Evidence map›Paper›PMID 39473076›Full record

Trial reportEuropean journal of haematology2025

Real-World Evidence of Crizanlizumab Showing Reductions in Vaso-Occlusive Crises and Opioid Usage in Sickle Cell Disease.

Laurie DeBonnett, Vikas Joshi, Ana Cristina Silva-Pinto, Raffaella Colombatti, Annamaria Pasanisi, Francesco Arcioni, Rodolfo D Cançado, Séverine Sarp, Rajendra Sarkar, Wesam Soliman

Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in European journal of haematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03720626 (Managed Access Programs for SEG101, Crizanlizumab), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03720626 availablenot on this map

Managed Access Programs for SEG101, Crizanlizumab

Typeexpanded_accessSponsorNovartis PharmaceuticalsConditionsSickle Cell DiseaseArmscrizanlizumab
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Laurie DeBonnettNovartis Pharmaceuticals Corporation, East Hanover, New Jersey, USA.
Vikas JoshiNovartis Healthcare Pvt. Ltd., Hyderabad, India.
Ana Cristina Silva-PintoDepartment of Medical Imaging, Hematology and Oncology, Ribeirão Preto School of Medicine, University of São Paulo, Sao Paulo, Brazil.
Raffaella ColombattiAzienda Ospedale-Università di Padova, Padova, Italy.
Annamaria PasanisiCentro Microcitemia-UOC, Ematologia Con Trapianto, Brindisi, Italy.
Francesco ArcioniSC Pediatric Onco-Hematology With Bone Marrow Transplantation, Azienda Ospedaliera di Perugia, Perugia, Italy.
Rodolfo D CançadoDepartment of Hematology/Oncology, Hospital Samaritano, Sao Paulo, Brazil.
Séverine SarpNovartis Pharma AG, Basel, Switzerland.
Rajendra SarkarNovartis Healthcare Pvt. Ltd., Hyderabad, India.
Wesam SolimanNovartis Saudi Ltd., Riyadh, Saudi Arabia.ORCID https://orcid.org/0009-0006-3473-9139

Funding

Novartis Pharma
6 · The paper itself

Abstract

objectiveAccess to crizanlizumab, a disease-modifying therapy for sickle cell disease (SCD), was provided through a managed access program (MAP, NCT03720626). The present analysis evaluated the impact of 12 months of crizanlizumab treatment on vaso-occlusive crises (VOCs), and on the use of opioids for VOC-related pain relief, in patients with SCD from the MAP.

methodsFrom June 2018 to January 2023, 112 patients with a history of recurrent VOCs completed 12 months of crizanlizumab (5 mg/kg) treatment and were monitored for adverse events (AEs).

resultsCrizanlizumab led to reductions of 18.0% and 36.2% in the proportions of patients having ≥ 1 home- and ≥ 1 healthcare-managed VOCs. Median absolute changes (interquartile range) from baseline in the rates of home- and healthcare-managed VOCs were -3.0 (-6.0, -1.0) and -2.0 (-4.0, 0), respectively. Data stratified by genotype and prior hydroxyurea use showed similar reductions in VOC rates. A 35.5% reduction in the proportion of patients requiring opioids was noted. AEs were consistent with earlier reports, and no new safety concerns were identified.

conclusionsCrizanlizumab demonstrated potential benefits in attenuating VOC episodes, irrespective of SCD genotype and prior hydroxyurea use, and in lowering opioid usage. The safety of crizanlizumab was consistent with earlier reports.

trial registrationThe MAP has been registered at ClinicalTrials.gov with the ID, NCT03720626.

Indexed as

Analgesics, OpioidAnemia, Sickle CellAntibodies, Monoclonal, HumanizedAdolescentAdultFemaleHumansMaleMiddle AgedTreatment OutcomeYoung AdultAnalgesics, OpioidAntibodies, Monoclonal, Humanizedcrizanlizumabcrizanlizumabmanaged access programopioid usagesickle cell diseasevaso‐occlusive crisis

Identifiers

PMID39473076
PMCPMC11707818

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.