ClinicalTrials.gg
CompletedNCT05861453Updated May 4, 2026

Pharmacokinetics, Pharmacodynamics and Safety of Epeleuton in Patients With Sickle Cell Disease

A Phase 2 interventional study of Epeleuton in Sickle Cell Disease, sponsored by Afimmune. Completed at 18 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-04.

Sponsored by Afimmune · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
35
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 733 studies in Anemia, Sickle Cell with a site in United States — 134 open to participants now, 185 under way, 16 of them phase 3. Anemia, Sickle Cell · United States.

Enrollment
266th of 559
35 · median 31
Started
2024
with 35 others
Phase 2
161 of 733
23 open now
Registered
622nd of 733
by date

Among the 733 studies in Anemia, Sickle Cell with a site in United States, this one is the 266th largest by enrollment of the 559 interventional ones that give a count, is one of 36 that started in 2024, is one of 161 in phase 2, and was the 622nd registered.

Anemia, Sickle Cell

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

Browse Anemia, Sickle Cell studies →

Open to participants now

134 of the 733 studies in Anemia, Sickle Cell with a site in United States are open now. Recruiting first, the newest first:

129 more — sign in →

All 134 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 177 Anemia, Sickle Cell studies recruiting now, 64 (36%) set no upper age limit and 97 (55%) stop at 75 or younger; 127 take children under 18; 29 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

To assess the pharmacokinetics, pharmacodynamics and safety of Epeleuton capsules in adult SCD patients who are aged ≥18 years.

Read the detailed description

The trial will consist of a 28-day screening period, 16 weeks of active treatment and a 30-day post-treatment follow-up period.

03

Conditions studied

  • Sickle Cell Disease

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04

Who can participate

Ages eligible
18 Years and older
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

  • Patients with sickle cell disease (SCD) including:

    • 2 sickle genes [HbSS]
    • HbSβ0 thalassemia
    • HbSβ+ thalassemia
    • Heterozygous for hemoglobin S and hemoglobin C [HbSC]
  • Male or female patients aged 18 years and older on the day of signing the form (ICF)
  • Patients who have had between 2 and 15 episodes of vaso-occlusive crisis (VOC) in the past year (12 months)
  • For patients taking hydroxyurea (HU), the dose of HU must be stable for at least 3 months prior to signing the ICD and with no anticipated need for dose adjustment during the study.
  • Female patients and male patients with female partners of must use highly effective methods for the duration of the study.

Exclusion criteria

Exclusion Criteria:

  • Patients who are receiving regularly scheduled blood (RBC) transfusion therapy (also termed chronic, prophylactic, or preventive transfusion), have received an RBC transfusion for any reason within three months of the baseline visit
  • Patients who have received a hematopoietic stem cell transplant.
  • Patients with inadequate venous access as determined by the Investigator
  • Patients who are pregnant, planning pregnancy, breastfeeding and/or are unwilling to use adequate during the trial.
Terms in these criteria, in plain language(4)

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.

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).

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
35 participants (actual)

Study arms

  • Experimental
    Epeleuton 4g/day

    Drug: Epeleuton

Interventions

  • DrugEpeleuton

    Participants will receive 2000mg Epeleuton (DS102) capsules twice daily.

    Also known as: DS102 Capsules

06

What researchers measure

Primary outcomes

  1. Change from baseline in annualized rate of VOCs leading to a healthcare visit, and VOCs that are treated at home

    Change in annualized rate of VOCs leading to a healthcare visit, and VOCs that are treated at home from baseline to week 16

    Time frame: 16 Weeks

  2. Changes from baseline in RBC Laminin Adhesion

    Changes in RBC Laminin Adhesion from baseline to week 16

    Time frame: 16 Weeks

  3. Changes from baseline in Vascular Cell Adhesion Molecule 1 (VCAM-1)

    Changes in VCAM-1 from baseline to Week 16

    Time frame: 16 Weeks

  4. Changes from baseline in P-selectin

    Change in P-selectin from baseline at Week 16.

    Time frame: 16 Weeks

  5. Changes from baseline in E-selectin

    Change in E-selectin from baseline at Week 16.

    Time frame: 16 Weeks

  6. Changes from baseline in Dense Red Blood Cells

    Changes in Dense Red Blood Cells from baseline to Week 16

    Time frame: 16 Weeks

  7. Changes from baseline in Oxygen Point of Sickling

    Changes in Oxygen Point of Sickling from baseline to Week 16

    Time frame: 16 Weeks

  8. Changes from baseline in Osmoscan

    Changes in Osmoscan from baseline to Week 16

    Time frame: 16 Weeks

  9. Changes from baseline in absolute reticulocyte count

    Change in absolute reticulocyte count from baseline at Week 16.

    Time frame: 16 Weeks

  10. Changes from baseline in D-dimer

    Changes in D-dimer from baseline to Week 16

    Time frame: 16 Weeks

  11. Changes from baseline in Phosphatidylserine

    Change in Phosphatidlyserine from baseline to week 16.

    Time frame: 16 Weeks

  12. Changes from baseline in Hemoglobin

    Change in hemoglobin from baseline at Week 16

    Time frame: 16 Weeks

  13. Changes from baseline in Leukocytes

    Changes in Leukocytes from baseline to Week 16

    Time frame: 16 Weeks

  14. Change from baseline in PROMIS Pain Interference Short Form

    Change in PROMIS Pain Interference from baseline to Week 16

    Time frame: 16 Weeks

  15. Change from baseline in PROMIS Physical Activity Short Form

    Change in PROMIS Physical Activity from baseline to Week 16

    Time frame: 16 Weeks

  16. Trough plasma concentrations of total and unesterified 15 HEPE

    Trough plasma concentrations of total and unesterified 15 HEPE at baseline and Week 16

    Time frame: 16 Weeks

  17. Determination of exploratory biomarkers from baseline

    Determination of exploratory biomarkers at baseline and Week 16

    Time frame: 16 Weeks

07

Study locations

18 sites
  • University of Alabama at Birmingham (UAB)
    Birmingham, Alabama 35294, United States
  • New England Sickle Cell Institute, UConn Health
    Farmington, Connecticut 06030-1163, United States
  • Medstar Health
    Washington D.C., District of Columbia 20010, United States
  • Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta at Hughes Spalding
    Atlanta, Georgia 30303, United States
  • Emory University - Georgia Comprehensive Sickle Cell Center
    Atlanta, Georgia 30303, United States
  • Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta at Arthur M. Blank Hospital
    Atlanta, Georgia 30329, United States
  • UI Health Sickle Cell Center
    Chicago, Illinois 60612, United States
  • The Johns Hopkins University School of Medicine
    Baltimore, Maryland 21205, United States
  • The Center for Cancer and Blood Disorders, A Division of American Oncology Partners, PA
    Bethesda, Maryland 20817, United States
  • Kaiser Permanente Mid-Atlantic States
    Largo, Maryland 20774, United States
  • Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
  • Robert Wood Johnson Medical School Rutgers
    New Brunswick, New Jersey 08901, United States
  • Newark Beth Israel Medical Center
    Newark, New Jersey 07112, United States
  • Jacobi Medical Center
    The Bronx, New York 10461, United States
  • UNC Health
    Chapel Hill, North Carolina 27517, United States
  • Science 37
    Morrisville, North Carolina 27560, United States
  • St Paul's Hospital Hematology/Oncology Research
    Vancouver, British Columbia V6E 1M7, Canada
  • Toronto General Hospital
    Toronto, Ontario M5G 2C4, Canada
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2024 to primary completion in Jan 2026, 24 months.

Of 34 industry-sponsored phase 2 interventional studies under Anemia, Sickle Cell, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 41. This study's 24 months is below that.

Counting every sponsor, half of 93 studies reached it within 46 months; a quarter within 24 and three quarters within 73.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 26, 2023
First posted
May 16, 2023
StartActual
Jan 10, 2024
Primary completionActual
Jan 21, 2026
CompletionActual
Feb 11, 2026
Last update
May 4, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05861453
Lead sponsor
Afimmune
Responsible party
Sponsor
First posted
May 16, 2023
Start date
Jan 10, 2024
Primary completion
Jan 21, 2026
Completion
Feb 11, 2026
Last update
May 4, 2026

Oversight

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

Not currently enrolling

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

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