ClinicalTrials.gg
RecruitingNCT07224360Updated Nov 3, 2026

Safety of Anumigilimab (CSL324) in Adults With Sickle Cell Disease (SCD)

A Phase 2 interventional study of Anumigilimab and Placebo in Sickle Cell Disease, sponsored by CSL Behring. Recruiting at 38 sites in 7 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by CSL Behring (part of CSL Limited) · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2026; still recruiting 9 months later.
Updated Nov 3, 2026First sites in Netherlands and Turkey (Türkiye)Primary completion moved+2 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
63
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a phase 2a, global, multicenter, randomized, double-blind, placebo-controlled study investigating the safety of anumigilimab administered subcutaneously (SC) at the maximum tolerated dose (MTD) in adult participants with SCD.

The primary aim of the study is to assess the safety of anumigilimab in participants with SCD. Participants will be treated for 64 weeks: for 12 weeks in the dose escalation period, where the dose will be escalated to each participant's individual MTD; and for 52 weeks at the MTD in the maintenance period.

02

Conditions studied

  • Sickle Cell Disease

Keywords

  • Anemia
  • Genetic Disorder
  • Vaso-occlusive Crises
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 63 is above the median of 40 across 769 interventional studies indexed under Anemia, Sickle Cell.

Browse Anemia, Sickle Cell studies →

Lead sponsor

CSL Behring is the lead sponsor of 145 studies on the registry; 17 are open to participants now.

Of its 24 completed or terminated interventional studies of FDA-regulated products, 17 (71%) have results posted.

First submitted after CSL Behring became part of CSL Limited.

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

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

  • Adults aged greater than or equal to (>=) 18 years on the day of signing the form.
  • Confirmed diagnosis of SCD of any genotype.
  • Experienced 1 to 12 VOCs requiring a visit to a medical facility and treatment with parenteral opioids or a parenteral nonsteroidal anti-inflammatory drug within the 12 months before Screening.
  • HU Regimen:
  • a. On stable and well-tolerated Hydroxyurea (HU) regimen for at least 30 days before Screening.
  • or
  • b. HU was discontinued or refused (eg, due to concern of side effects or lack of effect).

Exclusion criteria

Exclusion Criteria:

  • less than (\<) 2.5 ×10\^9 cells/Litre at Screening or Baseline (Week 1 Day 1).
  • If on SCD preventive medication, dose is not stable in the 30 days before Screening.
Terms in these criteria, in plain language(2)

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.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
63 participants (estimated)

Study arms

  • Experimental
    Anumigilimab

    Safety of Anumigilimab (CSL324) in Adults with Sickle Cell Disease (SCD)

    Biological: Anumigilimab

  • Placebo comparator
    Placebo

    Participants will receive matching volume of placebo.

    Drug: Placebo

Interventions

  • BiologicalAnumigilimab

    Participants will receive anumigilimab, escalated to a maximum dose guided by absolute neutrophil count (ANC) and safety concerns.

  • DrugPlacebo

    Volume matched saline will be administered SC.

06

What researchers measure

Primary outcomes

  1. Number of participants with Treatment Emergent Adverse Events (TEAEs), Overall and by severity, seriousness and relationship to Investigational Product (IP)

    Time frame: From baseline up to Week 75

  2. Percentage of participants with TEAEs Overall and by severity, seriousness and relationship to IP

    Time frame: From baseline up to Week 75

  3. Number of participants with Adverse Events of Special Interest (AESI)

    The following AEs are to be reported as AESI: neutropenia (Common Terminology Criteria for Adverse Events \[CTCAE\] Grade 3 or 4), severe infection and neutropenic fever.

    Time frame: From baseline up to Week 75

  4. Percentage of participants with AESI

    The following AEs are to be reported as AESI: neutropenia (CTCAE Grade 3 or 4), severe infection and neutropenic fever.

    Time frame: From baseline up to Week 75

  5. Number of participants with clinically relevant changes from baseline in laboratory assessments and vital signs

    Time frame: From baseline up to Week 75

  6. Percentage of participants with clinically relevant changes from baseline in laboratory assessments and vital signs

    Time frame: From baseline up to Week 75

Secondary outcomes

  1. Serum concentration of Anumigilimab

    Time frame: From the first dose of anumigilimab to Week 65

  2. Annualized rate of Vaso-occlusive crisis (VOC) (medical facility)

    VOC (medical facility) is defined as VOC that results in a visit to a medical facility and treatment with parenteral opioids or a parenteral nonsteroidal anti-inflammatory drug.

    Time frame: During the maintenance period from Week 13 to Week 65

07

Study locations

38 of 38 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — CSL will consider on a case-by-case basis requests to share Individual Patient Data (IPD) with external bona-fide, qualified scientific and medical researchers. For information on the process and requirements for submitting a voluntary data sharing request for IPD, please contact CSL at clinicaltrials@cslbehring.com.

Supporting information: Study protocol, Statistical analysis plan

Time frame: Requests for IPD will generally be considered once review by major regulatory authorities (i.e. FDA, EMA) is complete and the primary publication is available.

Access criteria: Proposed research should seek to answer a previously unanswered important medical or scientific question. Applicable country specific privacy and other laws and regulations will be considered and may prevent sharing of IPD. If the request is approved and the researcher has executed an appropriate data sharing agreement, IPD that has been appropriately anonymized will be available.

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar 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 Feb 2026 (actual). Primary completion is estimated for Aug 2028, 30 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 30 months is close to that.

Counting every sponsor, half of 92 studies reached it within 46 months; a quarter within 24 and three quarters within 73.

Since we started tracking on Sep 25, 2026, the dates moved once, on Nov 3, 2026: primary completion Jun 2028 → Aug 2028 and completion Jun 2028 → Aug 2028.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Oct 31, 2025
First posted
Nov 4, 2025
StartActual
Feb 2, 2026
Primary completionEst.
Aug 15, 2028was Jun 2028
CompletionEst.
Aug 15, 2028was Jun 2028
Last update
Nov 3, 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.
Sites
22 sites added — first sites in Netherlands and Turkey (Türkiye)
Show 22 added (5 United States, 5 Italy, 4 Turkey (Türkiye), 4 United Kingdom, 2 France, 1 Belgium, 1 Netherlands)
  • Boston Medical Center · Boston, United States
  • University of Minnesota · Minneapolis, United States
  • NYC Health + Hospitals/Queens · Jamaica, United States
  • Columbia University Medical Center · New York, United States
  • UT Physicians Comprehensive Adult Sickle Cell Center · Houston, United States
  • UZ Antwerpen · Edegem, Belgium
  • AP-HM Hôpital de La Timone · Marseille, France
  • CHU de Rouen-Hôpital Charles-Nicolle · Rouen, France
  • Azienda Ospedaliero-Universitaria di Ferrara - Arcispedale Sant' Anna · Cona, Italy
  • IRCCS Istituto Giannina Gaslini · Genoa, Italy
  • Fondazione IRCCS San Gerardo dei Tintori · Monza, Italy
  • AORN Antonio Cardarelli · Naples, Italy
  • IRCCS Bambino Gesù Children's Hospital · Rome, Italy
  • Amsterdam UMC - VUmc · Amsterdam, Netherlands
  • VM Medical Park Mersin Hospital · Mezitli, Turkey (Türkiye)
  • Mersin University Medical Faculty · Yenişehir, Turkey (Türkiye)
  • Acibadem Adana Hastanesi · Adana, Turkey (Türkiye)
  • Hacettepe University Medical Faculty · Ankara, Turkey (Türkiye)
  • Manchester Royal Infirmary · Manchester, United Kingdom
  • Royal Liverpool University Hospital · Liverpool, United Kingdom
  • The Royal London Hospital · London, United Kingdom
  • Guy's Hospital · London, United Kingdom
Nov 3, 2026
Primary completion
Jun 29, 2028→Aug 15, 2028
Nov 3, 2026
Study completion
Jun 29, 2028→Aug 15, 2028
Nov 3, 2026
Show all 1 update
  1. Nov 3, 2026
    22 sites added — first sites in Netherlands and Turkey (Türkiye)
    Show 22 added (5 United States, 5 Italy, 4 Turkey (Türkiye), 4 United Kingdom, 2 France, 1 Belgium, 1 Netherlands)
    • Boston Medical Center · Boston, United States
    • University of Minnesota · Minneapolis, United States
    • NYC Health + Hospitals/Queens · Jamaica, United States
    • Columbia University Medical Center · New York, United States
    • UT Physicians Comprehensive Adult Sickle Cell Center · Houston, United States
    • UZ Antwerpen · Edegem, Belgium
    • AP-HM Hôpital de La Timone · Marseille, France
    • CHU de Rouen-Hôpital Charles-Nicolle · Rouen, France
    • Azienda Ospedaliero-Universitaria di Ferrara - Arcispedale Sant' Anna · Cona, Italy
    • IRCCS Istituto Giannina Gaslini · Genoa, Italy
    • Fondazione IRCCS San Gerardo dei Tintori · Monza, Italy
    • AORN Antonio Cardarelli · Naples, Italy
    • IRCCS Bambino Gesù Children's Hospital · Rome, Italy
    • Amsterdam UMC - VUmc · Amsterdam, Netherlands
    • VM Medical Park Mersin Hospital · Mezitli, Turkey (Türkiye)
    • Mersin University Medical Faculty · Yenişehir, Turkey (Türkiye)
    • Acibadem Adana Hastanesi · Adana, Turkey (Türkiye)
    • Hacettepe University Medical Faculty · Ankara, Turkey (Türkiye)
    • Manchester Royal Infirmary · Manchester, United Kingdom
    • Royal Liverpool University Hospital · Liverpool, United Kingdom
    • The Royal London Hospital · London, United Kingdom
    • Guy's Hospital · London, United Kingdom
    Primary completion Jun 29, 2028→Aug 15, 2028
    Study completion Jun 29, 2028→Aug 15, 2028
    + 2 other changes: identifiers and verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07224360
Lead sponsor
CSL Behring
Responsible party
Sponsor
First posted
Nov 4, 2025
Start date
Feb 2, 2026
Primary completion
Aug 15, 2028 (estimated)
Completion
Aug 15, 2028 (estimated)
Last update
Nov 3, 2026

Study contacts

Trial Registration Coordinator
Contact
clinicaltrials@cslbehring.com
+1 610-878-4697
Study Director
study director · CSL Behring

Oversight

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

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