A Phase 2 interventional study of ACZ885 and Placebo in Sickle Cell Anemia, sponsored by Novartis Pharmaceuticals. Completed at 15 sites in 7 countries. Open to participants aged 8 Years to 20 Years. Per ClinicalTrials.gov, last updated 2026-01-13.
Sponsored by Novartis Pharmaceuticals · Phase 2, Interventional, and Treatment
The study assesses the efficacy, safety and tolerability of ACZ885 (canakinumab) in pediatric and young adult patients with sickle cell anemia (SCA).
This was an ambulatory-based 24-week study followed by an additional 24-week open label phase. It was a subject- and investigator-blinded, randomized, placebo-controlled, parallel group, non-confirmatory study to assess the clinical efficacy of ACZ885 administered s.c. in six injections given 28 days apart (in each phase of the study).
Pediatric and young adult subjects diagnosed with sickle cell anemia (SCA) were planned to be randomized to either ACZ885 treatment or placebo treatment in a 1:1 ratio,.
For each subject, there was a maximum 28-day screening period that included recording of daily pain frequency and intensity by e-diary for at least 1 week. Subjects who met the eligibility criteria at screening underwent evaluation of baseline clinical and biomarker assessments prior to first dose administration.
On Day 1, monthly s.c. dosing with ACZ885 started at 4 mg/kg for subjects weighing ≤40 kg and 300 mg for all other subjects. Subjects in the placebo treatment arm were injected with placebo in a like manner. All subjects returned to the study centers for safety checks on a monthly basis when they received treatment with either ACZ885 or placebo.
The final blinded dosing was given on Week 20, followed by blinded clinical assessments at Week 24. Subjects from both study arms were then offered optional, open label monthly dosing of ACZ885 for an additional 24 weeks (Weeks 24-48) with clinical outcome assessment.
Subjects returned for the end of study (EOS) visit at Week 56. For subjects who chose not to participate in the optional, open label portion of the study, or for those stopping treatment early for any other reason, an EOS visit occurred approximately 8 weeks after last dose received.
After enrollment of 49 subjects, Novartis decided to terminate the study early due to strategic reasons not related to safety and decided that no additional enrollment was needed in order to interpret the study objectives.
1,103 studies on the registry are indexed under Anemia, Sickle Cell; 235 are open to participants now.
This study's enrollment of 49 is above the median of 40 across 750 interventional studies indexed under Anemia, Sickle Cell.
Browse Anemia, Sickle Cell studies →Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.
Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Other protocol-defined inclusion/exclusion criteria may apply.
Monthly doses of 4 mg/kg for subjects weighing ≤40 kg and 300 mg for all other subjects
Drug: Placebo
Monthly doses of 300 mg (4 mg/kg for patients ≤ 40 kg) canakinumab s.c.
Drug: ACZ885
Monthly doses of 4 mg/kg for subjects weighing ≤40 kg and 300 mg for all other subjects
Also known as: Canakinumab
Monthly doses of placebo to match the administered dose of canakinumab s.c.
Change From Baseline of 4- Week Average Daily Pain Measured by Visual Analog Score (VAS) Over the Period of Week 8 to 12
Visual analog scale (VAS) was used to record severity. Pediatric and young adult participants rated their daily sickle cell associated pain intensity once each day in the evening using an 11-point numerical rating scale from 0 to 10 with higher ratings associated with more intense pain (0 = no pain, 10 = worst pain). For each subject, there was a maximum 28-day screening period that included recording of daily pain intensity by e-diary for at least 1 week. The average daily pain results in the screening period were used to derive the baseline value. The average over week 8 to 12 was calculated and the change from baseline in the average daily pain VAS was analyzed using a Bayesian model for repeated measures.
Time frame: Baseline (upto 28 days prior to start of treatment), Week 8 to 12
Change From Baseline of Average Daily Pain VAS Over 4 Weeks Intervals up to Week 24
Visual analog scale (VAS) was used to record severity. Pediatric and young adult participants rated their daily sickle cell associated pain intensity once each day in the evening using an 11-point numerical rating scale from 0 to 10 with higher ratings associated with more intense pain (0 = no pain, 10 = worst pain). The average of 4 weeks interval up to week 24 was calculated.
Time frame: Baseline (upto 28 days prior to start of treatment), Week 0 to 4, Week 4 to 8, Week 8 to 12, Week 12 to 16, Week 16 to 20 and Week 20 to 24
Change in the Concentration of High Sensitivity C-Reactive Protein (hsCRP) From Baseline to Week 12
hs-CRP is a biomarker that represents the inflammation process.
Time frame: Baseline, Week 12
Change in the Concentration of White Blood Cell (WBC) Count From Baseline to Week 12
WBC count was used as a laboratory marker to determine the effect of the drug
Time frame: Baseline, Week 12
Change in the Concentration of Absolute Count of Neutrophils From Baseline to Week 12
Absolute count of neutrophils was measured as a laboratory marker to determine the effect of the drug
Time frame: Baseline, Week 12
Change in the Concentration of Absolute Count of Blood Monocytes From Baseline to Week 12
Absolute count of blood monocytes was measured as a laboratory marker to determine the effect of the drug.
Time frame: Baseline, Week 12
Change in the Concentration of Hemoglobin From Baseline to Week 12
Hemoglobin was used as a hemolysis marker to determine the effect of the drug.
Time frame: Baseline, Week 12
Change in the Reticulocyte Count From Baseline to Week 12
Reticulocyte count was used as a hemolysis marker to determine the effect of the drug
Time frame: Baseline, Week 12
Change in the Concentration of Bilirubin From Baseline to Week 12
Bilirubin was used as a hemolysis marker to determine the effect of the drug
Time frame: Baseline, Week 12
Change in the Concentration of Lactate Dehydrogenase (LDH) From Baseline to Week 12
LDH was used as a hemolysis marker to determine the effect of the drug
Time frame: Baseline, Week 12
Change in the Concentration of Haptoglobin From Baseline to Week 12
Haptoglobin was used as a hemolysis marker to determine the effect of the drug
Time frame: Baseline, Week 12
Change in the Concentration of Oxygen Percent Saturation (SAO2) From Baseline to Week 12
SAO2 was used as a hemolysis marker to determine the effect of the drug
Time frame: Baseline, Week 12
Number of Days Absent From School or Work Due to Pain as Recorded by E-diary
The number of SCA-related days absent from school or work were derived from eDiary records.
Time frame: up to Week 24
Number of Acute Blood Transfusions Per Patient by Study Period - Double-blind Period
The occurrence of acute blood transfusions was summarized as the proportion of subjects who received at least one acute blood transfusion and the event rate of acute blood transfusions per subject, by study period, group and reason of transfusion.
Time frame: 12 weeks
Mean Serum Concentration After Repeated Dosing of ACZ885
PK samples were collected at Baseline, Week 4, 12, 20 and 24. Mean and standard deviation of the ACZ885 concentration was reported. Only those participants available at the specified time points were analyzed
Time frame: Baseline, Week 4, 12, 20 and 24
A total of 49 participants were randomized into the study from 15 centers in seven countries: Greater Britain (5), Israel (1), Germany (1), Turkey (3), South Africa (1), USA (3) and Canada (1).
| Milestone | ACZ885 | Placebo |
|---|---|---|
| Started | 25 | 24 |
| Safety analysis set | 25 | 24 |
| Pharmacokinetics (pk) analysis set | 25 | 0 |
| Primary pd analysis set | 25 | 24 |
| Completed | 22 | 19 |
| Not completed | 3 | 5 |
| Withdrew: Lost to follow-up | 0 | 2 |
| Withdrew: Physician decision | 0 | 2 |
| Withdrew: Subject/guardian decision | 3 | 1 |
Visual analog scale (VAS) was used to record severity. Pediatric and young adult participants rated their daily sickle cell associated pain intensity once each day in the evening using an 11-point numerical rating scale from 0 to 10 with higher ratings associated with more intense pain (0 = no pain, 10 = worst pain). For each subject, there was a maximum 28-day screening period that included recording of daily pain intensity by e-diary for at least 1 week. The average daily pain results in the screening period were used to derive the baseline value. The average over week 8 to 12 was calculated and the change from baseline in the average daily pain VAS was analyzed using a Bayesian model for repeated measures.
| Score on a scale | ACZ885 | Placebo |
|---|---|---|
| Change From Baseline of 4- Week Average Daily Pain Measured by Visual Analog Score (VAS) Over the Period of Week 8 to 12 | -0.45 ± 0.384 | -0.37 ± 0.402 |
Visual analog scale (VAS) was used to record severity. Pediatric and young adult participants rated their daily sickle cell associated pain intensity once each day in the evening using an 11-point numerical rating scale from 0 to 10 with higher ratings associated with more intense pain (0 = no pain, 10 = worst pain). The average of 4 weeks interval up to week 24 was calculated.
| Score on a scale | ACZ885 | Placebo |
|---|---|---|
| 0-4 Weeks | -0.337 ± 1.629 | 0.007 ± 1.428 |
| 4-8 Weeks | -0.173 ± 1.515 | 0.158 ± 1.847 |
| 8-12 Weeks | -0.444 ± 1.437 | -0.376 ± 2.104 |
| 12-16 Weeks | -0.505 ± 1.744 | 0.057 ± 2.371 |
| 16-20 Weeks | -0.388 ± 1.772 | 0.151 ± 1.811 |
| 20-24 Weeks | -0.752 ± 1.678 | 0.036 ± 2.131 |
hs-CRP is a biomarker that represents the inflammation process.
| mg/L | ACZ885 | Placebo |
|---|---|---|
| Change in the Concentration of High Sensitivity C-Reactive Protein (hsCRP) From Baseline to Week 12 | 0.338 (0.237 to 0.483) | 0.830 (0.576 to 1.194) |
WBC count was used as a laboratory marker to determine the effect of the drug
| 10^9 cells/liter | ACZ885 | Placebo |
|---|---|---|
| Change in the Concentration of White Blood Cell (WBC) Count From Baseline to Week 12 | 0.813 (0.737 to 0.898) | 1.081 (0.973 to 1.201) |
Absolute count of neutrophils was measured as a laboratory marker to determine the effect of the drug
| 10^9 cells/liter | ACZ885 | Placebo |
|---|---|---|
| Change in the Concentration of Absolute Count of Neutrophils From Baseline to Week 12 | 0.717 (0.611 to 0.842) | 1.052 (0.888 to 1.246) |
Absolute count of blood monocytes was measured as a laboratory marker to determine the effect of the drug.
| 10^9 cells/liter | ACZ885 | Placebo |
|---|---|---|
| Change in the Concentration of Absolute Count of Blood Monocytes From Baseline to Week 12 | 0.712 (0.590 to 0.859) | 0.992 (0.813 to 1.209) |
Hemoglobin was used as a hemolysis marker to determine the effect of the drug.
| g/L | ACZ885 | Placebo |
|---|---|---|
| Change in the Concentration of Hemoglobin From Baseline to Week 12 | -0.97 ± 4.727 | 1.11 ± 7.975 |
Reticulocyte count was used as a hemolysis marker to determine the effect of the drug
| 10^9 cells/liter | ACZ885 | Placebo |
|---|---|---|
| Change in the Reticulocyte Count From Baseline to Week 12 | -6.578 ± 64.1131 | 25.358 ± 47.6483 |
Bilirubin was used as a hemolysis marker to determine the effect of the drug
| umol/L | ACZ885 | Placebo |
|---|---|---|
| Change in the Concentration of Bilirubin From Baseline to Week 12 | 5.05 ± 19.796 | -1.95 ± 11.591 |
LDH was used as a hemolysis marker to determine the effect of the drug
| Units per liter (U/L) | ACZ885 | Placebo |
|---|---|---|
| Change in the Concentration of Lactate Dehydrogenase (LDH) From Baseline to Week 12 | 19.06 ± 70.862 | -33.74 ± 209.259 |
Haptoglobin was used as a hemolysis marker to determine the effect of the drug
| g/L | ACZ885 | Placebo |
|---|---|---|
| Change in the Concentration of Haptoglobin From Baseline to Week 12 | -0.0112 ± 0.04022 | -0.0213 ± 0.07923 |
SAO2 was used as a hemolysis marker to determine the effect of the drug
| Oxygen Saturation Percent | ACZ885 | Placebo |
|---|---|---|
| Change in the Concentration of Oxygen Percent Saturation (SAO2) From Baseline to Week 12 | -0.5 ± 2.16 | -0.3 ± 1.82 |
The number of SCA-related days absent from school or work were derived from eDiary records.
| Days | ACZ885 | Placebo |
|---|---|---|
| Number of Days Absent From School or Work Due to Pain as Recorded by E-diary | 2.20 (1.69 to 2.70) | 1.86 (1.31 to 2.41) |
The occurrence of acute blood transfusions was summarized as the proportion of subjects who received at least one acute blood transfusion and the event rate of acute blood transfusions per subject, by study period, group and reason of transfusion.
| Participants | ACZ885 | Placebo |
|---|---|---|
| Overall Acute blood transfusion — 0 transfusions | 20 | 18 |
| Overall Acute blood transfusion — 1 transfusion | 4 | 4 |
| Overall Acute blood transfusion — 2 transfusions | 1 | 1 |
| Overall Acute blood transfusion — 3 transfusions | 0 | 1 |
| Acute blood transfusion: Rescue — 0 transfusions | 23 | 19 |
| Acute blood transfusion: Rescue — 1 transfusion | 2 | 4 |
| Acute blood transfusion: Rescue — 2 transfusions | 0 | 1 |
| Acute blood transfusion: Rescue — 3 transfusions | 0 | 0 |
| Acute blood transfusion: Prophylactic — 0 transfusions | 22 | 22 |
| Acute blood transfusion: Prophylactic — 1 transfusion | 2 | 1 |
| Acute blood transfusion: Prophylactic — 2 transfusions | 1 | 1 |
| Acute blood transfusion: Prophylactic — 3 transfusions | 0 | 0 |
PK samples were collected at Baseline, Week 4, 12, 20 and 24. Mean and standard deviation of the ACZ885 concentration was reported. Only those participants available at the specified time points were analyzed
| ng/mL | ACZ885 |
|---|---|
| Baseline | 0 ± 0 |
| Week 4 | 13100 ± 5490 |
| Week 12 | 18700 ± 5860 |
| Week 20 | 19700 ± 5810 |
| Week 24 | 20600 ± 5930 |
Collected over Adverse events were collected from first dose of study treatment until end of study treatment (Week 48) plus 8 weeks post treatment, up to maximum duration of 56 weeks.. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| ACZ885 | 0/25 (0%) | 11/25 (44%) | 19/25 (76%) |
| Placebo | 0/24 (0%) | 15/24 (62.5%) | 20/24 (83.3%) |
| ACZ885 / ACZ885 | 0/22 (0%) | 11/22 (50%) | 17/22 (77.3%) |
| Placebo / ACZ885 | 0/20 (0%) | 11/20 (55%) | 18/20 (90%) |
| Event | ACZ885 | Placebo | ACZ885 / ACZ885 | Placebo / ACZ885 |
|---|---|---|---|---|
| Sickle cell anaemia with crisisBlood and lymphatic system disorders | 10/25 | 11/24 | 9/22 | 10/20 |
| PneumoniaInfections and infestations | 0/25 | 1/24 | 2/22 | 1/20 |
| Acute chest syndromeRespiratory, thoracic and mediastinal disorders | 0/25 | 2/24 | 0/22 | 0/20 |
| AstheniaGeneral disorders | 0/25 | 0/24 | 0/22 | 1/20 |
| PyrexiaGeneral disorders | 0/25 | 0/24 | 0/22 | 1/20 |
| CholelithiasisHepatobiliary disorders | 0/25 | 1/24 | 0/22 | 1/20 |
| AlloimmunisationImmune system disorders | 0/25 | 0/24 | 0/22 | 1/20 |
| DizzinessNervous system disorders | 0/25 | 0/24 | 0/22 | 1/20 |
| HeadacheNervous system disorders | 0/25 | 0/24 | 0/22 | 1/20 |
| Pulmonary embolismRespiratory, thoracic and mediastinal disorders | 0/25 | 0/24 | 0/22 | 1/20 |
| Event | ACZ885 | Placebo | ACZ885 / ACZ885 | Placebo / ACZ885 |
|---|---|---|---|---|
| PainGeneral disorders | 6/25 | 5/24 | 3/22 | 7/20 |
| Upper respiratory tract infectionInfections and infestations | 1/25 | 5/24 | 2/22 | 6/20 |
| Back painMusculoskeletal and connective tissue disorders | 2/25 | 2/24 | 2/22 | 5/20 |
| HeadacheNervous system disorders | 5/25 | 3/24 | 2/22 | 4/20 |
| Abdominal painGastrointestinal disorders | 0/25 | 0/24 | 0/22 | 3/20 |
| Pain in extremityMusculoskeletal and connective tissue disorders | 3/25 | 3/24 | 0/22 | 3/20 |
| Non-cardiac chest painGeneral disorders | 1/25 | 1/24 | 3/22 | 2/20 |
| ConstipationGastrointestinal disorders | 0/25 | 0/24 | 1/22 | 2/20 |
| NauseaGastrointestinal disorders | 1/25 | 2/24 | 0/22 | 2/20 |
| InfluenzaInfections and infestations | 0/25 | 1/24 | 0/22 | 2/20 |
| Age, Continuous(Years) | ACZ885 | Placebo | Total |
|---|---|---|---|
| Mean | 15.8 ± 2.69 | 15.6 ± 3.28 | 15.7 ± 2.97 |
| Sex: Female, Male(Participants) | ACZ885 | Placebo | Total |
|---|---|---|---|
| Female | 10 | 11 | 21 |
| Male | 15 | 13 | 28 |
| Race/Ethnicity, Customized(Participants) | ACZ885 | Placebo | Total |
|---|---|---|---|
| Black or African American | 12 | 13 | 25 |
| White | 12 | 10 | 22 |
| Other | 1 | 1 | 2 |
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Plan to share: Yes — Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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