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Sickle Cell DiseasePhase 2/3NCT05431088

A Phase 2/3 Study of Osivelotor in Adult and Adolescent Participants With SCD

A Phase 2/3 study testing Osivelotor in people with Sickle Cell Disease, run by Pfizer at 80 sites in 7 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The purpose of this study is to evaluate the safety, tolerability, efficacy, pharmacokinetics and pharmacodynamics of osivelotor. Read more about this study

Who is it for?
Ages 12 years and older
Conditions the study is for
Sickle Cell Disease
What is being tested?
Osivelotor
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
389 participants
Where
80 sitesin 7 countries
Study dates
22 Sep 2022to 31 Dec 2032
Phase
Phase 2/3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Part A and Part B:
  • Male or female with SCD, HbSS and HbSB-zero
  • Participants with Hemoglobin ≥ 5.5 and ≤ 10.5 g/dL during Screening and considered stable by the Investigator.
  • For participants taking hydroxyurea and/or L-glutamine, the dose must be stable for at least 90 days prior to signing the ICF or assent and with no anticipated need for dose adjustments during the study in the opinion of the Investigator.
  • Part B:
  • Participants with SCD ages 12 years and older, inclusive at screening.
Show all 9Show fewer
  • Participants with more than or equal to 2 and ≤ 10 VOCs within 12 months of Screening.
  • OLE:
  • Participants who have completed the Part B successfully will be eligible.

Who cannot join

  • Part A and Part B:
  • Participants who had more than 10 VOC within 12 months of screening
  • Female participant who is breastfeeding or pregnant
  • Participants who receive RBC transfusion therapy regularly or received an RBC transfusion ---for any reason within 90 days of Day 1
  • Participants hospitalized for sickle cell crisis or other vaso-occlusive event within 14 days of signing the ICF or anytime during the screening period.
  • Participants in Sub-Saharan Africa or who have relocated from Sub-Saharan Africa within 6 months.
Show all 10Show fewer
  • OLE:
  • Have any unresolved clinically significant adverse event, laboratory abnormality, or safety finding from Part B that, in the opinion of the Investigator, increases the risk of study drug administration.
  • Met permanent treatment discontinuation criteria during Part B.
  • Have withdrawn consent or are unable to comply with study procedure

Trial locations and contacts

80 sites in 7 countries. Contact the study team or a site near you to ask about taking part.

Pfizer Pfizer CT.gov Call Center contact

1-800-718-1021

ClinicalTrials.gov_Inquiries@pfizer.com

80 sites in 7 countries

United States46 sites, 35 recruiting
  • Children's Center for Advanced Pediatrics

    Atlanta, Georgia, 30329

    Recruiting
  • LSU Health Baton Rouge-North Clinic

    Baton Rouge, Louisiana, 70805

    Active, not recruiting
  • Our Lady of the Lake Hospital, Inc.

    Baton Rouge, Louisiana, 70808

    Active, not recruiting
  • Our lady of the Lake Hospital

    Baton Rouge, Louisiana, 70808

    Active, not recruiting
  • Clinical & Translational Research Center (CTRC)

    Chapel Hill, North Carolina, 27514

    Not yet recruiting
  • UNC Health

    Chapel Hill, North Carolina, 27514

    Not yet recruiting
  • UNC Eastowne Medical Office Building - Consent Only

    Chapel Hill, North Carolina, 27517

    Not yet recruiting
  • University of Illinois at Chicago Clinical Research Center

    Chicago, Illinois, 60612

    Recruiting
  • University of Illinois Hospital and Health Sciences System - Investigational Drug Services (IDS)

    Chicago, Illinois, 60612

    Recruiting
  • University of Illinois Hospital and Health Sciences System

    Chicago, Illinois, 60612

    Recruiting
  • Prisma Health Laurens County Hospital

    Clinton, South Carolina, 29325

    Recruiting
  • Children's Hospital of Michigan

    Detroit, Michigan, 48201

    Not yet recruiting
  • Alpha Clinical Research Georgia

    Dunwoody, Georgia, 30350

    Active, not recruiting
  • Duke University IDS Pharmacy

    Durham, North Carolina, 27710

    Recruiting
  • Duke University Medical Center

    Durham, North Carolina, 27710

    Recruiting
  • Inova Schar Cancer Institute

    Fairfax, Virginia, 22031

    Recruiting
  • Southern Specialty Research

    Flowood, Mississippi, 39232

    Recruiting
  • ECU Physicians, Brody Outpatient Clinic

    Greenville, North Carolina, 27834

    Recruiting
  • Prisma Health - Upstate

    Greenville, South Carolina, 29605

    Recruiting
  • Prisma Health Greenville Memorial Hospital

    Greenville, South Carolina, 29605

    Recruiting
  • Prisma Health Outpatient Radiology - Greenville

    Greenville, South Carolina, 29605

    Recruiting
  • Prisma Health Patewood Hospital

    Greenville, South Carolina, 29615

    Recruiting
  • Prisma Health Greer Memorial Hospital

    Greer, South Carolina, 29650

    Recruiting
  • Connecticut Children's Medical Center

    Hartford, Connecticut, 06106

    Not yet recruiting
  • McGovern Medical School at UTHealth

    Houston, Texas, 77030

    Active, not recruiting
  • Memorial Hermann Hospital, Texas Medical Center - Clinical Research Unit (CRU)

    Houston, Texas, 77030

    Active, not recruiting
  • The University of Texas Health Science Center at Houston

    Houston, Texas, 77030

    Active, not recruiting
  • UT Physicians Comprehensive Sickle Cell Clinic

    Houston, Texas, 77030

    Active, not recruiting
  • University Health

    Kansas City, Missouri, 64108

    Recruiting
  • Mississippi Center for Advanced Medicine

    Madison, Mississippi, 39110

    Active, not recruiting
  • AMR Clinical

    Mobile, Alabama, 36608

    Recruiting
  • UNC IDS

    Morrisville, North Carolina, 27560

    Not yet recruiting
  • Jack & Sheryl Morris Cancer Center

    New Brunswick, New Jersey, 08901

    Recruiting
  • Robert Wood Johnson University Hospital

    New Brunswick, New Jersey, 08901

    Recruiting
  • Rutgers Cancer Institute of New Jersey

    New Brunswick, New Jersey, 08901

    Recruiting
  • Smilow Cancer Hospital

    New Haven, Connecticut, 06511

    Not yet recruiting
  • University Medical Center New Orleans

    New Orleans, Louisiana, 70112

    Active, not recruiting
  • Icahn School of Medicine at Mount Sinai

    New York, New York, 10029

    Recruiting
  • Edward Jenner Research Group LLC.

    Plantation, Florida, 33317

    Recruiting
  • Sonar Clinical Research

    Riverdale, Georgia, 30274

    Active, not recruiting
  • Prisma Health Hillcrest Hospital

    Simpsonville, South Carolina, 29681

    Recruiting
  • Great Lakes Research Institute, Flourish Detroit

    Southfield, Michigan, 48075

    Not yet recruiting
  • Jacobi Medical Center

    The Bronx, New York, 10461

    Recruiting
  • Prisma Health North Greenville Hospital

    Travelers Rest, South Carolina, 29690

    Recruiting
  • Pediatric Hematology / Oncology a division of Kidz Medical services

    West Palm Beach, Florida, 33407

    Recruiting
  • St. Mary's Medical Center

    West Palm Beach, Florida, 33407

    Recruiting

Other trials in United States

Brazil13 sites, 11 recruiting
  • Multihemo Servicos Medicos S/A

    Recife, Pernambuco, 50070-460

    Not yet recruiting
  • Hospital Das Clinicas da Faculdade de Medicina de Ribeirão Preto - USP

    Ribeirão Preto, São Paulo, 14051-140

    Not yet recruiting
  • Instituto Estadual de Hematologia Arthur Siqueira Cavalcanti - HEMORIO

    Rio de Janeiro, 20211-030

    Not yet recruiting
  • CPHosp Medicina, Ensino e Pesquisa Ltda

    São, São Paulo, 01228-000

    Not yet recruiting
  • Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto

    São José do Rio Preto, São Paulo, 15090-000

    Recruiting
  • BP A Beneficência Portuguesa de São Paulo

    São Paulo, São Paulo, 01321 001

    Not yet recruiting
  • BP - A Beneficência Portuguesa de São Paulo

    São Paulo, São Paulo, 01323-900

    Not yet recruiting
  • Casa de Saude Santa Marcelina

    São Paulo, São Paulo, 08270-070

    Not yet recruiting
  • Casa de Saude Santa Marcelina

    São Paulo, São Paulo, 08270-120

    Not yet recruiting
  • Esho Empresa de Servicos Hospitalares S A

    São Paulo, SÃO Paulo- Brasil, 01232-011

    Not yet recruiting
  • Esho Empresa de Servicos Hospitalares S A

    São Paulo, 01232-010

    Not yet recruiting
  • Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo

    São Paulo, 05403-000

    Active, not recruiting
  • Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo

    São Paulo, 05403-010

    Active, not recruiting

Other trials in Brazil

United Kingdom7 sites, 7 recruiting
  • University Hospitals Bristol and Weston NHS Foundation Trust

    Bristol, BS2 8ED

    Recruiting
  • Bristol Royal Infirmary

    Bristol, BS2 8EX

    Recruiting
  • University College London Hospital

    London, NW1 2PG

    Recruiting
  • Guy's & St Thomas' NHS Foundation Trust

    London, SE1 9RT

    Recruiting
  • King's College Hospital NHS Foundation Trust

    London, SE5 9RS

    Recruiting
  • Hammersmith Hospital, Imperial College Healthcare NHS Trust

    London, W12 0HS

    Recruiting
  • Hammersmith Hospital

    London, W12 0HS

    Recruiting

Other trials in United Kingdom

India6 sites, 6 recruiting
  • AIIMS, Bhubaneswar

    Bhubaneswar, Odisha, 751019

    Not yet recruiting
  • Chopda Medicare & Research Centre Pvt. Ltd: Magnum Heart Institute

    Nashik, Maharashtra, 422005

    Recruiting
  • AIIMS Delhi

    New Delhi, National Capital Territory of Delhi, 110029

    Not yet recruiting
  • AIIMS Raipur

    Raipur, Chhattisgarh, 492099

    Not yet recruiting
  • Nirmal Hospital Pvt Ltd

    Surat, Gujarat, 395002

    Recruiting
  • Haemato Oncology Care Centre

    Vadodara, Gujarat, 390020

    Recruiting

Other trials in India

Kenya4 sites
  • KEMRI/CRDR, Siaya, KEMRI Clinical Research Annex

    Kisumu, Siaya County, 40600

    Completed
  • Gertrude's Children's Hospital

    Nairobi, 00100

    Completed
  • Kenya Medical Research Institute - Centre for Respiratory Disease Research

    Nairobi, 00100

    Completed
  • Center for Research In Therapeutic Sciences (CREATES), Strathmore University Medical Centre

    Nairobi, 00200

    Completed

Other trials in Kenya

Nigeria3 sites
  • University College Hospital Ibadan

    Ibadan, Oyo/ibadan North, 200212

    Completed
  • Aminu Kano Teaching Hospital

    Kano, 700233

    Completed
  • Lagos University Teaching Hospital

    Lagos, 100254

    Completed

Other trials in Nigeria

Saudi Arabia1 site, 1 recruiting
  • King Khalid University Hospital

    Riyadh, Riyadh Region, 11472

    Not yet recruiting

Other trials in Saudi Arabia

About this study

Official title: A PHASE 2/3 RANDOMIZED, MULTICENTER STUDY OF OSIVELOTOR ADMINISTERED ORALLY TO ADULT AND ADOLESCENT PARTICIPANTS WITH SICKLE CELL DISEASE

The purpose of this study is to evaluate the safety, tolerability, efficacy, pharmacokinetics and pharmacodynamics of osivelotor.

Read the detailed description

This is a three-part, multicenter, Phase 2/3 study of orally administered osivelotor in participants with sickle cell disease (SCD).

Part A will evaluate the safety, tolerability, and efficacy of osivelotor in adult participants with SCD to determine an optimal dose. (Complete) Part B will evaluate the efficacy of osivelotor versus placebo in adult and adolescent participants with SCD for 48 weeks.

Open Label Extension (OLE) will evaluate the long-term safety and hematologic responses of open-label osivelotor in adult and adolescent participants having completed Part B.

Being tested
Osivelotor
Medical subject headings
Anemia, Sickle Cell

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • OsivelotorDrug

    Also called PF-07940367 or GBT021601

    Tablets which contain drug substance

Study groups in NCT05431088
Study groupRoleWhat they receive
Part BPlacebo comparatorStudy drug arm: Adult participants will receive osivelotor at 300 mg QD loading dose for 7 days followed by 150 mg QD through Week 48. Adolescent participant dose will be defined in a future protocol amendment. Placebo arm: Participants will receive placebo tablets for 48 weeks.
Receives: Drug: Osivelotor
OLEExperimentalAdult Participants will receive 150 mg open-label osivelotor up to 2 years after the last participant's visit in Part B or when the drug is commercially available in that region. The appropriate doses for adolescents will be defined in a future protocol amendment.
Receives: Drug: Osivelotor
Part AActive comparatorInitially, participants will be randomized 1:1 to 100 mg and 150 mg daily. Upon review of the 150 mg safety data from at least 6 participants, there will be 1:1:1 randomization: 100 mg, 150 mg, and up to 200 mg. Participants will then receive maintenance once daily doses through Week 12.
Receives: Drug: Osivelotor

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Part A

    Number of adult participants with change from baseline in hemoglobin (Hb) through week 12 as measured by change in osivelotor concentrations from baseline or percentage change from baseline of clinical measures of anemia Hb and hemolysis (including indirect bilirubin, reticulocytes and lactate dehydrogenase).

    Measured: Through week 12

  2. Part B

    Co-primary endpoints: Hb response (increase from baseline of >1 g/dL) at Week 48 (based on average of Hb levels at Week 40 and Week 48) and the Annualized rate of VOC through end of Week 48.

    A VOC is defined as an acute episode of pain that:

    • Has no medically determined cause other than a vaso-occlusive event, and
    • Results in a visit to a medical facility (hospitalization, emergency department, urgent care center, outpatient clinic, or infusion center), and
    • Requires parenteral narcotic agents, parenteral nonsteroidal anti-inflammatory drugs (NSAIDs), or an increase in treatment with oral narcotics.

    Complicated VOCs of acute chest syndrome (ACS), hepatic sequestration, splenic sequestration, priapism, and dactylitis that meet the requirements listed above will be included in this co-primary endpoint.

    Measured: Through week 48

  3. OLE

    Incidence of Treatment Emergent Adverse Events:

    • Incidence of SAEs
    • Incidence of AEs leading to discontinuation
    • Change from baseline in laboratory parameters.

    Measured: Approximately 24 months after last patient enrolled

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Jun 2022
  2. Study start22 Sep 2022
  3. Primary completion30 Dec 2030 (estimated)
  4. Study completion31 Dec 2032 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
389 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05431088
Sponsor's protocol ID
GBT021601-021
Other IDs
C5351004, 2023-508766-14-00, 2023
Status last verified
Aug 2026
First submitted
21 Jun 2022
Last updated
18 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Publications

  • Li Z, Alt C, Dufu K, Hutchaleelaha A, Xu Q, Zhang X, Li CM, Rademacher P, Bosmajian C, Pochron MP, Partridge JR, Oksenberg D, Cathers BE. Discovery of Osivelotor (GBT021601): A Potent, Next-Generation Sickle Hemoglobin Polymerization Inhibitor. ACS Med Chem Lett. 2025 Jul 8;16(8):1526-1532. doi: 10.1021/acsmedchemlett.5c00076. eCollection 2025 Aug 14.

    PubMed 40832524
  • Obadina M, Wilson S, Derebail VK, Little J. Emerging Therapies and Advances in Sickle Cell Disease with a Focus on Renal Manifestations. Kidney360. 2023 Jul 1;4(7):997-1005. doi: 10.34067/KID.0000000000000162. Epub 2023 May 31.

    PubMed 37254256

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Osivelotor in people with Sickle Cell Disease, run by Pfizer at 80 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 18 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 80 sites in United States, Brazil, United Kingdom, India, Kenya and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Pfizer Pfizer CT.gov Call Center (1-800-718-1021, ClinicalTrials.gov_Inquiries@pfizer.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Part A (time frame: Through week 12). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05431088, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Aug 2026.

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