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CompletedNCT04925492Updated Aug 18, 2026

PET Imaging of Vaso-Occlusive Crisis (VOC) in SCD

A Phase 1 interventional study of Positron Emission Tomography and Cu-64]-LLP2A in Sickle Cell Disease, sponsored by Enrico Novelli. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-18.

Sponsored by Enrico Novelli · Phase 1, Interventional, and Screening

Phase
Phase 1
Study type
Interventional
Enrollment
15
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this study is to find objective biomarkers of vaso-occlusion (blood vessel blockage) in people with SCD. Using information from earlier studies and work being done, researchers have developed a strategy to image VOC, using positron emission tomography (PET).

The ability to see and measure VOC in SCD patients can help patient care, by showing when and how a VOC is occurring or going to occur. Studying this method will also help in future drug research, as it will allow researchers to deliver promising new medications that target hyper-adhesion and sickling in people with SCD.

Read the detailed description

The purpose of this study is to find objective biomarkers of vaso-occlusion (blood vessel blockage) in people with Sickle Cell Disease(SCD). Using information from earlier studies, and work being done at Washington University, a strategy to image vaso-occulusive crisis (VOC) has been developed, using positron emission tomography (PET) for anatomical localization only. 64Cu-LLP2A is the radio tracer used for the study.

Aim: To develop quantitative PET imaging of VOC in patients with SCD. The researchers hypothesize that the radio tracer 64Cu-LLP2A uptake increases proportionally to the intensity of pain in patients with VOC, compared to baseline values. This increase in uptake will be assessed focally in areas of pain as well as globally to reflect heightened systemic inflammation.

Primary and secondary study endpoint: The overarching hypothesis of this study is that PET tracer uptake of intensity of 64Cu-LLP2A is a real time, quantitative measure of hyper adhesion in VOC.

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Conditions studied

  • Sickle Cell Disease

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Keywords

  • PET MRI
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In context

Anemia, Sickle Cell

1,103 studies on the registry are indexed under Anemia, Sickle Cell; 235 are open to participants now.

This study's enrollment of 15 is below the median of 40 across 750 interventional studies indexed under Anemia, Sickle Cell.

Browse Anemia, Sickle Cell studies →

Lead sponsor

Enrico Novelli is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Have a confirmed diagnosis of SCD (HbSS, SC, S/β-thalassemia, SD, SE, SO) by hemoglobin electrophoresis/High Performance Liquid Chromatography (HPLC)
  • Aged 18 and above
  • Ability to understand and provide informed consent.
  • If receiving hydroxyurea or L-glutamine, crizanlizumab, voxelotor or erythropoietin stimulating agents, must have been receiving the drug for at least 12 weeks prior to screening and plan to continue taking the drug at the same dose and schedule during the study
  • Experienced at least 2 VOCs leading to healthcare visit within the 12 months prior to screening visit as determined by medical history.

Exclusion criteria

Exclusion Criteria:

  • Active malignancy
  • Current pregnancy or breast feeding
  • 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
  • Received active treatment on another investigational 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
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Study design

Phase
Phase 1
Primary purpose
Screening
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    Finding Optimal Scan Timing

    Group A will receive two PET scans after the radiotracer injection to learn the best timing of the scan for the rest of the people in the study during participant's baseline state. Participants will receive another injection of the radiotracer during a sickle cell crisis and have one PET scan. Receive an optional injection and perform another PET scan 12 months after your sickle cell crisis if there were technical problems the previous scans.

    Radiation: Positron Emission Tomography · Drug: Cu-64]-LLP2A

  • Experimental
    Scan at Determined Optimal Timepoint

    Group B participants will receive an injection of the radiotracer and undergo only one PET scan during a baseline state. Participants will receive another injection of the radiotracer during a sickle cell crisis and have one PET scan. Receive an optional injection and perform another PET scan 12 months after your sickle cell crisis if there were technical problems the previous scans.

    Radiation: Positron Emission Tomography · Drug: Cu-64]-LLP2A

Interventions

  • RadiationPositron Emission Tomography

    An imaging method that uses radiotracers to view changes in the metabolic process.

    Also known as: PET Scan

  • DrugCu-64]-LLP2A

    A radioactive tracer used in PET imaging.

    Also known as: Cu-64]-LLP2A Radiotracer

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What researchers measure

Primary outcomes

  1. Change in PET tracer uptake in VOC

    Intensity of PET tracer uptake in VOC will be measured and compared to uptake at baseline in predefined regions of interest and over the whole body

    Time frame: Up to five years from first assessment depending on when VOC occurs.

  2. Association of PET tracer uptake with intensity of pain in VOC

    Intensity of PET tracer uptake will be compared to intensity of pain by Visual Analog Score (scored from 0-10, with 0 meaning no pain, and 10 meaning the most pain) and pain characteristic assessed by the Painimation assessment tool in specific anatomical areas in the patients during a sickle cell vaso-occlusive event.

    Time frame: 2 hours during an assessment while in VOC.

  3. Association of PET tracer uptake with clinical VOC markers

    Measure of PET tracer uptake will be compared with clinical markers of vaso-occlusive events including length of stay and hematologic markers of hemolysis.

    Time frame: Up to the length of a hospital visit for treatment of VOC. On average, about 5 days.

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Study locations

1 site
  • UPMC
    Pittsburgh, Pennsylvania 15213, United States
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References and documents

Individual participant data

Plan to share: No — Information and stored samples may be shared without identifiers with other researchers in the future. These researchers will not receive identifiable information linking data or sample back to individual participants. This access may be granted for the advancement of scientific knowledge. Any future sharing will be conducted under an approved sharing agreement

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04925492
Lead sponsor
Enrico Novelli
Collaborators
National Heart, Lung, and Blood Institute (NHLBI)
Responsible party
Enrico Novelli (Professor, University of Pittsburgh) — Sponsor-investigator
First posted
Jun 14, 2021
Start date
Nov 11, 2022
Primary completion
Mar 11, 2026
Completion
Mar 31, 2026
Last update
Aug 18, 2026

Study contacts

Enrico Novelli, MD, MS
principal investigator · University of Pittsburgh

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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