A Dose-Finding Study of Tebapivat to Assess Efficacy, and Safety in Participants With Sickle Cell Disease (SCD)

NCT ID: NCT06924970

Last Updated: 2025-12-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-01

Study Completion Date

2027-05-31

Brief Summary

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The main purpose of this study is to compare the effect of tebapivat versus placebo on anemia and to detect a dose-response for hemoglobin (Hb) response in participants with SCD.

Detailed Description

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Conditions

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Sickle Cell Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Tebapivat 2.5 milligrams (mg)

Participants will receive 2.5 mg tebapivat orally, once daily (QD) for 12-weeks in the double-blind (DB) period. Participants who complete the DB Period will be eligible to receive the same dose in the Open-Label Extension (OLE) period for up to 52 weeks.

Group Type EXPERIMENTAL

Tebapivat

Intervention Type DRUG

Oral tablets.

Tebapivat 5.0 mg

Participants will receive 5.0 mg tebapivat orally, QD, for 12-weeks in the DB period. Participants who complete the DB Period will be eligible to receive the same dose in the OLE period for up to 52 weeks.

Group Type EXPERIMENTAL

Tebapivat

Intervention Type DRUG

Oral tablets.

Tebapivat 7.5 mg

Participants will receive 7.5 mg tebapivat orally, QD, for 12-weeks in the DB period. Participants who complete the DB Period will be eligible to receive the same dose in the OLE period for up to 52 weeks.

Group Type EXPERIMENTAL

Tebapivat

Intervention Type DRUG

Oral tablets.

Tebapivat Matched Placebo

Participants will receive a matched placebo, orally, QD, for 12-weeks in the DB period. Participants who complete the DB Period will be randomized in 1:1:1 to receive tebapivat 2.5 mg QD, tebapivat 5.0 mg QD, or tebapivat 7.5 mg QD in the OLE period for up to 52 weeks

Group Type PLACEBO_COMPARATOR

Tebapivat

Intervention Type DRUG

Oral tablets.

Tebapivat Matched Placebo

Intervention Type DRUG

Oral tablets.

Interventions

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Tebapivat

Oral tablets.

Intervention Type DRUG

Tebapivat Matched Placebo

Oral tablets.

Intervention Type DRUG

Other Intervention Names

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AG-946

Eligibility Criteria

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Inclusion Criteria

* Documented diagnosis of SCD (HbSS, HbSC \[combined heterozygosity for hemoglobins S and C\], sickle hemoglobin \[HbS\]/β0-thalassemia, HbS/β+-thalassemia, or other sickle cell syndrome variants).
* Hemoglobin ≥5.5 and ≤10.5 grams per decilitre (g/dL). Hemoglobin concentration must be based on an average of at least 2 Hb concentration measurements (separated by ≥7 days) collected during the screening period.
* If taking hydroxyurea, the hydroxyurea dose must be stable for at least 90 days before randomization. Discontinuation of hydroxyurea requires a 90-day washout before providing informed consent.

Exclusion Criteria

* Receiving regularly scheduled red blood cell (RBC) transfusion therapy (also termed chronic, prophylactic, or preventative transfusion); episodic transfusion in response to worsened anemia or vaso-occlusive crisis (VOC) is permitted. Additionally, a participant who requires episodic transfusion(s) may not have received a transfusion(s) within 60 days before providing informed consent or during the screening period.
* \>10 sickle cell pain crisis (SCPCs) in the 12 months before providing informed consent.
* Receiving anabolic steroids that have not been stopped for at least 4 weeks before randomization. Testosterone replacement therapy to treat hypogonadism is allowed; the testosterone dose and preparation must be stable for ≥10 weeks before randomization.
* Hospitalized for an SCPC and/or other vaso-occlusive event within 14 days before providing informed consent or within 14 days before randomization. If an SCPC occurs during the screening period, the screening period may be extended with Medical Monitor approval.
* Receiving treatment with voxelotor, crizanlizumab, or L-glutamine within 90 days before randomization.
* Platelet count \<lower limit of normal (LLN) for the local laboratory or \<150×109/liter (L) (whichever is lower) during screening. Platelet transfusions received within 28 days before consent or during screening.
* Receiving treatment with hematopoietic stimulating agents within 90 days before randomization.
* Prior exposure to gene therapy or prior bone marrow or stem cell transplantation, including any conditioning regimen.
Minimum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Agios Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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UCHealth at University of Colorado Anschutz Medical Campus

Aurora, Colorado, United States

Site Status RECRUITING

UConn Health

Farmington, Connecticut, United States

Site Status RECRUITING

Children's National Hospital

Washington D.C., District of Columbia, United States

Site Status RECRUITING

MedStar Washington Hospital Center

Washington D.C., District of Columbia, United States

Site Status RECRUITING

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, United States

Site Status RECRUITING

Boston Medical Center & Boston University School of Medicine

Boston, Massachusetts, United States

Site Status RECRUITING

Henry Ford Health System

Detroit, Michigan, United States

Site Status RECRUITING

Children's Hospital of Michigan

Detroit, Michigan, United States

Site Status RECRUITING

Icahn School of Medicine at Mt. Sinai

New York, New York, United States

Site Status RECRUITING

Montefiore Medical Center

The Bronx, New York, United States

Site Status RECRUITING

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

Lifespan at Rhode Island Hospital

Providence, Rhode Island, United States

Site Status RECRUITING

Prisma Health Cancer Institute - Farris Road

Greenville, South Carolina, United States

Site Status RECRUITING

University of Texas Health Science Center of Houston

Houston, Texas, United States

Site Status RECRUITING

CHR de la Citadelle

Liège, Wallonne, Belgium

Site Status RECRUITING

Clinique CHC MontLégia

Liège, Wallonne, Belgium

Site Status RECRUITING

Scarborough Health Network - Centenary Hospital

Scarborough Village, Ontario, Canada

Site Status RECRUITING

CHU Montreal

Montreal, Quebec, Canada

Site Status RECRUITING

McGill University Health Center

Montreal, Quebec, Canada

Site Status RECRUITING

Hôpital Edouard Herriot, CHU de Lyon

Lyon, Auvergne-Rhône-Alpes, France

Site Status RECRUITING

Institut Universitaire du Cancer de Toulouse - Oncopole

Toulouse, Midi Pyrenees, France

Site Status RECRUITING

CHU Hôpital Henri Mondor

Créteil, Île-de-France Region, France

Site Status RECRUITING

St. James Hospital

Dublin, Leinster, Ireland

Site Status RECRUITING

Amsterdam Universitair Medisch Centrum, Locatie AMC

Amsterdam, North Holland, Netherlands

Site Status RECRUITING

Erasmus MC

Rotterdam, South Holland, Netherlands

Site Status RECRUITING

Universitair Medisch Centrum Utrecht

Utrecht, , Netherlands

Site Status RECRUITING

Kings College Hospital NHS Foundation Trust

London, , United Kingdom

Site Status RECRUITING

University College London

London, , United Kingdom

Site Status RECRUITING

Countries

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United States Belgium Canada France Ireland Netherlands United Kingdom

Central Contacts

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Agios Medical Affairs

Role: CONTACT

Phone: 833-228-8474

Email: [email protected]

Other Identifiers

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2024-519746-70-01

Identifier Type: CTIS

Identifier Source: secondary_id

AG946-C-003

Identifier Type: -

Identifier Source: org_study_id