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RecruitingNCT06198712HIBISCUS KIDSUpdated Sep 18, 2026

A Study to Evaluate the Pharmacokinetics and Safety of Etavopivat in Pediatric Patients With Sickle Cell Disease

A Phase 2 interventional study of Etavopivat in Sickle Cell Disease, sponsored by Forma Therapeutics, Inc.. Recruiting at 18 sites in 7 countries. Open to participants aged 6 Months to 18 Years. Per ClinicalTrials.gov, last updated 2026-09-18.

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

From the registry’s dates

  • Registered 11 months after the study started (first participant enrolled Jan 2023, registered Dec 2023).
  • Started Jan 2023; still recruiting 3 years 9 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
95
Allocation
Not applicable
Ages
6 Months to 18 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the pharmacokinetics and safety of etavopivat in paediatric participants with sickle cell disease (SCD). Participants will receive etavopivat and will be enrolled in a staggered manner, starting with the oldest age group and followed sequentially by younger cohorts after review of pharmacokinetic and safety data from the preceding cohort. All participants will undergo a 24-week primary treatment period followed by a 72-week extension treatment period to further evaluate long-term safety and pharmacokinetics of etavopivat. The total duration of the study will be approximately 96 weeks.

02

Conditions studied

  • Sickle Cell Disease

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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 planned enrollment of 95 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 after 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
6 Months to 18 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

  • Type of Participant and Disease Characteristics

    1. Patient's parent, legal guardian, or legal representative has provided documented and patients have provided age-appropriate assent
    2. Age greater than or equal to (≥) 6 months and lesser than (\<) 18 years of age at time of enrollment, according to the enrolling cohort:

      • Cohort 1: age 12 to \< 18 years (adolescents)
      • Cohort 2: age 6 to \< 12 years
      • Cohort 3: age 2 to \< 6 years
      • Cohort 4: age 6 months to \< 2 years
    3. Patient has confirmed diagnosis of SCD

      • Documentation of SCD genotype (HbSS, HbSβ0-thalassemia or other sickle cell syndrome variants) based on prior history of laboratory testing. Molecular genotyping is not required. SCD genotype may be determined from the results of electrophoresis, high-performance liquid chromatography (HPLC), or similar testing. Note that Hb electrophoresis is performed by the local laboratory at Screening.
    4. Hemoglobin ≥ 5.5 and lesser than or equal to (≤) 10.5 grams per deciliter (g/dL)
    5. Pediatric patients with severe SCD, as defined by at least 1 of the following:

      • 2-15 episodes of documented VOC within the 12 months prior to screening. Documentation must exist in the patient's medical record prior to screening. Events based solely on patient recall without supporting documentation should not be counted towards eligibility.
      • Hospitalization for any SCD-related complication in the last 12 months prior to starting study treatment
      • Proteinuria, defined as an albumin:creatinine ratio (ACR) > 100 mg/g on 2 measures (separated by ≥ 1 month) as an indicator of early renal disease
      • History of a conditional TCD in the last 12 months prior to starting study treatment, but not currently being treated with chronic transfusion therapy (applicable to participants > 2 years of age). Conditional TCD is defined as a TAMMV of 170-199 cm/s by TCD or 155-184 cm/s by imaging TCD (TCDi).
    6. For participants taking hydroxyurea (HU), the dose of HU (mg/kg) must be stable (no more than a 20% change in dosing) for at least 90 days prior to start of study treatment with no anticipated need for dose adjustments during the study, in the opinion of the Investigator
    7. Patients on crizanlizumab or L-glutamine treatment at the time of consent may be eligible if they:

      • Have been on a stable dose for ≥ 12 months at the time of consent (ie, no changes to the dose except for changes to weight or for safety reasons)
      • For patients on crizanlizumab, have been ≥ 80% compliant with the planned regimen during the 12 months prior to the time of consent
    8. Female patients of who are using acceptable methods of and agree not to donate ova from study start to 90 days after the last dose of study drug, and male patients who are willing to use acceptable methods of contraception and agree not to donate sperm, from study start to 90 days after the last dose of study drug.

Exclusion criteria

Exclusion Criteria:

  • Medical Conditions

    1. Female who is breastfeeding or pregnant
    2. More than 15 VOCs within the 12 months prior to starting study treatment that required a hospital, emergency room (ER), or clinic visit
    3. Hospitalized for sickle cell crisis or other vaso-occlusive event occurring in the 14 days prior to starting study treatment
    4. Abnormal TCD in the 12 months prior to starting study treatment

      Prior/Concomitant Therapy

    5. Patients receiving regularly scheduled blood (RBC) transfusion therapy (also termed chronic, prophylactic, or preventive transfusion)
    6. Received any blood products within 30 days of starting study treatment
    7. Receiving or use of concomitant medications that are strong inducers of cytochrome P450 (CYP) 3A4/5 within 2 weeks of starting study treatment
    8. Use of voxelotor within 28 days prior to starting study treatment or anticipated need for this agent during the study
    9. Receipt of erythropoietin or other hematopoietic growth factor treatment within 28 days of starting study treatment or anticipated need for such agents during the study
    10. Receipt of prior cellular based therapy (eg, hematopoietic cell transplant, gene modification therapy)
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.

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).

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
95 participants (estimated)

Study arms

  • Experimental
    Cohort 1: Etavopivat (12 to less than [<] 18 years)

    Participants aged 12 to less than 18 years with sickle cell disease will receive etavopivat to evaluate pharmacokinetics and safety in this age group.

    Drug: Etavopivat

  • Experimental
    Cohort 2: Etavopivat (6 to <12 years)

    Participants aged 6 to less than 12 years with sickle cell disease will receive etavopivat to evaluate pharmacokinetics and safety in this age group.

    Drug: Etavopivat

  • Experimental
    Cohort 3: Etavopivat (2 to <6 years)

    Participants aged 2 to less than 6 years with sickle cell disease will receive etavopivat to evaluate pharmacokinetics and safety in younger children.

    Drug: Etavopivat

  • Experimental
    Cohort 4: Etavopivat (6 months to <2 years)

    Participants aged 6 months to less than 2 years with sickle cell disease will receive etavopivat to evaluate pharmacokinetics and safety in infants.

    Drug: Etavopivat

Interventions

  • Participants will receive oral tablets or granules of etavopivat once daily.

06

What researchers measure

Primary outcomes

  1. Single-dose: maximum plasma concentration (Cmax)

    Time frame: During the 24-week primary treatment period

  2. Single-dose: area under the plasma concentration time curve from dosing (time 0) to time t ((AUC)0-t)

    Time frame: During the 24-week primary treatment period

  3. Single-dose: area under the plasma concentration time curve from zero to time infinity (AUC0-inf)

    Time frame: During the 24-week primary treatment period

  4. Steady-state maximum plasma concentration (Cmax,ss)

    Time frame: During the 24-week primary treatment period

  5. Steady-state area under the concentration time curve over the dosing interval (AUCtau,ss)

    Time frame: During the 24-week primary treatment period

  6. Steady-state average plasma concentration (Cavg,ss)

    Time frame: During the 24-week primary treatment period

  7. Steady-state minimum plasma concentration (Cmin,ss)

    Time frame: During the 24-week primary treatment period

  8. Incidence of adverse events (AEs), serious adverse events (SAEs), and AEs related to etavopivat

    Time frame: During the 24-week primary treatment period

  9. Number of premature discontinuations

    Time frame: During the 24-week primary treatment period

  10. Number of dose interruptions

    Time frame: During the 24-week primary treatment period

  11. Number of dose reductions

    Time frame: During the 24-week primary treatment period

Secondary outcomes

  1. Incidence of AEs, SAEs, and AEs related to etavopivat

    Time frame: During the 72-week treatment extension period

  2. Number of premature discontinuations

    Time frame: During the 72-week treatment extension period

  3. Number of dose interruptions

    Time frame: During the 72-week treatment extension period

  4. Number of dose reductions

    Time frame: During the 72-week treatment extension period

  5. Hemoglobin (Hb) response rate

    Time frame: Baseline, week 12 and 24

  6. Change in Hb from baseline

    Time frame: Baseline, week 12 and 24

  7. Change from baseline in number of vaso-occlusive crises (VOCs)

    Time frame: Baseline and week 24

  8. Change from baseline in Annualized Rate of VOC

    Time frame: Baseline and week 24

  9. Change from baseline in Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue Scale

    PROMIS is a 10-item patient-reported health outcome measurement system used to evaluate quality of life in both children and adults. The assessment is based on the responses - 1. Never, 2. Almost never, 3. Sometimes, 4. Often and 5. Almost always. 'Never' response on the PROMIS fatigue scale indicates better quality of life.

    Time frame: Baseline, week 12 and 24

  10. Change from baseline in time-averaged mean of the maximum velocity (TAMMV) by transcranial Doppler ultrasonography (TCD)

    Time frame: Baseline, week 24, 48, and 96

07

Study locations

12 of 18 sites recruiting
  • The Hospital for Sick Children
    Toronto, Ontario M5G 1X8, Canada
    Completed

    Not enrolling at this site.

  • HCL-HOPITAL LYON SUD_Institut d'Hématologie et d'Oncologie Pédiatrique (IHOPe)
    Lyon, 69008, France
    Not yet recruiting
  • APHP - Centre de Référence des Syndromes
    Paris, 75019, France
    Not yet recruiting
  • Centre Hospitalier Universitaire de Rouen-Hopital Charles Nicolle
    Roeun, 76031, France
    Not yet recruiting
  • KEMRI CRDR Siaya Clinical Research Annex, Country Referral Hospital
    Siaya, Siaya County 40600, Kenya
    Recruiting
  • KEMRI-Walter-Reed Kericho
    Kericho, 20200, Kenya
    Recruiting
  • Kombewa Clinical Research Centre
    Kisumu, 40100, Kenya
    Recruiting
  • Ahero Clinical Trials Unit
    Kisumu, 40101, Kenya
    Recruiting
  • American University of Beirut Medical center
    Beirut, 1107 2020, Lebanon
    Recruiting
  • Hospital Nini
    Tripoli, 113-6044, Lebanon
    Recruiting
  • University of Nigeria Teaching Hospital (UNTH)
    Ituku-Ozalla, Enugu State 400001, Nigeria
    Recruiting
  • Lagos University Teaching Hospital, Lagos
    Lagos, 102215, Nigeria
    Recruiting
  • Aminu Kano Teaching Hospital (AKTH)
    Tarauni, 700101, Nigeria
    Recruiting
  • Hacettepe University pediatric hematology
    Ankara, 06100, Turkey (Türkiye)
    Completed

    Not enrolling at this site.

  • Acıbadem Adana Hastanesi
    Seyhan, 1130, Turkey (Türkiye)
    Completed

    Not enrolling at this site.

  • Guys and St Thomas NHS Foundation Trust / Evelina Childrens Hospital
    London, SE1 7EH, United Kingdom
    Recruiting
  • King's College Hospital - Alex Mowat Research Hub
    London, SE5 9RS, United Kingdom
    Recruiting
  • Manchester Royal Infirmary_1
    Manchester, M13 9WL, United Kingdom
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes

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

Started Jan 2023 (actual). Primary completion is estimated for Feb 2028, 61 months after the start.

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 planned 61 months is above that.

Counting every sponsor, half of 92 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
Dec 27, 2023
First posted
Jan 10, 2024
StartActual
Jan 12, 2023
Primary completionEst.
Feb 23, 2028
CompletionEst.
Aug 8, 2029
Last update
Sep 18, 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 Sep 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06198712
Collaborators
Novo Nordisk A/S. This study is currently undergoing a sponsor transition from Forma Therapeutics, Inc. to Novo Nordisk A/S.
Responsible party
Sponsor
First posted
Jan 10, 2024
Start date
Jan 12, 2023
Primary completion
Feb 23, 2028 (estimated)
Completion
Aug 8, 2029 (estimated)
Last update
Sep 18, 2026

Study contacts

Novo Nordisk
Contact
clinicaltrials@novonordisk.com
(+1) 866-867-7178
Clinical Transparency (dept. 2834)
study director · Novo Nordisk A/S

Oversight

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

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Studies of the drug tested here: Etavopivat

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