Clinical trial Recruiting at 38 sites Phase 2 Interventional Ages 18 and up

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.

More Sickle Cell Disease trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment63 (estimated)
SponsorCSL Behring
Industry-sponsored
Drugs / interventionsanumigilimab
Locations38 sites (Little Rock, Arkansas and 37 other locations)
StatusRecruiting
StartedFebruary 2, 2026
Main results expectedAugust 15, 2028
Study endsAugust 15, 2028
Registry record updatedNovember 3, 2026
Trial IDNCT07224360 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

  • 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
  • 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

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.

    Recruiting Washington University School of Medicine · St Louis, Missouri · NCT07776444

  • 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.

    Recruiting Centre for Infectious Disease Research in Zambia · Lusaka, Lusaka Province · NCT07753681

  • 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.

    Recruiting St. Jude Children's Research Hospital · Nhamatanda, Sofala · NCT07719972

  • 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.

    Recruiting Phase 1/2 Children's Hospital Medical Center, Cincinnati · Kampala · NCT07708714

  • 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.

    Recruiting Phase 1 Boston Children's Hospital · Boston, Massachusetts · NCT07708350

  • 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.

    Recruiting University of Maryland, Baltimore · Baltimore, Maryland · NCT07674277

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.