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. 2021 Jun 10;22(12):6275. doi: 10.3390/ijms22126275

Table 1.

Current clinical trials for sickle cell disease (SCD) treatments [45,47,48,49,50,51,52].

Trial Phase(s) Drug Compounds (and Explanation)
Phase I RCT Metformin, Aes-103, SCD-101 (NCT02380079), and NKTT120 (NCT01783691)
Phase I Ambrisentan (NCT02712346)
Decitabine + tetrahydrouridine or THU (NCT01685515)
Plerixafor mobilization and apheresis (NCT03226691–multicenter study)
Citrulline * (NCT02314689, NCT02697240)
Zileuton (NCT01136941–SAOL)
Panobinostat or LBH589 (NCT01245179)
INCB059872 (NCT03132324)
Phase I/II RCT Voxelotor or GBT440 (NCT02850406)
Phase I/II Arginine (NCT02447874–open-label randomized crossover design), rivipansel or GMI-1070 (NCT00911495–SAOL, NCT01119833–RDBPC, and NCT02187003–RDBPC), omega-3 fatty acids (NCT02947100–SAOL),
N-acetylcysteine (NCT01800526–SAOL), and
Simvastatin (NCT0050802–SAOL, NCT01702246–SAOL)
Phase II RCT Crizanlizumab, rivipansel, intravenous Ig, or IVIG (NCT01757418–RDBPC), dalteparin, sevuparin, eptifibatide, prasugrel, haptoglobin, oral or intravenous nitrite, inhaled nitric oxide, hemopexin/haptoglobin, MP4CO, various antioxidants, canakinumab, montelukast, and simvastatin.
Phase II Atorvastatin (NCT01732718),
Arginine (NCT01796678–RDBPC, NCT02536170–RDBPC, and NCT00004412–open-label randomized design),
Mometasone (NCT02061202),
Montelukast (NCT01960413),
Omega-3 fatty acids (NCT02973360–RDBPC),
AMD 3100 or Mozobil (plerixafor) (NCT00075335),
Riociguat (NCT02633397–RDBPC), and
IW-1701 (NCT03285178–RDBPC).
Phase III RCT Arginine, senicapoc, tinzaparin, ticagrelor, rivipansel (GMI-1070), crizanlizumab (NCT03814746), and antioxidants.
Phase III Glutamine (NCT01179217–RDBPC),
Omega-3 fatty acids (NCT02525107, NCT02604368), and
N-acetylcysteine (NCT01849016–RDBPC).
FDA-approved l-glutamine, hydroxyurea, crizanlizumab, or SEG101 (NCT1895361–RDBPC, NCT03264989–SAOL, and NCT03474965–SAOL).
Under investigation TLR4 inhibition, DNAse-1, anakinra, and vitamin D.

* Study drug administered during acute VOC, SAOL: single-arm open-label, RDBPC: randomized double-blind placebo-controlled.