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OpenTrials
Completed

NCT Number: NCT04912869

A Study Evaluating the Safety, Pharmacokinetics, Pharmacodynamics and Efficacy of Crovalimab for the Management of Acute Uncomplicated Vaso-Occlusive Episodes (VOE) in Participants With Sickle Cell Disease (SCD).

The purpose of this study is to evaluate crovalimab for the treatment of a sickle cell pain crisis (also known as a VOE) that requires hospitalisation in adult and adolescent participants with SCD. The primary objective of this study is safety and will additionally evaluate pharmacokinetics (how crovalimab is processed by your body), pharmacodynamics (how your body reacts to crovalimab) and the preliminary efficacy of crovalimab compared with placebo.

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Key information

Age range

12 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Hospital Sao Rafael - HSR, Salvador, Estado de Bahia, Brazil

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Body weight >=40 kg.
  • Confirmed diagnosis of HbSS (SCD genotype of sickle cell anemia) or HbSβ0 (SCD genotype of sickle cell beta zero thalassemia).
  • Vaccination against Neisseria Meningitidis serotypes A, C, W, and Y.
  • Vaccinations against H. influenzae type B and S. pneumoniae.
  • Participants vaccinated against SARS-CoV-2 are eligible, as long as it has been 3 days or more after inoculation with the vaccine.
  • Diagnosis of an acute uncomplicated VOE, that requires admission to a hospital/acute medical facility and treatment with parenteral opioid analgesics.
  • Adequate hepatic and renal function.
  • Hemoglobin >=5 grams/deciliter (g/dL)
  • Platelet count >=100,000/microliter (µL)
  • Participants receiving SCD-directed therapies must be on a stable dose for >=28 days.
  • For female participants of childbearing potential, an agreement to remain abstinent or use contraception for 322 days (approximately 10.5 months) after the dose of study treatment.

Exclusion criteria

  • More than 10 VOEs within the last 12 months prior to presentation, that have required a medical facility visit.
  • Pain related to the current VOE ongoing for >36 hours.
  • Acute pain related to avascular necrosis, hepatic or splenic sequestration, or priapism.
  • Pain atypical of an acute uncomplicated VOE.
  • Evidence of or suspicion of ACS.
  • Evidence or high suspicion of a severe systemic infection.
  • Major surgery and/or hospitalization for any reason within 30 days.
  • History of Neisseria meningitidis infection within 6 months prior.
  • Known HIV infection with a documented CD4 count <200 cells/µL.
  • Transfusion or receipt of blood products within 3 months or current participation in a chronic transfusion protocol.
  • Immunized with a live attenuated vaccine within 30 days.
  • History of hematopoietic stem cell transplant.
  • Known or suspected hereditary complement deficiency.
  • Pregnant or breastfeeding, or intending to become pregnant during the study or within 322 days (approximately 10.5 months) after the study drug administration.
  • Participation in another interventional treatment study with an investigational agent or use of any experimental therapy within the prior 28 days or within five half-lives of that investigational product, whichever was greater.

Treatment and study plan

Crovalimab

Drug

Crovalimab will be administered as a single dose of 1000 milligrams (mg) IV (for participants with a body weight between 40 kilograms (kg) and 100 kg) or 1500 mg IV (for participants with a body weight >=100 kg).

Placebo

Drug

Placebo will be administered as a single IV infusion, with an equal volume and over the same duration as weight- based crovalimab

Primary outcomes

  1. Percentage of Participants With Adverse Events (AEs)

    Time frame: Baseline up to Day 84

  2. Percentage of Participants with Infusion-Related Reactions and Hypersensitivity

    Time frame: Baseline up to Day 84

Secondary outcomes

  1. Time to Improvement of the Primary Acute Uncomplicated VOE From Baseline

    Time frame: Baseline up to Day 84

  2. Total Cumulative Opioid Dose From Baseline

    Time frame: Baseline up to Day 84

  3. Time to Discontinuation of all Parenteral Opioids From Baseline

    Time frame: Baseline up to Day 84

  4. Time to Readiness For Hospital Discharge From Baseline

    Time frame: Baseline up to Day 84

  5. Time to Hospital Discharge From Baseline

    Time frame: Baseline up to Day 84

  6. Time to a Confirmed Decrease in Pain Score of at Least 2 Points From the Maximal Pre-dose Pain Score

    Time frame: Baseline up to Day 84

  7. Change in Pain Score From the Maximal Pre-dose Pain Score to the Score at Hospital Discharge

    Time frame: Baseline up to Day 84

  8. Percentage of Participants who Develop Acute Chest Syndrome (ACS)

    Time frame: Baseline up to Day 28

  9. Percentage of Participants Requiring Intensive Care Unit (ICU)/Critical Care Admission for SCD-related Complications

    Time frame: Baseline up to Day 84

  10. Percentage of Participants Requiring Blood Transfusion for SCD-related Complications

    Time frame: Baseline up to Day 84

  11. Readmission Rate for a VOE or VOE-related Event Within 28 days of Discharge of the Primary Acute Uncomplicated VOE

    Time frame: Baseline up to Day 84

  12. Serum Concentrations of Crovalimab Over Time

    Time frame: Baseline up to Day 84

  13. Change in PD Biomarkers Including Complement Activity (CH50) Over Time

    Time frame: Baseline up to Day 84

    Assessed by a Liposome Immunoassay (LIA)

  14. Change Over Time in Free C5 Concentration

    Time frame: Baseline up to Day 84

  15. Change Over Time in Soluble Complement 5b 9 (sC5b-9) Concentration

    Time frame: Baseline up to Day 84

  16. Percentage of Participants with Anti-Drug Antibodies to Crovalimab

    Time frame: Baseline up to Day 84

Sponsors and collaborators

Lead sponsor

Hoffmann-La Roche

Industry

Registry information

Official study title

A Phase IB Randomized, Placebo-Controlled Study Evaluating the Safety, Pharmacokinetics, Pharmacodynamics, and Efficacy of Crovalimab for the Management of Acute Uncomplicated Vaso-Occlusive Episodes (VOE) in Patients With Sickle Cell Disease (SCD)

Acronym: CROSSWALK-a

Important dates

Study start
2022
Primary completion
2024
Study completion
2025
First posted
Jun 3, 2021
Registry last updated
Aug 26, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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