ClinicalTrials.gg
Active, not recruitingNCT03814746STANDUpdated Oct 14, 2026Results posted

Study of Two Doses of Crizanlizumab Versus Placebo in Adolescent and Adult Sickle Cell Disease Patients

A Phase 3 interventional study of Crizanlizumab (SEG101) and Placebo in Sickle Cell Disease (SCD), sponsored by Novartis Pharmaceuticals. Active, not recruiting at 58 sites in 21 countries. Open to participants aged 12 Years to 100 Years. Per ClinicalTrials.gov, last updated 2026-10-14.

Primary conditionVaso-Occlusive CrisesRegistry: Anemia, Sickle CellReclassifiedWhy we changed it
Registry
Anemia, Sickle Cell — the first condition term the registry derived for this study.
ClinicalTrials.gg
Vaso-Occlusive Crises
Why
  1. The study's title name Vaso-Occlusive Crises, a narrower term within Anemia, Sickle Cell.
Confidence
High: the new condition is named in the study's own title. Of 46 hand-checked studies reclassified this way, 72% were exactly right and 89% in the right disease family; the registry's first term was right for 4% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Novartis Pharmaceuticals (part of Novartis) · Phase 3, Interventional, and Treatment

Updated Oct 14, 2026Enrollment updatedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
253
Allocation
Randomized
Ages
12 Years to 100 Years
Sex
All
01

Study summary

The purpose of this study is to compare the efficacy and safety of 2 doses of crizanlizumab (5.0 mg/kg and 7.5 mg/kg) versus placebo in adolescent and adult sickle cell disease (SCD) patients with history of vaso-occlusive crisis (VOC) leading to healthcare visit.

Read the detailed description

Study CSEG101A2301 (STAND) is an ongoing Phase III, multicenter, randomized, double-blind study to assess efficacy and safety of two doses of crizanlizumab (5 mg/kg and 7.5 mg/kg) versus placebo, with or without hydroxyurea/ hydroxycarbamide therapy (HU/HC), in adolescent and adult patients with SCD and history of VOC leading to healthcare visit.

This is a multicenter clinical trial comparing 2 doses of crizanlizumab (5 mg/kg and 7.5 mg/kg) versus placebo in addition to standard of care participants might be taking at the time of study start, in adolescent and adult participants with confirmed diagnosis of sickle cell disease (SCD) and history of vaso-occlusive crisis (VOC) leading to a healthcare visit.

240 participants (including 48 adolescents) were planned to be randomized in a 1:1:1 ratio to either 5 mg/kg, 7.5 mg/kg of crizanlizumab or placebo. Randomized participants were stratified by concomitant HU/HC usage (yes/no) and baseline rate of VOCs leading to a healthcare visit in 12 months prior to screening visit (2-4 vs. ≥ 5 VOCs) at the time of enrollment. In November 2020, a capping of 90 adult participants per strata was implemented to ensure adequate opportunity for enrollment into each of the 4 strata.

02

Conditions studied

  • Sickle Cell Disease (SCD)

Keywords

  • Sickle Cell Disease
  • SCD
  • SEG101
  • Crizanlizumab
  • Hydroxyurea/ Hydroxycarbamide Therapy
  • Vaso-Occlusive Crises
  • SCA
  • blood disorders
  • hemoglobin
  • red blood cells
  • sickle-like shape
  • mutation in hemoglobin gene
  • sickle-cell trait
  • sickle-cell crisis
03

In context

Vaso-Occlusive Crises Reclassified

104 studies on the registry are indexed under Vaso-Occlusive Crises; 31 are open to participants now.

This study's enrollment of 253 is above the median of 81 across 86 interventional studies indexed under Vaso-Occlusive Crises.

Browse Vaso-Occlusive Crises studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,718 studies on the registry; 221 are open to participants now.

Of its 585 completed or terminated interventional studies of FDA-regulated products, 438 (75%) have results posted.

Compared within Vaso-Occlusive Crises, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Anemia, Sickle Cell. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
12 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  1. Written must be obtained prior to any screening procedures
  2. Male or female patients aged 12 years and older on the day of signing informed consent. Adolescent include patients aged 12 to 17 years old and adults ≥ 18 years
  3. Confirmed diagnosis of SCD by electrophoresis or high performance liquid chromatography (HPLC) [performed locally]. All SCD genotypes are eligible, genotyping is not required for study entry
  4. Experienced at least 2 VOCs leading to healthcare visit within the 12 months prior to screening visit as determined by medical history. Prior VOC leading to healthcare visit must resolve at least 7 days prior to Week 1 Day 1 and must include:

    1. Pain crisis defined as an acute onset of pain for which there is no other medically determined explanation other than vaso- occlusion -
    2. which requires a visit to a medical facility and/or healthcare professional,
    3. and receipt of oral/parenteral opioids or parenteral nonsteroidal anti-inflammatory drug (NSAID) analgesia Acute chest syndrome (ACS), priapism and hepatic or splenic sequestration will be considered VOC in this study
  5. If receiving HU/HC or L-glutamine (local HA approved medicinal product), must have been receiving the drug for at least 6 months and at a stable dose for at least 3 months prior to Screening visit and plan to continue taking it at the same dose and schedule until the subject has reached one year of study treatment. Patients who have not been receiving such drug must not have received it for at least 6 months prior to Screening visit to be included. Patients must have evidence of insufficient control of acute pain, such as at least one VOC leading to healthcare visit while on HU/HC or L-Glutamine treatment. If receiving erythropoietin stimulating agent, must have been receiving the drug for at least 6 months prior to Screening visit and plan to continue taking the treatment to maintain stable Hb levels at least until the subject has reached one year of study treatment
  6. Patients must meet the following central laboratory values prior to Week 1 Day 1:

    • ≥1.0 x 109/L
    • count ≥75 x 109/L
    • Hemoglobin: for adults (Hb) ≥4.0 g/dL and for adolescents (Hb) ≥5.5 g/dL
    • ≥ 45 mL/min/1.73 m2 using CKD-EPI formula in adults, and Shwartz formula in adolescents
    • Direct (conjugated) \< 2.0 x
    • (ALT) \< 3.0 x ULN
  7. performance status ≤2.0 for adults and ≥ 50% for adolescents

Key Exclusion Criteria:

  1. History of stem cell transplant.
  2. Participating in a chronic transfusion program (pre-planned series of transfusions for prophylactic purposes) and/or planning on undergoing an exchange transfusion during the duration of the study; episodic transfusion in response to worsened anemia or VOC is permitted.
  3. or to any drug or metabolites from similar class as study drug or to any of the study drug formulation. History of severe hypersensitivity reaction to other monoclonal antibodies, which in the opinion of the investigator may pose an increased risk of serious infusion reaction.
  4. Received active treatment on another trial within 30 days (or 5 half-lives of that agent, whichever is greater) prior to Screening visit or plans to participate in another investigational drug trial.
  5. Women of , defined as all women physiologically capable of becoming pregnant unless they are using highly effective methods of during dosing and for 15 weeks after stopping treatment.
  6. Concurrent severe and/or uncontrolled medical conditions which, in the opinion of the Investigator, could cause unacceptable safety risks or compromise participation in the study.
  7. History or current diagnosis of abnormalities indicating significant risk of safety such as:

    • Concomitant cardiac arrhythmias (e.g ventricular tachycardia), and clinically significant second or third degree AV block without a pacemaker
    • History of familial long syndrome or know family history of Torsades de Pointes
  8. Not able to understand and to comply with study instructions and requirements.
  9. Received prior treatment with crizanlizumab or other selectin targeting agent
Terms in these criteria, in plain language(19)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
253 participants (actual)

Study arms

  • Experimental
    Crizanlizumab (SEG101) at 5.0 mg/kg

    Participants received Crizanlizumab (SEG101) at 5.0 mg/kg

    Drug: Crizanlizumab (SEG101)

  • Experimental
    Crizanlizumab (SEG101) at 7.5 mg/kg

    Participants received Crizanlizumab (SEG101) at 7.5 mg/kg

    Drug: Crizanlizumab (SEG101)

  • Placebo comparator
    Placebo

    Participants received the placebo drug.

    Drug: Placebo

Interventions

  • Crizanlizumab was supplied in single use 10 mL glass vials at a concentration of 10 mg/mL. One vial contains 100 mg of crizanlizumab. This is a concentrate for solution for infusion. IV.

    Also known as: SEG101

  • DrugPlacebo

    Placebo was supplied in single use 10 mL glass vials at a concentration of 0 mg/mL. This is a concentrate for solution for infusion IV.

06

What researchers measure

Primary outcomes

  1. Annualized Rate of Vaso-occlusive Crisis (VOC) Events Leading to a Healthcare Visit

    VOC is defined as pain crisis (defined as an acute onset of pain for which there is no other medically determined explanation other than vaso-occlusion) which requires therapy with oral or parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome (ACS), priapism and hepatic or splenic sequestration. Healthcare visit is defined as any visit to a medical facility such as emergency room (ER), hospital and/or office visit, which includes pain management of VOC in situ. Annualized rate of corresponding VOC events = (Number of corresponding VOC events \* 365)/(number of days in the observation period). Observation period = time from date of randomization to minimum of (last dose date until treatment discontinuation + 27 days, date of initiation or discontinuation of HU/HC or L-Glutamine (or other therapies such as Voxelotor and erythropoietin therapies to treat SCD and/or to prevent/reduce VOCs), date of randomization + 365 days).

    Time frame: 1 year

Secondary outcomes

  1. Annualized Rate of All VOCs Leading to a Healthcare Visit and Treated at Home Over the First-year Post Randomization (Key Secondary)

    VOCs are based on documentation by provider following contact with participant. VOC:pain crisis requiring therapy with oral/parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome, priapism and hepatic or splenic sequestration. Healthcare visit:a visit to a medical facility (ER, hospital \&/or office visit resulting in pain management of VOC. Managed at home: no visit to any medical facility \&/or healthcare professional to receive treatment for VOC. Healthcare contact for medical advice is allowed. Annualized rate of corresponding VOC events = (# of corresponding VOC events \* 365)/(# of days in observation period). Observation period = time from date of randomization to minimum of (last dose date until treatment discontinuation + 27 days, date of initiation or discontinuation of HU/HC or L-Glutamine (or other therapies such as Voxelotor \& erythropoietin therapies to treat SCD \&/or to prevent/reduce VOCs), date of randomization + 365 days)

    Time frame: 1 year

  2. Annualized Rate of All VOCs Leading to a Healthcare Visit and Treated at Home Over 5 Years Post Randomization (Key Secondary)

    To compare the efficacy of 5.0 mg/kg vs placebo \& 7.5 mg/kg vs placebo on the annualized rate of all VOCs based on documentation by provider following contact with participant. VOC is defined as pain crisis (an acute onset of pain for which there is no other medically determined explanation other than vaso-occlusion) requiring therapy with oral/parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome, priapism and hepatic or splenic sequestration. Healthcare visit is defined as a visit to a medical facility (emergency room, hospital and/or office visit resulting in pain management of VOC. Managed at home is defined as no visit to any medical facility and/or healthcare professional to receive treatment for VOC. Healthcare contact for medical advice is allowed. The annualized rate of VOC leading to healthcare visit is the number of VOC leading to healthcare visit multiplied by 365 \& divided by the number of days in observation period.

    Time frame: 5 years

  3. Mean Duration of VOCs Leading to a Healthcare Visit Over the First-year Post Randomization

    To assess the duration of VOCs leading to healthcare visit in each group. Mean duration of VOC per participant is defined as the average duration of all individual episodes of VOCs leading to healthcare visits of a given participant (a VOC duration is defined as end date of the VOC - start date of the VOC + 1). Participants with no VOC leading to healthcare visits have been excluded.

    Time frame: 1 year

  4. Number of Participants Free From VOCs Leading to a Healthcare Visit Over the First-year Post Randomization

    To assess the number of participants free from VOCs leading to healthcare visit. VOC is defined as pain crisis (defined as an acute onset of pain for which there is no other medically determined explanation other than vaso-occlusion) which requires therapy with oral or parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome (ACS), priapism and hepatic or splenic sequestration. A participant is free from VOC if they do not have a VOC crisis.

    Time frame: 1 year

  5. Percentage of Participants Free From VOCs Leading to a Healthcare Visit Over the First-year Post Randomization

    To assess the percentage of participants free from VOCs leading to healthcare visit. VOC is defined as pain crisis (defined as an acute onset of pain for which there is no other medically determined explanation other than vaso-occlusion) which requires therapy with oral or parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome (ACS), priapism and hepatic or splenic sequestration. A participant is free from VOC if they do not have a VOC crisis.

    Time frame: 1 year

  6. Time to First and Second VOCs Leading to a Healthcare Visit Over the First-year Post Randomization

    To assess the time to first and second VOC leading to healthcare visit in each group. Time to first occurrence of VOC leading to a healthcare visit is defined as the time from the date of randomization to the date of the first occurrence of the VOC. Time to second occurrence of VOC leading to a healthcare visit is defined as the time from date of randomization to the date of the second occurrence of VOC.

    Time frame: 1 year

  7. Annualized Rate of Visits to Clinic, Emergency Room (ER) and Hospitalizations, Both Overall and VOC-related Over the First-year Post-randomization

    To assess Healthcare resource utilization (visits to clinic, Emergency room (ER) and hospitalizations) both overall and VOC-related in each group. Annualized rate of corresponding healthcare visits =(Number of corresponding healthcare visits \* 365)/(number of days in the observation period). Observation period = time from date of randomization to minimum of (last dose date until treatment discontinuation + 27 days, date of initiation or discontinuation of HU/HC or L-Glutamine (or other therapies such as Voxelotor and erythropoietin therapies to treat SCD and/or to prevent/reduce VOCs), date of randomization + 365 days)

    Time frame: 1 year

  8. Annualized Days of Visits to Clinic, Emergency Room (ER) and Hospitalizations, Both Overall and VOC-related Over the First-year Post-randomization

    To assess Healthcare resource utilization (visits to clinic, Emergency room (ER) and hospitalizations) both overall and VOC-related in each group. Annualized days of corresponding healthcare visits =(Number of days =(Number of days of corresponding healthcare visits \* 365)/(number of days in the observation period). Observation period = time from date of randomization to minimum of (last dose date until treatment discontinuation + 27 days, date of initiation or discontinuation of HU/HC or L-Glutamine (or other therapies such as Voxelotor and erythropoietin therapies to treat SCD and/or to prevent/reduce VOCs), date of randomization + 365 days).

    Time frame: 1 year

  9. Evolution of Albumin Creatinine Ratio (ACR) Over the First-year Post-randomization (Change From Baseline)

    Laboratory values for parameters related to renal function (creatinine, estimated glomerular filtration rate, urine microalbumin, and urine albumin/creatinine ratio) were measured at 6-month intervals over time from baseline.

    Time frame: Over first year post-randomization (Baseline, Week 27 Day 1, Week 51 Day 1)

  10. Evolution of Albuminuria (Urine Microalbumin) Over the First-year Post-randomization (Change From Baseline)

    Laboratory values for parameters related to renal function (creatinine, estimated glomerular filtration rate, urine microalbumin, and urine albumin/creatinine ratio) were measured at 6-month intervals over time from baseline.

    Time frame: Over first year post-randomization (Baseline, Week 27 Day 1, Week 51 Day 1)

  11. Pharmacokinetic (PK) Profile of Crizanlizumab: AUCd15, AUCtau

    To characterize the pharmacokinetic (PK) profile of crizanlizumab at 5.0 and 7.5 mg/kg: Area under the (concentration-time profile) curve.

    Time frame: AUCd15 (first-dose) was assessed at W1D1 (pre-dose, 0.5 hr, 2 hrs and 4 hrs post-dose) to W3D1; AUCtau (steady-state) was assessed at W15D1 (pre-dose, 0.5 hr, 2 hrs and 4 hrs post-dose), W15D2, W15D4, W16D1, W17D1, W18D1, W19D1

  12. PK Profile of Crizanlizumab: Cmax

    To characterize the pharmacokinetic (PK) profile of crizanlizumab at 5.0 and 7.5 mg/kg: Maximum concentration.

    Time frame: first-dose was assessed at W1D1 (pre-dose, 0.5 hr, 2 hrs and 4 hrs post-dose) through to W3D1; steady-state was assessed at W15D1 (pre-dose, 0.5 hr, 2 hrs and 4 hrs post-dose), W15D2, W15D4, W16D1, W17D1, W18D1, W19D1

  13. PK Profile of Crizanlizumab: Tmax

    To characterize the pharmacokinetic (PK) profile of crizanlizumab at 5.0 and 7.5 mg/kg: Time to maximum concentration.

    Time frame: first-dose was assessed at W1D1 (pre-dose, 0.5 hr, 2 hrs and 4 hrs post-dose) through to W3D1; steady-state was assessed at W15D1 (pre-dose, 0.5 hr, 2 hrs and 4 hrs post-dose), W15D2, W15D4, W16D1, W17D1, W18D1, W19D1

  14. PK Profile of Crizanlizumab: Half-life

    To characterize the pharmacokinetic (PK) profile of crizanlizumab at 5.0 and 7.5 mg/kg: half life.

    Time frame: steady-state was assessed at W15D1 (pre-dose, 0.5 hr, 2 hrs and 4 hrs post-dose), W15D2, W15D4, W16D1, W17D1, W18D1, W19D1

  15. PD Parameter (P-selectin Inhibition)

    To characterize the pharmacodynamic (PD) of crizanlizumab at 5.0 and 7.5 mg/kg: P-selectin inhibition (% inhibition multipled by hr)

    Time frame: AUCd15 (first dose): W1D1, W1D2, W1D4, W2D1 and W3D1; steady state: W15D1, W15D2, W15D4, W16D1, W17D1 W18D1 and W19D1

  16. Annualized Rate of Various Subtypes of VOCs Leading to a Healthcare Visit at 1 Year

    To compare the efficacy of 5.0 mg/kg versus placebo and 7.5 mg/kg of crizanlizumab versus placebo on the annualized rate of VOCs leading to healthcare visit. VOC is defined as pain crisis which requires therapy with oral or parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome (ACS), priapism and hepatic or splenic sequestration. Healthcare visit: any visit to a medical facility such as ER, hospital and/or office visit, which includes pain management of VOC in situ. Annualized rate of corresponding VOC events = (Number of corresponding VOC events \* 365)/(number of days in the observation period). Observation period = time from date of randomization to minimum of (last dose date until treatment discontinuation + 27 days, date of initiation or discontinuation of HU/HC or L-Glutamine (or other therapies such as Voxelotor and erythropoietin therapies to treat SCD and/or to prevent/reduce VOCs), date of randomization + 365 days).

    Time frame: 1 year

  17. Annualized Rate of Various Subtypes of VOCs Leading to a Healthcare Visit at 5 Years

    To compare the efficacy of 5.0 mg/kg versus placebo and 7.5 mg/kg of crizanlizumab versus placebo on the annualized rate of VOCs leading to healthcare visit. VOC is defined as pain crisis (defined as an acute onset of pain for which there is no other medically determined explanation other than vaso-occlusion) which requires therapy with oral or parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome (ACS), priapism and hepatic or splenic sequestration. Healthcare visit is defined as any visit to a medical facility such as emergency room, hospital and/or office visit, which includes pain management of VOC in situ. The annualized rate of VOC leading to healthcare visit is the number of VOC leading to healthcare visit multiplied by 365 and divided by the number of days in the observation period.

    Time frame: 5 years

  18. Annualized Rate of All VOCs Leading to a Healthcare Visit and Treated at Home at 5 Years

    To compare the efficacy of 5.0 mg/kg versus placebo and 7.5 mg/kg of crizanlizumab versus placebo on the rates of all VOCs (managed at home + leading to healthcare visit).

    Time frame: 5 years

  19. Number of VOCs Managed at Home at Year 1

    To compare the efficacy of 5.0 mg/kg versus placebo and 7.5 mg/kg of crizanlizumab versus placebo on the number of VOC events that were managed at home. VOC is defined as pain crisis (defined as an acute onset of pain for which there is no other medically determined explanation other than vaso-occlusion) which requires therapy with oral or parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome (ACS), priapism and hepatic or splenic sequestration. Managed at home is defined as no visit to any medical facility and/or healthcare professional to receive treatment for VOC. Healthcare contact for medical advice was allowed.

    Time frame: 1 year

  20. Number of VOCs Managed at Home at 5 Years

    To compare the efficacy of 5.0 mg/kg versus placebo and 7.5 mg/kg of crizanlizumab versus placebo on the number of VOC events that were managed at home. VOC is defined as pain crisis (defined as an acute onset of pain for which there is no other medically determined explanation other than vaso-occlusion) which requires therapy with oral or parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome (ACS), priapism and hepatic or splenic sequestration. Managed at home is defined as no visit to any medical facility and/or healthcare professional to receive treatment for VOC. Healthcare contact for medical advice was allowed.

    Time frame: 5 years

  21. Absolute Change From Baseline in Hemoglobin

    To assess safety of crizanlizumab over the study period.

    Time frame: 5 years

  22. Growth and Sexual Maturity Assessment in Adolescents (Tanner Stage)

    To assess safety of crizanlizumab over the study period.

    Time frame: 5 years

  23. Immunogenicity: Measurement of Anti-drug Antibodies (ADA) to Crizanlizumab

    To assess immunogenicity of crizanlizumab over the study period.

    Time frame: 5 years

07

Results

Posted Jan 8, 2024

Participant flow

240 participants (including 48 adolescents) were planned to be randomized in a 1:1:1 ratio to either 5 mg/kg, 7.5 mg/kg of crizanlizumab or placebo. This study was conducted in 21 countries and 63 centers.

Participant flow — Overall Study
MilestoneCrizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kgPlacebo
Started848385
Completed666858
Not completed181527
Withdrew: Participant decision9615
Withdrew: Physician decision224
Withdrew: Death222
Withdrew: Adverse event221
Withdrew: Lost to follow-up212
Withdrew: Unsatisfactory therapeutic effect012
Withdrew: Pregnancy011
Withdrew: Protocol violation100

Outcome measures

PrimaryAnnualized Rate of Vaso-occlusive Crisis (VOC) Events Leading to a Healthcare Visit

VOC is defined as pain crisis (defined as an acute onset of pain for which there is no other medically determined explanation other than vaso-occlusion) which requires therapy with oral or parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome (ACS), priapism and hepatic or splenic sequestration. Healthcare visit is defined as any visit to a medical facility such as emergency room (ER), hospital and/or office visit, which includes pain management of VOC in situ. Annualized rate of corresponding VOC events = (Number of corresponding VOC events \* 365)/(number of days in the observation period). Observation period = time from date of randomization to minimum of (last dose date until treatment discontinuation + 27 days, date of initiation or discontinuation of HU/HC or L-Glutamine (or other therapies such as Voxelotor and erythropoietin therapies to treat SCD and/or to prevent/reduce VOCs), date of randomization + 365 days).

Time frame:
1 year
Reported as:
Mean · number of events per year
Annualized Rate of Vaso-occlusive Crisis (VOC) Events Leading to a Healthcare Visit
number of events per yearCrizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kgPlacebo
Annualized Rate of Vaso-occlusive Crisis (VOC) Events Leading to a Healthcare Visit2.5 ± 2.981.9 ± 2.302.1 ± 2.81
Statistical analysis
  • Crizanlizumab (SEG101) at 5.0 mg/kg vs Placebo · negative binomial regression model · p = > 0.999 · Rate ratio: 1.08 · 95% CI 0.76 to 1.55
  • Crizanlizumab (SEG101) at 7.5 mg/kg vs Placebo · negative binomial regression model · p = > 0.999 · Rate ratio: 0.89 · 95% CI 0.62 to 1.27
SecondaryAnnualized Rate of All VOCs Leading to a Healthcare Visit and Treated at Home Over the First-year Post Randomization (Key Secondary)

VOCs are based on documentation by provider following contact with participant. VOC:pain crisis requiring therapy with oral/parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome, priapism and hepatic or splenic sequestration. Healthcare visit:a visit to a medical facility (ER, hospital \&/or office visit resulting in pain management of VOC. Managed at home: no visit to any medical facility \&/or healthcare professional to receive treatment for VOC. Healthcare contact for medical advice is allowed. Annualized rate of corresponding VOC events = (# of corresponding VOC events \* 365)/(# of days in observation period). Observation period = time from date of randomization to minimum of (last dose date until treatment discontinuation + 27 days, date of initiation or discontinuation of HU/HC or L-Glutamine (or other therapies such as Voxelotor \& erythropoietin therapies to treat SCD \&/or to prevent/reduce VOCs), date of randomization + 365 days)

Time frame:
1 year
Reported as:
Mean · number of events per year
Annualized Rate of All VOCs Leading to a Healthcare Visit and Treated at Home Over the First-year Post Randomization (Key Secondary)
number of events per yearCrizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kgPlacebo
Annualized Rate of All VOCs Leading to a Healthcare Visit and Treated at Home Over the First-year Post Randomization (Key Secondary)4.5 ± 6.493.1 ± 2.893.7 ± 3.78
Statistical analysis
  • Crizanlizumab (SEG101) at 5.0 mg/kg vs Placebo · negative binomial regression model · Rate ratio: 1.21 · 95% CI 0.87 to 1.70
  • Crizanlizumab (SEG101) at 7.5 mg/kg vs Placebo · negative binomial regression model · Rate ratio: 0.83 · 95% CI 0.59 to 1.17
SecondaryAnnualized Rate of All VOCs Leading to a Healthcare Visit and Treated at Home Over 5 Years Post Randomization (Key Secondary)

To compare the efficacy of 5.0 mg/kg vs placebo \& 7.5 mg/kg vs placebo on the annualized rate of all VOCs based on documentation by provider following contact with participant. VOC is defined as pain crisis (an acute onset of pain for which there is no other medically determined explanation other than vaso-occlusion) requiring therapy with oral/parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome, priapism and hepatic or splenic sequestration. Healthcare visit is defined as a visit to a medical facility (emergency room, hospital and/or office visit resulting in pain management of VOC. Managed at home is defined as no visit to any medical facility and/or healthcare professional to receive treatment for VOC. Healthcare contact for medical advice is allowed. The annualized rate of VOC leading to healthcare visit is the number of VOC leading to healthcare visit multiplied by 365 \& divided by the number of days in observation period.

Time frame:
5 years

Results for this outcome have not been posted.

SecondaryMean Duration of VOCs Leading to a Healthcare Visit Over the First-year Post Randomization

To assess the duration of VOCs leading to healthcare visit in each group. Mean duration of VOC per participant is defined as the average duration of all individual episodes of VOCs leading to healthcare visits of a given participant (a VOC duration is defined as end date of the VOC - start date of the VOC + 1). Participants with no VOC leading to healthcare visits have been excluded.

Time frame:
1 year
Reported as:
Mean · days
Mean Duration of VOCs Leading to a Healthcare Visit Over the First-year Post Randomization
daysCrizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kgPlacebo
Mean Duration of VOCs Leading to a Healthcare Visit Over the First-year Post Randomization7.7 ± 6.936.0 ± 4.546.6 ± 5.55
SecondaryNumber of Participants Free From VOCs Leading to a Healthcare Visit Over the First-year Post Randomization

To assess the number of participants free from VOCs leading to healthcare visit. VOC is defined as pain crisis (defined as an acute onset of pain for which there is no other medically determined explanation other than vaso-occlusion) which requires therapy with oral or parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome (ACS), priapism and hepatic or splenic sequestration. A participant is free from VOC if they do not have a VOC crisis.

Time frame:
1 year
Reported as:
Number · Participants
Number of Participants Free From VOCs Leading to a Healthcare Visit Over the First-year Post Randomization
ParticipantsCrizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kgPlacebo
Number of Participants Free From VOCs Leading to a Healthcare Visit Over the First-year Post Randomization253134
SecondaryPercentage of Participants Free From VOCs Leading to a Healthcare Visit Over the First-year Post Randomization

To assess the percentage of participants free from VOCs leading to healthcare visit. VOC is defined as pain crisis (defined as an acute onset of pain for which there is no other medically determined explanation other than vaso-occlusion) which requires therapy with oral or parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome (ACS), priapism and hepatic or splenic sequestration. A participant is free from VOC if they do not have a VOC crisis.

Time frame:
1 year
Reported as:
Number · Percentage of participants
Percentage of Participants Free From VOCs Leading to a Healthcare Visit Over the First-year Post Randomization
Percentage of participantsCrizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kgPlacebo
Percentage of Participants Free From VOCs Leading to a Healthcare Visit Over the First-year Post Randomization29.837.340.0
SecondaryTime to First and Second VOCs Leading to a Healthcare Visit Over the First-year Post Randomization

To assess the time to first and second VOC leading to healthcare visit in each group. Time to first occurrence of VOC leading to a healthcare visit is defined as the time from the date of randomization to the date of the first occurrence of the VOC. Time to second occurrence of VOC leading to a healthcare visit is defined as the time from date of randomization to the date of the second occurrence of VOC.

Time frame:
1 year
Reported as:
Median · Months
Time to First and Second VOCs Leading to a Healthcare Visit Over the First-year Post Randomization
MonthsCrizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kgPlacebo
Time to first occurrence of VOC3.9 (2.4 to 6.0)6.2 (3.2 to 10.3)6.2 (2.8 to 11.9)
Time to second occurrence of VOC10.6 (7.7 to NA)NA (10.2 to NA)NA (8.9 to NA)
Statistical analysis
  • Crizanlizumab (SEG101) at 5.0 mg/kg vs Placebo · Cox Model · Hazard ratio (hr): 1.34 · 95% CI 0.92 to 1.97for time to first occurrence of VOC
  • Crizanlizumab (SEG101) at 7.5 mg/kg vs Placebo · Cox Model · Hazard ratio (hr): 1.07 · 95% CI 0.72 to 1.58for time to first occurrence of VOC
  • Crizanlizumab (SEG101) at 5.0 mg/kg vs Placebo · Cox Model · Hazard ratio (hr): 1.29 · 95% CI 0.81 to 2.04
  • Crizanlizumab (SEG101) at 7.5 mg/kg vs Placebo · Cox Model · Hazard ratio (hr): 0.95 · 95% CI 0.59 to 1.54for time to second occurrence of VOC
SecondaryAnnualized Rate of Visits to Clinic, Emergency Room (ER) and Hospitalizations, Both Overall and VOC-related Over the First-year Post-randomization

To assess Healthcare resource utilization (visits to clinic, Emergency room (ER) and hospitalizations) both overall and VOC-related in each group. Annualized rate of corresponding healthcare visits =(Number of corresponding healthcare visits \* 365)/(number of days in the observation period). Observation period = time from date of randomization to minimum of (last dose date until treatment discontinuation + 27 days, date of initiation or discontinuation of HU/HC or L-Glutamine (or other therapies such as Voxelotor and erythropoietin therapies to treat SCD and/or to prevent/reduce VOCs), date of randomization + 365 days)

Time frame:
1 year
Reported as:
Mean · number of events per year
Annualized Rate of Visits to Clinic, Emergency Room (ER) and Hospitalizations, Both Overall and VOC-related Over the First-year Post-randomization
number of events per yearCrizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kgPlacebo
Annualized rate of all clinic, hospitalizations and ER visits3.5 ± 3.652.6 ± 3.213.0 ± 3.87
Annualized rate of VOC-related clinic, hospitalizations and ER visits3.0 ± 3.522.2 ± 3.012.5 ± 3.53
Statistical analysis
  • Crizanlizumab (SEG101) at 5.0 mg/kg vs Placebo · Negative binomial regression model · Rate ratio: 1.03 · 95% CI 0.75 to 1.43for the Annualized rate of all visits to clinics, emergency rooms and hospitalizations
  • Crizanlizumab (SEG101) at 7.5 mg/kg vs Placebo · Negative binomial regression model · Rate ratio: 0.82 · 95% CI 0.59 to 1.14for the Annualized rate of all visits to clinics, emergency rooms and hospitalizations
  • Crizanlizumab (SEG101) at 5.0 mg/kg vs Placebo · Negative binomial regression model · Rate ratio: 1.11 · 95% CI 0.77 to 1.59for the Annualized rate of VOC-related visits to clinics, emergency rooms and hospitalizations
  • Crizanlizumab (SEG101) at 7.5 mg/kg vs Placebo · Negative binomial regression model · Rate ratio: 0.87 · 95% CI 0.60 to 1.25for the Annualized rate of VOC-related visits to clinics, emergency rooms and hospitalizations
SecondaryAnnualized Days of Visits to Clinic, Emergency Room (ER) and Hospitalizations, Both Overall and VOC-related Over the First-year Post-randomization

To assess Healthcare resource utilization (visits to clinic, Emergency room (ER) and hospitalizations) both overall and VOC-related in each group. Annualized days of corresponding healthcare visits =(Number of days =(Number of days of corresponding healthcare visits \* 365)/(number of days in the observation period). Observation period = time from date of randomization to minimum of (last dose date until treatment discontinuation + 27 days, date of initiation or discontinuation of HU/HC or L-Glutamine (or other therapies such as Voxelotor and erythropoietin therapies to treat SCD and/or to prevent/reduce VOCs), date of randomization + 365 days).

Time frame:
1 year
Reported as:
Mean · number of days per year
Annualized Days of Visits to Clinic, Emergency Room (ER) and Hospitalizations, Both Overall and VOC-related Over the First-year Post-randomization
number of days per yearCrizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kgPlacebo
Annualized days of all clinic, hospitalizations and ER visits17.6 ± 27.8011.3 ± 14.2912.9 ± 18.32
Annualized days of all VOC-related clinic, hospitalizations and ER visits13.8 ± 18.129.3 ± 12.6211.3 ± 18.35
Statistical analysis
  • Crizanlizumab (SEG101) at 5.0 mg/kg vs Placebo · Negative binomial regression model · Rate ratio: 1.34 · 95% CI 0.85 to 2.09for the Annualized days of all visits to clinics, emergency rooms and hospitalizations
  • Crizanlizumab (SEG101) at 7.5 mg/kg vs Placebo · Negative binomial regression model · Rate ratio: 0.88 · 95% CI 0.57 to 1.38for the Annualized days of all visits to clinics, emergency rooms and hospitalizations
  • Crizanlizumab (SEG101) at 5.0 mg/kg vs Placebo · Negative binomial regression model · Rate ratio: 1.27 · 95% CI 0.77 to 2.09for the Annualized days of VOC-related visits to clinics, emergency rooms and hospitalizations
  • Crizanlizumab (SEG101) at 7.5 mg/kg vs Placebo · Negative binomial regression model · Rate ratio: 0.87 · 95% CI 0.52 to 1.44for the Annualized days of VOC-related visits to clinics, emergency rooms and hospitalizations
SecondaryEvolution of Albumin Creatinine Ratio (ACR) Over the First-year Post-randomization (Change From Baseline)

Laboratory values for parameters related to renal function (creatinine, estimated glomerular filtration rate, urine microalbumin, and urine albumin/creatinine ratio) were measured at 6-month intervals over time from baseline.

Time frame:
Over first year post-randomization (Baseline, Week 27 Day 1, Week 51 Day 1)
Reported as:
Median · g/mol
Evolution of Albumin Creatinine Ratio (ACR) Over the First-year Post-randomization (Change From Baseline)
g/molCrizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kgPlacebo
Change from baseline at Week 27 Day 1 (n = 51, 64, 54)0.1 (-30 to 96)-0.0 (-157 to 28)-0.1 (-20 to 40)
Chage from baseline at Week 51 Day 1 (n = 59, 58, 53)0.1 (-34 to 187)-0.1 (-103 to 49)-0.2 (-21 to 59)
SecondaryEvolution of Albuminuria (Urine Microalbumin) Over the First-year Post-randomization (Change From Baseline)

Laboratory values for parameters related to renal function (creatinine, estimated glomerular filtration rate, urine microalbumin, and urine albumin/creatinine ratio) were measured at 6-month intervals over time from baseline.

Time frame:
Over first year post-randomization (Baseline, Week 27 Day 1, Week 51 Day 1)
Reported as:
Median · g/L
Evolution of Albuminuria (Urine Microalbumin) Over the First-year Post-randomization (Change From Baseline)
g/LCrizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kgPlacebo
Change from baseline at Week 27 Day 1 (n = 65, 70, 64)0.0 (-1 to 1)0.0 (-1 to 0)0.0 (-0 to 0)
Change from baseline at Week 51 Day 1 (n = 68, 64, 61)0.0 (-1 to 1)0.0 (-1 to 1)0.0 (-0 to 0)
SecondaryPharmacokinetic (PK) Profile of Crizanlizumab: AUCd15, AUCtau

To characterize the pharmacokinetic (PK) profile of crizanlizumab at 5.0 and 7.5 mg/kg: Area under the (concentration-time profile) curve.

Time frame:
AUCd15 (first-dose) was assessed at W1D1 (pre-dose, 0.5 hr, 2 hrs and 4 hrs post-dose) to W3D1; AUCtau (steady-state) was assessed at W15D1 (pre-dose, 0.5 hr, 2 hrs and 4 hrs post-dose), W15D2, W15D4, W16D1, W17D1, W18D1, W19D1
Reported as:
Mean · hr*ug/mL
Pharmacokinetic (PK) Profile of Crizanlizumab: AUCd15, AUCtau
hr*ug/mLCrizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kg
AUCd15 (first dose) (n = 64, 66)11300 ± 295017000 ± 4100
AUCtau (steady state) (n = 44, 44)18800 ± 547030200 ± 8580
SecondaryPK Profile of Crizanlizumab: Cmax

To characterize the pharmacokinetic (PK) profile of crizanlizumab at 5.0 and 7.5 mg/kg: Maximum concentration.

Time frame:
first-dose was assessed at W1D1 (pre-dose, 0.5 hr, 2 hrs and 4 hrs post-dose) through to W3D1; steady-state was assessed at W15D1 (pre-dose, 0.5 hr, 2 hrs and 4 hrs post-dose), W15D2, W15D4, W16D1, W17D1, W18D1, W19D1
Reported as:
Mean · ug/mL
PK Profile of Crizanlizumab: Cmax
ug/mLCrizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kg
Cmax (first dose) (n = 74, 75)95.9 ± 29.4143 ± 45.3
Cmax (steady state) (n = 47, 52)108 ± 60.2162 ± 57.4
SecondaryPK Profile of Crizanlizumab: Tmax

To characterize the pharmacokinetic (PK) profile of crizanlizumab at 5.0 and 7.5 mg/kg: Time to maximum concentration.

Time frame:
first-dose was assessed at W1D1 (pre-dose, 0.5 hr, 2 hrs and 4 hrs post-dose) through to W3D1; steady-state was assessed at W15D1 (pre-dose, 0.5 hr, 2 hrs and 4 hrs post-dose), W15D2, W15D4, W16D1, W17D1, W18D1, W19D1
Reported as:
Median · hr
PK Profile of Crizanlizumab: Tmax
hrCrizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kg
Tmax (first dose) (n = 74, 75)2.08 (0.467 to 25.5)2.08 (0.500 to 24.2)
Tmax (steady state) (n = 47, 52)2.00 (0.25 to 24.9)3.58 (0.50 to 24.9)
SecondaryPK Profile of Crizanlizumab: Half-life

To characterize the pharmacokinetic (PK) profile of crizanlizumab at 5.0 and 7.5 mg/kg: half life.

Time frame:
steady-state was assessed at W15D1 (pre-dose, 0.5 hr, 2 hrs and 4 hrs post-dose), W15D2, W15D4, W16D1, W17D1, W18D1, W19D1
Reported as:
Mean · day
PK Profile of Crizanlizumab: Half-life
dayCrizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kg
PK Profile of Crizanlizumab: Half-life9.51 ± 3.6711.2 ± 3.55
SecondaryPD Parameter (P-selectin Inhibition)

To characterize the pharmacodynamic (PD) of crizanlizumab at 5.0 and 7.5 mg/kg: P-selectin inhibition (% inhibition multipled by hr)

Time frame:
AUCd15 (first dose): W1D1, W1D2, W1D4, W2D1 and W3D1; steady state: W15D1, W15D2, W15D4, W16D1, W17D1 W18D1 and W19D1
Reported as:
Mean · h * %
PD Parameter (P-selectin Inhibition)
h * %Crizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kg
PD-AUCd15 (first dose) (n = 55, 61)32700 ± 383033100 ± 3530
PD-AUCd29 (steady state) (n = 36, 39)65100 ± 700066100 ± 7190
SecondaryAnnualized Rate of Various Subtypes of VOCs Leading to a Healthcare Visit at 1 Year

To compare the efficacy of 5.0 mg/kg versus placebo and 7.5 mg/kg of crizanlizumab versus placebo on the annualized rate of VOCs leading to healthcare visit. VOC is defined as pain crisis which requires therapy with oral or parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome (ACS), priapism and hepatic or splenic sequestration. Healthcare visit: any visit to a medical facility such as ER, hospital and/or office visit, which includes pain management of VOC in situ. Annualized rate of corresponding VOC events = (Number of corresponding VOC events \* 365)/(number of days in the observation period). Observation period = time from date of randomization to minimum of (last dose date until treatment discontinuation + 27 days, date of initiation or discontinuation of HU/HC or L-Glutamine (or other therapies such as Voxelotor and erythropoietin therapies to treat SCD and/or to prevent/reduce VOCs), date of randomization + 365 days).

Time frame:
1 year
Reported as:
Mean · number of events per year
Annualized Rate of Various Subtypes of VOCs Leading to a Healthcare Visit at 1 Year
number of events per yearCrizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kgPlacebo
Subtype of VOC: Uncomplicated sickle cell-vaso-occlusive crisis2.3 ± 2.741.8 ± 2.272.0 ± 2.79
Subtype of VOC: Acute chest syndrome0.2 ± 1.440.0 ± 0.210.1 ± 0.44
Subtype of VOC: Hepatic sequestration0.0 ± 0.000.0 ± 0.000.0 ± 0.00
Subtype of VOC: Splenic sequestration0.0 ± 0.000.0 ± 0.110.0 ± 0.00
Subtype of VOC: Priapism0.0 ± 0.000.0 ± 0.150.0 ± 0.11
SecondaryAnnualized Rate of Various Subtypes of VOCs Leading to a Healthcare Visit at 5 Years

To compare the efficacy of 5.0 mg/kg versus placebo and 7.5 mg/kg of crizanlizumab versus placebo on the annualized rate of VOCs leading to healthcare visit. VOC is defined as pain crisis (defined as an acute onset of pain for which there is no other medically determined explanation other than vaso-occlusion) which requires therapy with oral or parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome (ACS), priapism and hepatic or splenic sequestration. Healthcare visit is defined as any visit to a medical facility such as emergency room, hospital and/or office visit, which includes pain management of VOC in situ. The annualized rate of VOC leading to healthcare visit is the number of VOC leading to healthcare visit multiplied by 365 and divided by the number of days in the observation period.

Time frame:
5 years

Results for this outcome have not been posted.

SecondaryAnnualized Rate of All VOCs Leading to a Healthcare Visit and Treated at Home at 5 Years

To compare the efficacy of 5.0 mg/kg versus placebo and 7.5 mg/kg of crizanlizumab versus placebo on the rates of all VOCs (managed at home + leading to healthcare visit).

Time frame:
5 years

Results for this outcome have not been posted.

SecondaryNumber of VOCs Managed at Home at Year 1

To compare the efficacy of 5.0 mg/kg versus placebo and 7.5 mg/kg of crizanlizumab versus placebo on the number of VOC events that were managed at home. VOC is defined as pain crisis (defined as an acute onset of pain for which there is no other medically determined explanation other than vaso-occlusion) which requires therapy with oral or parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome (ACS), priapism and hepatic or splenic sequestration. Managed at home is defined as no visit to any medical facility and/or healthcare professional to receive treatment for VOC. Healthcare contact for medical advice was allowed.

Time frame:
1 year
Reported as:
Number · total number of VOC events
Number of VOCs Managed at Home at Year 1
total number of VOC eventsCrizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kgPlacebo
Number of VOCs Managed at Home at Year 1163106129
SecondaryNumber of VOCs Managed at Home at 5 Years

To compare the efficacy of 5.0 mg/kg versus placebo and 7.5 mg/kg of crizanlizumab versus placebo on the number of VOC events that were managed at home. VOC is defined as pain crisis (defined as an acute onset of pain for which there is no other medically determined explanation other than vaso-occlusion) which requires therapy with oral or parenteral opioids or parenteral NSAID as well as other complicated crisis such as acute chest syndrome (ACS), priapism and hepatic or splenic sequestration. Managed at home is defined as no visit to any medical facility and/or healthcare professional to receive treatment for VOC. Healthcare contact for medical advice was allowed.

Time frame:
5 years

Results for this outcome have not been posted.

SecondaryAbsolute Change From Baseline in Hemoglobin

To assess safety of crizanlizumab over the study period.

Time frame:
5 years

Results for this outcome have not been posted.

SecondaryGrowth and Sexual Maturity Assessment in Adolescents (Tanner Stage)

To assess safety of crizanlizumab over the study period.

Time frame:
5 years

Results for this outcome have not been posted.

SecondaryImmunogenicity: Measurement of Anti-drug Antibodies (ADA) to Crizanlizumab

To assess immunogenicity of crizanlizumab over the study period.

Time frame:
5 years

Results for this outcome have not been posted.

Adverse events

Collected over This primary analysis report includes data with a cut-off date 31-Aug-2022. Adverse events and deaths were collected from first dose of study treatment to105 days post-last infusion (defined as on-treatment), up to max on-treatment period of approx. 5 years.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Crizanlizumab (SEG101) at 5.0 mg/kg (On-treatment)2/84 (2.4%)35/84 (41.7%)67/84 (79.8%)
Crizanlizumab (SEG101) at 7.5 mg/kg (On-treatment)2/83 (2.4%)22/83 (26.5%)71/83 (85.5%)
Placebo (On-treatment)2/85 (2.4%)26/85 (30.6%)66/85 (77.6%)
Most frequent serious events
Showing 10 of 89
Most frequent serious events
EventCrizanlizumab (SEG101) at 5.0 mg/kg (On-treatment)Crizanlizumab (SEG101) at 7.5 mg/kg (On-treatment)Placebo (On-treatment)
COVID-19Infections and infestations5/846/834/85
PneumoniaInfections and infestations6/845/831/85
Pulmonary embolismRespiratory, thoracic and mediastinal disorders4/841/831/85
AnaemiaBlood and lymphatic system disorders1/843/831/85
HaemolysisBlood and lymphatic system disorders2/843/830/85
SepsisInfections and infestations3/841/832/85
Sickle cell anaemia with crisisBlood and lymphatic system disorders0/842/830/85
PyrexiaGeneral disorders1/842/830/85
Urinary tract infectionInfections and infestations0/842/831/85
Haemolytic anaemiaBlood and lymphatic system disorders2/840/830/85
Most frequent other events
Showing 10 of 34
Most frequent other events
EventCrizanlizumab (SEG101) at 5.0 mg/kg (On-treatment)Crizanlizumab (SEG101) at 7.5 mg/kg (On-treatment)Placebo (On-treatment)
PyrexiaGeneral disorders22/8417/8322/85
COVID-19Infections and infestations16/8421/8314/85
HeadacheNervous system disorders21/8413/8315/85
ArthralgiaMusculoskeletal and connective tissue disorders11/8417/8312/85
Back painMusculoskeletal and connective tissue disorders10/8411/8316/85
NauseaGastrointestinal disorders14/848/838/85
Pain in extremityMusculoskeletal and connective tissue disorders10/8410/8313/85
FatigueGeneral disorders6/8411/833/85
Urinary tract infectionInfections and infestations9/848/838/85
DyspnoeaRespiratory, thoracic and mediastinal disorders9/846/838/85

Baseline characteristics

The FAS comprises all participants to whom study treatment has been assigned by randomization.

Age, Customized
Age, Customized(participants)Crizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kgPlaceboTotal
Adolescents, 12 - < 18 years16182054
18 - < 65 years686563196
65 - < 85 years0022
Sex: Female, Male
Sex: Female, Male(Participants)Crizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kgPlaceboTotal
Female454549139
Male393836113
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Crizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kgPlaceboTotal
Hispanic or Latino22201860
Not Hispanic or Latino545657167
Unknown or Not Reported871025
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Crizanlizumab (SEG101) at 5.0 mg/kgCrizanlizumab (SEG101) at 7.5 mg/kgPlaceboTotal
Black or African American463443123
White27312684
Asian67619
American Indian or Alaska Native37616
Multiple (White and Black or African American)1001
Unknown1449
08

Study locations

58 sites
  • Childrens Healthcare of Atlanta
    Atlanta, Georgia 30342, United States
  • Boston Medical Center
    Boston, Massachusetts 02118, United States
  • Levine Cancer Insitute Carolinas Healthcare System
    Charlotte, North Carolina 28204, United States
  • Univ of Tenn Health Sciences Ctr
    Memphis, Tennessee 38163, United States
  • U of TX Health Science Ct
    Houston, Texas 77030, United States
  • Novartis Investigative Site
    Brussels, Brussels Capital 1070, Belgium
  • Novartis Investigative Site
    Brussels, 1000, Belgium
  • Novartis Investigative Site
    Edegem, 2650, Belgium
  • Novartis Investigative Site
    Salvador, Estado de Bahia 41253-190, Brazil
  • Novartis Investigative Site
    Belém, Pará 66033-000, Brazil
  • Novartis Investigative Site
    Recife, Pernambuco 50070-170, Brazil
  • Novartis Investigative Site
    Rio de Janeiro, Rio de Janeiro 20211-030, Brazil
  • Novartis Investigative Site
    Porto Alegre, Rio Grande do Sul 90035-003, Brazil
  • Novartis Investigative Site
    Ribeirão Preto, São Paulo 14048-900, Brazil
  • Novartis Investigative Site
    São Paulo, São Paulo 01232-010, Brazil
  • Novartis Investigative Site
    São Paulo, São Paulo 05403-000, Brazil
  • Novartis Investigative Site
    São Paulo, São Paulo 08270-070, Brazil
  • Novartis Investigative Site
    Toronto, Ontario M5G 2C4, Canada
  • Novartis Investigative Site
    Montreal, Quebec H2X 1R9, Canada
  • Novartis Investigative Site
    Barranquilla, Atlántico 080020, Colombia
  • Novartis Investigative Site
    Valledupar, Cesar Department 200001, Colombia
  • Novartis Investigative Site
    Montería, 230004, Colombia
  • Novartis Investigative Site
    Helsinki, 00290, Finland
  • Novartis Investigative Site
    Créteil, 94010, France
  • Novartis Investigative Site
    Marseille, 13885, France
  • Novartis Investigative Site
    Paris, 75015, France
  • Novartis Investigative Site
    Stuttgart, Baden-Wurttemberg 70376, Germany
  • Novartis Investigative Site
    Cologne, North Rhine-Westphalia 50937, Germany
  • Novartis Investigative Site
    Berlin, 13353, Germany
  • Novartis Investigative Site
    Essen, 45147, Germany
  • Novartis Investigative Site
    Accra, GA-270-9830, Ghana
  • Novartis Investigative Site
    Athens, 115 27, Greece
  • Novartis Investigative Site
    Pátrai, 265 04, Greece
  • Novartis Investigative Site
    Thessaloniki, 546 36, Greece
  • Novartis Investigative Site
    Bhubaneswar, Odisha 751003, India
  • Novartis Investigative Site
    Hyderabad, Telangana 500082, India
  • Novartis Investigative Site
    Genova, GE 16128, Italy
  • Novartis Investigative Site
    Milan, MI 20122, Italy
  • Novartis Investigative Site
    Verona, VR 37134, Italy
  • Novartis Investigative Site
    Naples, 80138, Italy
  • Novartis Investigative Site
    Irbid, 22110, Jordan
  • Novartis Investigative Site
    Beirut, 113-0236, Lebanon
  • Novartis Investigative Site
    Tripoli, 1434, Lebanon
  • Novartis Investigative Site
    Amsterdam, North Holland 1105 AZ, Netherlands
  • Novartis Investigative Site
    Rotterdam, South Holland 3015 GD, Netherlands
  • Novartis Investigative Site
    The Hague, South Holland 2545 AA, Netherlands
  • Novartis Investigative Site
    Khoudh, 123, Oman
  • Novartis Investigative Site
    Panama City, 0801, Panama
  • Novartis Investigative Site
    Soweto, Gauteng 2013, South Africa
  • Novartis Investigative Site
    Barcelona, 08035, Spain
  • Novartis Investigative Site
    Madrid, 28034, Spain
  • Novartis Investigative Site
    Madrid, 28046, Spain
  • Novartis Investigative Site
    Adana, Saricam 01330, Turkey (Türkiye)
  • Novartis Investigative Site
    Sheffield, South Yorkshire S10 2JF, United Kingdom
  • Novartis Investigative Site
    Cambridge, CB2 0QQ, United Kingdom
  • Novartis Investigative Site
    London, SE1 9RT, United Kingdom
  • Novartis Investigative Site
    London, SE5 9RS, United Kingdom
  • Novartis Investigative Site
    Sheffield, S10 2TH, United Kingdom
09

References and documents

Publications

  • Abboud MR, Cancado RD, De Montalembert M, Smith WR, Rimawi H, Voskaridou E, Guvenc B, Ataga KI, Keefe D, Grosch K, Watson J, Reshetnyak E, Nassin ML, Dei-Adomakoh Y. Crizanlizumab with or without hydroxyurea in patients with sickle cell disease (STAND): primary analyses from a placebo-controlled, randomised, double-blind, phase 3 trial. Lancet Haematol. 2025 Apr;12(4):e248-e257. doi: 10.1016/S2352-3026(24)00384-3. Epub 2025 Mar 12. PubMed 40088922 ↗
  • Obadina M, Wilson S, Derebail VK, Little J. Emerging Therapies and Advances in Sickle Cell Disease with a Focus on Renal Manifestations. Kidney360. 2023 Jul 1;4(7):997-1005. doi: 10.34067/KID.0000000000000162. Epub 2023 May 31. PubMed 37254256 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

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

Data sharing details ↗ · www.clinicalstudydatarequest.com

10

Updates

1 registry update since Sep 25, 2026
Enrollment
254→253
Oct 14, 2026
Show all 1 update
  1. Oct 14, 2026
    Enrollment 254→253
    + 2 other changes: verification date and site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

11

Registry details

Key details

Study ID
NCT03814746
Responsible party
Sponsor
First posted
Jan 24, 2019
Start date
Jul 26, 2019
Primary completion
Aug 31, 2022
Completion
Nov 5, 2026 (estimated)
Results posted
Jan 8, 2024
Last update
Oct 14, 2026

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Crizanlizumab

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