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AB1 for Sickle Cell Disease ((SCD) Trial)

Phase 1 & 2
Waitlist Available
Led By Nirmish Shah, MD
Research Sponsored by Nirmish Shah
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Age 18 to 45 years of age, inclusive at screening
Confirmed SS or S-b0-thalassemia SCD
Must not have
Plans for hospitalization, surgery, or other major procedures during the duration of the study or between screening and baseline
Acute complications due to SCD (i.e., hospitalization, acute pain, or acute chest syndrome) in the 28 days prior to screening visit
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from the time of consent up to 12 months
Awards & highlights
No Placebo-Only Group

Summary

This trial involves giving a drug in increasing doses to find the safest and most effective amount. It targets patients who might benefit from increased HbF levels. The dose is increased if no serious side effects occur. Hydroxyurea has been studied for its ability to increase fetal hemoglobin (HbF) levels in patients with sickle cell anemia, showing varying degrees of effectiveness and manageable side effects.

Who is the study for?
Adults aged 18-45 with Sickle Cell Disease (SCD), specifically SS or S-b0-thalassemia, who have had 2-10 sickle crises in the past year but none in the last month. Participants must not be pregnant, agree to contraception use, and should have a history of following medical care. They can't join if they have severe kidney issues, abnormal blood counts, certain heart conditions, recent drug abuse, or are on specific other treatments.
What is being tested?
The trial is testing AB1 at increasing doses from 2mg to 32mg taken orally once daily for eight weeks. It's an open-label study where everyone knows what treatment they're getting and it aims to find out how much of the drug can be given safely.
What are the potential side effects?
Potential side effects aren't specified here but generally could include typical reactions to new medications such as digestive discomfort, headaches, possible allergic reactions or changes in blood counts due to the nature of SCD.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am between 18 and 45 years old.
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I have been diagnosed with SS or Sβ0-thalassemia sickle cell disease.
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I've had 2-10 sickle cell crises in the last year, but none in the past month.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I do not have any planned surgeries or major procedures during the study.
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I haven't had any severe sickle cell complications in the last 28 days.
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My heart condition severely limits my physical activity.
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I am on medication for seizures or altered mental status.
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I am not willing or able to follow the birth control requirements of the study.
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I have another cancer diagnosis such as MDS, leukemia, or an abnormal karyotype.
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I do not have a severe illness that could cause death within 6 months.
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My kidney function is severely impaired.
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I am a man and cannot follow the study's birth control rules.
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I need considerable assistance and am unable to carry out any work activities.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from the time of consent up to 12 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and from the time of consent up to 12 months for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Number of ≥Grade 2 study related adverse events as measured by patient report/medical record

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: AB1Experimental Treatment1 Intervention
AB1 is the investigational product in this study taken orally, once daily, for 8 weeks. This will be an open-label, dose escalating study with a starting dose of 2mg. Up to 6 additional cohorts will be enrolled at subsequently higher doses of 4mg, 8mg, 10 mg, 12 mg, 16mg, and 32mg.

Find a Location

Who is running the clinical trial?

Nirmish ShahLead Sponsor
1 Previous Clinical Trials
16 Total Patients Enrolled
Nirmish Shah, MDPrincipal InvestigatorDuke University
5 Previous Clinical Trials
137 Total Patients Enrolled

Media Library

AB1 (Unknown) Clinical Trial Eligibility Overview. Trial Name: NCT05261711 — Phase 1 & 2
Sickle Cell Disease Research Study Groups: AB1
Sickle Cell Disease Clinical Trial 2023: AB1 Highlights & Side Effects. Trial Name: NCT05261711 — Phase 1 & 2
AB1 (Unknown) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05261711 — Phase 1 & 2
~13 spots leftby Nov 2025