitant medications that are strong inducers of cytochrome P450 (CYP) 3A4 within 2 weeks of the transfer visit or anticipated need for such agents during the study.
* Current participation in a study that is not a designated parent study, or planned participation in any other clinical study, for the duration of FLORAL.

Where it's running

  • Children's Hospital Los Angeles - Endocrinology
    Los Angeles, California, United States
    Recruiting
  • UCSF Oakland Benioff ChildHosp
    Oakland, California, United States
    Recruiting
  • Children's Healthcare Atlanta
    Atlanta, Georgia, United States
    Recruiting
  • Univer Of Illinois at Chicago
    Chicago, Illinois, United States
    Recruiting
  • Columbia University Medical Center_New York_0
    New York, New York, United States
    Recruiting
  • Duke University_Durham
    Durham, North Carolina, United States
    Recruiting
Show 44 more locations
  • Texas Children's Hospital_Houston
    Houston, Texas, United States
    Recruiting
  • UT Health University of Texas
    Houston, Texas, United States
    Recruiting
  • Versiti, CCBD_Milwaukee
    Milwaukee, Wisconsin, United States
    Recruiting
  • Alexandria University Hospital
    Alexandria, Egypt, Egypt
    Recruiting
  • Zagazig University Hospital
    Alsharkia, Egypt, Egypt
    Recruiting
  • Faculty of Medicine Ain Shams Medical Research Institute (MASRI)
    Cairo, Egypt
    Recruiting
  • Cairo University
    Cairo, Egypt, Egypt
    Recruiting
  • Abu El-Reesh El-Mounira Children University Hospital
    Cairo, Egypt, Egypt
    Recruiting
  • Ap-Hp-Hopital Henri Mondor
    Créteil, France
    Recruiting
  • Hospices Civils de Lyon-Hopital Edouard Herriot
    Lyon, France
    Recruiting
  • Ap-Hp-Hopital Robert Debre
    Paris, France
    Recruiting
  • Kintampo Health Research Centre (KHRC)
    Kintampo, Bono East, Ghana
    Recruiting
  • Ghana Institute of Clinical Genetics, Korle Bu Teaching Hospital (KBTH)
    Accra, Ghana
    Recruiting
  • General Hospital Of Larissa Koutlibaneio And Triantafylleio - Thalassemia and SCD Unit
    Larissa, Thessaly, Greece
    Recruiting
  • Hippokration Hospital
    Athens, Greece
    Recruiting
  • General University Hospital of Patras
    Pátrai, Greece
    Recruiting
  • 'Ippokrateio' General Hospital of Thessaloniki
    Thessaloniki, Greece
    Recruiting
  • Azienda Ospedaliera Universitaria San Luigi Gonzaga - S.C.D.O. Microcitemie e malattie rare ematologiche
    Orbassano, Torino, Italy
    Recruiting
  • Azienda Ospedale Universita Padova
    Padova, Italy
    Recruiting
  • Gertrude's Children's Hospital
    Nairobi, Nairobi County, Kenya
    Recruiting
  • KEMRI CRDR Siaya Clinical Research Annex, Country Referral Hospital
    Siaya, Siaya County, Kenya
    Recruiting
  • Kombewa Clinical Research Centre
    Kisumu, Kenya
    Recruiting
  • KEMRI Kondele Children Hospital, Kisumu
    Kisumu, Kenya
    Recruiting
  • Ahero Clinical Trials Unit
    Kisumu, Kenya
    Recruiting
  • American University of Beirut Medical Centre
    Hamra, Lebanon
    Recruiting
  • Chronic Care Center
    Hazmiyeh, Lebanon
    Recruiting
  • Hospital Nini
    Tripoli, Lebanon
    Recruiting
  • Sultan Qaboos University Hospital
    Muscat, Sultanet of Oman/Muscat/Al Khoud, Oman
    Recruiting
  • King Khalid University Hospital
    Riyadh, Saudi Arabia
    Recruiting
  • Hospital Vall d'Hebron
    Barcelona, Spain
    Recruiting
  • Hospital Universitario La Paz
    Madrid, Spain
    Recruiting
  • Başkent Üniversitesi Adana-Hematoloji
    Adana, Turkey (Türkiye)
    Recruiting
  • Mersin Üniversitesi Tip Fakültesi Hastanesi- Çiftlikköy Yerleşkesi- Hematoloji
    Mersin, Turkey (Türkiye)
    Recruiting
  • Guy's Hospital - Haematology
    London, United Kingdom
    Recruiting
  • King's College Hospital - Paediatric Research
    London, United Kingdom
    Recruiting
  • Kings College Hospital - Haematology
    London, United Kingdom
    Recruiting
  • Imperial College London
    London, United Kingdom
    Recruiting
  • Manchester Royal Infirmary
    Manchester, United Kingdom
    Recruiting
  • Royal Hallamshire Hospital
    Sheffield, United Kingdom
    Recruiting
  • Univ of Alabama Birmingham
    Birmingham, Alabama, United States
    Active not recruiting
  • Phoenix Children's Hsptl
    Phoenix, Arizona, United States
    Active not recruiting
  • Children's Hospital Los Angeles - Endocrinology
    Los Angeles, California, United States
    Active not recruiting
  • UCSF Oakland Benioff ChildHosp
    Oakland, California, United States
    Active not recruiting
  • Children's Hosp Of Orange
    Orange, California, United States
    Completed

+57 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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.