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

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

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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