ClinicalTrials.gg
CompletedNCT04987489GLADIOLUSUpdated Dec 16, 2025

A Study of Etavopivat in Patients With Thalassemia or Sickle Cell Disease

A Phase 2 interventional study of Etavopivat tablets in Sickle Cell Disease and Thalassemia, sponsored by Forma Therapeutics, Inc.. Completed at 32 sites in 6 countries. Open to participants aged 12 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-12-16.

Sponsored by Forma Therapeutics, Inc. (part of Novo Nordisk A/S) · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Sep 2025, 1 year 2 months ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
53
Allocation
Non-randomized
Ages
12 Years to 65 Years
Sex
All
01

Study summary

This clinical trial is a Phase 2 study that will evaluate the safety and clinical activity of etavopivat in patients with thalassemia or sickle cell disease and test how well etavopivat works to lower the number of red blood cell transfusions required and increase hemoglobin.

Read the detailed description

Etavopivat is a potent, selective, orally bioavailable, small-molecule activator of pyruvate kinase red blood cell (PKR) being developed by Forma Therapeutics, Inc and is intended for use as a treatment for patients with sickle cell disease (SCD) or other inherited hemoglobinopathies or refractory anemias. This study is a multicenter, Phase 2, open-label, multiple-cohort study examining the safety and efficacy of etavopivat for the treatment of patients, age 12 to 65 years, with SCD or thalassemia. Three treatment cohorts based on the patients hemoglobinopathy (SCD or thalassemia) and transfusion requirements will be evaluated.

02

Conditions studied

  • Sickle Cell Disease
  • Thalassemia

Keywords

  • SCD
  • sickle cell disease
  • sickle cell
  • anemia
  • sickle cell anemia
  • hemolytic
  • hemoglobin
  • vaso-occlusive crisis
  • VOC
  • vaso-occlusive events
  • sickle cell crisis
  • pain crisis
  • pain episode
  • congenital anemia
  • hemolytic anemia
  • hematologic disease
  • hemoglobinopathy
  • hemoglobinopathies
  • genetic disease
  • inborn disease
  • sickle cell trait
  • pyruvate kinase
  • PKR
  • thalassemia
  • beta-thalassemia
  • alpha-thalassemia
  • transfusions
  • hemoglobin H
  • transfusion
  • transfusion-dependent
  • non-transfusion dependent
  • hemoglobin E
03

In context

Anemia, Sickle Cell

1,134 studies on the registry are indexed under Anemia, Sickle Cell; 238 are open to participants now.

This study's enrollment of 53 is above the median of 40 across 769 interventional studies indexed under Anemia, Sickle Cell.

Browse Anemia, Sickle Cell studies →

Lead sponsor

Forma Therapeutics, Inc. is the lead sponsor of 10 studies on the registry; 2 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) have results posted.

First submitted before Forma Therapeutics, Inc. became part of Novo Nordisk A/S.

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

04

Who can participate

Ages eligible
12 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Provision of consent
  • Female patients of must use acceptable methods of , male patients are willing to use barrier methods of contraception

Cohort A (Sickle Cell Disease Transfusion Cohort)

  • Confirmed diagnosis of sickle cell disease
  • Chronically red blood cell transfused (sample or exchange [manual or via electrophoresis]) for primary stroke prevention or due to previous stroke. Chronic red blood cell transfusion is defined as: ≥ 6 red blood cell units in the previous 24 weeks before the first dose of study treatment and no transfusion-free period for > 35 days during that period
  • At least 24 months of chronic monthly red blood cell transfusions for secondary stroke prevention/treatment of primary stroke (initial completed overt clinical stroke with documented infarction on brain computed tomography [CT] or magnetic resonance imaging [MRI])
  • Prior to screening OR at least 12 months of chronic RBC transfusions for primary stroke prevention (abnormal TCD) prior to screening
  • Documented adequate monthly transfusions with average HbS ≤ 45% (the upper limit of the established academic community standard) for the previous 12 weeks of red blood cell transfusions before the first dose of study treatment

Cohort B (Thalassemia Transfusion Cohort)

  • Documented diagnosis of β-thalassemia, E/ β-thalassemia or Hemoglobin H (α-thalassemia), or other thalassemia variant
  • Chronically transfused, defined as: ≥ 6 red blood cell units in the previous 24 weeks before the first dose of study treatment and no transfusion-free period for > 35 days during that period

Cohort C (Thalassemia Non-transfused Cohort)

  • Documented diagnosis of β-thalassemia, Hemoglobin E/ β-thalassemia or Hemoglobin H (α-thalassemia), or other thalassemia variant
  • Hemoglobin ≤ 10 g/dL

Exclusion criteria

Exclusion Criteria:

  • Female who is breast feeding or pregnant
  • Hepatic dysfunction characterized by:

    • (ALT) > 4.0 × (ULN)
    • Direct > 3.0 × ULN
    • History of cirrhosis
  • Known (HIV) positivity
  • Active or infection
  • Severe renal dysfunction or on chronic dialysis
  • History of within the past 2 years prior to treatment Day 1 requiring systemic chemotherapy and/or radiation.

    • Patients with malignancy considered surgically cured are eligible (eg, non- melanoma skin cancer, cancer of the cervix in-situ, ductal carcinoma in situ [Stage 1], Grade 1 endometrial cancer)
  • History of unstable or deteriorating cardiac or pulmonary disease within 6 months prior to consent including but not limited to the following:

    • Unstable angina pectoris or myocardial infarction or elective coronary intervention
    • Congestive heart failure requiring hospitalization
    • Uncontrolled arrhythmias
    • Symptomatic pulmonary hypertension
Terms in these criteria, in plain language(11)

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.

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.

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).

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.

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.

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
53 participants (actual)

Study arms

  • Experimental
    Etavopivat 400 mg daily - SCD with transfusions

    Patients with sickle cell disease on chronic red blood cell transfusions

    Drug: Etavopivat tablets

  • Experimental
    Etavopivat 400 mg daily - Thalassemia with transfusions

    Patients with thalassemia on chronic red blood cell transfusions

    Drug: Etavopivat tablets

  • Experimental
    Etavopivat 400 mg daily - Thalassemia

    Patients with thalassemia not on chronic red blood cell transfusions

    Drug: Etavopivat tablets

Interventions

06

What researchers measure

Primary outcomes

  1. Cohorts A: Proportion of patients with ≥ 20% reduction in red blood cell transfusions over a continuous 12-week treatment period versus baseline red blood cell transfusion history

    Proportion of patients with ≥ 20% reduction in red blood cell transfusions over a continuous 12-week treatment period versus baseline red blood cell transfusion history

    Time frame: 12 weeks

  2. Cohorts B: Proportion of patients with ≥ 20% reduction in red blood cell transfusions over a continuous 12-week treatment period versus baseline red blood cell transfusion history

    Proportion of patients with ≥ 20% reduction in red blood cell transfusions over a continuous 12-week treatment period versus baseline red blood cell transfusion history

    Time frame: 12 weeks

  3. Cohort C: Hemoglobin response rate at Week 12 (increase of ≥ 1.0 g/dL from baseline)

    Hemoglobin response rate at Week 12 (increase of ≥ 1.0 g/dL from baseline)

    Time frame: 12 weeks

Secondary outcomes

  1. Cohort A: Proportion of patients with ≥ 33% reduction in red blood cell transfusion over a continuous 12-week treatment period versus baseline red blood cell transfusion history

    Proportion of patients with ≥ 33% reduction in red blood cell transfusion over a continuous 12-week treatment period versus baseline red blood cell transfusion history

    Time frame: 12 weeks

  2. Cohort B: Proportion of patients with ≥ 33% reduction in red blood cell transfusion over a continuous 12-week treatment period versus baseline red blood cell transfusion history

    Proportion of patients with ≥ 33% reduction in red blood cell transfusion over a continuous 12-week treatment period versus baseline red blood cell transfusion history

    Time frame: 12 weeks

  3. Cohort A: Reduction in red blood cell transfusions over 12 weeks

    Reduction in red blood cell transfusions over 12 weeks

    Time frame: 12 weeks

  4. Cohort A: Reduction in red blood cell transfusions over 24 weeks

    Reduction in red blood cell transfusions over 24 weeks

    Time frame: 24 weeks

  5. Cohort A: Reduction in red blood cell transfusions over 48 weeks

    Reduction in red blood cell transfusions over 48 weeks

    Time frame: 48 weeks

  6. Cohort B: Reduction in red blood cell transfusions over 12 weeks

    Reduction in red blood cell transfusions over 12 weeks

    Time frame: 12 weeks

  7. Cohort B: Reduction in red blood cell transfusions over 24 weeks

    Reduction in red blood cell transfusions over 24 weeks

    Time frame: 24 weeks

  8. Cohort B: Reduction in red blood cell transfusions over 48 weeks

    Reduction in red blood cell transfusions over 48 weeks

    Time frame: 48 weeks

  9. Cohort C: Hemoglobin response rate at Week 24 (increase of ≥ 1.0 g/dL from baseline).

    Hemoglobin response rate at Week 24 (increase of ≥ 1.0 g/dL from baseline).

    Time frame: 24 weeks

  10. Cohort C: Hemoglobin response rate at Week 48 (increase of ≥ 1.0 g/dL from baseline).

    Hemoglobin response rate at Week 48 (increase of ≥ 1.0 g/dL from baseline).

    Time frame: 48 weeks

  11. Change from baseline in hemoglobin over 12 weeks

    Change from baseline in hemoglobin over 12 weeks

    Time frame: 12 weeks

  12. Change from baseline in hemoglobin over 24 weeks

    Change from baseline in hemoglobin over 24 weeks

    Time frame: 24 weeks

  13. Change from baseline in hemoglobin over 48 weeks

    Change from baseline in hemoglobin over 48 weeks

    Time frame: 48 weeks

  14. Changes in serum ferritin levels at 12 weeks versus baseline

    Changes in serum ferritin levels at 12 weeks versus baseline

    Time frame: 12 weeks

  15. Changes in serum ferritin levels at 24 weeks versus baseline

    Changes in serum ferritin levels at 24 weeks versus baseline

    Time frame: 24 weeks

  16. Changes in serum ferritin levels at 48 weeks versus baseline

    Changes in serum ferritin levels at 48 weeks versus baseline

    Time frame: 48 weeks

  17. Changes in liver iron concentration at 48 weeks versus baseline

    Changes in liver iron concentration at 48 weeks versus baseline

    Time frame: 48 weeks

07

Study locations

32 sites
  • TOI Clinical Research
    Cerritos, California 90703, United States
  • [Legal] Children's Hospital Los Angeles
    Los Angeles, California 90027, United States
  • University of Californ LA-UCLA
    Los Angeles, California 90095, United States
  • UCSF Oakland Benioff ChildHosp
    Oakland, California 94609, United States
  • [Legal] Children's Hospital of Orange County on behalf of CHOC Children's Hospital of Orange County
    Orange, California 92868, United States
  • UCI Health
    Orange, California 92868, United States
  • Children's National Health Hospital
    Washington D.C., District of Columbia 20010, United States
  • Children's Hospital of Atlanta
    Atlanta, Georgia 30342, United States
  • [Legal] Dr. Vince Clinical Research, LLC and Dr. Vince Clinical Research, P.A.
    Detroit, Michigan 48201-2018, United States
  • Weill Medical College of Cornell University
    New York, New York 10065, United States
  • Duke University
    Durham, North Carolina 27710, United States
  • East Carolina University
    Greenville, North Carolina 27858, United States
  • [Legal] Children's Hospital Medical Center dba Cincinnati Children's
    Cincinnati, Ohio 45229, United States
  • Children's Hosptl Philadelphia
    Philadelphia, Pennsylvania 19104, United States
  • Master Centre for Canada
    Mississauga, Ontario L4W 4XI, Canada
  • The Hospital for Sick Children
    Toronto, Ontario M5G 1X8, Canada
  • University Health Network - Toronto General Hospital
    Toronto, Ontario M5G 2C4, Canada
  • CHU Sainte-Justine Mother and Child University Hospital
    Montreal, Quebec H3T 1C5, Canada
  • Cairo University
    Cairo, 12613, Egypt
  • Abu El-Reesh El-Mounira Children University Hospital
    Cairo, Egypt, 4241317, Egypt
  • Galliera Hospital Centro Anemie Congenite
    Genova, 16128, Italy
  • Fondazione IRCSS Ca' Granda Ospedale Maggiore Policlinico
    Milan, 20122, Italy
  • AORN A. Cardarelli
    Naples, 80131, Italy
  • A.O.U. Università Studi della Campania "Luigi Vanvitelli"
    Naples, 80138, Italy
  • Chronic Care Center
    Baabda, RGWX 4CG, Lebanon
  • Hospital Nini
    Tripoli, 1434, Lebanon
  • Sandwell and West Birmingham NHS Trust SCAT/ haematology
    Birmingham, B18 7QH, United Kingdom
  • Barts Health NHS Trust - The Royal London Hospital
    London, E1 1FR, United Kingdom
  • University College Hospital - University College London Hospitals NHS Foundation Trust
    London, NW1 2PG, United Kingdom
  • Kings College London
    London, SE5 9RS, United Kingdom
  • Hammersmith Hospital - London
    London, W12 0HS, United Kingdom
  • Manchester University NHS Foundation Trust
    Manchester, M13 9WL, United Kingdom
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 16, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04987489
Responsible party
Sponsor
First posted
Aug 3, 2021
Start date
Mar 28, 2022
Primary completion
Sep 3, 2025
Completion
Sep 24, 2025
Last update
Dec 16, 2025

Study contacts

Clinical Transparency (dept. 2834)
study director · Novo Nordisk A/S

Oversight

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

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This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Etavopivat

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