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Safety, Efficacy, and Pharmacokinetics of CSL889 in Adults and Adolescents With Sickle Cell Disease During Vaso-Occlusive Crisis

RecruitingPhase 2

A Phase 2, Multicenter, Randomized, Multiple-Dose, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Efficacy, and Pharmacokinetics of CSL889 in Adults and Adolescents With Sickle Cell Disease During Vaso-Occlusive Crisis

Who can join

Ages 12 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

* At the time of informed consent:

  * 18 years of age (adults); or
  * 12 to less than (\<) 18 years of age (adolescents, where approved and when enrollment for adolescents has been opened by the sponsor, with the endorsement of the Independent Data Monitoring Committee \[IDMC\])
* Diagnosed with SCD (any genotype).
* Presented at the study site with a new acute VOC necessitating treatment with parenteral opioids.

Exclusion Criteria:

* VOC pain onset greater than (\>) 72 hours before administration of first parenteral opioid.
* Must not have a history of \> 5 VOCs requiring hospital admission in the past 6 months; or signs and / or symptoms of ACS; or new neurological symptoms suggestive of acute stroke or transient ischemic attack; or any stage (acute kidney injury) AKI; or been discharged from inpatient hospital admission for VOC or other vaso-occlusive event within 14 days before the current presentation.
* Serum hemoglobin \< 6 g/dL, serum ferritin ≥ 2000 ng/mL, receiving an approved medication for SCD that has not been on a stable, well-tolerated regimen, currently taking methadone or buprenorphine.

About the study

This is a phase 2, randomized, multiple-dose, placebo-controlled study designed to evaluate the safety, efficacy, and pharmacokinetics (PK) of CSL889 (human hemopexin) when given intravenously (IV) to adults and adolescents with sickle cell disease (SCD) experiencing vaso-occlusive crises (VOC). The main objectives of the study are to evaluate the safety and tolerability of CSL889 in study participants, and to assess how CSL889 affects the time it takes for VOC to resolve in participants with SCD.

What is being tested

Sponsor: CSL Behring · Participants: 70 · Started: Aug 7, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT06699849

Locations in the U.S.

CaliforniaUniv. of California, San Francisco Health Care, Oakland
University of California Irvine, Orange (Not yet recruiting)
FloridaGolisano Children's Hospital, Fort Myers
The Foundation for Sickle Cell Disease, Hollywood
GeorgiaArthur M. Blank Hospital-Children's Healthcare of Atlanta, Atlanta
IllinoisUniversity of Illinois at Chicago, Chicago
KentuckyUniversity of Louisville Hospital, Louisville
MarylandUniversity of Maryland, Baltimore
MichiganDetroit Medical Center, Detroit
Henry Ford Health System, Detroit
MissouriSt. Louis Children's Hospital, St Louis
New YorkMount Sinai Medical Center, New York
Jacobi Medical Center, The Bronx
North CarolinaEast Carolina University, Greenville
OhioUniversity of Cincinnati, Cincinnati
The Ohio State University, Columbus
PennsylvaniaHillman Cancer Center, Pittsburgh
University of Pittsburgh, Pittsburgh
VirginiaVirginia Commonwealth University, Richmond

Conditions

From ClinicalTrials.gov, data retrieved Sep 29, 2026. Each study sets its own eligibility; the study team decides who can join.