ClinicalTrials.gg
RecruitingNCT06612268Hibiscus 2Updated Sep 17, 2026

A Study to Evaluate How Well Etavopivat Works in People With Sickle Cell Disease

A Phase 3 interventional study of Etavopivat and Placebo in Sickle Cell Disease, sponsored by Novo Nordisk A/S. Recruiting at 175 sites in 21 countries. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2026-09-17.

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

From the registry’s dates

  • Started Feb 2025; still recruiting 1 year 8 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
510
Allocation
Randomized
Ages
12 Years and older
Sex
All
01

Study summary

This study is conducted to confirm whether etavopivat works well at reducing the number of Vaso-occlusive crisis VOCs (sickle cell pain crises) caused by obstructions in blood vessels in adults and adolescents living with sickle cell disease. The study will also evaluate how well etavopivat can reduce the damage to different organs, improve your exercise tolerance and reduce fatigue in people with sickle cell disease.The participants will either get etavopivat or placebo. Which treatment the participants will get is decided by chance. Etavopivat is a new medicine and is currently being tested in other studies in addition to this one. The study will last for about 2 years.

02

Conditions studied

  • Sickle Cell Disease

Browse trials for

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 510 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
12 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

  • Male or female.
  • Age 12 years or above at the time of signing the .
  • Confirmed diagnosis of sickle cell disease: Documentation of sickle cell disease (SCD) genotype (HbSS, HbSβ0-thalassemia or other sickle cell syndrome variants) based on prior history of laboratory testing or screening test results from central laboratory. Molecular genotyping is not required. SCD genotype may be determined from the results of (Hb) electrophoresis, high-performance liquid chromatography (HPLC) or similar testing. Note that Hb electrophoresis is performed by the central laboratory at screening.
  • Have 2-15 episodes of documented vaso occlusive crises (VOC) within the 12 months prior to screening. Documentation must exist in the participant's medical record prior to randomisation. Events based solely on participant recall without supporting documentation should not be counted towards eligibility.
  • Hb greater than or equal to (≥) 5.0 and less than or equal to (≤) 10.0 g/dL (greater than or equal to (≥) 50 and less than or equal to (≤) 100 grams per litre [g/L]) at screening.

Exclusion criteria

Exclusion Criteria:

  • Use of voxelotor or similar agent within 28 days prior to starting study treatment or anticipated need for this agent during the study.
  • Use of a selectin antagonist (e.g., crizanlizumab, monoclonal antibody or small molecule) within 28 days or 5 half-lives (whichever is longer) prior to starting study treatment or anticipated need for such agents during the study.
  • Receiving regularly scheduled blood (RBC) transfusion therapy (also termed chronic, prophylactic, or preventive transfusion) or greater than or equal to 6 transfusion events within the previous 12 months prior to screening (i.e., an average of 1 transfusion event every 60 days).
  • Participants who have received an RBC transfusion for any reason within 60 days of the screening period or 60 days of the randomisation day are only eligible if HbA (adult ) less than 10% by Hb electrophoresis is documented prior to starting study treatment.
  • Receiving or use of concomitant medications that are strong or moderate inducers of (cytochrome p450 3a4) within 2 weeks of starting study treatment or anticipated need for such agents during the study.
  • Use of erythropoietin or other haematopoietic growth factor treatment within 28 days of starting study treatment or anticipated need for such agents during the study.
  • Receipt of prior cellular-based therapy (e.g., haematopoietic cell transplant, gene modification therapy).
  • Hepatic dysfunction characterized by:

    • (ALT) greater than 4.0 × (ULN) or
    • Direct greater than 3.0 × ULN.
  • Participants who are not taking or are unable to take antimalarial prophylaxis at the time of consent and during the study if they live in areas of endemic malaria where prophylaxis is recommended.
  • Severe renal dysfunction (estimated [eGFR] at screening, calculated by the central laboratory greater than 30 mL/min/1.73 m\^ 2) or on chronic dialysis.
  • Travelled distance on standardized 6MWT below 100m at screening.
Terms in these criteria, in plain language(7)

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).

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
510 participants (estimated)

Study arms

  • Experimental
    Etavopivat

    Participants will be randomised to receive oral dose of Etavopivat.

    Drug: Etavopivat

  • Placebo comparator
    Placebo

    Participants will be randomised to receive oral dose of placebo.

    Drug: Placebo

Interventions

  • Etavopivat will be administered orally.

  • DrugPlacebo

    Placebo matching Etavopivat will be administered orally.

06

What researchers measure

Primary outcomes

  1. Number of adjudicated Vaso-occlusive crisis (VOC) events with a medical contact

    Measured as Count of events.

    Time frame: Baseline (week 0) to week 52

Secondary outcomes

  1. Change in Haemoglobin (Hb) greater than 1 grams per decilitre (g/dL)

    Measured in Count of participants.

    Time frame: Baseline (week 0) to week 24

  2. Time to onset of first adjudicated Vaso-occlusive crisis (VOC)

    Measured as time in days.

    Time frame: Baseline (week 0) to week 52

  3. Change in standardised T-score on the Patient-Reported Outcomes Measurement Information System (PROMIS) Fatigue 7a Scale

    Measured in T-score.

    Time frame: Baseline (week 0) to week 52

  4. Change in haemoglobin (Hb)

    Measured in grams per decilitre (g/dL).

    Time frame: Baseline (week 0) to week 52

  5. Change in lactate dehydrogenase (LDH)

    Measured in Units per litre (U/L).

    Time frame: Baseline (week 0) to week 52

  6. Change in absolute reticulocyte count

    Measured as Cells x10\^9/L.

    Time frame: Baseline (week 0) to week 52

  7. Change in indirect bilirubin

    Measured in milligrams per decilitre (mg/dL).

    Time frame: Baseline (week 0) to week 52

  8. Change in distance travelled during the 6-minute walking test (6MWT)

    Measured in Meters.

    Time frame: Baseline (week 0) to week 52

  9. Participants achieving the threshold for clinically meaningful change (yes/no) in PROMIS fatigue scale 7a

    Measured as Count of participants.

    Time frame: Baseline (week 0) to week 52

  10. Participants achieving the threshold for clinically meaningful change (yes/no) in 6MWT

    Measured as Count of participants.

    Time frame: Baseline (week 0) to week 52

07

Study locations

130 of 175 sites recruiting
  • Uni of Alabama at Birmingham
    Birmingham, Alabama 35233, United States
    Recruiting
  • Univer South Alabama Ped/Onc
    Mobile, Alabama 36604, United States
    Recruiting
  • Phoenix Children's Hsptl
    Phoenix, Arizona 85016, United States
    Recruiting
  • Arkansas Children's Hospital
    Little Rock, Arkansas 72202, United States
    Recruiting
  • Children's Hospital Los Angeles - Endocrinology
    Los Angeles, California 90027, United States
    Recruiting
  • UCLA Health
    Los Angeles, California 90095, United States
    Completed

    Not enrolling at this site — choose another above.

  • Valley Children's Hospital
    Madera, California 93636, United States
    Recruiting
  • University Of California Irvine
    Orange, California 92868, United States
    Completed

    Not enrolling at this site — choose another above.

  • Stanford University_Palo Alto
    Palo Alto, California 94304, United States
    Recruiting
  • Harbor-UCLA Medical Center
    Torrance, California 90502, United States
    Recruiting
  • Clinical and Transl Res Center
    Aurora, Colorado 80045, United States
    Completed

    Not enrolling at this site — choose another above.

  • Nemours/AI duPont Hosp-Chld
    Wilmington, Delaware 19803, United States
    Recruiting
  • Childrens National Medical Ctr
    Washington D.C., District of Columbia 20010, United States
    Recruiting
  • MedStar Hlth Res Institute
    Washington D.C., District of Columbia 20010, United States
    Recruiting
  • Memorial Healthcare
    Hollywood, Florida 33021, United States
    Recruiting
  • Children's Healthcare Atlanta
    Atlanta, Georgia 30329, United States
    Recruiting
  • Childrens Hospital of Chicago
    Chicago, Illinois 60611, United States
    Recruiting
  • Univer Of Illinois at Chicago
    Chicago, Illinois 60612, United States
    Recruiting
  • Children's Hosp-New Orleans
    New Orleans, Louisiana 70118, United States
    Recruiting
  • Boston Children's Hospital
    Boston, Massachusetts 02115, United States
    Recruiting
  • Boston Medical Center
    Boston, Massachusetts 02118-2393, United States
    Recruiting
  • Henry Ford Hospital_Detroit
    Detroit, Michigan 48202, United States
    Completed

    Not enrolling at this site — choose another above.

  • University of Minnesota
    Minneapolis, Minnesota 55455, United States
    Recruiting
  • Washington University-St.Louis
    St Louis, Missouri 63110, United States
    Recruiting
  • Children's Nebraska
    Omaha, Nebraska 68114, United States
    Recruiting
  • Cure 4 the Kids Foundation
    Las Vegas, Nevada 89135, United States
    Completed

    Not enrolling at this site — choose another above.

  • Newark Beth Israel MC
    Newark, New Jersey 07112-2027, United States
    Recruiting
  • NYC Health+Hospitals
    Brooklyn, New York 11203, United States
    Recruiting
  • Interfaith Medical Center
    Brooklyn, New York 11238, United States
    Recruiting
  • Northwell Health
    Mount Kisco, New York 10549, United States
    Completed

    Not enrolling at this site — choose another above.

  • Cohen Children's Medical Ctr
    Queens, New York 11040, United States
    Recruiting
  • Jacobi Medical Center
    The Bronx, New York 10461, United States
    Recruiting
  • Montefiore Medical Ctr
    The Bronx, New York 10467, United States
    Recruiting
  • Duke Comprehen Sickle Cell
    Durham, North Carolina 27710, United States
    Recruiting
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
    Recruiting
  • East Carolina Univ-Greenville
    Greenville, North Carolina 27834, United States
    Recruiting
  • Atrium Health-Wake Forest Bapt
    Winston-Salem, North Carolina 27157, United States
    Recruiting
  • Univ Hosp Cleveland Med Ctr
    Cleveland, Ohio 44106, United States
    Recruiting
  • Ohio State Univ Wexner Med Ctr
    Columbus, Ohio 43203, United States
    Recruiting
  • Univ of OK Health Sciences Ctr
    Oklahoma City, Oklahoma 73104, United States
    Recruiting
  • Children's Hosptl Philadelphia
    Philadelphia, Pennsylvania 19104, United States
    Recruiting
  • St Christopher Hosp for Child
    Philadelphia, Pennsylvania 19134, United States
    Recruiting
  • University of Tennessee Health Science Center
    Memphis, Tennessee 38104, United States
    Recruiting
  • St. Jude Children's Res Hosp
    Memphis, Tennessee 38105, United States
    Recruiting
  • UT Health University of Texas
    Houston, Texas 77030, United States
    Recruiting
  • Inova Health System
    Fairfax, Virginia 22031, United States
    Recruiting
  • Children's Hsptl Of The Kings
    Norfolk, Virginia 23507, United States
    Recruiting
  • Virginia Comm Univ Medical Ctr
    Richmond, Virginia 23298, United States
    Recruiting
  • Mary Bridge Children's Health
    Tacoma, Washington 98405, United States
    Recruiting
  • Mary Bridge Children's Health
    Tacoma, Washington 98405, United States
    Not yet recruiting
  • Royal Prince Alfred Hospital - Department of Haematology
    Camperdown, New South Wales 2050, Australia
    Recruiting
  • Prince of Wales Hospital - Department of Haematology
    Randwick, New South Wales 2031, Australia
    Recruiting
  • Monash Medical Centre - Haematology Department
    Clayton, Victoria 3168, Australia
    Recruiting
  • Fiona Stanley Hospital - Haemophilia and Haemostasis Centre
    Murdoch, Western Australia 6150, Australia
    Recruiting
  • CHU Saint-Pierre - UMC Sint-Pieter
    Brussels, 1000, Belgium
    Recruiting
  • CHU - UVC Brugmann
    Brussels, 1020, Belgium
    Not yet recruiting
  • HUB - Hôpital Erasme
    Brussels, 1070, Belgium
    Recruiting
  • UZ Antwerpen - UZA - Haematology
    Edegem, 2650, Belgium
    Recruiting
  • UZ Antwerpen - UZA - Kinderhemato-Oncologie
    Edegem, 2650, Belgium
    Recruiting
  • UZ Leuven - Kindergeneeskunde
    Leuven, 3000, Belgium
    Recruiting
  • MultiHemo - Grupo Oncoclínicas
    Recife, Pernambuco 50070-460, Brazil
    Recruiting
  • MultiHemo - Grupo Oncoclínicas
    Recife, Pernambuco 52070-460, Brazil
    Not yet recruiting
  • Hemocentro UNICAMP
    Distrito de Barão Geraldo - Campinas, São Paulo 13083-878, Brazil
    Recruiting
  • HC da FMUSP Hospital das Clínicas São Paulo
    São Paulo, São Paulo 05403-010, Brazil
    Recruiting
  • HC da FMUSP Hospital das Clínicas São Paulo
    São Paulo, São Paulo 05403-010, Brazil
    Not yet recruiting
  • Fundação Hemocentro de Ribeirão Preto
    Ribeirão Preto, São 14051-140, Brazil
    Recruiting
  • Hemorio-Fundarj
    Rio de Janeiro, 20211-030, Brazil
    Recruiting
  • Hospital Samaritano Higienópolis - Instituto de Conhecimento Ensino e Pesquisa (ICEP)
    São Paulo, 01229-001, Brazil
    Recruiting
  • Foothills Med Ctr-Univ Calgary
    Calgary, Alberta T2N 2T9, Canada
    Recruiting
  • Stollery Children's Hospital
    Edmonton, Alberta T6G 2B7, Canada
    Recruiting
  • University of Alberta_Edmonton
    Edmonton, Alberta T6G 2B7, Canada
    Recruiting
  • BC Children's Hospital
    Vancouver, British Columbia V6H 3V4, Canada
    Recruiting
  • St Pauls Hospital
    Vancouver, British Columbia V6Z 2A5, Canada
    Not yet recruiting
  • LHSC - Victoria Hospital
    London, Ontario N6A5W9, Canada
    Recruiting
  • Scarborough Health Network Research Institute (SHNRI)
    Scarborough Village, Ontario M1E 4B9, Canada
    Not yet recruiting
  • UHN-Toronto General Hospital
    Toronto, Ontario M5G 2C4, Canada
    Completed

    Not enrolling at this site — choose another above.

  • University of Toronto
    Toronto, Ontario M5G1X8, Canada
    Recruiting
  • CHUM-Hosp de Univ Montreal
    Montreal, Quebec H2X 0C1, Canada
    Recruiting
  • Montreal Children's Hospital
    Montreal, Quebec H4A 3J1, Canada
    Recruiting
  • Hospital Pablo Tobon Uribe
    Medellín, Antioquia 50034, Colombia
    Not yet recruiting
  • Clinica de la Costa
    Barranquilla, Atlántico 80020, Colombia
    Recruiting
  • Sociedad de Oncología y Hematología del Cesar SAS (SOHEC)
    Valledupar, Cesar Department 200001, Colombia
    Recruiting
  • Clínica IMAT Oncomedica Auna S.A.S.
    Montería, Departamento de Córdoba 230002, Colombia
    Recruiting
  • Fundacion Valle del Lili
    Cali, Valle del Cauca Department 760032, Colombia
    Not yet recruiting
  • Sociedad de Oncología y Hematología del Cesar SAS (SOHEC)
    Antioquia, 4006, Colombia
    Not yet recruiting
  • Centro de investigaciones clínicas, fudación valle del lili
    Cali, 760032, Colombia
    Not yet recruiting
  • Clínica IMAT Oncomedica Auna S.A.S.
    Montería, 230002, Colombia
    Not yet recruiting
  • Ap-Hp-Hopital Avicenne
    Bobigny, 93000, France
    Not yet recruiting
  • Centre Hospitalier Universitaire de Bordeaux-Hopital Pellegrin
    Bordeaux, 33000, France
    Recruiting
  • Ap-Hp-Hopital Henri Mondor
    Créteil, 94000, France
    Recruiting
  • Centre Hospitalier Universitaire Grenoble Alpes-Site Nord Michallon
    Grenoble, 38043, France
    Recruiting
  • Hospices Civils de Lyon-Hopital Edouard Herriot
    Lyon, 69437, France
    Recruiting
  • AP-HP-HOPITAL NECKER_Service d'hématologie
    Paris, 75015, France
    Not yet recruiting
  • Ap-Hp-Hopital Robert Debre
    Paris, 75019, France
    Recruiting
  • Centre Hospitalier Universitaire de Rouen-Hopital Charles Nicolle
    Rouen, 76031, France
    Not yet recruiting
  • Kintampo Health Research Centre (KHRC)
    Kintampo, Bono East 27WF+98M, Ghana
    Not yet recruiting
  • Navrongo Health Research Centre
    Navrongo, Upper East Region UB-03821, Ghana
    Not yet recruiting
  • Agogo Presbyterian Hospital, Ghana
    Agogo, 0000, Ghana
    Completed

    Not enrolling at this site — choose another above.

  • "Laiko" General Hospital of Athens
    Athens, 115 26, Greece
    Recruiting
  • Childrens' Hospital of Athens "Agia Sofia"
    Athens, 115 27, Greece
    Recruiting

Showing the first 100 of 175 sites across 21 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 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06612268
Lead sponsor
Novo Nordisk A/S
Responsible party
Sponsor
First posted
Sep 25, 2024
Start date
Feb 17, 2025
Primary completion
Aug 27, 2027 (estimated)
Completion
Aug 12, 2029 (estimated)
Last update
Sep 17, 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
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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