Testing Anumigilimab (CSL324) safety in adults with sickle cell disease
Official title: Phase 2a, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Assess the Safety of Anumigilimab (CSL324) in Adults With Sickle Cell Disease
Run by CSL Behring · NCT07224360 · Data updated 2026-11-12
This study will test whether subcutaneous Anumigilimab is safe for adults with sickle cell disease who had 1–12 painful vaso-occlusive crises in the past year.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 63 (estimated) |
| Sponsor | CSL Behring Industry-sponsored |
| Drugs / interventions | anumigilimab |
| Locations | 38 sites (Little Rock, Arkansas and 37 other locations) |
| Status | Recruiting |
| Started | February 2, 2026 |
| Main results expected | August 15, 2028 |
| Study ends | August 15, 2028 |
| Registry record updated | November 3, 2026 |
| Trial ID | NCT07224360 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 or older with a confirmed diagnosis of sickle cell disease of any genotype who have had 1 to 12 vaso-occlusive crises requiring medical treatment in the past 12 months and who are either on a stable hydroxyurea regimen or have discontinued/refused hydroxyurea are the intended participants.
✕Probably not a fit
People with an absolute neutrophil count under 2.5 x 10^9 cells/L at screening, those with unstable doses of SCD preventive medications, or those under 18 years old are unlikely to qualify or benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a randomized, double-blind, placebo-controlled phase 2a trial that gives Anumigilimab or placebo by subcutaneous injection at multiple international sites. Participants enter a 12-week dose-escalation period to reach an individual maximum tolerated dose (MTD), followed by 52 weeks of maintenance dosing at that MTD, for a total of 64 weeks on treatment. The primary focus is on safety and tolerability in adults with any genotype of sickle cell disease who have had recent vaso-occlusive crises. Study procedures will include regular clinical visits, laboratory monitoring, and recording of adverse events.
Why it matters
Potential benefit: If shown to be safe, this could open the way to a new therapeutic option for people with sickle cell disease and support later studies of effectiveness against painful crises and related complications.
How similar studies have gone: Monoclonal antibody approaches in sickle cell disease remain early in development and Anumigilimab's safety in SCD has limited prior data beyond early-phase work.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults aged greater than or equal to (\>=) 18 years on the day of signing the informed consent form. * Confirmed diagnosis of SCD of any genotype. * Experienced 1 to 12 VOCs requiring a visit to a medical facility and treatment with parenteral opioids or a parenteral nonsteroidal anti-inflammatory drug within the 12 months before Screening. * HU Regimen: * a. On stable and well-tolerated Hydroxyurea (HU) regimen for at least 30 days before Screening. * or * b. HU was discontinued or refused (eg, due to concern of side effects or lack of effect). Exclusion Criteria: * Absolute neutrophil count less than (\<) 2.5 ×10\^9 cells/Litre at Screening or Baseline (Week 1 Day 1). * If on SCD preventive medication, dose is not stable in the 30 days before Screening.
Where it's running
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UAMS Medical Center
Little Rock, Arkansas, United States Recruiting -
University of California Irvine
Orange, California, United States Recruiting -
The Foundation for Sickle Cell Disease
Hollywood, Florida, United States Recruiting -
Arthur M. Blank Hospital- Children's Healthcare of Atlanta
Atlanta, Georgia, United States Recruiting -
Center for Cancer and Blood Disorders
Bethesda, Maryland, United States Recruiting -
Boston Medical Center
Boston, Massachusetts, United States Recruiting
Show 32 more locations
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University of Minnesota
Minneapolis, Minnesota, United States Recruiting -
Southern Specialty Research
Flowood, Mississippi, United States Recruiting -
NYC Health + Hospitals/Queens
Jamaica, New York, United States Recruiting -
Columbia University Medical Center
New York, New York, United States Recruiting -
Jacobi Medical Center
The Bronx, New York, United States Recruiting -
Ohio State University
Columbus, Ohio, United States Recruiting -
UT Physicians Comprehensive Adult Sickle Cell Center
Houston, Texas, United States Recruiting -
Virginia Commonwealth University
Richmond, Virginia, United States Recruiting -
UZ Antwerpen
Edegem, Antwerp, Belgium Recruiting -
CHU Saint-Pierre
Brussels, Belgium Recruiting -
AP-HM Hôpital de La Timone
Marseille, Bouches-du-Rhône, France Recruiting -
CHU de Nantes, Hotel-Dieu
Nantes, France Recruiting -
CHU de Rouen-Hôpital Charles-Nicolle
Rouen, France Recruiting -
Institut Universitaire du Cancer de Toulouse
Toulou, France Recruiting -
Azienda Ospedaliero-Universitaria di Ferrara - Arcispedale Sant' Anna
Cona, Ferrara, Italy Recruiting -
IRCCS Istituto Giannina Gaslini
Genoa, Italy Recruiting -
Fondazione IRCCS San Gerardo dei Tintori
Monza, Italy Recruiting -
AORN Antonio Cardarelli
Naples, Italy Recruiting -
IRCCS Bambino Gesù Children's Hospital
Rome, Italy Recruiting -
AOUI Verona and University of Verona
Verona, Italy Recruiting -
Amsterdam UMC - VUmc
Amsterdam, North Holland, Netherlands Recruiting -
VM Medical Park Mersin Hospital
Mezitli, Mersin, Turkey (Türkiye) Recruiting -
Mersin University Medical Faculty
Yenişehir, Mersin, Turkey (Türkiye) Recruiting -
Acibadem Adana Hastanesi
Adana, Turkey (Türkiye) Recruiting -
Hacettepe University Medical Faculty
Ankara, Turkey (Türkiye) Recruiting -
Manchester Royal Infirmary
Manchester, England, United Kingdom Recruiting -
Royal Liverpool University Hospital
Liverpool, United Kingdom Recruiting -
The Royal London Hospital
London, United Kingdom Recruiting -
Central Middlesex Hospital
London, United Kingdom Recruiting -
Guy's Hospital
London, United Kingdom Recruiting -
St George's University Hopsitals NHS Foundation Trust
London, United Kingdom Recruiting -
Hammersmith Hospital Imperial College Healthcare NHS Trust
London, United Kingdom Recruiting
Study contacts
- Study coordinator: Trial Registration Coordinator
- Email: clinicaltrials@cslbehring.com
- Phone: +1 610-878-4697
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Cerebrovascular Reactivity Testing with HD-DOT in Sickle Cell Patients
This study tests whether high-density diffuse optical tomography can measure brain blood flow and oxygen use in people with sickle cell disease, to see how these signals relate to stroke risk.
-
Adapting and testing PEN-Plus in Zambian primary care
Aiming to see if the PEN-Plus package can be adapted and used in two Zambian hospitals to better manage chronic diseases like heart disease, diabetes, hypertension, and sickle cell in primary care.
-
Newborn Sickle Cell Screening in Mozambique
We’re testing a three-part plan to help babies in Mozambique get diagnosed early for sickle cell disease and start care quickly.
-
Optimizing Hydroxyurea in Children with Sickle Cell in Africa
This study tests whether raising hydroxyurea to a maximum tolerated dose is safe and beneficial for Ugandan children with sickle cell anemia already taking a fixed daily dose.
-
Hematopoietic stem cell editing to treat sickle cell disease
This study tests whether a patient’s own blood stem cells can be edited to remove the sickle cell triggering gene and then returned to the patient.
-
Virtual reality options to help with VOC pain in adults with SCD
This study tests whether headset-based virtual reality can help reduce pain for adults with sickle cell disease during vaso-occlusive crises treated in an infusion center.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.