Clinical trial • Phase III • Haematology | Rare Disease
ETAVOPIVAT for Sickle cell disease | Thalassaemia
Phase III trial of ETAVOPIVAT for Sickle cell disease | Thalassaemia. open-label, none/not specified-controlled. 430 participants.
Overview
- Trial Therapeutic Area
- Haematology | Rare Disease
- Trial Disease
- Sickle cell disease | Thalassaemia
- Trial Stage
- Phase III
- Drug Modality
- Small molecule
- Paediatric Trial
- Yes
- Orphan Drug
- Yes
Key dates
- Initial CTIS Submission Date
- 31-07-2024
- First CTIS Authorization Date
- 15-11-2024
Trial design
open-label, none/not specified-controlled Phase III trial in Spain, Germany, Greece and others.
- Open Label
- Yes
- Comparator
- None/Not specified
- Target Sample Size
- 430
- Trial Duration For Participant
- 1820
Eligibility
Recruits 430 paediatric patients.
- Pregnancy Exclusion
- Female who is pregnant or intends to become pregnant or is of childbearing potential and not using adequate contraceptive method, as defined in Appendix 4 (Section 10.4).
- Vulnerable Population
- The trial includes adolescents and children as well as adults. Informed consent is required before any study-related activities. Child-specific subject information and informed consent forms are listed (eg. child 12-17, parents/LAR forms) indicating parental/legal representative consent and age-appropriate information/assent handling for minors.
Inclusion criteria
- {"criterion_text":"- Informed consent obtained before any study-related activities. Study-related activities are any procedures that are carried out as part of the study, including activities to determine suitability for the study."}
- {"criterion_text":"- Participant must have ongoing participation in an etavopivat parent study (Table 4‑1) for treatment of SCD or thalassaemia and have completed at least a treatment period of the parent study."}
- {"criterion_text":"- Participant must have derived clinical benefit from treatment with etavopivat, as determined by the investigator."}
- {"criterion_text":"- Any participant with dose reduction or temporary discontinuation will need to be rechallenged before transferring."}
- {"criterion_text":"- 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 patient’s overall health status."}
Exclusion criteria
- {"criterion_text":"- Previous participation in this study. Participation is defined as signed informed consent."}
- {"criterion_text":"- Female who is pregnant or intends to become pregnant or is of childbearing potential and not using adequate contraceptive method, as defined in Appendix 4 (Section 10.4)."}
- {"criterion_text":"- 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."}
- {"criterion_text":"- Participant withdrew or had permanent treatment discontinuation from an etavopivat clinical study."}
- {"criterion_text":"- Participants on permanent treatment dose reduction (>28 days or more) or ongoing temporary treatment discontinuation."}
- {"criterion_text":"- Use of any of the following within the timeframes prior to the transfer visit as stated: a) Use of hemoglobin S (HbS) polymerization inhibitors within participation of the parent study or anticipated need for this agent during this study, b) 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, c) Use of erythropoietin or other haematopoietic growth factor treatment for more than 4 consecutive weeks during the parent study or anticipated need of such agent for a maintenance treatment during this study, d) 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. For guidance on strong inducers of CYP 3A4, see Section 6.8"}
- {"criterion_text":"- Current participation in a study that is not a designated parent study, or planned participation in any other clinical trial, for the duration of FLORAL"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Number of TEAEs, reported for each indication and age group separately","definition_or_measurement_approach":"Reported for each indication and age group separately"}
- {"endpoint_text":"- Number of adverse reactions, reported for each indication and age group separately","definition_or_measurement_approach":"Reported for each indication and age group separately"}
Secondary endpoints
- {"endpoint_text":"- Annualised VOC rates, reported for each age group separately","definition_or_measurement_approach":"Reported for each age group separately"}
- {"endpoint_text":"- Change in VOCs, reported for each age group separately","definition_or_measurement_approach":"Reported for each age group separately"}
- {"endpoint_text":"- Change in Hb concentration, reported for each age group separately","definition_or_measurement_approach":"Reported for each age group separately"}
- {"endpoint_text":"- Annualised number of hospitalisations, reported for each age group separately","definition_or_measurement_approach":"Reported for each age group separately"}
- {"endpoint_text":"- Average length of stay of hospitalisations, reported for each age group separately","definition_or_measurement_approach":"Reported for each age group separately"}
- {"endpoint_text":"- Change in Hb concentration","definition_or_measurement_approach":""}
- {"endpoint_text":"- Number of RBC units transfused, reported for each indication separately","definition_or_measurement_approach":"Reported for each indication separately"}
- {"endpoint_text":"- Change in RBC units transfused, reported for each indication separately","definition_or_measurement_approach":"Reported for each indication separately"}
Recruitment
- Planned Sample Size
- 430
- Recruitment Window Months
- 58
- Consent Approach
- Informed consent must be obtained before any study-related activities. Participant (adult) provides informed consent. For minors/adolescents, child-specific subject information and consent forms are provided (eg. child 12-17, parent/LAR forms), indicating parental/legal representative consent and age-appropriate information/assent handling. Consent documents are available in country-specific versions (documents listed for English, Spanish, French, Greek, German, Italian).
Geography
- Total Number Of Sites
- 15
- Total Number Of Participants
- 44
Spain
- Earliest CTIS Part Ii Submission Date
- 22-10-2024
- Latest Decision Or Authorization Date
- 24-02-2026
- Processing Time Days
- 490
- Number Of Sites
- 3
- Number Of Participants
- 10
Sites
- Site Name
- Fundacio Hospital Universitari Vall D’Hebron Institut De Recerca
- Principal Investigator Name
- David Beneitez Pastor
- Principal Investigator Email
- dbeneitez@vhio.net
- Contact Person Name
- David Beneitez Pastor
- Contact Person Email
- dbeneitez@vhio.net
- Site Name
- Hospital Universitario La Paz
- Principal Investigator Name
- Marta Morado
- Principal Investigator Email
- marta.morado@salud.madrid.org
- Contact Person Name
- Marta Morado
- Contact Person Email
- marta.morado@salud.madrid.org
- Site Name
- Hospital Universitario De Cruces
- Principal Investigator Name
- Miriam Vara Pampliega
- Principal Investigator Email
- miriam.varapampliega@osakidetza.eus
- Contact Person Name
- Miriam Vara Pampliega
- Contact Person Email
- miriam.varapampliega@osakidetza.eus
Germany
- Earliest CTIS Part Ii Submission Date
- 27-09-2024
- Latest Decision Or Authorization Date
- 24-02-2026
- Processing Time Days
- 515
- Number Of Sites
- 2
- Number Of Participants
- 2
Sites
- Site Name
- Charite Universitaetsmedizin Berlin KöR
- Principal Investigator Name
- Lena Oevermann
- Principal Investigator Email
- lena.oevermann@charite.de
- Contact Person Name
- Lena Oevermann
- Contact Person Email
- lena.oevermann@charite.de
- Site Name
- Medical Center - University Of Freiburg
- Principal Investigator Name
- Sarah Salou
- Principal Investigator Email
- sarah.salou@uniklinik-freiburg.de
- Contact Person Name
- Sarah Salou
- Contact Person Email
- sarah.salou@uniklinik-freiburg.de
Greece
- Earliest CTIS Part Ii Submission Date
- 21-08-2024
- Latest Decision Or Authorization Date
- 24-02-2026
- Processing Time Days
- 552
- Number Of Sites
- 4
- Number Of Participants
- 16
Sites
- Site Name
- Hippokration Hospital
- Department Name
- Thalassemia and Sickle Cell Unit
- Principal Investigator Name
- Sophia Delicou
- Principal Investigator Email
- sophiadelicou@gmail.com
- Contact Person Name
- Sophia Delicou
- Contact Person Email
- sophiadelicou@gmail.com
- Site Name
- General Hospital Of Larissa Koutlibaneio And Triantafylleio
- Department Name
- Thalassemia and SCD Unit
- Principal Investigator Name
- Michail Diamantidis
- Principal Investigator Email
- diamantidis76@gmail.com
- Contact Person Name
- Michail Diamantidis
- Contact Person Email
- diamantidis76@gmail.com
- Site Name
- General University Hospital Of Patras
- Department Name
- Bone Marrow Transplantation and Leukemia Unit
- Principal Investigator Name
- Alexandros Spyridonidis
- Principal Investigator Email
- aspyridonidis183@gmail.com
- Contact Person Name
- Alexandros Spyridonidis
- Contact Person Email
- aspyridonidis183@gmail.com
- Site Name
- Ippokratio General Hospital Of Thessaloniki
- Department Name
- Blood Donation Site, Thalassemia Unit
- Principal Investigator Name
- Efthymia Vlachaki
- Principal Investigator Email
- efivlachaki@yahoo.gr
- Contact Person Name
- Efthymia Vlachaki
- Contact Person Email
- efivlachaki@yahoo.gr
Italy
- Earliest CTIS Part Ii Submission Date
- 24-10-2024
- Latest Decision Or Authorization Date
- 17-03-2026
- Processing Time Days
- 509
- Number Of Sites
- 3
- Number Of Participants
- 5
Sites
- Site Name
- Fondazione IRCCS Policlinico San Matteo
- Principal Investigator Name
- Marco Zecca
- Principal Investigator Email
- m.zecca@smatteo.pv.it
- Contact Person Name
- Marco Zecca
- Contact Person Email
- m.zecca@smatteo.pv.it
- Site Name
- Azienda Ospedaliera di Padova
- Principal Investigator Name
- Raffaella Colombatti
- Principal Investigator Email
- raffaella.colombatti@unipd.it
- Contact Person Name
- Raffaella Colombatti
- Contact Person Email
- raffaella.colombatti@unipd.it
- Site Name
- Azienda Ospedaliero-Universitaria San Luigi Gonzaga
- Principal Investigator Name
- Vincenzo Voi
- Principal Investigator Email
- vincenzo.voi@unito.it
- Contact Person Name
- Vincenzo Voi
- Contact Person Email
- vincenzo.voi@unito.it
France
- Earliest CTIS Part Ii Submission Date
- 12-11-2024
- Latest Decision Or Authorization Date
- 25-02-2026
- Processing Time Days
- 470
- Number Of Sites
- 3
- Number Of Participants
- 11
Sites
- Site Name
- Assistance Publique Hopitaux De Paris
- Principal Investigator Name
- Valentine Brousse
- Principal Investigator Email
- valentine.brousse@aphp.fr
- Contact Person Name
- Valentine Brousse
- Contact Person Email
- valentine.brousse@aphp.fr
- Site Name
- Hospices Civils De Lyon
- Principal Investigator Name
- Giovanna Cannas
- Principal Investigator Email
- giovanna.cannas@chu-lyon.fr
- Contact Person Name
- Giovanna Cannas
- Contact Person Email
- giovanna.cannas@chu-lyon.fr
- Site Name
- Assistance Publique Hopitaux De Paris
- Principal Investigator Name
- Gonzalo De Luna
- Principal Investigator Email
- gonzalo.deluna@aphp.fr
- Contact Person Name
- Gonzalo De Luna
- Contact Person Email
- gonzalo.deluna@aphp.fr
Sponsor
Primary sponsor
- Full Name
- Novo Nordisk A/S
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Denmark
Contract research organisations
- Name
- 4G Clinical B.V.
- Responsibilities
- RTSM supplier and RTSM Helpdesk
- Name
- Icon Clinical Research Limited
- Responsibilities
- iRIS data entry service
- Name
- Oracle Danmark ApS
- Responsibilities
- CRF Supplier
Third parties
- {"country":"Denmark","full_name":"Oracle Danmark ApS","duties_or_roles":"CRF Supplier","organisation_type":"Non-Pharmaceutical company"}
- {"country":"Netherlands","full_name":"4G Clinical B.V.","duties_or_roles":"RTSM supplier and RTSM Helpdesk","organisation_type":"Non-Pharmaceutical company"}
- {"country":"Greece","full_name":"Affidea Piraeus Biopathological","duties_or_roles":"Health care,Hospital/Clinic/Other health care facility","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"iRIS data entry service","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- Etavopivat A 200 mg
- Active Substance
- ETAVOPIVAT
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Authorisation Status
- Not authorised
- Orphan Designation
- Yes
- Starting Dose
- 200 mg
- Dose Levels
- 200 mg
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