ClinicalTrials.gg
RecruitingNCT06609226FLORALUpdated Sep 18, 2026

A Research Study Looking at Long-term Treatment With Etavopivat in People With Sickle Cell Disease or Thalassaemia

A Phase 3 interventional study of Etavopivat A and Etavopivat B in Sickle Cell Disease and Thalassemia, sponsored by Novo Nordisk A/S. Recruiting at 107 sites in 17 countries. Open to participants aged 2 Years and older. Per ClinicalTrials.gov, last updated 2026-09-18.

Sponsored by Novo Nordisk A/S · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2025; still recruiting 1 year 10 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
480
Allocation
Non-randomized
Ages
2 Years and older
Sex
All
01

Study summary

Etavopivat is a new medicine under development for treating blood disorders like sickle cell disease and thalassaemia. Sickle cell disease and thalassaemia are inherited blood disorders that affect haemoglobin. Haemoglobin is the protein that carries oxygen through the body. This study is looking into how safe treatment with etavopivat is and how well it works over a long period of time. The study will last for up to 264 weeks, but it will end earlier if etavopivat is approved in the participant's country.

02

Conditions studied

  • Sickle Cell Disease
  • Thalassemia
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 480 is above the median of 40 across 769 interventional studies indexed under Anemia, Sickle Cell.

Browse Anemia, Sickle Cell studies →

Lead sponsor

Novo Nordisk A/S is the lead sponsor of 1,404 studies on the registry; 101 are open to participants now.

Of its 205 completed or terminated interventional studies of FDA-regulated products, 100 (49%) have results posted.

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

04

Who can participate

Ages eligible
2 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

  • Participant must have ongoing participation in an etavopivat parent study for treatment of sickle cell disease (SCD) or thalassaemia and have completed at least a treatment period of the parent study.
  • Participant must have derived clinical benefit from treatment with etavopivat, as determined by the investigator.
  • Any participant with dose reduction or temporary discontinuation will need to be successfully rechallenged to the full dose of etavopivat before transferring.
  • Participants on hydroxyurea (HU), crizanlizumab or l-glutamine oral powder (Endari®) treatment at the time of consent may be eligible if they have been on a stable dose in the parent study as defined at the investigator's discretion. Necessary adjustments related to weight or age are accepted. Participants with temporary dose reductions or pauses due to medical reasons may still be considered to have a stable dose, as determined by the investigator, who will assess the impact of these adjustments based on clinical context and the participant's overall health status.

Exclusion criteria

Exclusion Criteria:

  • Any disorder, except for conditions associated with SCD or thalassaemia, which in the investigator's opinion might jeopardise participant's safety or compliance with the protocol.
  • Participant withdrew or had permanent treatment discontinuation from an etavopivat clinical study.
  • Participants on permanent dose reduction (greater than [>] 28 days or more) or ongoing temporary treatment discontinuation.
  • Use of any of the following within the timeframes prior to the transfer visit as stated:
  • Use of S (HbS) polymerisation inhibitors within participation of the parent study or anticipated need for this agent during this study.
  • Use of an experimental selectin antagonist (e.g., monoclonal antibody or small molecule) within the parent study or anticipated need for such agents during this study.
  • Use of erythropoietin or other haematopoietic growth factor treatment for more than 4 consecutive weeks during the parent study or anticipated need of such agents for a maintenance treatment during this study.
  • Receiving or use of concomitant medications that are strong inducers of cytochrome P450 (CYP) 3A4 within 2 weeks of the transfer visit or anticipated need for such agents during the study.
  • Current participation in a study that is not a designated parent study, or planned participation in any other clinical study, for the duration of FLORAL.
Terms in these criteria, in plain language(1)

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).

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
480 participants (estimated)

Study arms

  • Experimental
    Participants greater than or equal to (≥) 12 years old with sickle cell disease

    Participants will receive an oral dose of Etavopivat A or C.

    Drug: Etavopivat A · Drug: Etavopivat C

  • Experimental
    Participants ≥ 12 years old with sickle cell disease transfusion dependent

    Participants will receive an oral dose of Etavopivat A or C.

    Drug: Etavopivat A · Drug: Etavopivat C

  • Experimental
    Participants ≥ 12 years old with transfusion-dependent thalassaemia

    Participants will receive an oral dose of Etavopivat A or C.

    Drug: Etavopivat A · Drug: Etavopivat C

  • Experimental
    Participants ≥ 12 years old with non-transfusion dependent thalassaemia

    Participants will receive an oral dose of Etavopivat A or C.

    Drug: Etavopivat A · Drug: Etavopivat C

  • Experimental
    Participants ≥ 2 years to less than (<) 12 years old with sickle cell disease

    Participants ≥ 12 years of age will receive an oral dose of Etavopivat A or C and participants \< 12 years of age will receive an oral dose of Etavopivat B.

    Drug: Etavopivat A · Drug: Etavopivat B · Drug: Etavopivat C

Interventions

  • DrugEtavopivat A

    Participants will receive an oral dose of Etavopivat A.

  • DrugEtavopivat B

    Participants will receive an oral dose of Etavopivat B.

  • DrugEtavopivat C

    Participants will receive an oral dose of Etavopivat C.

06

What researchers measure

Primary outcomes

  1. Number of treatment emergent adverse events (TEAEs), reported for each indication and age group separately

    Measured as number of events.

    Time frame: Baseline (week 0 of FLORAL) up to end of study (up to week 316)

  2. Number of adverse reactions, reported for each indication and age group separately

    Measured as number of adverse reactions.

    Time frame: Baseline (week 0 of FLORAL) up to end of study (up to week 316)

Secondary outcomes

  1. Annualised vaso-occlusive crisis (VOC) rates, reported for each age group separately

    Measured as count.

    Time frame: Baseline (week 0 of FLORAL) up to end of treatment (up to week 312)

  2. Change in VOCs, reported for each age group separately

    Measured as count.

    Time frame: Baseline (of parent study [i.e., the previous etavopivat study that a participant is rolling over from]) up to end of treatment (up to week 312)

  3. Change in hemoglobin (Hb) concentration, reported for each age group separately

    Measured as grams per deciliter (g/dL).

    Time frame: Baseline (of parent study [i.e., the previous etavopivat study that a participant is rolling over from]) up to end of treatment (up to week 312)

  4. Annualised number of hospitalisations, reported for each age group separately

    Measured as count.

    Time frame: Baseline (week 0 of FLORAL) up to end of treatment (up to week 312)

  5. Average length of stay of hospitalisations, reported for each age group separately

    Measured as days.

    Time frame: Baseline (week 0 of FLORAL) up to end of treatment (up to week 312)

  6. Change in Hb concentration

    Measured as g/dL.

    Time frame: Baseline (of parent study [i.e., the previous etavopivat study that a participant is rolling over from]) up to end of treatment (up to week 312)

  7. Number of red blood cell (RBC) units transfused, reported for each indication separately

    Measured as units.

    Time frame: Baseline (week 0 of FLORAL) up to end of treatment (up to week 312)

  8. Change in RBC units transfused, reported for each indication separately

    Measured as units.

    Time frame: Baseline (of parent study [i.e., the previous etavopivat study that a participant is rolling over from]) up to end of treatment (up to week 312)

07

Study locations

45 of 107 sites recruiting
  • Univ of Alabama Birmingham
    Birmingham, Alabama 35233, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Phoenix Children's Hsptl
    Phoenix, Arizona 85016, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Children's Hospital Los Angeles - Endocrinology
    Los Angeles, California 90027, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Children's Hospital Los Angeles - Endocrinology
    Los Angeles, California 90027, United States
    Recruiting
  • UCSF Oakland Benioff ChildHosp
    Oakland, California 94609, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • UCSF Oakland Benioff ChildHosp
    Oakland, California 94609, United States
    Recruiting
  • Children's Hosp Of Orange
    Orange, California 92868, United States
    Completed

    Not enrolling at this site — choose another above.

  • University Of California Irvine
    Orange, California 92868, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • University of Connecticut
    Farmington, Connecticut 06030, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Children's National Medical Center
    Washington D.C., District of Columbia 20010, United States
    Completed

    Not enrolling at this site — choose another above.

  • Foundation for Sickle Cell Disease Research
    Hollywood, Florida 33023, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Univ of Miami/SCCC
    Miami, Florida 33136, United States
    Completed

    Not enrolling at this site — choose another above.

  • Emory University School of Medicine
    Atlanta, Georgia 30303, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Children's Healthcare Atlanta
    Atlanta, Georgia 30329, United States
    Recruiting
  • Center for Blood Disorders Augusta University
    Augusta, Georgia 30912, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Univer Of Illinois at Chicago
    Chicago, Illinois 60612, United States
    Recruiting
  • Children's Hosp-New Orleans
    New Orleans, Louisiana 70118, United States
    Completed

    Not enrolling at this site — choose another above.

  • Boston Medical Center
    Boston, Massachusetts 02118, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Washington University-St.Louis
    St Louis, Missouri 63110, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • NYC Health+Hospitals
    Brooklyn, New York 11203, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Columbia University Medical Center_New York_0
    New York, New York 10032, United States
    Recruiting
  • Columbia University Medical Center_New York_0
    New York, New York 10032, United States
    Not yet recruiting
  • Weill Cornell Med Coll-NYPH
    New York, New York 10065, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Jacobi Medical Center
    The Bronx, New York 10461, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Montefiore Medical Center
    The Bronx, New York 10467, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Atrium Levine Children's/Atrium Health
    Charlotte, North Carolina 28204, United States
    Not yet recruiting
  • Duke University_Durham
    Durham, North Carolina 27710, United States
    Recruiting
  • East Carolina Univ-Greenville
    Greenville, North Carolina 27834, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • East Carolina University_Greenville
    Greenville, North Carolina 27834, United States
    Completed

    Not enrolling at this site — choose another above.

  • Atrium Health-Wake Forest Bapt
    Winston-Salem, North Carolina 27157, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Cincinnati Child's Hsp Med Ctr
    Cincinnati, Ohio 45229, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Neuro-Behavioral Clinical Research
    North Canton, Ohio 44720, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Medical University Of South Carolina_Charleston
    Charleston, South Carolina 29425, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Methodist University Hospital
    Memphis, Tennessee 38104, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Texas Children's Hospital_Houston
    Houston, Texas 77030, United States
    Recruiting
  • UT Health University of Texas
    Houston, Texas 77030, United States
    Recruiting
  • Virginia Comm Univ Medical Ctr
    Richmond, Virginia 23298, United States
    Completed

    Not enrolling at this site — choose another above.

  • Mary Bridge Children's Health
    Tacoma, Washington 98405, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Versiti, CCBD_Milwaukee
    Milwaukee, Wisconsin 53226, United States
    Recruiting
  • St Pauls Hospital
    Vancouver, British Columbia V6Z1Y6, Canada
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • The Hospital for Sick Children
    Toronto, Ontario M5G 1X8, Canada
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • University Health Network - Toronto General Hospital
    Toronto, Ontario M5G 2C4, Canada
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • CHU Ste-Justine
    Montreal, Quebec H3T 1C5, Canada
    Completed

    Not enrolling at this site — choose another above.

  • Alexandria University Hospital
    Alexandria, Egypt, 21131, Egypt
    Recruiting
  • Alexandria University Hospital
    Alexandria, Egypt, 21131, Egypt
    Not yet recruiting
  • Zagazig University Hospital
    Alsharkia, Egypt, 44519, Egypt
    Recruiting
  • Faculty of Medicine Ain Shams Medical Research Institute (MASRI)
    Cairo, 1181, Egypt
    Recruiting
  • Cairo University
    Cairo, Egypt, 11956, Egypt
    Recruiting
  • Abu El-Reesh El-Mounira Children University Hospital
    Cairo, Egypt, 4241317, Egypt
    Recruiting
  • Ap-Hp-Hopital Henri Mondor
    Créteil, 94000, France
    Recruiting
  • Hospices Civils de Lyon-Hopital Edouard Herriot
    Lyon, 69437, France
    Recruiting
  • Ap-Hp-Hopital Robert Debre
    Paris, 75019, France
    Recruiting
  • Ap-Hp-Hopital Robert Debre
    Paris, 75019, France
    Not yet recruiting
  • Charité - Campus Virchow-Klinikum - Klinik für Pädiatrie mit Schwerpunkt Onkologie und Hämatologie
    Berlin, 13353, Germany
    Not yet recruiting
  • Universitätsklinikum Freiburg - Kinder- und Jugendklinik
    Freiburg im Breisgau, 79106, Germany
    Completed

    Not enrolling at this site — choose another above.

  • Kintampo Health Research Centre (KHRC)
    Kintampo, Bono East 27WF+98M, Ghana
    Recruiting
  • Ghana Institute of Clinical Genetics, Korle Bu Teaching Hospital (KBTH)
    Accra, 0, Ghana
    Recruiting
  • General Hospital Of Larissa Koutlibaneio And Triantafylleio - Thalassemia and SCD Unit
    Larissa, Thessaly 41221, Greece
    Recruiting
  • Hippokration Hospital
    Athens, 11527, Greece
    Recruiting
  • General University Hospital of Patras
    Pátrai, 26504, Greece
    Recruiting
  • 'Ippokrateio' General Hospital of Thessaloniki
    Thessaloniki, 54642, Greece
    Recruiting
  • All India Institute of Medical Sciences (AIIMS), Raipur
    Raipur, Chhattisgarh 492099, India
    Not yet recruiting
  • K.J Somaiya Hospital and Research Centre
    Mumbai, Maharashtra 400022, India
    Not yet recruiting
  • Victoria Hospital, Bangalore
    Bangalore, 560002, India
    Not yet recruiting
  • Nirmal Hospital Pvt. Ltd.
    Gujarat, 395002, India
    Not yet recruiting
  • Suretech Hospital and Research Centre Ltd.
    Maharashtra, 440012, India
    Not yet recruiting
  • All India Institute of Medical Sciences_Delhi
    New Delhi, 110029, India
    Not yet recruiting
  • Azienda Ospedaliera Universitaria San Luigi Gonzaga - S.C.D.O. Microcitemie e malattie rare ematologiche
    Orbassano, Torino 10043, Italy
    Recruiting
  • Azienda Ospedale Universita Padova
    Padova, 35128, Italy
    Recruiting
  • Fondazione IRCCS Policlinico San Matteo
    Pavia, 27100, Italy
    Completed

    Not enrolling at this site — choose another above.

  • Gertrude's Children's Hospital
    Nairobi, Nairobi County 00509, Kenya
    Recruiting
  • KEMRI CRDR Siaya Clinical Research Annex, Country Referral Hospital
    Siaya, Siaya County 40600, Kenya
    Recruiting
  • KEMRI-Walter-Reed Kericho
    Kericho, 20200, Kenya
    Not yet recruiting
  • Kombewa Clinical Research Centre
    Kisumu, 1932, Kenya
    Recruiting
  • Kombewa Clinical Research Centre
    Kisumu, 1932, Kenya
    Not yet recruiting
  • KEMRI Kondele Children Hospital, Kisumu
    Kisumu, 40100, Kenya
    Recruiting
  • Ahero Clinical Trials Unit
    Kisumu, 40101, Kenya
    Recruiting
  • American University of Beirut Medical Centre
    Hamra, 11-0236, Lebanon
    Recruiting
  • Chronic Care Center
    Hazmiyeh, 21211, Lebanon
    Recruiting
  • Hospital Nini
    Tripoli, 1434, Lebanon
    Recruiting
  • University of Nigeria Teaching Hospital (UNTH)
    Ituku-Ozalla, Enugu State 400001, Nigeria
    Not yet recruiting
  • University College Hospital Paediatric Haematology and Oncology Unit, Ibadan
    Ibadan, Oyo State 0000, Nigeria
    Not yet recruiting
  • University of Abuja Teaching Hospital, Gwagwalada, Abuja
    Abuja, 228, Nigeria
    Not yet recruiting
  • Barau Dikko Teaching Hospital, Kaduna
    Kaduna, 800212, Nigeria
    Not yet recruiting
  • Aminu Kano Teaching Hospital (AKTH)
    Kano, 3452, Nigeria
    Not yet recruiting
  • Lagos University Teaching Hospital, Lagos
    Lagos, 102215, Nigeria
    Not yet recruiting
  • Sultan Qaboos University Hospital
    Muscat, Sultanet of Oman/Muscat/Al Khoud 123, Oman
    Recruiting
  • Prince Mohammad Bin Naser Hospital
    Jizan, 82943, Saudi Arabia
    Not yet recruiting
  • King Khalid University Hospital
    Riyadh, 12372, Saudi Arabia
    Recruiting
  • Hospital Universitario de Cruces
    Barakaldo, 48903, Spain
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Hospital Vall d'Hebron
    Barcelona, 08035, Spain
    Recruiting
  • Hospital Universitario La Paz
    Madrid, 28046, Spain
    Recruiting
  • Baskent Universitesi Adana
    Adana, 01250, Turkey (Türkiye)
    Not yet recruiting
  • Başkent Üniversitesi Adana-Hematoloji
    Adana, 01250, Turkey (Türkiye)
    Recruiting
  • Hacettepe University Hematology
    Ankara, 06230, Turkey (Türkiye)
    Not yet recruiting
  • Hacettepe Üniversitesi Hastanesi- Hematoloji
    Ankara, 06230, Turkey (Türkiye)
    Not yet recruiting
  • Mersin University Medical Faculty Pediatric Hematology
    Mersin, 33110, Turkey (Türkiye)
    Not yet recruiting
  • Mersin Üniversitesi Tip Fakültesi Hastanesi- Çiftlikköy Yerleşkesi- Hematoloji
    Mersin, 33110, Turkey (Türkiye)
    Recruiting
  • VM Medical Park Mersin Hastanesi- Hematoloji
    Mersin, 33200, Turkey (Türkiye)
    Not yet recruiting
  • Evelina London Children's Hospital - Haemophilia
    London, SE1 7EH, United Kingdom
    Not yet recruiting

Showing the first 100 of 107 sites across 17 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: Yes — According to the Novo Nordisk disclosure commitment on novonordisk-trials.com

Data sharing details ↗ · novonordisk-trials.com

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
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
NCT06609226
Lead sponsor
Novo Nordisk A/S
Responsible party
Sponsor
First posted
Sep 24, 2024
Start date
Jan 10, 2025
Primary completion
Dec 30, 2030 (estimated)
Completion
Dec 30, 2030 (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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